-pain management

I finally got a referal to a PM doc and they didnt like me being on the 25 mcg patch and iv dilaudid in the hospital(or oral dilaudid at home) so they switched me to a 12 mcg patch and a 25mcg patch and 30 mg of oral morphine(liquid) every three h

I was only dilaudid when I was inpatient in July and it did nothing. When I was released the hospitalists came me vicodin and my family doc kept me on that when she refilled it but it didnt touch it. When they found out what was the real cause of my lower back and leg pain(osteomylitis and scarial joint infection) they admitted me for a week and I had to along with one nurse fight to get sent home on 2 mg of oral diulaudid. We upped it to 4 mgs a few days after I got out but the NP at my family docs office screwed the script up and she wrote it for 2mg and only like 2 days worth so by the time I got to my appt with my reg doc the next week I was in severe pain and she started the 25 mcg patch every three days and 4 mg dilaudid oral prn. We stopped the dilaudid in mid Nov but I still had some and the patches lasted me til about Christmas time. I had one patch left bc I was stretc hing thme out and trying to go without them bc my pcp wasnt comfortable I think writing them still. Whjen I went inpatient on 1/11 they asked what had helped with pain before amnd I told them at home the best combo had been the 25 mcg patch and 4 mg dilaudid oral...so they did the patch and IV dilaudid/ Then they switched me to a 12 mgc patch and a 25 mcg patch every 3 daysthe 30 mg(or 15 cc of morphine elxir of 10 mg/5cc) and actually in the hospital was getting every three hrs but I noticed the bottle says 4 times a day so not sure why they dropped it back). I was already on neurontin so they left me on that too as well as my flexaril. Thye had thought about cymbalta but bc of my allergies they didn't want to try something I have never had before. I see the PAat the pain clinic next wed. I think they hoped my pcp would be willing to write the scripts either bc of the drive for me or so they didnt have to deal with it but since my records sometimes take a week or so to get finished and then mailed to my pocp, i didnt want to take the chance of them running out since I only got 2 weeks to go home with. And I guess they will rewrite it when I see them, again. next week. I hope they will write it for a long period of time. It is an hr and 20 min drive down there so I cant do every 2 weeks. I know they cant call stuff in but can refills be written on the original script or can those meds not have refills writtenm on them. I know I had a refill on my percocet. Also do pain doctors increase the time between your appts or how often do people usually see tem?

In Canada, Federal law allows Dr.'s to prescribe  morphine,oxycodone-contins and the like for three months at a time, but it is up to the Dr.'s discretion.I have never had any problem getting three month prescriptions but I have talked to people that live in areas that have a high rate of illegal street distribution, that are only able to get one month at a time prescriptions.Bottom line-- it's up to your Doctor up here.I thought I remember reading about new laws in the U.S. that are to allow longer prescriptions. What's happening with that?

Dr.'s should be able to protect their butts AND see where their narcotics are going by having the computerized records of the amounts of narcotics in the patients bloodwork to justify their drug prescriptions to the authorities.Smart Dr.'s up here order frequent drug assays on patients they have suspicions with. My Dr. checked me out when I first became his patient after my old Dr. retired six years ago.At the time ,I was prescribed way more than anyone without narcotic tolerance could fake, so that answered the question to my Dr. as to where the drugs were going. I wonder why Dr.'s in the U.S. don't do that to cover their butts?