I'm asking for a change in my Breakthrough med at PMD..

Sounds like you DO know how to phrase it to them. Our doctors are not mind readers. Just tell them what is going on.

Try not to have an expectation of how they will handle it.

I'm glad you have had good experiences with your 'team'. That should help you be comfortable about the conversation.

I'm with a new doctor and we haven't developed any type of 'relationship' yet.

I hope your appointment goes well and you get the relief you seek.

It was extra slow today.Had a 1:15 and just walked in the door at 5:30.

Saw the Nurse Practitioner.She said she'd ask the Doctor.Had to wait another 20 minutes but Instead of MS IR 15 mg x 4 a day,or as needed.

She wrote me MSIR 30 mg x 4.

Plus MSContin ER 30 mg x 2.

I'll count that as a small victory.

Rick

Hey Vickie.I've wondered the same thing.When it comes down to it I'm taking a "Total" amount of Morphine every day.

I'm OK with it.Because it seems to be working.

I asked the Nurse Practitioner if I was taking the maximum dose at 120 mg a day.

She kind of chuckled and said she'd talk to the Doctor.She's so sweet.She said "all she can do is say no".

Now I'm at 180 mg a day.It said on the Prescription Paper for the MSIR 30 mg,"Do not exceed 4 pills a day."

I'm going to try and take 3 a day.

It feels good for the 1st time to have a PMD and Staff that are listening to me.And working with me.

I really feel like they're working with me.Unlike past experiences.

edit:She suggested an MRI on my Rt knee.I said "no",because I pretty well know how bad it is.

I've changed my mind.It's been 5 years since my last one.It'll be interesting,shocking,depressing,etc..

Hope everyone has a relaxing low-pain day.

Rick

I totally agree that the bt med and er med should be different. My doctor likes to prescribe that way and I've always asked for them to be different. I've learned a lot of this site in turn I think I've educated my doctor on pain pills. She always says she's learned a lot because of my "case" . I love that she really listens to my concerns and treats me with respect. Every couple of months I write her a pain journal and tell her about any new treatment I've tried and natural stuff that works really well. But now that they are different it should be better.
Just be honest and maybe write a pain journal of your own. I'm currently taking oxymorphone er 30mgx2/day, Norco 10/325 2-4x/ day for bt and morphine ir 30mg 1-2x at night. I do this because the Norco actually gives me energy and helps with depression, and the morphine just makes me lazy and tired so it's great for nighttime. Then the oxymorphone 2x a day for extended relief. This combo works great for me but I don't think a lot of doctors like to prescribe 2 ir meds. Mine is just wonderful and compassionate. She said if medical marijuana were legal here she would be prescribing it. I so wish it was!!!
Good luck to you....I'm sure if your honest with them things will work out..

Post Edited (laurabelle1) : 8/7/2015 1:11:49 PM (GMT-6)

Rick, don't be afraid to make trial med switches if your Dr is willing. You may find something that works better than what you're on now. And if it doesn't work you can always switch back.

My doc always says 'its worth a try'

Also if you did end up switching back, the break might help with tolerance a bit.

Just a thought!