[quote]Eric 2.0 wrote:
[quote]Artem wrote:
[quote]Eric 2.0 wrote:
[quote]Artem wrote:
Anyways, I’ve got an appointment with a pain specialist in a few days. So… any advice on my original question: What to say to get as hard an opiate prescribed as possible?[/quote]
Theres only one way that this is possible. The doctor has to believe that
(1) you have legitimate back pain. This may mean he’ll want a concrete diagnosis.
(2) you’ve been through physical therapy and tried weaker opiates, and still have not had relief from your pain. Any respectable doc will want to put you on the weakest effective drug
(3) that you’re not a running a game to get legal access to stronger drugs.
It may not happen in the first visit, but if this is your goal it’ll be worth the wait. Obviously, telling the doc that you’ve illegally bought weaker opiates, and they haven’t helped your pain, will only hinder your cause.
Just tell him the truth, but leave out the part about the illegal purchases. Tell him how nothing so far has helped you regain your quality of life, and you are running out of options.
BTW, I happen to agree with people that have told you that this is in fact an awful idea. You’ve said that you’re actively trying to become dependent on oxy.
However, you’ve also said that you understand and accept the risk. As long as it doesn’t effect anyone else, then I see no harm. The problem is that it may actually effect other people, if you run out of oxy and decide to jump over a pharmacy counter waving a tire iron to get more.
Your addiction will inevitably start to effect people that care about you, also. But hey, no one here can stop you anyway, so heres the advice you were looking for. Good luck and let us know how it goes.[/quote]
Thank you for this post.
-
I got a referral from my primary doctor for the pain specialist; they wouldn’t let me make an appointment without one. I’ll be making an appointment tomorrow.
-
I also have proof that I’ve been through physical therapy and can contact any of the other doctors who I visited. I introduced one to the keto diet and he ended up going on it himself to lose weight for surgery and started using it for his patients. So he could put in a good word for me. My mom will also be there to testify, so that’s something.
-
I have no idea how to show him that I’m not trying to do anything illegal with the prescribed drugs, which I’m not. I just won’t say anything about that unless he does.
Plan so far is to just tell him the story of the pain, say what doctors I’ve visited and the therapy that I’ve completed, say what my X-Ray results were, and say that it’s severely effecting my quality of life (which it is). Also that I will continue to actively seek treatment for the source of the problem and that the drugs are for now so that I can go on about my life without pain.
Also, would it be good to say that I have tried Tramadol and Codeine in Costa Rica because the pain was very bad there and that they did not work? It doesn’t imply anything illegal. It’s probably a bad idea to say that I was taking 400mg regularly. I’ll just say I’d pop the recommended dose of Oxa Forte and it didn’t help. Then, tried Tramadol, and that didn’t help either. Do say that I felt mild relief on them, but it was very incomplete and short-lasting, which is also true. That would imply that opiates do help, but I need stronger ones. Also tell him that I’ve tried all NSAID medications and that they didn’t help either.
From there, he might put me on hydrocodone or possibly Tylenol 3s, but I doubt it since Oxa Forte is 50mg codeine a tab and T3s are 8mg codeine and 350mg acetaminophen, I think. I have no clue; that’s just a guess. Then wait a few weeks and say that that doesn’t help either, which it doesn’t. Then see where he goes from there… Hopefully, a low dose of oxycodone will follow. Chill on that for a while then go back until I’m getting 40s or 80s, hopefully; that would be fucking magical.
So, all of this would imply that:
-I have tried NSAIDs and weak opiates, all of recommended dosages, and that they didn’t help.
-I do have legitimate back pain that is lowering my quality of life.
Obviously, I’ll dress semi-formally and just be normal and speak intelligently so that I don’t appear to be some stoner or someone trying to get Oxys to rail.
Also, I should appear to have no knowledge of anything like APAP and cold water extractions, right? As that would imply I want to use the drugs recreationally. And don’t say anything about what I take to potentiate the opiates, obviously.
So that’s my plan so far. What do you think?[/quote]
Sounds like a pretty solid plan. About showing him that you’re not trying to just scam him to get drugs, I think that is where your demeanor and body language will come into play. This should be easy since I do believe that your pain is legitimate, as is your frustration with lack of relief so far.
Definently do not let on that you have any type of knowledge about cold water extractions or anything like that. If anything, act like you are slightly nervous about taking strong narcotics, but will reluctantly do it only because you desperately need relief.
About Costa Rica. This could go either way. Yes its legal there, but it could appear to a doctor (who is nervous about his license being suspended) to be drug seeking behavior. Maybe you could mention it, but play it down like you said. Say that while you happened to be there anyway, you took the available over the counter medication, and what it was.
Also, he may ask you questions like “how many times per week do you drink?” or “did you experiment with pot, or anything else, in highschool?”. I’m not a doctor, but he may want to get a feel for whether you have an addictive personality. [/quote]
Sounds good, thank you.