Do you have to tell other Dr's about your pain meds too and why??

Discussion in 'Fibromyalgia Main Forum' started by shelby319, Feb 7, 2007.

  1. shelby319

    shelby319 New Member

    Top of the day to all and I hope everyone is feeling some what pain free~~

    I am asking this question mostly because after being judged by others, including other Dr's the truth about what I take for pain meds, they either look at you funny or have some kind of negative remark to make to you. All of which I don't need right now!!!

    I'm just so sick of hearing these comments, or the look on their faces, like "my lord, your on such and such for pain, I'm surprised your still with us", or, "I can't believe any Dr. would put you on that much morphine for something like fibromyalgia, as it is usually given for cancer patients"!!!

    I only take 30 mg of Ms Contin twice a day, so I don't think that is alot of medication, if it helps my pain than I 'm not going to be judged by others, seeing my Dr. is the one who put me on it, so he must know what he's doing.

    But this coming Monday, I go in for an abcessed tooth, which they will pull out and also do reconstructive gum surgery, and put in a bone graft, so they can prepare me for a tooth implant later on. Should I tell my dentist and the oral surgeon what I am on, and wait to see their reactions or just not tell them at all?

    My dentist first off doesn't even understand anything about pain medication, or believe in using them! But he did write a script for some pain meds until I have this surgery done. Then he spelled it wrong on the script..so you know he wouldn't understand morphine or why anyone would be on it!!

    My oral surgeon is a fantastic Dr.!! Him I might tell, but then my dentist would find out that I didn't tell him and wonder why. So, now theres that dilemma of who to tell or not tell and once again be judged!!

    But they would have to give me something for breakthrough pain anyway right? So, should I just let it go and let them do all the surgery they need, and then let them give me my breakthrough meds like I haven't gotten anything else for pain?

    I'm also afraid if I tell them, they won't give me anything for my breakthrough pain seeing I'm already on morphine, so therefor I shouldn't need anything else for pain. The morphine should cover the pain enough and I know it wouldn't be enough for this type of surgery.

    Anyone have any suggestions? I'm soooo sorry this is long, but the only way I could explain it properly and hopefully for you to understand it all, was to tell the whole story and leave nothing out.

    Its just a shame these days that all of us have to deal with this type of judgement and feel bad or guilty for having this terrible disease! Seeing we get enough of it from others and we pay the price of it afterwards by going into a flare or become so sick of even seeing another Dr.!

    Thank you again for reading this long post...I guess I got a little carried away again, but none of us should have to endure this treatment if we don't have to.

    Gentle hugs to all,
    Shelby

  2. lil_angel1198

    lil_angel1198 New Member

    You need to tell them.
    They need to know so that they don't give you something that could have serious interaction with what you are already taking...it could endanger you....so, yes... Tell Them!
  3. tngirl

    tngirl New Member

    You should tell other doctors. They always need the information. If you go to a doctor for something, they might need the information to help diagnose (there are sometimes side effects or common problems with those who take medications) For instance I have IBS, now its always with constipation (used to be Diarrehea) probably because of the meds I take.

    They also need to know because if they are going to prescribe medication, some meds should not be combined.

  4. cjcookie

    cjcookie New Member

    You should not let another doctor give you pain meds too. I signed a paper with my pain mgmt. doc that I would not seek pain meds from another doctor. Any good doctor treating you with that strong stuff should have done the same thing. It can be very dangerous to do this. You can be overmedicated, have interactions, etc.

    Actually this is just the type of situation my doc talked about when I wanted stronger meds. He told me there would be nothing to help with pain if I had to have surgery or a procedure if I went higher. He was right.
    [This Message was Edited on 02/07/2007]
  5. ilovecats94

    ilovecats94 New Member

    I get my pain meds from my family doc. I have a sheet on the Windows computer that I have all the meds listed I take along with all my surgeries, all my OTC meds, and the name of my family doc and endocrinologist.

    I give a current list to my eye doctor and any other doctor who wants a copy. I keep one in my purse all the time for emergency use, say if I was in an accident.

    I get all my meds at the same pharmacy in Kroger.

    I tell my dentist all the meds I'm on. I'm only on Lortabs for pain and a lot of times it doesn't help when my back starts to kill me. I really need something stronger half the time, but I don't push my luck. I'm happy to have what I get without a hassle from my family doc.

    I have my profile up. I also have diabetes and have neuropathy of the feet. I'm trying to lose weight, but it's hard to go back to aerobics again with having FMS.

    I do the best I can and that is all I can do.

    Take care,
    Faye
  6. fungirl2100

    fungirl2100 New Member

    Shelby,

    Since surgery is involved yes, tell your surgeon. Otherwise I say no, don't ask don't tell. A need to know only basis. My doc & my husband know what I am on. I keep a list of what I am allergic to & have learned that if you put ice on your cell phone after people's name's on your cell phone this helps the hospital to contact the right person should something happen & you cannot speak.

    I was on MS IR & ER unfortunately it wasn't enough, so I have moved to stronger meds. Yes, there are stereotypes, but I would let my doc/surgeon know what is wrong with me. They should take a medical history before doing anytype of surgery on you anyway even if it's oral surgery.

    your friend,
    fun ;)
  7. TinaJones

    TinaJones New Member

    Hi there! Aggghhh, teeth issues...I know - BIG time pain. I have exactly what you had - a tooth abcess...it was infected, took ABX for it...so it's not infected anymore, but I need to go have it pulled. The doc said I can either live without the tooth (one of the back molars) or put in an implant. I've decided - once we get my medical bills off a bit more....of getting the implant. Literally, though, it's like the last thing I want to deal with, yet I know I have too.

    Re: telling the dentist about the meds - I completely understand what you are saying. Two years ago, I would've had the same hesitation as you do and would have responded differently to your post. But through all of my experiences, I feel differently now.

    I would definitely tell your dentist and oral surgeon. If you get ANY negativity from your dentist - I would just say "I have several chronic pain issues, and this is what my doctor has me on". I've starting saying "chronic pain" to just summarize SOME of what I have to people, and I think it's a good explanation...not that you should have to explain - but you know what I mean, I hope!

    You definitely need to have meds for breakthrough pain. The MS Contin is for your everyday pain. It's not for your everyday pain PLUS recovery from dental work. What I would do? I'd call my doctor and tell him that you are going in for dental work...and you will need something for breakthrough pain...would he like you to get that from your dentist or does he want to prescribe it? I'd do it this week so that it's taken care of by Monday. I'd think it would be much easier to deal with it now, than deal with it after the surgery.

    Yes, it stinks that you even have to worry about someone's comments...but that's just life, and I suspect there are always going to be "comments" from people. But, I'd just get a "matter-of-fact" attitude, like "This is what I'm on, and it's increasing my quality of life..you have a problem with that?" After that, it really is their issue if they don't agree with you or understand it.

    I know I've told you this before, but I'm on HIGH dosages of meds - 360mg of morphine, Dilaudid for regular breakthrough, Actiq for severe breakthrough. I've had to deal with MANY comments. But things have really changed since I've changed my attitude about it. Of course I wish I didn't have these issues, but I do - and the meds are one part of the picture that helps my quality of life. Once I adapted the attitude of KNOWING that I'm doing what I have to do...I think people view me differently now, too.

    Not saying YOU need to change your attitude...I just want you to be comfortable in knowing you are doing what you need to do for your health. Sometimes it's really hard to express thought and feeling via the computer - so I hope this all comes across as I mean it :)

    I'm going to end this post - and respond over in the one (about the TENS machine) about that and some other stuff..so read it when you can.

    I PRAY that Monday goes well for you, that you are comfortable and don't have tons of pain - and that everything goes well with getting your breakthrough meds. Have you decided on getting the implant?

    You'll be in my thoughts on Monday, Shel...Love, Tina
  8. shelby319

    shelby319 New Member

    I took all of your advice's and it seems the only people who understand the pain we are in, are the ones here on the board!!

    I really really appreciate all the support from all of you and the time you took to answer my questions about the pain and telling the Dr's.

    Now, I talked to my Dr. and told him about the surgery on Monday and he told me I shouldn't need anything else for pain seeing I'm already on the MS Contin! I'm lost here for words folks...but give me time and I'm sure I'll come up with something else to say. LOL!!

    I'm dumbfounded at the moment and need to think this over, as to what I should do now!! I haven't told my oral surgeon yet, so maybe if I explain it to him, he will understand the situation better. I know myself as many of you do, that what we take now for chronic pain is not enough to help with the pain of more surgery, and would need breakthrough meds.

    So, I shall talk with my oral surgeon and see what he says about it. I will tell him I have fibromyalgia and what I take for daily pain medication, but that I will need something extra for breakthrough and see how he deals with it. But I do understand why some Dr's are reluctant to give you something else, but this is a shame right now and I feel lost for what to say or do next.

    But I do thank all of you for your support and compassion and great advice!! Priceless!

    Gentle hugs to all,
    Shelby
  9. kjfms

    kjfms Member

    Well a lot of people may not like my answer on this but you should always tell all physicians you see all medications you are on.

    Not only for chances of adverse reactions but also for misconceptions of drug seeking behavior (yes it happens) and the possibility of being released by your physician.

    I doesn't matter if you have signed a contract or not usually a physician finds out you are getting pain prescriptions from another source they will dismiss you as a patient and give you 30 days of emergency care only.

    I type letters every day of physicians releasing patients for this very reason.

    I am not saying it is right or wrong -- it is how it is. Most physician will not tolerate this and they do not care what the reason is.

    I would make sure to have an open discussion with both your regular physician and the physician you will be seeing -- this is the only way to protect yourself and not loose your primary care physician in the process.

    Trust me pharmacist and other physicians do call primary care physicians. I see this happen all the time.

    Please have a discussion with your physician so you understand your physician's policy on this matter.

    Best of luck,

    Karen
  10. jessica0123

    jessica0123 New Member

    It sounds like to me you need to be seeing a Pain Specialist. If I am understanding this you are seeing your Primary Care Dr. for this? Primarey Drs. know not much about pain! They have no idea of what is needed for your pain.

    It is true however if a pharmacist or your insurance co. sees two conflicting pain meds the questions will arise. Focus when you feel better to see a pain specialist. If I called my Pain Dr. you bet she would't have said well...thats enough what your on.
    Good Luck

    Jessica
    VA
  11. TinaJones

    TinaJones New Member

    I'm sorry...I don't even know what to say. I really didn't expect your doctor - especially from what you've posted about him - to say that! I bet you are sooo mad and frustrated. I'm so sorry.

    Talk to oral surgeon, yes. I don't know what else to do. I'd be VERY frustrated with my doctor, especially since you really didn't "have" to call him. Honestly, I can't believe his response.

    Let us know what you do. I'm sorry you are going through all of this! Love, Tina
  12. shelby319

    shelby319 New Member

    As I've been thinking about it and wondering what oh what did I do now, you nice people come along to help me once again!

    Thank you soooo much~~

    I think I will just go in to my oral surgeon and give him my list of complaints and problems I deal with on a daily basis from having this disease and what medications I take. Then I will tell him what I've had before for breakthrough meds and see if he will abide by that law and prescribe accordingly.

    I did see a pain management Dr. already..that was a real hoot...but also another story for another time as it didn't go too well.LOL!!

    Anyhoo...seeing my oral surgeon is the one doing the surgery and after care, he should be the one making the final decision on what I should be taking for pain medications and NOT my PCP, right? This is how it worked when I had my cervical fusion done in Oct., so my neuro- surgeon is the one who took care of my pain issues and NOT my PCP also back then, right?

    How's all this sound, a better option for me?

    I'm still thinking...and hoping...anymore suggestions?Hehehe~~

    Tina~~I don't want you to feel one bit sad or feel you haven't helped me, as you have been my little guardian angel through all this!! You have made me feel blessed and strong! Together we can get through both our problems and issues of our pain no matter what! Thank you for that!

    Thank you all again and again~~
    Till tomorrow..everyone have a sparkling evening~
    Many gentle hugs to all~~
    Shelby
  13. mary124

    mary124 New Member

    I get my Pain meds from my pain doctor.
    I also tell all of my doctors what I'm talking. I don't get a funny look from any of them, as they all know that I'm sick and in pain.