Thursday, February 16, 2012

Tuesday, October 14, 2008 chelle2008 asks

Q: Re: responding to doctor

I had a great doctor. He left the practice a few months ago. On my first visit with his replacement the doctor told me that 99% of people who take narcotics for pain turn into addicts and said he would not continue my treatment with any narcotics.

I didn't know what to say as he really caught me off guard. I'm 55 yrs. old and have been suffering with chronic pain for years. I am in a rural area and have no idea how to go about finding a caring doctor.

How should I respond to this doctor? I'd love to see the research he got his information from.

I'm at a loss and do not know where to go from here. Any advice?

Thanks to all,

chelle2008

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Answers (3)
10/14/08 10:59pm

Honestly I think you should try to find another doctor. Most websites with detailed information on pain drugs state that the chance of addiction is very low for people in pain who take pain killers in the amounts they are prescribed and in the fashion they are intended. Your doctor appears to be way out of the mainstream in his approach. Yes there is a risk of addiction with narcotics but it is primarily concentrated in people who use them recreationally and snort,  smoke or inject them.

 

Some people in pain have an increased risk of addiction - probably for genetic reasons. For them the question is whether its more preferable to live in pain or not have so much pain and not be addicted. 

 

Its sounds like your old doctor turned his practice over to this guy; I can't imagine he'd be satisfied with his approach. I wonder if there's a way to get in touch with him and inform of your doctor's approach and get his recommendation? 

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10/15/08 1:34am

Loved your response Cort.  So sorry you are going thru this chelle. 

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10/17/08 11:11am

I agree with Cort.  You should really think about finding a new doctor.  The "statistic" your doctor gave you is simply not true.  While it may be true that 99% of people who take opioids on a long-term basis for chronic pain develop a physical dependence on the medication, that is not the same thing as addiction.  Addiction is characterized by an ever-increasing need for higher dosages, a feeling of being high, and desparately seeking more of the drug by whatever means possible. Physical dependence just means that in order to quit taking the medication, it is necessary to taper off gradually so you don't experience withdrawal symptoms.  When people with chronic pain conditions take the proper dosages of opioids, it generally just brings them enough pain relief that they can function. 

 

Having said all of that, I doubt that any response you give is going to change your doctor's mind.  I suspect he does not want to deal with trying to determine which patients are truly in pain and which are simply seeking drugs as well as spending the extra time and effort it takes to properly monitor patients taking opioids, so he just refuses to give them to anyone.  It's also possible that his malpractice insurance would be prohibitive if he prescribed opioids.  Whatever the reason, there's little likelihood he will change his mind.  If you want to continue the treatment that has worked for you in the past, you will have to find another doctor. 

 

If you don't know of other doctors in your area, this link allows you to search by state for doctors who specialize in treating pain: http://www.doctorsforpain.com/

 

Good luck in your search!

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