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Noki4 in Ohio it’s 80mg-the AG always has to trump what’s ‘recommended’ as ‘Guidelines’ as he’s running for governor so he’s using this hot button to flood the media-local news channels in particular-with his War On The “Opioid” Crisis when in fact as opioid based prescriptions are down dramatically the deaths from “Opioid Overdoses” (Heroin and street made Fentynal) are up 3 times above the national average (based on an article in the Columbus Dispatch). anyways i researched and 80mg would work for me and a hydrocodone prescription as i would be taking much less as it’s a 1:1 ratio.
Terri, it’s another “Guideline” from the AG running for governor in Ohio. not only is there OARRS where they track your prescriptions from any pharmacy (so much for HIPPA) but the receiving PMC (Pain Management Center or Clinic) is ‘obligated’ to ask. i was turned down today by a PMC for this exact reason! i know you were being facetious when you said ” Pretty soon people will be having surgery wide awake with no pain blockers!!” but get this….my sister is a pharmacist at a hospital close by and when i told her of my travails she told me that they are having problems getting Fentynal for surgery! and of course of post op pain care too! this is anecdotal but is true-and is absolutely criminal!. that’s when i started researching how to fight this political crap and scourge….taking pain management away from law abiding people in need and either making us criminals or making us live in interminable pain…or worse yet..driving good people to the streets to have us end up ‘Opioid Overdose’ statistics.
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terri, i know…that’s why my PCP warned me but the pain is so bad that i have to take the chance!
noki4 i think in ohio it’s 80mg of morphine equivalent but i don’t know what that means but i sure would like to find out one way or the other by receiving it. not sure how they can control Medicare except by intimidating Medicare providers but they certainly can control Medicaid.
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TPC YaYa and Terri thank you for your replies. Terri, the short answer is in the State of Ohio, ‘No.’ the ‘Guidelines’ (and they are only guidelines) set forth by the Governor’s Cabinet Opiate Action Team have set reasonable-i think-amounts for Chronic Pain Relief but i have found out that there’s an insidious gov’t control happening that comes from neither a Counsel, Actions Team or Regulatory Board.
long part-while speaking to, once again, another Pain Management Dr. about why he wouldn’t prescribe me the proper medications and being persistent about it he said “Look, listen. I can prescribe as much or as little opioid pain medication as I want. It’s just that the government (he didn’t state which office or entity) can look at my prescribing records and if it wants to it can make it impossible for me to get insurance.” i was astounded! i said that i didn’t think the Ohio Dept of Ins covered medical insurance and he said “No but they communicate with companies that do.” this PM Dr went on to say that there’s also no quantity of prescriptions that is considered ‘right or wrong’ but when the insurance company reviews your files it is an ‘activist but antiquated’ view. they search for an unquantified number of opioid prescriptions (activist side) but when they ask whom they are for they look for xrays, mri’s and scans showing breaks, tears, visible nerve damage while things like neuralgias and such are met with near derision (the antiquated side). so he chooses to treat neuralgias with injections and the such which have proven time and again ineffective for me.
that conversation showed me a glimmer of light as to why i CANNOT get the proper prescriptions for my PHN/TN. and when i looked further into it i was astounded that the scare tactics are based on Guidelines not legislated laws or regulations. now i understand the Drs’s stance on not prescribing so my frustration has turned from the Drs to the political machine-Mike DeWine-that is doing this to drive his own agenda for election as the ‘opioid’ crisis is such a hot button right now….and the media that drives it (Ohio is basically a Republican State and Mike DeWine touts himself a Republican when it suits his purposes so the media falls in line.)
so there’s the long answer as to why i cannot get the proper medications for pain relief. my PCP found 1 last PM Clinic that may help me but this would be the 3rd this year he gave a referral to and they count referrals given so he warned i may be put off as a ‘Dr. Shopper’ even with his referral. fingers crossed!
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