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Medical Forum / General / Dentistry / January 2008Wisdom Teeth Torture Pain =/
So I got four wisdom teeth taken out. Major pain. I flushed the first script of oxycodone down the toilet because it had aspirin in them and I thought they would mess with my gastritis (I was still "anesthetized...." I'm retarded.) Well, then he prescribess me darvon. 3 days later, darvon useless as ever. The pain is at its peak and I look like a chipmunk. I'm going in to his office in a day or so and I'm wondering how I would go about getting another prescription for something more suitable for this agony... maybe I could bring up some sort of common wisdom tooth complication that arises and say I think I have that or IDK... NSAID's don't work so this is my last shot. He's already given me two narc scripts and he's extremely hesitant of giving me another. I'm only 19, I don't look like a drug seeker. what should I say to him at the appointment? Perhaps a painful complication I could somehow fake? I hate to lie, I just don't want to waste this oppurtunity to remedy my pain problems. Thanks ahead guys, you all are great. Lying to your dentist of doctor compromises the quality of care you'll receive. The single most important factor affecting quality of care is trust between the doctor and patient and this relationship goes both ways. You said NSAIDs don't work for your case. Usually high-dose ibuprofen is better at controlling pain and inflammation than most prescription opioids. If your gastric problems prevent you from taking NSAIDs I suggest telling your dentist the truth and work with him for a suitable solution. Good luck. Regards, George >Lying to your dentist of doctor compromises the quality of care you'll >receive. The single most important factor affecting quality of care is >trust between the doctor and patient and this relationship goes both >ways. >You said NSAIDs don't work for your case. Usually high-dose ibuprofen >is better at controlling pain and inflammation than most prescription [quoted text clipped - 5 lines] >Regards, >George Agree here with George as his advice, as usual, is well thought out. His perspective is bit of a different than US dentists. But must add that if you were my patient, and you told us that you had 'flushed' youroxycodone meds... Well that would raise an eyebrow. Then when you start saying Darvon and NSAIDS don't work for me, my other eyebrow raises. As for asking about lying to your dentist, am afraid that shows what type of person you are. See this everyday, it's exceedingly hard to 'fool' an experienced practitioner. In my practice you would be told to either "cowboy up" or "gut it out" No more Rx meds for you. Would have given something to prevent the 'chipmunk' though. Don't ask what, it's too late. You guys have been thorough and very polite. These are classic lines from a drug seeker. Either using them or selling them. D >>Lying to your dentist of doctor compromises the quality of care you'll >>receive. The single most important factor affecting quality of care is [quoted text clipped - 30 lines] > Would have given something to prevent the 'chipmunk' though. > Don't ask what, it's too late. That is what I thought, too.  Signature/ Amatus / > > You guys have been thorough and very polite. [quoted text clipped - 38 lines] >> Would have given something to prevent the 'chipmunk' though. >> Don't ask what, it's too late. You would probably be right guys, but I've never encountered a drug seeker in my life where I practice. My limited knowledge of drug seekers comes from watching ER. I haven't written more than a few codeine prescriptions, I usually stick with ibuprofen as a painkiller as I consider it far superior for dental pain. Regards, George Lucky guy. There are even folks who keep some awful looking teeth in their mouth to whine about pain and get a script. They show up right before lunch or at 5:00 knowing they won't be treated but might snag a prescription. They never show for a following appt. unless they think they can milk you for 3-4 more scrips after an extraction. They are all allergic to codiene, and NSAIDs either don't work or upset their stomach. The last pain pill that helped them started with a 'P...perca-something, or demeril?' D > You would probably be right guys, but I've never encountered a drug > seeker in my life where I practice. My limited knowledge of drug [quoted text clipped - 4 lines] > Regards, > George Hey,,,,,,,,,,,,,,, same guy comes by my place from time to time. Signature/ Amatus / > > Lucky guy. [quoted text clipped - 19 lines] >> Regards, >> George They do tend to make the rounds. ;-( D > Hey,,,,,,,,,,,,,,, same guy comes by my place from time to time. Most common routine the past few years has been for them to call or stop by on the day before a major Holiday, and tell us they are going to switch their entire family to our practice, but,,,,,,,,,,,,,,,,,,, they are having some pain and are on the way to visit their folks in Tenn. Please give a Rx to cover the weekend and they will back in on Monday. I prefer to "financially screen" these patients to root out the drug seekers. Signature/ Amatus / > They do tend to make the rounds. > > ;-( > D > >> Hey,,,,,,,,,,,,,,, same guy comes by my place from time to time. > Most common routine the past few years has been for them to call or stop by > on the day before a major Holiday, and tell us they are going to switch > their entire family to our practice, but,,,,,,,,,,,,,,,,,,, they are having > some pain and are on the way to visit their folks in Tenn. Please give a Rx > to cover the weekend and they will back in on Monday. I prefer to > "financially screen" these patients to root out the drug seekers. This has been an interesting thread. Problems come when the patient is not lying. I recently had strep and flu and whatnot. Totally ill. My regular Dr was not available and I had to see someone else. I'm dying and this guy doesn't want to, but ends up giving me 10 trainer vicodins. My regular Dr knows I'm not a liar. Now I have to look at replacement Doc knowing he thinks I'm there just to scam drugs, and then just be accepting of a script that might get me through a day and a half. I guess there are some folks willing to pay for the visit just for the meds, but it screws those of us who just need the relief. Anyway, I know this is a dental group. I just needed to say that sometimes a patient really just does need some relief. You are absolutely correct.!.! It is sometimes a tough call. Often you can tell from the day and time of the call. A Patient who comes into the office on a Wednesday morning seems much more legitimate than someone who calls at 4:45 pm Friday and cannot get to the office for another 2-3 hours. Signature/ Amatus / >> Most common routine the past few years has been for them to call or stop >> by on the day before a major Holiday, and tell us they are going to [quoted text clipped - 16 lines] > Anyway, I know this is a dental group. I just needed to say that > sometimes a patient really just does need some relief. You got me curious...do any dentists actually prescribe Demerol for pain..I mean is that professionally acceptable? I am also wondering if ibuprofin alone is really more effective than Percocet for a severe toothache, should I ever get one. In my state, a dentist can write a script for any and all pain meds (assuming they have the proper state and federal licenses). IMO, ibuprofen is as good at easing real pain as most narcotic prescription drugs. Enough of the narcotics can give you that additional feeling that may make a person more tolerant of the left over pain that you won't get from an NSAID. D > You got me curious...do any dentists actually prescribe Demerol for > pain..I mean is that professionally acceptable? > > I am also wondering if ibuprofin alone is really more effective than > Percocet for a severe toothache, should I ever get one. I'm not sure even why demerol is available in oral form...wait a second....its because someone will prescribe it. Its bioavailability following first pass effect absorption is quite poor. Therefore you need to take a whack of it to have the equivalency to other analgesics in terms of pain control. That's why it is generally given intravenously or intramuscularly. John You got me curious...do any dentists actually prescribe Demerol for pain..I mean is that professionally acceptable? I am also wondering if ibuprofin alone is really more effective than Percocet for a severe toothache, should I ever get one. ------------------------------------------------------------------------------ Had one ask me for Dillydads. Still brings a chuckle. >Lucky guy. > [quoted text clipped - 18 lines] >> Regards, >> George I enjoyed our talk Friday night. Thanks for sharing some time with me ! Signature/ Amatus / > > Had one ask me for Dillydads. [quoted text clipped - 23 lines] >>> Regards, >>> George Same here but was sorry to hear of your situation. Perhaps next Wed will give you some answers. Really liked that Amish thingy, it was kewl. >I enjoyed our talk Friday night. Thanks for sharing some time with me ! |
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