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A little funny, follow up about DF (long) okay when are they not?
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<blockquote data-quote="Marguerite" data-source="post: 345125" data-attributes="member: 1991"><p>We have a lot of paperwork hoops to jump through here in Australia too, Judi. But if patients need it, and if they are functioning on it, the paperwork warfare is worth it. Well and truly.</p><p></p><p>Star, he may well have been OK on morphine, if the dose had been right. That pain doctor sounds like he's more concerned for the paperwork, than for his patient's welfare. He really needs to be in touch and to talk to the patient, to stay on top of the pain. You DO NOT let chronic pain get out of hand.</p><p></p><p>I haven't really taken methadone. I have been given pethidine in emergencies, but my current drug of choice (for long-term management) is morphine. Over the years since I began taking morphine, I've had a few specialists try to heroically get me off the morphine, in the mistaken belief that it is bad for me. OK, it would be ideal if I didn't need it, but I need SOME level of pain management and the alternatives are actually a lot less healthy. The last "genius" to try and "get me off morphine" thought prednisone long-term would be better. Idiot!</p><p></p><p>I'm fortunate to have a good pain specialist. The way it works here in Australia, is the pain specialist has to be part of a team and it all filters through the GP. The paper trail means every prescription is organised through the government and health department. The GP is not permitted to prescribe unless the pain specialist has already filled in the paperwork.</p><p></p><p>Pain isn't something to muck around with. Trying to change one pill for another, requires supervision regardless of what sort of pill it is. When it's strong pain medications, you don't mess around with it. I'm appalled he was on the wrong dose of morphine. That is just so wrong on so many levels.</p><p></p><p>And now, after the doctor has been through all the fun and games and DF is back on his methadone - what was achieved by all this?</p><p></p><p>Flamin' drongo.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 345125, member: 1991"] We have a lot of paperwork hoops to jump through here in Australia too, Judi. But if patients need it, and if they are functioning on it, the paperwork warfare is worth it. Well and truly. Star, he may well have been OK on morphine, if the dose had been right. That pain doctor sounds like he's more concerned for the paperwork, than for his patient's welfare. He really needs to be in touch and to talk to the patient, to stay on top of the pain. You DO NOT let chronic pain get out of hand. I haven't really taken methadone. I have been given pethidine in emergencies, but my current drug of choice (for long-term management) is morphine. Over the years since I began taking morphine, I've had a few specialists try to heroically get me off the morphine, in the mistaken belief that it is bad for me. OK, it would be ideal if I didn't need it, but I need SOME level of pain management and the alternatives are actually a lot less healthy. The last "genius" to try and "get me off morphine" thought prednisone long-term would be better. Idiot! I'm fortunate to have a good pain specialist. The way it works here in Australia, is the pain specialist has to be part of a team and it all filters through the GP. The paper trail means every prescription is organised through the government and health department. The GP is not permitted to prescribe unless the pain specialist has already filled in the paperwork. Pain isn't something to muck around with. Trying to change one pill for another, requires supervision regardless of what sort of pill it is. When it's strong pain medications, you don't mess around with it. I'm appalled he was on the wrong dose of morphine. That is just so wrong on so many levels. And now, after the doctor has been through all the fun and games and DF is back on his methadone - what was achieved by all this? Flamin' drongo. Marg [/QUOTE]
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A little funny, follow up about DF (long) okay when are they not?
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