Active Ingredients: Hydroxyzine
+ free Atarax pill.
The patient futher indicated "I'm so tired of being in pain and not being able to sleep, please give me a call so we can discuss this matter in more detail. Unfortunate, there is no other version of the patch.
She is taking Norco off and on and she states the Fentanyl patch 100 mcg works but is now causing a rash. I have sent a referral to chronic pain management. Perhaps he has other interventions he would like to try.
I have sent the referral to chronic pain clinic and you should receive a call regarding an appointment soon. Not sure it is easy to explain her pain level requiring fentantyl 100 ug based on objective testing done. I agree that best plan at this point is to have her go through the integrated pain program so that they can assess her and maybe even see if there are other dynamics contributing to her pain.
If she feels she can tolerate therapies, we can certainly order such and if the acupuncture was effective we can referral her for another series. Please call Kaiser pharmacy for refills. Emails should be used for health questions as much as possible.
The patient also requested a refill on her medications.
I have refilled the lorazepam and Norco but I will have the written prescription at the reception desk tomorrow. Respondent directed her staff to " lease inform patient to schedule a follow up appointment with me as soon as possible to discuss her pain medications.
This is just routine before I refill her future requests. The patient reported that the "fentanyl patch not working. A urine drug screen was done which was positive for opiates and negative for benzodiazepines and the tested drugs of abuse.
I have tried everything that you have suggested but I'm none the better.
I just won't be able to sleep at night and have minimal pain. I don't think that's too much to ask. I have just come to live with the fact that I will never be pain free as far as my back is concerned, but I refuse not to be able to sleep at night.
Thanks for your help!
The endocet seem to make me itch, can you give me something else for the breakthrough pain. I also don't think the Opana ER is working but I will continue it until its gone can you send the referral in for the pain clinic?
I have graduated now so l can attend the orientation. I ould rather go back to the patch if this medicine continues not to work I rather put the patch on than take the pill.
I can tell Opana isn't effective because I have to take to many E docet after taking the Opana. I photographed the family of a fisherman, who sleeps in their own boat, and make a meagre living from selling their fish at markets.
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