Conversation: The conversation between human and AI assistant.
[|Human|] hi. i have been struggling with A. necrosis for about 10 yrs or so. I was being seeing a Pain Management Center in AZ (im now in a small town in CA) where they prescribed meds to help control th pain whie i sought treatment elsewhere looking for some possible cure for my necrosis. Not really happening at this point. Back to today.. I had been seeing a Pain Specialist here for a few years but he doesnt accept MediCal that i have being on SSI. I sought out a GP Dr when i was having a hard time keeping up with th Dr visit charges (which i now regret immensely). These new regular Dr are EXTREMELY against fastacting pain meds etc. 7 yrs ago or so, my Dr in AZ talked me into 12 Kadians (morphine) assuring me that detoxing with him would be painless IF and WHEN we found some cure for my Necrosis. Ive been on Kadian eve since with Oxycodone for breakthru pain. My newest Dr refuses to prescribe fastacting pain meds swearing that they cause your pain tolerance to be lowered constantly to th point where i ll never be able to have real pain relief. Two times while on Kadian 60mg every 12 hours i accidentally missed a dose or 2 and ended up in an ER with pain so extreme, vomiting uncontrollably etc (we concluded that i was goin thru withdrawals). Now this new Dr wants only to increase my Kadian and quickly. In the past few months from 60mg to 80mg every 12 hrs. With not very good results so shes prescribed me uot to 100mg every 12 hrs plus Kadian 60mg for breakthru between my 12 hr meds. Needless to say that i am SCARED TO DEATH about these doses!So far i have begun thje 100mg every 12hrs and added 20mg up to 6 daily = 320mg supposed to lead up to (next week) 560mg per day. This seems crazy considering how badly i thought i was dying previously when i missed doses. AND im stil in pain to th point that i now feel like a cripple for the first time in my life. i often cry from th pain, limp and am in pretty much constant pain. My mother dioesnt get it all but believes this new Dr that fastacting meds will never be the answer and thats is her adament opinion (to the point where she called my previous Pain Management Dr crazy TWICE and rt to my face! I really just want to go back to my REAL Pain Dr and go back to much lower Kadian dose with my fastacting Oxycodones. Whats your opinin on this please? not sure if i can add to this but im supposed to tell you im a 49 yr old female, 5 8, 140 pounds, as active as i CAN be but am not, hope that helps...
[|AI|]  Hi, From your description I understand that you are in chronic pain. I presume that your blood sugar levels and metabolic profile are ok. If these tests have not been done please do get them done as well. Has your vitamin D level test been done. If not you may get your vitamin D level tested. If this is low then you may need adequate supplementation. I would suggest that in addition to your doctors prescriptions you may see a well qualified acupressure specialist. Acupressure is an alternative branch of medicine which is complementary to your pain medication. It does not cure the medical problem but may help some people in reducing their pan symptoms. Over time some patients report a sense of overall well-being and decreased use of pain medications with acupressure. You may also find out if there are biofeedback type of sessions at your pain management clinic. Biofeedback is also a type of additional therapy used to manage some forms of chronic pain. You may also try meditation techniques as available on About.com or Deepak Chopra websites or any good meditation center. Mediation works by helping to calm our anxieties and creates a sense of well-being which induces a sense of positivity which helps us in coping with the chronic pain. Chronic pain, I understand reduces the quality of our life and creates a sense of misery and anxiety and that is why in addition to the usual medications, we should also work on ad Chat Doctor.  Acupressure also may be helpful but must be done under the advice of a skilled practitioner. You may also try to consume anti oxidant containing food and beverages such as green tea, berries etc. if you are not allergic to them or have no other contraindications. A well-balanced diet with more natural food, whole grains and vegetables promotes a sense of well-being. You may try to reduce the consumption of food that contains too many preservatives, coloring and additives etc. Since you said that you are an active person, I presume that you are able to do some light aerobic exercises when possible, but please do not do any exercises when you are in pain. Should you require further guidance please post your lab reports and doctors diagnosis with details here so that I provide you with more information? Warmest regards and wishing you a pain free and healthy life