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Pain Management & Opioids

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MaddMatt
5/12/2019 11:52 EST

Hello,

I am a retired man (63 yrs. old) looking to escape a bad & growing worse situation here in the U.S. Our government has decided that the politicians know more about good healthcare than the Doctors that practice medicine. (absolutely incredible) After being in the car of a Pain Mgmt. Specialist for over the last 23+ years & taking MS Contin, as well as instant release morphine for breakthru days, successfully without problems, now I am being looked at as if I have a drug problem and am an addict...WTF?! I am trying to find a Central American country that does not interfere with their Doctors' ability to treat patients. Does anyone out there have any suggestion as to what I could look into? Thanks Lots, MaddMatt

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lindyluvsCR
5/12/2019 21:27 EST

Personally met a man coming here, and my husband and I had lunch with him on our porch about a year ago, who was thinking of living in Costa Rica with exactly the same attitude as yours. The same age as you but looked and acted about 80 yrs old.

Could not get cheap here, so took a trip to Panama and came back I am assuming with no luck there either.

Then within a couple days went on to Mexico for same. His mother told me that she was worried because she had not heard from him. That a doctor there had told him morphine is not the bad rap that most doctors think.

Found dead in his new apartment two weeks after arriving. Only God knows exactly what happened but devastated his parents.

The WTF that you put in your message is very offensive and unnecessary.

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Gypsy110
5/16/2019 08:13 EST

I understand your anger. People who are not in pain every day will NOT understand the dilemma. The choice is to live in pain or choose an opiate or off oneself. I worry about the amount of Tylenol mixed with it because of liver damage. Your question has validity. What does one do? It's a conundrum.

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lindyluvsCR
5/16/2019 08:59 EST

I do understand as my husband is in pain every day due to rebuilding transmissions 60 hours a week and lifting them etc. until he retired early. He has chosen to bite the bullet and rarely takes OTC med. Has tried and does all kinds of natural therapies. They alleviate some, part of the time.

A friend of his also rebuilt transmissions had back surgery which was a mistake who was also in constant pain and on the heavy meds. He tried to get off of them many times but just couldn't. He died from overdose in his shop at 49.

Have talked to and there have been others on the forum here seeking solutions in Costa Rica. I do not remember any saying they succeeded.

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MaddMatt
5/17/2019 05:50 EST

Please pardon for any offense I may have given. No offense was intended, hence the use of the letters only.
I'm sorry the man ran into a bad situation, he may have been desperate & it affected his judgement, or someone took advantage of him in order to get money from him. That is why I am attempting to operate within the medical framework to avoid poisons you will find "on the street".
Thank You for your response anyways.
MaddMatt

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MaddMatt
5/17/2019 06:20 EST

Gypsy110,
Yeah frustration does seem to reign supreme around this topic. We seem to have one of three practical choices (not necessarily good ones). 1)Accept it as it is. (it IS a choice, even if it is not a good one)
2)Go to the street. (NEVER a good choice; both financially and it is extremely dangerous)
3) Continue to look around & ask other good people for informational help, until you manage to connect with the right country.
I have to believe there is a country somewhere in the world where their medical people are not facing the interference with their practice by their government such as what we are facing in the U.S. at present.
I mean sure, anytime you get a group of people in a field there are going to be a few 'bad apples' (we are human after all) but that does not mean some politician should get in the middle of it & pass legislation to interfere with a Doctor treating their patient. 99.44/100% of Doctors are well meaning intelligent individuals, who sincerely want to help people & alleviate human suffering. Hence the Hippocratic Oath!
So I am going place my bets on the Hippocratic Oath (as it is a thread that transcends national boundaries), and on well meaning humans who do not mind passing on information & truly want to help others.
Thank You to everyone who responded to my post. However, can anyone tell me what the availability of Pain Management Specialists is in Costa Rica & can their pharmacies get opioids to fill prescriptions?
Thanks Again ,
MaddMatt

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ppbritton
5/17/2019 07:57 EST

have you tried acupuncture?? available in costa rica

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lindyluvsCR
5/17/2019 08:56 EST

Matt - I don't think that he bought drugs on the street. I do know he said he was looking for a doctor.

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Kohl
5/17/2019 09:27 EST

Some CAJA hospitals offer a pain management department, where one would have to attend once a month to be given refills of their Rx. Of course, one would have to be a legal resident of Costa Rica to be affiliated with this socialized medical system.
CAJA would perform their own assessment of the condition, not just rely on previous doctor(s)....or take your word that it is necessary. Generic substitutes may be given.
Some private facilities, will/may also offer a similar service, at a price.
In Costa Rica, it is not unknown that some pharmacies will sell you what you need 'over the counter' although, legally, they are not supposed to do so.

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Gypsy110
5/17/2019 14:48 EST

While in Belize I stopped in a pharmacy. I showed him my bottle of oxyco and asked if it was available. He said yes and the cost was $50 per month. My understanding is that each pharmacy has it's own protocol so check with the pharmacy in your Belize neighborhood. I didn't attempt to find a doctor to prescribe it as of yet. Should you find one please let me know.

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Drneuro100
5/17/2019 20:29 EST

Portugal decriminalized all drugs of any kind (yes cocaine, heroin, etc.) for personal use a few years ago. Their crime rate plunged, homelessness way down, and is now a model for study by many countries looking to move in the same direction. Just a few years ago the cities were filled with prostitution everywhere and open drug use/abuse.

Narcotic pain medication is not a issue there, and its very cheap to live there (but hard and expensive to get residency). Lots of ex-pats flooding in. We just got back from there and what a difference compared to barb wire everywhere in CR! We considered it but to far from US and family.

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Gypsy110
5/17/2019 21:52 EST

Hi and yes I have tried acupuncture! It worked like a charm and I was very happy. BUT in 2-3 days I was back in pain. So the fee here in the States would be $60 every 3 days to puncture which made it unaffordable. If only an insurance company would cover it! Medicare does not. I was never so disappointed.

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