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Core Topics => Treatment, Recovery and Rehabilitation => Topic started by: lilbay21213 on January 26, 2017, 09:14:45 PM

Title: can't believe its so hard to get on methadone
Post by: lilbay21213 on January 26, 2017, 09:14:45 PM
I have only two methadone clinics in my city and the one gave me a run around for 2 weeks telling me at the end their medical director believes i should be inpatient Mind you i battle back issues so i am always going to be on a opiate so why put me in detox take me off only to have me come back needing help from the same drug Minus the heroin
She seems to believe its not healthy for me So hmm shooting heroin is better for me ok

Yes i left the heroin get a hold of me again by I know i do Well on methadone been on it several times with success in past but this woman who knows nothing about me now thinks i should be inpatient
I just want to Stop running into Baltimore and buying dope.

I have to wonder i it age i am in my 50's but i know many on methadone older then me
Help i just want off this Merry go Round

Bay
Title: Re: can't believe its so hard to get on methadone
Post by: Thoms on January 26, 2017, 09:37:50 PM
Is there maybe some way to bullshit them and say you've been in treatment. Perhaps been on methadone before?
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on January 26, 2017, 09:50:32 PM
I have been on methadone before and i explained that and my medical doctor stated she recommended it but this one quack basically just strung m along for two weeks to cancel last minute. I am attempting to get back into the one i was on before and was there almost 10 years so like i said i do well on it but i was taken off when i went to pain management cause the doctor decided he wanted to operate and i refused he got rude and so i started doing dope more and more cause his meds were not helping
The one doctor at the clinic i am trying now wants a discharge letter from my pain doctor BUT he will not guarantee he will put me on the clinic so i would be cutting off my nose to spite my face i don't want to say i will not be back and then they decide we are not medicating her and i would be screwed all the way around
What happened to going to your appointments and being on in a couple days like it used to be
I do not think that they get there are older people trying to get off this crap and need methadone UGH
Title: Re: can't believe its so hard to get on methadone
Post by: nikita70 on January 27, 2017, 12:20:49 PM
UGH, exactly, this is the same arrogant mentality I "owe" that I left high and dry to, after 15 years of being some faultless methadone patient.

Once I have positive tested for benzos and avowed that I'm strung on them indeed, this fucking shrink refused (limited) my 2 weeks long take-homes, which I enjoyed since forever, made my life in clinic unbearable and started to harass me insisting strongly that I seek the treatment (detox).

As I denied telling him I can't see any good reason to get off, since I don't abuse them, what I'm able to prove fairy easy, he cancelled my take homes completely and started to constrain me to go to this detox, threating that if I won't be along with his wish and "cooperate", he's going just to take me off the clinic.

I was like "what's the problem is like, doc? You considered benzos to be the lesser evil and relatively harmless stuff and kept stuck to this attitude long enough some people got strung out on them right in this clinic and built up a decent sized habit, you didn't fight them, you did connive, turned a blind eye and let patients do them or even have them PRESCRIBED here in the same outpatient for years, so what has changed so suddenly and so thoroughly, for fucks sake?
How could you even dare to put on me or anybody else for it and tell something is wrong with us, as nothing has changed and I didn't do anything I wouldn't have done before?
Do you really expect me seeking this ridiculous "treatment" as I'm in the middst of my 40s with the double-headed monkey on my back, I'm seriously fed out of this permanent lack of safety, all I expect is you get me my daily dose without any pointless craps and let me watch this place as unfrequently/rare as it only possible."

     
He didn't even try to pretend he's kind and careful doctor who does really concern about his patients, hence the point etc., etc,, he even went so far that he told me arrogantly it's "my CHOICE" so if I'm going to continue using my benzos this is none of his business anymore and I just will be removed.
Nonchallantly talking about "free choice" as it comes to the terms of addiction, being or not being sick etc., etc. is not only extremely arrogant and tactless, it's cruel and cynical. 

I wonder what they fucking think they gain as they are able to nullify/thwart ones whole entire life, just like this?

Cons/negatives-losing my methadone years long "background", losing my sense of security, forced incrimination and debilitating paranoia/fear, going through a month long tiresome, painful induction for a bupe completely in vain, ALMOST (barely to avoid) get addicted to another type of benzo and to make matters worse-to barbiturates...

Pros-so far non reported

Sorry for derailing your thread, just wanted to let you know you're not isolated in this crap.
Keep my fingers crossed for your struggle.   



   
   
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on January 27, 2017, 04:48:04 PM
Sorry to hear you are having a hard time!  Did you mention to the intake people that you have pain management issues?  Usually when you disclose a history more "complicated" then "hey, I'm a dope addict", they tend to recommend a higher level of care.  If you even mention that you will "always need opiates for chronic pain" they will show you the door faster than your can even imagine.

I have found that when getting on methadone, it is best to disclose as little as possible.  A simple "I have a huge dope habit and I want to quit" is basically all you need to tell them.  The more you disclose, the more they are going to push you to a "higher level of care."  I know in my clinic, if you even mention that you need pain management, the will not admit you,

Can you call the other clinic and maybe just give them the basic "Hooked on dope, need help" line?

I think it sucks that people have to be dishonest to access treatment, but unfortunately it is the world we live in.  I hope that will change at some point.
Title: Re: can't believe its so hard to get on methadone
Post by: nikita70 on January 28, 2017, 06:11:41 AM
Sorry to hear you are having a hard time!  Did you mention to the intake people that you have pain management issues?  Usually when you disclose a history more "complicated" then "hey, I'm a dope addict", they tend to recommend a higher level of care.  If you even mention that you will "always need opiates for chronic pain" they will show you the door faster than your can even imagine.

I have found that when getting on methadone, it is best to disclose as little as possible. A simple "I have a huge dope habit and I want to quit" is basically all you need to tell them.  The more you disclose, the more they are going to push you to a "higher level of care."  I know in my clinic, if you even mention that you need pain management, the will not admit you,

Can you call the other clinic and maybe just give them the basic "Hooked on dope, need help" line?

I think it sucks that people have to be dishonest to access treatment, but unfortunately it is the world we live in.  I hope that will change at some point.

@Lolleedee , this is one of the wisest and most reasonable advices ever that could be given related to this issue, seriously.
I think I know exactly what your point is.

As I have read this thread, I thought spontanously, that he needs talk to the doctor completely honestly and enter his/her in as many details of his pain management treatment as possible, since I'm still finding myself to assign the other people my own mindframe/point of view.

Hell, even trying to put oneself into "their" shoes and imitate/follow their perverted logic doesn't warrant any successfull outcome.

I have silly concluded that since dope is considered as some doomed thing and "recreational" using as some lawlessness, reprehensible indulgence and debouchery that deserves all misery of the world-then maybe portraying yourself as a poor victim of pain and undeserved, involuntary user of those "damned substances" might help to gain a little more compassion. And it apparently does, but the way this compassion appears is somehow "amiss", misconceived.
You have to admit that you hit the point of no return and there's nothing to save left before you ask them help you, unless they're going to save your ass, even in spite of all, if needed.

By the other hand, God forbid to disclose your status of a "strung out one individual" as you want the doc to prescribe you something, what is kinda inherent contradicted since it practically means that they're ready to help you only if there's not any urgent need to help.

"Doc, I hardly can sleep last nights, do you mind me asking you prescribe me something so I be able to get some rest? I'd suggest Clonazepam, I'm responding pretty well for this med, as far i remember."
(the doc looks carefully at you)
"Did you say Clonazepam? How often do you gather it? You are ADDICTED to it, aren't  you?"
"Addicted, what do you mean saying "addicted"? Well, I could only guess what are you talking about, and assure you this is not this case. I remember using it just few times before to beat insomnia I occasionally suffer from, and that's all about it."
"Ok, I trust you and I think I can help you this way, but keep in mind it wouldn't be working to you if you were addicted, by no means."     

   
I just couldn't wrap my head around the idea you have to lie to the doctor as for the matters of your health (both, physical and psychical) to get the proper treatment.
This useless honesty in contact with doctors is somehow etched in my brain, and it made me fuck up things many times, since I permanently forget they aren't there to please me or at least make my life comfortable-they're just obsessed. One should be rather watching his/her mouth as talking to the docs.

If you tell them you are doing well-it makes them think about cut you off or at least taper your dose ('cos you're a "promising patient").
If you start complaining-they are probably going to compel you to join some pointless therapy, and your dose will remain the same, anyway.
It seems, there're not right  answers in this game.
 
Even if some say, that we need listen to and follow our so called "first thought", since it is usually the voice of some higher self or so, methadone/addiction terms are definitely not this case. This is so sad but true.   
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on January 31, 2017, 11:57:14 AM
Actually the old Methadone clinic as there are only 2 I tried one they I discovered do not want to admit me cause she was looking at old diabetes Numbers had she actually SEEN me i could have explained that
Second place i am still waiting to hear from the doctor he actually released me from this methadone program to go to Pain management So he knows i deal with pain but as i stated to him and clinical supervisor i am no longer taking pain meds as i am shooting dope every day and i am too damn old to be battling this habit not to mention broke as hell and no longer up to my old hustle so i am fast becoming BROKE and at a gram every couple days and that is me controlling as best i can to make it last as long as i can I had bought some methadone in street last week and that held me several days but that shit where i live is also hard to come by and well i am sick and tired of being sick and tired as the saying goes

Thank you for giving me replies sorry i started another thread can a mod please delete it it is in Methadone  under opiates
THANKS Lolleedee i forgot all about this post i could not remember where in heck i posted it and thought it got deleted or something
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 01, 2017, 05:59:44 AM
Why on God's green earth would she care what your diabetes numbers are?  Methadone is not a contrindicated medication in diabetics.  I guess they may be concerned about the sugar in the liquid if that is the type they have. (My clinic uses methadone without sugar..or flavor or color)  But, seriously, if it made that much of a difference, you could always adjust your diabetes medication.

Are you still in pain management, or have you already left?  Does your pain management doctor know about the dope?

It sucks that people with chronic pain can not be on methadone for maintenance and craving control and then be prescibed something for pain!  One can wish such a world could exist!
Is there any way you could just go to the clinic and bypass the woman who went all ape-shit over antiquated diabetic numbers?  It might be time to just show up and start demanding treatment.  What bullshit!  Sorry you are having a hard time!
Title: Re: can't believe its so hard to get on methadone
Post by: onewayonly on February 01, 2017, 10:25:38 AM
I guess I got lucky and called said I was bad off and got in quick. But trust me anyone could see I needed help.
My problem is they will not give out take homes cause I smoke weed. I can't take warm pee everyday even if I could get a methadone positive clean sample.
Does anyone have an idea if they will kick me off if I don't quit smoking. Been at the clinic 100 days and only weed positive urine nothing else. Any help would be nice.
Trust me I know I got lucky my clinic was so nice and I really like them but shit I pay 16 a day for that treatment. Its a CMG clinic if anyone is the same
Title: Re: can't believe its so hard to get on methadone
Post by: Effect on February 01, 2017, 09:08:05 PM
I absolutely second the point that was mentioned regarding the fact that your best bet for a speedy introduction onto stability at the methadone clinic is to keep any details of your life that would make you seem like an outlier (and to the clinic, a potential liability) to yourself.

As much as that sucks, especially regarding health care with something as individualized as addiction treatment, but if you know generally how your body responds to MMT, then your best best is to sound as typical as possible. Obviously do your research before making a long term commitment related to healthcare

I know this from experience as my first attempt at getting methadone treatment when I disclosed that I have had infective endocarditis that left me with a heart murmur. My intake to first dose time was delayed by over a month and I was started at 15mg and was raised very slowly which was fine due to the fact that I didn't want to raise my dose any higher than necessary. Fortunately the clinic I'm on now had a same day walk in dose two times a month and it was relatively easy to do.
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 02, 2017, 12:04:43 AM
Lolleedee I am unsure what her issue was and the big kicker she was looking at papers from LAST JULY I have been on new meds for over a month now ans my sugar is doing great
As far as sharing they wanted medical records so i signed release i never got to say hi bye kiss my rear nothing to this doctor at first clinic
I am still waiting on second one and I tried to get transit (i ride bus for disabled as i can't do normal bus routes
But they will not approve me Until she speaks to them and finds out whats going on well she states she can't do that till Thursday

I a really FED up
I am sitting around depressed crying stressing Constantly borrowing money from my adult child which i hate cause it is NOT his place to cover this It is mine but he states he knows i am trying


I am still in pain management No they do not know about dope they have been contacted for methadone clinics but i mentioned i wanted back on methadone cause the things they are giving me do not help Which they do not
And that the doctor stated if i did not like it go elsewhere.

I am to go back to pain doc on 17th but I cant keep doing dope till then
I am must so fed up i am up each morning calling and trying to get in but i am still put on hold
 I just dont know what to do it is not like i aint trying but this doc demands he speak to pain doc ho has yet to return his or my calls

Bay
Title: Re: can't believe its so hard to get on methadone
Post by: bignasty on February 02, 2017, 12:07:57 AM
My problem is they will not give out take homes cause I smoke weed. I can't take warm pee everyday even if I could get a methadone positive clean sample.
Does anyone have an idea if they will kick me off if I don't quit smoking. Been at the clinic 100 days and only weed positive urine nothing else. Any help would be nice.
It is retarded that you can get take homes if you drink alcohol (which is dangerous on 'done) but can't get take homes if you smoke bud (which isn't dangerous on 'done).
Also, I've never heard of a clinic kicking anyone out for only smoking pot and I live in the south. I failed every UA I had for about two years at my last clinic and eventually got kicked out but not for the pot. They really didn't care but they wouldn't give me a take home 'cause "it's state law". In Mississippi which everyone thinks of as backwards, they don't even test for pot unless you miss 2 or more days at the clinic. I miss that clinic in MS. They didn't test for weed, didn't run a RX monitoring report on anybody, didn't have to bring in your benzo or ADD scripts every month, they'd let you go as high as you wanted without a peak and trough, etc...
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 02, 2017, 01:44:50 AM
Great News Just got a call from Counselor (whom i freeking ADORE) She said they are accepting me I see her tomorrow then meet with Doctor she said she thinks he will medicate me then and there I Pray so cause i am fast becoming BROKE

So Prayers and well wishes are welcome i am so relieved the constant depression is lightened finally
Title: Re: can't believe its so hard to get on methadone
Post by: Z on February 02, 2017, 02:19:28 AM
Glad to hear it worked out for you.
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 02, 2017, 04:58:09 AM
Yay Bay!!!!!  So glad to here that not only will the see you immediately but they will medicated you immediately!  Stability is on the way!!!!!  Hang in there!  I know there are people out there who detest methadone, but it has been a life-saver and a god send for not only me, but everyone in my life who has to deal with me!!!

Drop back in after you go and let us know how everything workded out!
Title: Re: can't believe its so hard to get on methadone
Post by: onewayonly on February 02, 2017, 07:57:46 AM
Yea bignasty it is crazy. This is in the northern Midwest.
I guess that's gona be me just going to the clinic everyday because I smoke weed. I have not done 1 other drug since being on done.

I don't know maybe the clinic will change but I doubt it.
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 02, 2017, 08:22:53 AM
Yes Lolee i was on it for years and i can't wait to get back on it  :D

Bay
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 03, 2017, 03:33:08 AM
Yea bignasty it is crazy. This is in the northern Midwest.
I guess that's gona be me just going to the clinic everyday because I smoke weed. I have not done 1 other drug since being on done.

I don't know maybe the clinic will change but I doubt it.

Hang on to the hope.  My clinic tested for weed up until about a year ago and they would withhold takehomes for it too.

But, they FINALLY dropped it off the drug screen they use because either they realized that weed in no way interferes with methadone or because it was cheaper to test for less things and so they dropped the one they cared about less.  I'm guessing it was the money thing, though!!
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 03, 2017, 07:40:30 AM
Had first visit with doctor sadly i have to wait till morning to get medicated but hey oi have waited longer he did tell me they would not hold it against me if i am dirty for up to first two weeks.
I was like NO you do not get it once i am medicated and dose is at 50 i am through shooting dope. They are starting me on 40 and will raise to 45 in 3 days and in 5 days so i am going to finish what i have left and i ain't buying no more.
So i am so so happy

Bay
Title: Re: can't believe its so hard to get on methadone
Post by: Chip on February 03, 2017, 08:31:30 AM
Good for you - i admire your resolve.

May it all work out for you !
Title: Re: can't believe its so hard to get on methadone
Post by: onewayonly on February 03, 2017, 09:32:23 AM
Sounds good man. Damn crazy you did not get dosed today. My place let me come in the day I called but I guess I got lucky.

Yea maybe the clinic will stop testingweed but this management group owns many clinic in the south and they hate weed down there. But whatever the case methadone has only been good to me.
The main th8ng I recommend is quit dope and get stable. Using dope on top just makes it pointless and if ur on 80 of done you will not feel shit unless you quit for 2 days.
Title: Re: can't believe its so hard to get on methadone
Post by: bignasty on February 03, 2017, 11:04:17 PM
They are starting me on 40
Are you in the states? If so, which one? I've been to clinics in 4 different states and they all told me that the federal mandated max they can start you on is 30 mg's no matter your habit. One state actually told me the law really says to give the patient 20 mg's then watch them for a little while then give them the remaining 10 mg's. They followed through on that law too but I only experienced that once. Everywhere else just gave 30mg's all at once on first day.

Anybody else start at a dose higher than 30 at the clinic? What about other countries....what do they start u out on at the clinic?
Title: Re: can't believe its so hard to get on methadone
Post by: onewayonly on February 04, 2017, 11:28:50 AM
I think I started on 40. Cause I went up to 100 in 3 weeks. So I seen the doc 2 times a week for a 10 mg increase. 3 weeks is 30 mg so yeh I started on 40.
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 04, 2017, 03:45:51 PM
Thanks Chipper

Yes i am in the states because i was on this clinic in past they gave me the 40 straight out they used to  have you do 20 MGS come back in 4 hours and get another 20 at least here in Maryland.
I was on pain management and was on 70 MGS before doctor stopped my methadone trying to do back surgery so he could charge my insurance more money
I got my first dose today and i slept most the day i am now up half the night LOL
I do not plan to go above 50 as that is what i got on street in past and it worked.
I am determined to do this right cause i can't afford a habit nor can i get out and run hustles o get money like i once could getting too old LOL
Title: Re: can't believe its so hard to get on methadone
Post by: Chip on February 04, 2017, 05:11:45 PM
20 mg will stop withdrawals from even the most severe Heroin habit BUT it's only a matter of for how long.

I used to access diverted MD and I would take 20 mg until I got sick, then another 20 until I worked out my approximate dose over a 24 hour period, then take away 10 for accumulation.

Not practical if you can't access street 'done but it may help somebody that can and wants to transition.
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 05, 2017, 03:05:30 AM
This is the federal regultions regarding dosing.  This is for the USA.

ii) For each new patient enrolled in a program, the initial dose of methadone shall not exceed 30 milligrams and the total dose for the first day shall not exceed 40 milligrams, unless the program physician documents in the patient's record that 40 milligrams did not suppress opioid abstinence symptoms.

I'm in New Jersey, and I started at 40 milligrams the first day too.  From the wording of the mandate a doctor could really prescribe you more than 40mg provided he documented that your withdrawal symptoms were not alleviated by 40mgs.

I have to say that them just tossing out 40 mg. doses kind of scares me because I am seeing more and more people showing up for Vicodin addiction.  I met one girl who said she had a huge habit and proceeded to tell me she was taking 10-15 vikes and a whole lot of tramadol!  How they can treat people with these type habits with methadone amazes me!  Not that I am doubting this girl's perceived agony, but we all know that agony amplifies ten thousand fold as our addiction progresses.  I think people like that would be more safely served with a bupe detox.

Eh, what do I know!  Maybe if we started treating people with methadone while they were still in the infancy of their addiction, maybe it would spare them from some of the carnage that is all but guaranteed as one's habit gets bigger and more out of control!
Title: Re: can't believe its so hard to get on methadone
Post by: Chip on February 05, 2017, 06:39:47 AM
Lolleedee, I agree that Methadone is too heavy to treat light habits but I think it's very hard to stop a small habit in its tracks because when the novice gets unhooked quickly and easily, they probably go back to the drugs because they got off too lightly and think that's how it works.

Only seasoned users really accept and understand the evolutionary nature of drug use, IMO.

And any underlying psycological reasons for using would still be there.

It's a very complex issue and that's why I give people a 10 year run, at least, before they are serious about seeking a way out and getting sick of their dependency.

It starts off recreationally and becomes a way of life.
Title: Re: can't believe its so hard to get on methadone
Post by: Thoms on February 05, 2017, 10:20:17 AM
Yeah some of the shit people used before the clinic is nuts. There is one girl at my clinic who is on 45 msg. She hasn't tapered down to that. It's as high as she has gone. I'm like yeah, fuck you and your habit. It's funny the people who had supposed 1-2 gram a day habits are on like 90-110 mgs. Like I'm not one to really judge and I know that everyone reacts differently to every drug but a 2 gram habit being taken care of with 110 mgs just gives me a hint that the dope was absolute shit. It also reminds me thaat a iv morphine habit can get you to the same tolerance. Throw a bunch of smoked fent on that and you have a recipe for a kinda big dose of done. Not to mention the huge variation in the speed of metabolism, I know that has a big impact on your final dose. Hell maybe more so than the size of the habit. Anyone notice any other trends at there clinic? I'm no old timer or anything but I notice how a lot of people are in a huge hurry to get off it. Does anyone else give the people they see at the clinic a lot nick names? I guess it might be different for me as I go in with Andi every day but even though we know some of the other patients names we refer to them all by their nicknames. I assume you guys see a lot of th998e same people when you have to go in every day.

When we started Andi got a dose of 20 mgs and then like 15 minutes later a dose of 10 more mgs. I guess they were looking for any signs of an allergic reaction.
I only got 10 and 10 because I was on some other med when I started there. I don't remember what med it was, I think it was the kleptopens. I got off those with a quickness after a handful of them and a 72 hour psych hold. It pissed me off they did that when Andi told my family members that I needed to got to a hospital and not a loony bin. After all they do have benzodiazepine antagonists. Fucking idiots. I guess they don't get payed if that happens so fuck it eh..

We started in the end of may and now we only have to go in once a week to pick up our doses. They have been really really helpful in helping us get take homes on a fairly fast time frame. I was cash pay for the first five or so months so I only had to have 50 minutes of counciling a month but after some work my insurance started covering it. Normally that would mean I would have to start going to 200 minutes of counciling a month but my councilor worked on keeping it where I only had to do the one session a month. They also made it where Andi only had to do two sessions a month as opposed to the 4 that they make everyone do. They are really good to us there. It is an Aegis clinic if anyone has one as an option. They are a west coast operation. SoCal and the
 like.

I assume you guys had to have an ekg to go above 149? Also is anyone else on splits? If so do you notice your night time dose lasts longer than the AM dose? Like maybe you metabolism slows down while you sleep enough
 to be felt for longer.

Title: Re: can't believe its so hard to get on methadone
Post by: bonedust on February 05, 2017, 10:55:51 AM
^^^ You ain't kidding Chip... It's bizarre but I recently hit the ten-year mark and started getting disgusted with the whole situation and started looking for ways out of this. I don't know why but it sometimes really does happen that way.
Title: Re: can't believe its so hard to get on methadone
Post by: Snout on February 05, 2017, 03:23:20 PM
Thoms, I want to hear the nick names you and your lady made up for your fellow methadonians. Nick names are funny as hell, my Mexican friends are the nick name masters!
    You gotta love the methadone clinic. I was in the waiting room the other day waiting to see my counselor and these two women had a music magazine they were flipping through. They were talking about Mariah Carey, and how she married a wealthy man. The one lady lamented the fact that she just wasn't meeting any rich men. I guess hanging out at the methadone clinic is not a good strategy for landing a sugar daddy.
Title: Re: can't believe its so hard to get on methadone
Post by: Thoms on February 05, 2017, 04:36:40 PM
Lmao about the lack of sugar daddies at the clinic. Alright as far as nick names goes we have "sticks" with dude who is 5'9" or so and couldn't weight in at 100 pounds soaking wet. Then you have "wrinkles" who we found out is only 31, that lady could pass for 45 without a bit of a problem. Then you have old smoky who was at the clinic waiting to get smoking a cig in her second trimester telling us about the five miscarriages she has had in the past. She is a world class cunt. A few days ago she just sat in her car and then pushed her way in front of us in line just because she had her baby with her. I have news for her. I don't care if she has baby Jesus in a flour sack with her. She can't have us sit in the fucking cold for twenty minutes and thin come push her way in front, fuck that in the pooper. That shit isn't right. Then about last of the people was loud mouth prison bitch. That one doesn't need an explanation.
Title: Re: can't believe its so hard to get on methadone
Post by: Chip on February 05, 2017, 05:18:31 PM
Oh yeah, the clinic is a zoo. I never knew what I was walking into.

You guys are making me laugh as we share the same experiences.
Title: Re: can't believe its so hard to get on methadone
Post by: lilbay21213 on February 05, 2017, 07:45:03 PM
LOL well i am not seeking a sugar daddy  but i sure wish to hell i had something to take the edge off.
 i am still at 40(monday goes to 45 and 5 days 50.
i had a lil dope left last night and made out. However today not so lucky and boy am i feeling it. I made it though its almost 7 and i took some aleeve for my back. Definitely going to be asking to take it to 50 before the 5th day
Title: Re: can't believe its so hard to get on methadone
Post by: Snout on February 05, 2017, 11:36:16 PM
Thoms, awesome! ' loud mouth prison bitch" is double dosing, he/she attends my clinic also. That sounds like an austin powers character!
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 06, 2017, 05:57:20 AM
Yeah some of the shit people used before the clinic is nuts. There is one girl at my clinic who is on 45 msg. She hasn't tapered down to that. It's as high as she has gone. I'm like yeah, fuck you and your habit. It's funny the people who had supposed 1-2 gram a day habits are on like 90-110 mgs. Like I'm not one to really judge and I know that everyone reacts differently to every drug but a 2 gram habit being taken care of with 110 mgs just gives me a hint that the dope was absolute shit. It also reminds me thaat a iv morphine habit can get you to the same tolerance. Throw a bunch of smoked fent on that and you have a recipe for a kinda big dose of done. Not to mention the huge variation in the speed of metabolism, I know that has a big impact on your final dose. Hell maybe more so than the size of the habit. Anyone notice any other trends at there clinic? I'm no old timer or anything but I notice how a lot of people are in a huge hurry to get off it. Does anyone else give the people they see at the clinic a lot nick names? I guess it might be different for me as I go in with Andi every day but even though we know some of the other patients names we refer to them all by their nicknames. I assume you guys see a lot of th998e same people when you have to go in every day.

When we started Andi got a dose of 20 mgs and then like 15 minutes later a dose of 10 more mgs. I guess they were looking for any signs of an allergic reaction.
I only got 10 and 10 because I was on some other med when I started there. I don't remember what med it was, I think it was the kleptopens. I got off those with a quickness after a handful of them and a 72 hour psych hold. It pissed me off they did that when Andi told my family members that I needed to got to a hospital and not a loony bin. After all they do have benzodiazepine antagonists. Fucking idiots. I guess they don't get payed if that happens so fuck it eh..

We started in the end of may and now we only have to go in once a week to pick up our doses. They have been really really helpful in helping us get take homes on a fairly fast time frame. I was cash pay for the first five or so months so I only had to have 50 minutes of counciling a month but after some work my insurance started covering it. Normally that would mean I would have to start going to 200 minutes of counciling a month but my councilor worked on keeping it where I only had to do the one session a month. They also made it where Andi only had to do two sessions a month as opposed to the 4 that they make everyone do. They are really good to us there. It is an Aegis clinic if anyone has one as an option. They are a west coast operation. SoCal and the
 like.

I assume you guys had to have an ekg to go above 149? Also is anyone else on splits? If so do you notice your night time dose lasts longer than the AM dose? Like maybe you metabolism slows down while you sleep enough
 to be felt for longer.

======================================
Your clinic sounds like it is pretty good there, Thoms!  I think it is bullshit that if you have insurance (my clinic doesn't take insurance except medicaid and cash) you have to do more counseling!  They do that at my clinic too, and it has nothing to do with good treatment and everything to do with money.  Medicaid will pay for x-number of counseling sessions so those on medicaid are required to attend that number so that the clinic can bill them for it.  I pay cash, so my counseling requirements are minimal compared to those on medicaid.  It is crappy that you can essentially "buy" your way out of counseling!  I'm only required to see my counselor for 1/2 hour once a month.  She is awesome, so I utilize her waaay more than that!  Also, because I have a disabled child, she lets me do mine over the phone, which I really appreciate!

You guys get take-homes quickly there!  My clinic goes way slower than the federal methadone mandates.  When you start, you get Sunday, because they are closed.  Three months (no dirty urines and all counseling requirements done) you get Saturday.  At six months clean, you get three, nine month you get four than there is a huge gap and at 18 months you get 6 bottles.  They totally skip giving 5 for some reason.  The most we can get is 13 and you get that 18 months after you get your six bottles.  Of course, if you have your six and then get a dirty, they take half your bottles away for three months.  If you are clean for three, they will give you back the bottles and then you have to restart the 18 month countdown for 13.

I wish they would ekg if we go over 149 but they will not go that high.  Because of my medications and a ton of begging the doctor and providing him with documentation about how it interacts with methadone I was able to get him to put me up to 140.  He and the nurse told me I am on the highest dose at the clinic.  I guess they could be blowing smoke up my ass, but considering how much time and effort it took to get it up that high I kind of believe them.  People there talk about their doses all the timme.  I have only ever encountered one other person who was over 100 and he was on 105.  They don't have a dose cap per se, they just have a doctor who doesn't think high doses are necessary.  He, of course, is a toolbag, because every comprehensive study on methadone maintence correlates higher doses with better outcomes!  I split my dose, but I find that when I do, then I feel low-level yucky all day.  If I take the whole thing at once, I feel good until 7pm...then it rapidly goes down hill.  I have to ask for an increase again and I am sure it is going to be aa shit show,  I would switch clinics, but my counselor called around to get an idea about dosing practices of other doctors and it seems New Jersey is notoriouss for low dosing patients.
Nicknames at the clinic!  There is a lady we call Mrs. Smokey, because she smells like smoke, hacks like crazy and drags an oxygen tank behind her.  Then there is pooper guy...cause he always smells like poop!  Thankfully, I do not see him often!  There is a huge group of people that are refered to as the "caid gang"..a play on chain gang..cause they all get transported on a van paid for by medicaid.  oh, and there is the flippy hair guy!  He has his hair shaved on the sides, but the top is long and flips over to one side, it kind of looks like a bleached blond wave!

@Thoms...you mentioned that you somehow got your insurance to pay for the clinic.  Is it private insurance or is it state insurance like medicaid/medicare?  I have private insurance but those fuckers will not pay for it.  They will pay for rehab, detox, suboxone and they will cover methadone as a pain medication, but dispense the same medicine in a clinic...so sorry..won't pay for it!  I was wondering if you had to fight them, or do they just pay a portion..like the counseling only or medication only? I might try again with my insurance company.  I doubt I'll get anywhere but it's worth a shot I guess.  Even a portion of it would be better than nothing.  This 110.00 a week shit is getting awfully expensive.
Title: Re: can't believe its so hard to get on methadone
Post by: Thoms on February 06, 2017, 06:09:29 AM
I've got anthem blue cross. I believe something changed with their policies or something and they started covering it. Yeah normally our clinic goes a lot slower but because of some personal stuff they let my and my GF get our take homes a lot faster than normal. I remember your on tegretol like me, that fucks our dose up bad. I finally don't feel the need to go up. Me and Andi are very happy to have the clinic we do, plus we haven't shot up in like 8 or so months and that feels good
Title: Re: can't believe its so hard to get on methadone
Post by: Lolleedee on February 07, 2017, 09:51:09 AM
Yeah, the tegretol does mess with the dose.  I was going to ask my neurologist to change it, but I am FINALLY seizure free.  My last seizure was a little over three years ago.  I take that and Vimpat, and the combo has totally worked.  This is the first time since I can remember that I have had my driver's license for longer than two years!  I would always hit the two year mark, have a seizure and then lose my lisence for a year.  That sucked majorly!  Hopefully, I won't jinx myself talking about it!  Do you mind asking what your dose is?

I have blue cross too (omnia plan).  I wonder if it was a company wide policy change?  Hmmm..going to call them in the morning!

@chipper....Thanks for fixing my post!*smooch* :-*
Chipper says "a pleasure"
Title: Re: can't believe its so hard to get on methadone
Post by: Thoms on February 07, 2017, 02:34:54 PM
Yeah absolutely have them try to bill them again. What's the worst that could happen. I take 600 mg of lamictal and 600 mg of tegretol a day. My last seizure was in march.