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Need a Pain Mgt Doctor


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9 hours ago, Oldyfeliz said:

Anyone that can refer me to a pain Management Doctor would be much appreciated, as I have been diagnosed as Terminal Lung & Liver cancer.   I have been prescribed Tramacet , but

 understand from prior post that Tramacet will probably be les than needed.

I would call Dr Sam  Thelin  in Chapala   3767653692  www.drthelin.com

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Second Dr. Sam, he is really helping friends of ours and he helped another person till the end. His wife was there doing IV's until the end to make the person comfortable.

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20 minutes ago, nutz said:

are you speaking from experience???  or do you just  know every thing???

 

 

I am speaking from our personal experience as I definitely don't know everything.  He was unable to prescribe what my spouse needed, so we ended up having to go to someone else.   I am just giving a comment as this is what happened with us.  If others get good treatment from him, then I am happy for them.  It is never about me being right or an expert.  No need to attack. 

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I am so sorry to hear about your condition. My heart genuinely goes out to you during such a difficult time.

Right now, Mexico has a serious problem with a shortage/lack of certain controlled substances and opiates (methadone, ketamine and others that require a certain ingredient that cannot be obtained for whatever reason.)  The pharmacists are frustrated as well, and have no idea when those meds will become available.

However, other opiates (such as oxycontin) are available.  Every drug works differently on every person, so I hope one can be found for you.

May I offer my suggestions based on personal experience:

Sam Thelin:  he is not a pain management specialist and has absolutely no meaningful training in that area.  He is capable of administering an IV with morphine, but is not capable of avoiding elementary errors as he has made catastrophic error(s) in the past with a patient by prescribing conflicting opiates which sent that patient to hell.  Last I heard, he does have a license to prescribe opiates.  Proceed with caution.

 

Dr Maytorena:  Very well trained and compassionate, but does NOT have the license to prescribe opiates.  He studies a lot in how to manage pain and can prescribe non-controlled substances and could be worth speaking to.

 

Dr. Garcia at Maskaras:  he is an internist and not a pain specialist, but has been a physician for several decades and is quite compassionate; he has a license to prescribe controlled substances and appear to have a good foundation, and knows better than to mix certain opiates.  He is a compassionate person and so far I have been very happy with his knowledge and service (knowing he is not a pain specialist, but is in town which makes things convenient.)

 

The Lakeside pain management doc is one that comes to town once a week and while I don't know much about her training, she does have the license to prescribe opiates, but demonstrated to be very unreliable (canceling appts w/no notice to a patient, thus leaving the patient out of meds.)

 

Dr Lastra is very compassionate and I know he does home visits.  However, last I heard he does NOT have the license to legally prescribe opiates.  His method is to buy them himself and sell them to you at a markup. That is not legal (although given your situation, that might not be something you understandably care about right now).  Maybe he has a license now, but I would ask him first, as w/o a valid prescription on your person, you could get into some trouble, which is the last thing you need.

 

Again, I'm so very sorry you find yourself in the position you are in.  Please contact Dr. Garcia at Maskaras.  He has the license, compassion, and there is always a doc on call there. There does not appear to be a decent pain management specialist located here in Ajijic w/the license to prescribe controlled substances, but I hope you can find a doc knowledgeable (and legal) to assist you.  A lot will depend on what you need, such as just pills you can take on your own right now, or someone to come to your home and administer an IV? And of course your needs may change over time.

I wish you good luck in finding someone that can assist you.

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2 hours ago, RVGRINGO said:

Avoid Dr J as it seems he does make serious errors. Use a full time MD with proper training and credentials for your own safety.

I would also like to know who that is.  It is important that we share this type of information with each other.  It is good if we can help each other.

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  • 9 months later...

I have been a patient of Dr Lastra since I injured my back several years ago.  He is a licensed pain specialist, works with a Dr. in Guadalajara and is a very good doctor. He can provide any opiate pain medication and  have it delivered to his office. Will you pay a bit more, yes but to pick up medication in Guadalajara would easily cost 500Mx. He speaks perfect english. I had fallen cut my hand open and he arrived at my house within an hour to stitch it up. A Dr. that makes house calls?

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3 hours ago, Robert said:

I have been a patient of Dr Lastra since I injured my back several years ago.  He is a licensed pain specialist, works with a Dr. in Guadalajara and is a very good doctor. He can provide any opiate pain medication and  have it delivered to his office. Will you pay a bit more, yes but to pick up medication in Guadalajara would easily cost 500Mx. He speaks perfect english. I had fallen cut my hand open and he arrived at my house within an hour to stitch it up. A Dr. that makes house calls?

Remember that most farmicas do not stock narcotics. I was able to get pain management drugs plus an interntaional certificate for when I travel and carry them with me. I don't think there is any way to get them through a pharmacy the anesthesiologist will hand deliver them to you or to your physician. Dr Lastra and his anesthesiologist took good care of me  It is not a great system but......

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