Post Edited (DiLane) : 6/14/2008 2:19:35 PM (GMT-6)
Post Edited (PAlady) : 6/14/2008 3:30:19 PM (GMT-6)
Thank you all for your prompt and intelligent replies. I really appreciate it. I'm not seeing the psych doc (easier to type) at the pain clinic. I'm seeing her where my primary practices. It's a nice state-of-the-art facility. about a month ago, my primary sent me to the pain clinic in another city, where they don't know me from Adam. The PM doctor there told me that "All you have is moderate stenonis in your neck, and your pain is disproportionate with your condition." I then rattled off the other issues in my neck. He read me the riot act on naracotics and how they can make some patients feel more pain. I told him I was familiar with the study on opiate-induced-hyperalgesia, which affected only 7% of patients in the study. He was stunned I said that.
The PM doctor would not enroll me in his program unless I stopped taking narcotics. I have no history of substance abuse. I don't smoke, drink or do illicit drugs. I don't know why he was this way with me. I have a normal appearance. I met with the resident first, and this PM doc for 10 minutes. He told me that my thoracic and lumbar back is fine. Sooooo, I don't have a heart condition either, but my neck is a disaster, and feels like it's been torched without meds. This isn't a WC case or anything legal like that. All I said to the PM doctor is that I can't get out of bed without pain meds, which is the truth. If he wants me to show up for his treatment program in my husband's arms wearing pajamas and fluffy slippers, I'm there. I didn't say that last line, but it was tempting.
The psych doc obviously got the PM doctor's notes, and given that she doesn't want her patients to drink coffee, and I could see her distain for narcotics, I didn't stand a chance with her. I'm not a paranoid person. I adore my new PCP, and I cried when I couldn't keep my former PCP after 13 years. I've had the same dentist for 25 years, and the same hairdresser for 11 years. I had a former therapist years ago, who was wonderful. This new psych doctor was not nice to me, and quite the opposite. She must have cut me off 15 times, and I did not babble. I barely opened my mouth once I had her number. Everything to her was a one word answer. She asked what my pain level was every day, from 1 to 10. I told her there are too many variables. How I'm feeling that day, with or without meds?, etc. After some back and forthing, she said, average it out. I said, "Fine, let's say five." I didn't even care at this point.
She had her little electonic chart laptop to fill out. I told her I often get ribcage pain. She ask if it was stabbing, burning or throbbing. I told her that it feels like it's bruised and sore to the touch. Her reply? "Does it feel stabbing, burning or throbbing?" I repeated my first answer. It started to sound like a Who's On First? routine. I finally said, "Take your pick, whatever you think fits best."
Post Edited (DiLane) : 6/14/2008 4:16:36 PM (GMT-6)
Post Edited (PAlady) : 6/14/2008 4:40:47 PM (GMT-6)