doctor frustrations

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skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 11/19/2008 1:24 PM (GMT -7)   
Hi All,

I just got back from seeing my PM and boy am I frustrated! I like the guy, I really do, but he is so hard to talk to. He is very nice but he doesn't really listen to me. I feel like he is always rushing me - which I'm sure he is as he is waaaay too busy, it's unheard of to get in to see him after less than an hour of waiting, and it usually ends up being more like 3 hrs by the time I get out of there. He doesn't really give me much of a chance to talk. He just makes his suggestion & that's it. Fortunately I had brought a list of questions with me today. He kept starting to leave, and I would be like "WAIT, I still have another question!" He was always very talkative when it came to discussing procedures, but seeing as we have exhausted just about all the options, and we are just adjusting meds, he doesn't seem to care. Well, he does care somewhat, but he really just wants to get me in & out the door. I don't know if any of it has to do with the fact that I am so young, although I suspect not because my pcp gave me the impression that this guy has a reputation for being this way.

I'm thinking about switching doctors, to my pcp. He has told me in the past that he is willing to take over my pain management. My pcp is REALLY easy to talk to, and genuinely cares. He also seems to be more open minded than my PM. The trouble is, I feel bad if I switch because I do like my PM as a person, but I'm just sick of leaving his office every couple of weeks extremely frustrated, feeling like I'm no better off than I was before. I think I'm going to talk to my pcp when I see him next week and see what he thinks... Anyone have any opinions, or been in this kind of situation before?

Skeye

Post Edited (skeye) : 11/19/2008 6:36:43 PM (GMT-7)


deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 11/19/2008 4:38 PM (GMT -7)   
I don't even see my p/m doctor you see the nurse/p the only time you see him is when you get ready to get knocked out to do injections.Are you from Indiana thats where i live and like you said they are so busy so is my dr. its crazy i went last week by the time i went to him and got my meds it was over 5 hours .Take care and sorry you are going threw this so young Deb

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/19/2008 5:12 PM (GMT -7)   
Skeye,
After reading your post I found myself thinking that (please don't take this wrong!!) consider yourself lucky re: doctors. You really do have two doctors wiling to help deal with your pain; your pm doc and your pcp.

Now I hear that your PM isn't listening and responding the way you want him to, but he did increase your oxy, and he's probably trying to see how long the higher dose lasts and then he'll prescribe 3/day - but I also hear that you have to function, and he doesn't get that. But then you say your PCP does hear you, and probably would be more flexible in adjusting meds. So you have viable choices, and while you're feeling understandably frustrated, you're not up against a wall. Try relaxing a bit and then think about your two choices.

Yes, you "like" your PM, but that's not a reason to stay with him if you can get the same (or better) pain management from your PCP, with greater flexibility. Especially if your PCP understands the meds., and can continue on the course the PM was on (which seems reasonable) except add the BT meds until you get to the therapeutic dose of oxycontin. If you don't think your PCP understands pain meds enough, then that would be a reason to stay with your PM doc. You could also combine them and maybe have a visit once or twice a year with your pm doc to reivew your meds regime for any new procedures or meds that might be out there, but let your PCP continue as your main source of pain meds.

I don't know if any of this helps, and I don't mean in any way to imply I take this lightly, but in terms of doctors your glass is half full right now. You have two choices and that's great - as far as "great" can go with us CPP's!

PaLady

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 11/19/2008 6:31 PM (GMT -7)   
Thanks for the replies. I do realize that I am in a much better situation than many people here, but I just don't feel like the PM really listens to me or is willing to take the time to listen to me. I guess I'm just the type of person that really just needs to talk things over, especially since I am still relatively new to this.

Post Edited (skeye) : 11/19/2008 6:41:07 PM (GMT-7)


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 11/19/2008 6:53 PM (GMT -7)   
Skeye,
Does your prescription insurance cover C2 drugs when they are written by your PCP?

I know mine will only pay for C2's when they are written by a PM or an oncologist. Might be worth checking into before you make the switch.

Also, have you asked your PM why he's always rushing? I talked to my PM a while back about the same thing & he said that I always scheduled appointments during the busiest parts of his day. He suggested times I could book with him when he wouldn't feel so rushed. It's made a big difference. Just a thought in case you can't switch.

good luck,
frances

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 11/19/2008 7:54 PM (GMT -7)   
Hi Frances,

I have no idea about the drug coverage, that's something I'll have to check into. Thanks for the heads up.

And no, I've never asked my PM why he is rushing, but if I stick with him then I will do that in the future. I have been to see him at all times during the day, from the first appointment of the day to the last, and he has pretty much always been this way.

Skeye

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/19/2008 11:26 PM (GMT -7)   
Skeye,
I hope you didn't take my comments as dismissive. I don't think there's anything at all wrong with you wanting to feel heard by your doctor, and wanting him to take more time. But sometimes their scheduling is so tight it just doesn't give them much leeway. I'm not condoning that, but it seems to be the reality with your PM doc. Maybe it's because he is good in most ways.

Could you see him more frequently? I don't know when your next appointment is scheduled, but if you didn't have to wait too long between appointments, you might be able to get your needs met sooner. I often write short notes to my doctors when I go in that presents to them my main focus for the visit, along with symptoms, etc. I wonder if that would help - and you could explain clearly how important it is for you to be functioning, and that you can understand his wanting to get you to a therapeutic dose of oxycontin, but in the meantime you really do need BT meds. It might be worth a separate appointment just for that purpose alone.

PaLady

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 11/20/2008 7:23 AM (GMT -7)   
Hi PAlady,

No I didn't take your note as dismissive, although I was in an awful mood yesterday, mainly from being in a lot of pain & not having slept much in several days. That is a good idea about writing a note to your doctor every time you see him, I never thought of that. I am seeing my PM every 2 wks until we get things straightened out for me, so its pretty frequent. I'm going to talk to my pcp when I see him next week & see what he has to say. My father, who is a pcp himself, thinks that I should stop seeing the PM & just see my pcp. He said he himself has a bunch of pain patients that he sees because for one reason or another they got fed up with their PM, and they find him to be much easier to talk to & much more willing to listen.

Skeye

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 11/20/2008 8:19 AM (GMT -7)   
There is also, a key element here if you go with the pcp, he'll not be able to try PM Procedures on you either,
Just some advise. It's a huge decision here you have to weigh in on all the pro's and con's and I truly wish you well
in what decisions you make, sure wish you didn't have to choose and had a great PM doc.
Lots of soft hugz and well wishes.
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* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd, Enlarged Pituitary Gland
******** "We could never learn to be brave and patient if there were only joy in the world" from Helen Keller *********

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straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 11/21/2008 11:59 AM (GMT -7)   
I guess I am lucky. My pain dr is very busy to say the least, I think this is true with all of them. But, he does listen and always willing to listen to questions and is very good about answering them. One thing that would worry me having my PCP treat my pain condition is, unless he attends the continuing education courses seminars and stays current on the latest info on chronic pain issues, I would worry about him ditching his CP patients. I don't know where you live or if there are alot of pain clinics in your town. I would constanly worry about him getting fed up with the DEA issues these guys put up with. Susie

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