Good PM Dr's Hard To Find

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Jim M
Regular Member


Date Joined Dec 2008
Total Posts : 47
   Posted 12/12/2008 11:18 AM (GMT -7)   

Good PM Dr's are hard to find.

Thanks!

Jim........


The art of life is the art of avoiding pain; and he is the best pilot, who steers clearest of the rocks and shoals with which it is beset.
Jefferson, Thomas
1743-1826 Third President of the USA

Post Edited (Jim M) : 12/24/2008 9:47:26 AM (GMT-7)


ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 12/12/2008 12:02 PM (GMT -7)   
FIRE THAT DOCTOR.
Take your time and find a new one. Call the office and ask the nurses what the doctor is like. Ask if they have any patient testimonials. Also, when you make that new appt, ask them if you can pay the contract rate that an insurance company would pay. This can save you mucho $$ in the long run.

I am sorry you got such a crappy, uncaring doctor. You might want to look into physical therepy. I have been going for only two weeks and already see improvement and I have cervial stenosis with some pretty yucky nueropathy...

For home care, ice is my best friend and you might find he is yours too. A menthol cream or roll on also helps me a lot and is worth a shot. I got on called Bio-Freeze from my chiro and it saves me when I cannot take my pain meds.

Take care,
Sarrah

Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

_____________________________________________

 

Meds - percocet  3x day : nexium : xanax :

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E

____________________________________________

In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/12/2008 12:03 PM (GMT -7)   
I would find another doctor and see what he has to say about all of this. There has to be something out there for you as far as help with your financial end to help aide you with your medical bills. I do not understand how a doctor can leave a person in pain and not give them any relief and actually walk away feeling that they have helped. It astounds me that these doctors are so cold to us and yet they keep telling us to get on with our lives and not to dwell on our pain but when we try to get on with our lives and do things they write it in our charts that we have done certain things.

I have an example of this for you to think about: Yesterday when I went to my new pain doc she had in front of her a letter from someone saying that I had applied and successfully drawn an antelope tag for the state of WY for this year. It went on to say that I had also applied but was unsuccessful at drawing for a WY permit for a turkey tag. Now tell me what this has to do with my pain or my care? I believe that they are looking for an excuse to tell me that I am not in as much pain as I am saying that I am and that maybe I am imagining the entire thing. What I told the doctor was this: "I wish that some of these people would just once come with me when I go hunting just for one day and see how I do on one day's outing. They would see a totally different way of hunting then the normal way that most hunters hunt."

Doc laughed at this and told me not to worry about it that it was not a problem for her as long as I was listening to my back and making sure that I was not overdoing it. I think it is stupid that I am tracked for buying or applying for a hunting license when they have told me time after time that I need to not dwell on the pain and try to get on with my life which I am trying to do. My husband makes many exceptions for me when we are hunting and most of the time I don't even get what I am hunting for that particular time of the year and head home feeling quite useless. I have four pillows behind my back, blankets piled underneath me, am usually looking out the window watching my husband as he goes off stalking a deer while I sit in the truck in gobs of pain and they have the gall to tattle on me about getting a tag????

What a crock! Anyway just had to vent and it seems I got off track here. I am so sorry Jim that you are having such problems with a doctor. I would seek out a second opinion. Find a doctor that is a bit more understanding. Hope you have much luck.

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 12/12/2008 12:50 PM (GMT -7)   
No offence Frances but Jim said he is in pain. I've had doc's like his before who don't believe in any meds for pain. It's old fashion garbage! A pain specialist who doesn't beleive in meds! He should start doing a little research in his chosen field. As for his MRI results, I don't care what they say, pain is pain. Besides two docs or two techs could look at the same set of pictures and come out w/ 4 different opinions! Jim, get yourself a new dr. Get that pain in check and then start thinking about exercising and physical theropy. I'm no doctor but I've been dealing w/ pain a long time and know the last thing I would want to do is exercise and take the chance of making my pain worse when I'm hurting. Who knows, after a while you may not need any pain meds at all. By the way, you didn't say if the percocets helped the pain or not?
Gooid luck Jim,
Your friend,
Pete
55 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy (Testim Gel)since 12/06 but switched to a higher dose of (Androgel) 6/08. Fighting to stay upbeat daily. I am's what I am's and that's all that I am's! (Popeye)  55 and still alive!!! Feel free to pray for me, I can use all the help I can get!!!


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 1:22 PM (GMT -7)   
Jim M.
I am sorry you got that doctor. It was a bad experience for you. Almost like PTSD.
(neck and back pain can feel THAT bad) I don't mean to take away anything from
people who have the diagnosis. It just that the intensity isn't recognized in pain
patients.

I think the best approach to any doctor is to be polite. If it's not a good doctor
for you, move on. When explaining your move to the next doctor merely say,
"We didn't have a good patient/doctor relationship." Angry, hostile patients must
make doctors nervous. Everything is written on our charts and those charts will
follow us around forever. Doctors will treat you poorly if they do not want to
prescribe opiods. That's just the way it is.

I just tried a neck crunch. It was NOT a good move for me and our problems sound
similar. My doctor upped my pain medications without me asking ... or begging...
or screaming ... or crying. I swear after reading your post I appreciate my singing
doctor more than ever. (I save the dramatics for my posts and for times when I'm
face down on a pillow)

Pain doctors WILL know your pain. They have experience in reading people. This
definitely does not mean that they are in a position to help you.

When reading your post I saw red. It brought back memories of some incredibly
mean doctors I've seen in past years.

I personally do not trust neck exercises - even when in the hands of a physical
therapist. I've been injured too many times by well meaning but undereducated
therapists. Even doctors don't know sometimes. Imagine that! I may be a fragile
flower because I can hurt myself walking in warm water. (I have not yet tried
walking on warm water)

What you should have said: When the doctor told you about neck crunches you
SHOULD have said, "Why I do those all the time. Three times a day." They
don't seem to be helping me doc. With those words you put your hand on your
neck and look at the floor.

I've gone on and on. I could go along further but I must leave you because my
neck hurts and I have to post a question.

Pamela Neckpain

Post Edited (Pamela Neckpain) : 12/12/2008 1:26:10 PM (GMT-7)


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/12/2008 1:31 PM (GMT -7)   
what makes me more upset than the fact of the meds is they did not refer you to a PT for these exercises. what if you were to injure yourself further? why not give you a cortisone & toridol shot? they don't help a lot, but there is some relief from them. i can't tell you what to do- but i would find a new dr. i am also without insurance when my job was lost, its is very hard to pay for these meds. i pay out of pocket about $1500 a month. my savings are gone. i am married now, & praying when i get on my hubbys insurance there is no crap about pre-existing conditions. my dr thinks i have ms, but he agreed not to put it in the charts just incase. (i need a different dr for that anyhow). jim, you are in charge of your own life..... maybe take a trip to the er? i know its ultimately expensive, but some have programs to help when you are without insurance & will work with you. they may or may not help with meds.... every dr is different. at least they can refer you on to another pain dr. and here is a website i use to help with the cost of my meds.... partnership for prescription assistance. i think the link is pparx.org look it up. good luck & welcome. also maybe put up a post on here asking if anyone is in your area who can reccomend a good pain specialist.
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 1:46 PM (GMT -7)   
kttn251977~
Oh, I agree with you!
My physical therapists were in a one-horse town.
I didn't have a choice.
I believe pt's in larger towns are much better.
(they couldn't be worse!)
pamela

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 2:08 PM (GMT -7)   
Jim ~
Arghhh.... Intractible pains brings on depression. There's no way around it. It happens. It's awful. Antidepressants
help MOST people. You surely can get those. Some even help pain. (They don't help me.)
Don't yell at me for suggesting this. I'm only parroting all the things I've read and I am very upset about how you
have been treated and it's important to me ~ and others on this board that you get better.
You will find a doctor. It will cost you some $$. Yes. But you will find one. Keep looking.
I have been so burned by doctors. I'm doing kinda ok now.
PN
MEDICAL CONDITIONS

Osteoarthritis all levels of spine right down to Coccyx,Spondilytis,Myofascial Pain
Fibromyalgia,Bulging Discs,Spinal Stenosis,Scoliosis,Osteopenia,Chronic Constipation
Carpel Tunel Syndrome, Attention Deficit Disorder,
Depression & Anxiety

Methadone for Pain, Xanax for Anxiety, and more, of course.


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/12/2008 2:09 PM (GMT -7)   
What about a regular dr? I know that they can not give you the stronger meds..... but maybe something you can get by on. I know before I began seeing the specialist my dr would prescribe soma & darvocets for me. But he made it abundently clear he could not treat me for chronic pain. Where do you live at if you don't mind my asking....perhaps you are near somewhere someone on here can refer you to.
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


lakewinds
Regular Member


Date Joined Feb 2008
Total Posts : 60
   Posted 12/12/2008 2:13 PM (GMT -7)   
Wow Jim,
reading your story was like listening to myself explaining chronic neck & pain, along with cyclicle migraines, an extreem liquid restrition, itchy skin, & the depression that goes with it just get to overwhelming. It really helps if a person can rant and rave and give up at times. But you know that it does no good to be negative. I take an occaisionsl vicoden but daily antidepressants to manage my pain & it's not working . I start PT exersises soon. At 52 with increasing pain every year since 1973, I do get tired and pissed off.
signed,
Lakewinds

kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/12/2008 2:21 PM (GMT -7)   
knitwit, have you seen a neurologist? my pain dr thinks i might have ms & some of the symptoms you just said sound like some of the things i have.... just a passing thought. jim, i am beyond sorry for you. hopefully someone who is in the area will come forward. are there any teaching schools you could go to? i am in tampa, fl & my specialist is only $100 without insurance. i'd freak if i had to pay $500. i will pray some help comes your way. have you made some calls to the hospitals & asked for some advice on help? don't give up.... my motto is constant vigalence. i can't type right today so my spelling may be off.... my laptop has decided it needs a mouse pad replacement. lol. i will try & think of some more ideas to get you some help. hang in there.....
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 3:50 PM (GMT -7)   
Hmmm .... Jim M. My neighbor gets opiod medication for her headaches. One
friend got them for cramps. They didn't have ANYTHING MRI'D. You have the wrong
doc.
They didn't even have to exercise anything - nope, not one thing. Not even a crunch.

And now about your eBay comment ... smilewinkgrin smilewinkgrin

You can not leave us hanging here. Welcome. You sure brought with you a storm.
I am one who plans to do a little activism ~ someday ... maybe ... when I feel better.

pn

Post Edited (Pamela Neckpain) : 12/12/2008 3:55:35 PM (GMT-7)


kimberley ryckman
New Member


Date Joined Dec 2008
Total Posts : 2
   Posted 12/12/2008 4:06 PM (GMT -7)   
devil   I have back pain been dealing with it for five years now. The only thing that they give me is those oxycontin pills. I am so sick of being in pain and having to take these pills. Anybody now a good doctor out there that cares more about the people he deals with. Mine just doesn't care. Nother piscription and out the door i go and doesn't matter how many that i take at a time or in a day. But nobody cares about the person you used to be befor you are in alot of pain. What is this world coming to :yeah.gif','yeah','yeah');" height=25 alt=yeah src="http://www.healingwell.com/community/emoticons/yeah:

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/12/2008 5:02 PM (GMT -7)   
Dear Jim,
Welcome to the HW forum. You sure have generated a lot of replies, which is great, but maybe not all of them helpful. I don't know if anything I'll say will be helpful or not, but I'll throw a few cents in.

First, it seems one major problem for you is insurance. Do you not qualify for Medicaid or another government program? If you're unemployed, and your income is low enough (it doesn't have to be as low as to collect cash benefits) it may be something. I myself may need to apply after my COBRA runs out and the only way I'm paying for that is a relative loaning me the money. I also was laid off about a year ago. I guess we were at the beginning of the recession. Lucky us. But I'd encourage you to try any and all sources to get some insurance, because I think you're right that doctors will treat you differently - if you can even get in the door.

But I also speak as someone who's had chronic neck problems for over 20years (I'm in my upper 50's), although that's not the main source of my disabling pain. I have learned the hard way as someone said earlier, that you can hurt yourself more by doing exercises incorrectly. And I never, ever will let a chiropractor touch my neck. Studies from Harvard have shown that chiropractic is more beneficial for the lumbar spine, but can be dangerous for the cervical spine. As can a PT or massage therapist working on you incorrectly. But I was fortunate enough many years ago to finally find an excellent PT for my neck and to this day I still do the exercises (which do not involve neck "crunches', but shoulder shrugs are one part of it) she gave me. As well, she gave me a cervical pillow to sleep on (there are some other threads here about that; I can't sleep one night without it without major problems ensuing), and a diagram to show me how to set up my computer for proper ergonomic alignment. I have a hunch some (maybe not all, I don't know) of your problems might have stemmed from sitting at the computer for so long without the right set up, and without getting up at regular intervals to stretch. That's water under the bridge now. I'm NOT trying to tell you just do neck exercises at this stage and everything will be alright. Even if you were to get into PT with the RIGHT PT, often meds are used to help tolerate the treatment and enable you to do exercises. Plus, I don't know if exercises are right for YOU; I only know about ME. And I'm not a doctor so let me be very clear about that.

I don't read MRI's, but after reading enough of my own and learning from other sources I know that two people can have the same MRI and one has pain, and the other doesn't. But it does seem you have more on your MRI than might be expected due to your age (and I'm not sure why Frances thought that, but it's her opnion and since I'm not a doctor either all I can do is disagree). Also, I do think it is fairly common for doctors not to treat your cervical spine without an MRI because the cervical spine has so many more nerves passing through small spaces there is more potential for injury. My PT will not touch my neck, nor will my doctor order a script for cervical PT, without an updated MRI. But since I have no intention of having surgery or injections on my neck, I have declined a CS MRI. I've had enough LS MRI's to last a lifetime (and just had lumbar fusion last year).

Anyway, I know I'm starting to ramble, but what options do you have for insurance? That seems to me where to start. And if it's unbearable - due to pain or depression (most of us have that, understandably) - go to an ER.

Hope something I've said helps!

PaLady

kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/12/2008 5:02 PM (GMT -7)   
jim, i am only 31 & have been in a battle to prove my pain was legit. finally i went to a specialist (pain mgmt) who right off the bat took me off the darvocets & actually said "these are not strong enough for your pain level" & i got a script right off the bat. when i was leaving he gave me appt with the physical therapist & scheduled me for trigger injections. i did ask if there was anything that would help (surgeries) & was told no, that i would always face pain. i am going to be going on a pain pump next month. (i'm getting insurance by then & had it in the past) so don't you give up. there are drs who will help you. i hate to say this, but lay it on them every thing you feel. pain, depression, burning, whatever you are feeling. make a list if you need to. i wish you were in my area my drs are fantastic. hang in there.....
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 6:37 PM (GMT -7)   
devil

Kimberley,
Hmmmmmmmmmmmm
I don't know what to say.
Perhaps you need another
kind of doctor?
Sorry about your pain.
Pamela
Keep warm. :-)

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 12/12/2008 9:30 PM (GMT -7)   
Jim,

I don't have much more to add, but I just wanted to welcome you to HW. I am so sorry that you are in so much pain & have been treated so poorly by your doctors. I hope that you can find a new one will listen to you & work with you to control your pain.

Skeye

One more thing. Don't give up hope! Keep fighting. There are other options to try, other doctors to see. I know it can be hard, but try to keep the faith that you will find something that will help you. It may not be in the next week, or even month, but you're going to find something that help control your pain & give you at least some of your life back!

Post Edited (skeye) : 12/12/2008 9:40:41 PM (GMT-7)


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/12/2008 10:35 PM (GMT -7)   
Jim,
You didn't say anything about insurance. Or will you be able to private pay for now? If you can private pay, then as someone else mentioned I'd try to negotiate the same rate the doctor gets from the insurance company, which is a discounted rate. If possible do this in advance (although you may have to discuss this with the doctor in person, which means taking the change he/she will say no).

I guess I'm a bit confused about insurance/payment options you have because that does make a difference in terms of options of doctors. If you're unable to pay, until you can get some type of insurance you may have to see what clinics may be around that will treat you without insurance, and that will limit your options.

I would suggest that even though you have a permit, you not carry a concealed weapon in with you to see any health care provider. If that is noticed, I believe that could create problems, and perhaps you will not be seen. That combination along with looking for pain medications could raise a lot of red flags for a dcotor, whether they're true or not.

PaLady

mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 12/12/2008 11:07 PM (GMT -7)   
Jim I just want to say how sorry I am that you have had to go through all of this and not gotten any help for your pain.The other thing I want to say is please dont ignore the depression that C.P. causes.This can be treated and as someone eles said some anti-depression meds. can help with pain alittle to.
Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 11:10 PM (GMT -7)   
Jim,
Guns, even though permitted, are a red flag to doctors!
I agree with PaLady.
You won't need a gun for protection in a doctors office.
The offices are usually in good areas.
Why, for Heaven's Sake, do you carry a gun?
You can get anti-anxiety from another doctor and
still be ok with your primary. (At least in CA)
My pain doctor won't prescribe Xanax so I go to
my well-beloved psychiatrist. (I started with him
years ago when there was a crisis with my Attention
Deficit.)
I don't know about insurance. I don't like pain clinicss.
All I got at the pain clinic was lots and lots of Accupuncture
that made my muscles feel like raw hamburger. I also
got a little pain medicine ~ but not enough to stay. I just
changed doctors. No one thought I was doctor hopping.
I had valid reasons for making the change.
Pamela

Post Edited (Pamela Neckpain) : 12/12/2008 11:13:31 PM (GMT-7)


donnaeil
Veteran Member


Date Joined Jun 2006
Total Posts : 1156
   Posted 12/13/2008 12:37 AM (GMT -7)   
Jim,

I understand. I have been to 3 pain doctors. Non of them have prescribed pain meds for me. In fact, my Family Practitioner sent me to 2 for that specific reason. He even wrote a letter to the second one.

In Washington State, the primary care physicians will no longer be able to prescribe opiate so they are sending us o pain specialists. My doctor did not believe me when I said the specialists were useless.

the last one gave me zanaflex which helps with my fibromyalgia. However, she gave me a lecture on opiates during the first 10 minutes of the appointment. She did not seem to like my doctor's letter and assumed I was a drug seeking idiot.

Donnaeil

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/13/2008 2:30 AM (GMT -7)   
I agree with everyone here, I think it is time to find a new doctor Jim. Sorry for my ramblings earlier I was venting about something that should have been started on a completely different thread and for that I apologize. Anyway, I don't think it is dr shopping if your doctor is not helping you with your pain and you feel as though your not receiving the proper treatment. After all isn't that what we pay them for....to make is well again or in the least to help us a little comfortable in our pain? Sorry if my words are a little jumbled its 3 am here and I'm oh so tired and in massive amounts of pain as a front is coming through and cannot sleep tonight. Anyway my feelings are to find another doc and see if he can prescribe you the proper medications that you need to ease your pain.


Hoping you have a lessened pain sleep. Your sleepy, frustrated, in pain friend

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 12/13/2008 6:21 AM (GMT -7)   
Jim,
I normally do not post here, but your post caught my eye.
Perhaps, I have missed why your primary care doc is not treating your pain?

I do not think you need to worry about doctor shopping.  Did you ever check about the charity stuff thru via christi, UMKC, or KU Med as for finding a doc that will take you without insurance?  It might take you a couple months, but it is something to think about.
 
My suggested script would be to very calmly say to your new doc "I have chronic pain and the treatment that was perscribed is not working. My condition is interfering with my sleep and making it difficult to have any quality of life. At this point in time I am requesting pain meds. You (the doc) can do any drug or psychological testing and monitering you need to do to make sure this medication is not abused. Please can you help me find a way to effective treat my pain, so I can go back to a normal way of life."

(A suggestion for the matter of the golden tongue... carrying an empty holster is not how you want to approach doctors. Neither is sarcasm. It does not give a good impression. And most doctors will be so fixated on that they will not listen to you. You know these are mostly people who have never handled a weapon in their lives. Furthermore I can also see the legal implications for them if they allow someone who is armed to have narcotics. No matter how much pain they are in and no matter how "vested" (meaning well qualified and of good charater) they are. Even law enforcement officers and military members usually have to have their weapons offsite secured when they are on narcs for pain. Unfortunately your weapon status is giving the opposite impression that you intended. My suggestion would be to not even mention it or give perception of it.)


Forum Co-moderator - Crohn's Disease
...I will find a way, or make one. -Philip Sidney 1554-1586
Make sure your suffering has meaning...
All suggestions/options/opinions are caveated with please consult with your local health care provider...

Post Edited (MMMNAVY) : 12/13/2008 9:59:13 AM (GMT-7)


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/13/2008 10:59 AM (GMT -7)   
Jim M,

Thanks for the explanation. I too have a clean record. It's never comes up
in a doctors office.

MMMNavy I would use your "script" for the doctor's office scene. It kinda
goes along with your quote, "I will find a way, or make one.'

Pamela

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/13/2008 1:03 PM (GMT -7)   
Jim,
You don't need to tell the doctor that you are willing to take any test he requires.
You can, however, mention something about your financial condition.
Be pleasant. Don't mention your Depression. If he asks you if you have it say,
"Oh, I have a little, but I'm ok."
Doctors can get scared of pain patients who have too much Depression. (They
do know we ALL have it. One neurologist told me if I took too much medicine
and landed in the ER he would NEVER see me again.
Doctors are so scared of the DEA. They want their patients to be squeaky clean.
Unfortunately the DEA changes the relationship with patients. The pain situation
was very very different ten years ago. (or that's what a doctor told me) Every
medic is paranoid ... and so are the pharmacists.
You know all this ... why am I blabbing?
Because I want it to go good for you. My Tee shirt reads, "Just say NO to pain."
Pamela
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