Pain Pump...... Here I Come?

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kttn251977
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Date Joined Jul 2007
Total Posts : 554
   Posted 1/16/2009 6:19 AM (GMT -7)   
I know we have run a few topics on the pain pump, I can finally answer that my psych eval is on Tuesday. Can anyone tell me what they ask in a psych eval? I'm so nervous & hopeful......
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); 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


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 1/16/2009 1:14 PM (GMT -7)   
Kttn,
I don't know the specifics re: psych eval for the pump, but there will be general questions with any psych eval some of which will sound weird (that's putting it mildly). They may ask you things like counting backwards, orientation questions like what year is it (if they ask who the President is on Tuesday you'll have to ask what time it is, as that's inaguration day!!), and some things like that which will seem odd. It's standard procedure stuff in most evals so don't take it personally. It's like having a checklist of things. But I don't know if this will be with a psychiatrist (who's an M.D. with a specialty in psychiatry) or a psychologist.

Just relax and be honest. And don't minimize your symptoms. Be very clear about how your pain affects your life. One thing they will be looking for is what your expectations are for a pain pump - how much relief you're expecting it to give. I think you know from reading here you don't get 100% with anything. Again, be honest and relax as much as possible, but being nervous is normal, too.

PaLady

skeye
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Date Joined Mar 2008
Total Posts : 2976
   Posted 1/16/2009 8:55 PM (GMT -7)   
Hi kttn,

Unfortunately, I know absolutely nothing about this, but I just wanted to wish you luck! I hope the eval goes well! When do you find out if you have been approved? Good luck!

Skeye

Jules22871
Regular Member


Date Joined Jan 2006
Total Posts : 142
   Posted 1/16/2009 11:51 PM (GMT -7)   
Good luck! I really hope the pump works for you and gives you some relief.
Motorcycle wreck 08/2004: 119 fx, 13 surgeries with one more to go, including 5 bone grafts, 2 skin grafts, pelvic reconstruction x2. Right leg is 1.5" shorter than left. Have to wear knee brace for life and also AFO brace for drop foot. Nerve damage from hip down to toes, no feeling in lower leg. Spinal fusion. Will be on crutches the rest of my life. Pain level never below 5 even on pain meds. Since August 2007 I have been diagnosed with chronic atelactesis, tachycardia, high blood pressure, borderline personality disorder, depression and Delayed sleep phase syndrome


kttn251977
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Date Joined Jul 2007
Total Posts : 554
   Posted 1/17/2009 5:36 AM (GMT -7)   
Thanks everyone. And I have no idea what time the Inaguration is exactly? Am I supposed to know that?
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); 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


straydog
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Date Joined Feb 2003
Total Posts : 13473
   Posted 1/17/2009 10:10 AM (GMT -7)   
Kttn,
 
I wrote you a post about my experience on the physch eval and somehow hit something & lost the whole dang thing-at that point it was either late or early so I gave up.,lol
 
Ok, here it goes, I am not sure if this is required by Medtronic or my pain dr. I had a to do an MMPI test-500 questions. Its a mutiple choice answer test. Whew, really was crossed eyed by the time I finished. I did not care for that test at all and I will tell you why. Some of the questions they asked, all answers could pretty much apply but you could only pick one answer. I suppose I passed because this was sent to the phychiatrist for him to do his part. I heard back a week or so later that he had finished with my test and then I was given an appt with him.
 
My appt with him was easy. We discussed at length my personal history, work history and medical history. We discussed the changes in my life, how the changes had affected my life in every avenue and  how I coped with the changes. We did discuss the pump and what sort of outcome I was expecting from it. There were no trick questions at all and he did not ask me things that PA lady though they might, no weird questions. This was all very straight forward, no funny business. Now, will your testing be this way, I have no idea, I hope so, I don't care for all the goofy off the wall crap. Was not asked about the day of the week, if I knew my name or who the current president is, my luck I would have screwed that part up,lol.
Not only does this eval help decide whether or not you are a good candidate, it also tells whether or not this is something a dr has pushed on a patient to do as well.
 
I hope I have helped some and helped alleviate some of your fears, it was easy. Susie
 
   


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 1/17/2009 2:22 PM (GMT -7)   
kttn,
Susie is right. Try to relax. Sounds like she had a psychological eval. (the MMPI may be part of that). If it's a psychiatrist (who's also an M.D.) that may be where you get the odd questions as they're more apt to do an overall orientation.

Just remember it's not personal to you; by that I mean if there are tests or odd questions it's just part of the format used for everyone. Hopefully you will get someone like Susie did who sounds like a psychologist. And if you get any kind of "test" just relax and answer the questions as best you can. Try not to struggle over it, as most of these just give overall print outs of various graphs that show tendencies like depression, anxiety, and a number of other things. One question alone isn't going to determine the outcome.

By the way, the new President always takes the oath at noon!

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13473
   Posted 1/17/2009 7:33 PM (GMT -7)   
PaLady I had a full blown psychiatrist that did my evaluation that is required by MedTronic, not a phychologist-my very first experience with one, I was under the care of a great psychologist at the time that dealt with autoimmune diseases. I was a very lucky person to have this lady in my lfe at that time. I don't know what your experiences have been like in the past with a psychiatrist, as that was my very first time seeing one. Again, he did not ask me any weird or goofy questions as you have indicated to Kttn of possibly happening. This guy was very straight forward about the evaluation and he was the one that handled the MMPI that I took. This test also covered a section on pain mgt-some of the bigger pain mgt facilities here that have inpatient and outpatient care test their patients with such testing. They have their own inhouse shrink to eval new coming patients. One of the factors they look for is phychological overlay factors with the patient, malingering, monetary value, things of that nature. I am not sure how much of all that BS I agree with, however, I am sure in some instances it can be a valuable tool for the drs.

Kttn regardless of any of this crap-all I can tell you is don't stress out over this and you will be just fine. Please above all don't feel you are being tossed to the wolves, as this evaluation is really a breeze. Many people have a different approach when you mention the word "psychiatrist" but forget it, he/she is not there to say you don't have pain. Your medical records will have already been furnsihed and this dr will know what is going on with you and the time of the appt.........Susie


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 1/17/2009 8:43 PM (GMT -7)   
Susie,
I was just going from what I know professionally is a possibiity. Some psychiatrists have broad training and do a lot of the same things as psychologists, so it just depends. But we're on the same page in not wanting Kttn to stress out. If you get someone who does the more traditional stuff (usually along with what you got) sometimes people get freaked out and think it has something to do with them, when it's just the procedure.

Whatever you get Kttn, you'll be fine. Think of it as a learning experience for yourself in the long run. If, for example, they should assess you're not a good candidate, you can certainly ask why, and it would be better not to get it if all the data indicates it wouldn't work well for you. The reveres is true, too!

Remember you can ask some questions, too. If you're not sure about the reason for something, just ask.

You'll be fine!

PaLady

straydog
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Date Joined Feb 2003
Total Posts : 13473
   Posted 1/17/2009 9:19 PM (GMT -7)   
Hey Pa did you know at least here in Tx, if you go in for lapband weightloss surgery a psych eval is required?? We know of a guy that had it done and nearly did not get to. He actually flunked his eval, because he mentioned the fact his wife was really the one that had pushed him into even consdiering the surgery!!!! Now, how bad is that one!!! He was very much interested in having the surgery, but because of that comment the dr said he did not think the guy would be a good candidate. He told my husband and I this dr twisted this comment around so bad. It took him alot of fast talking and convincing to get this dr to change his mind, all over an innocent comment.

By the way which of our ladies had it done-would like to hear from her and see how she is doing.....Susie


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 1/17/2009 9:30 PM (GMT -7)   
It's a pretty standard requirement now, and if it's done by the right professional I think is a good idea. I've worked with some people who have had the procedure who likely shouldn't have - these are often people who put a chunk of the weight back on. Unfortunately, there are some doctors and hospitals who just want the business, so they allow almost anyone to get it. IMO the eval should be done independently of the doctor's office or clinic, but by someone who has expertise with eating disorders. If the emotional aspects of eating aren't addressed then the immediate surgery might be successful but it might not be in the long run. It doesn't sound like the man you're referring to was given a fair eval, though, especially if he also wanted the procedure. It's a whiole other ball game if someone's being pushed into it who doesn't really want it or isn't that motivated, but it sounds like he was.

My cousin goes back and forth in considering the surgery for herself. It's a difficult choice as the obesity is also so life threatening. It's good we have options like that available, but we're getting off the track for kttn.

Kttn - hoped I didn't make things more confusing or anxious for you! Hey, you learned when new Presidents are sworn in!! LOL

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13473
   Posted 1/17/2009 9:43 PM (GMT -7)   
That is so true, I do believe for many they think its a quick fix and by far that is not the case. I am much relieved to see the lapband versus the gastic bypass, thats a really tough one, we know of several people personally that died from the gastric, all done by different drs. We have been to a couple of diff seminars for my hubby on the lapband. I am thinking that a pretty fair amt of ins companies are now requiring an eval, I know ours does and I do think its a very good thing.

Do you remember who had it done on here recently???

Susie


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 1/17/2009 9:54 PM (GMT -7)   
Unfortunately, I can't remember who it was, but I think you're right someone here was going for one. Maybe there's a thread?

PaLady

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 1/17/2009 11:39 PM (GMT -7)   
Hi Susie,

It was moondancer that had the lapband surgery done recently. I actually started a thread last week to see how she was doing, as something reminded me that we hadn't heard from her in a while, but didn't get any response. If I can remember correctly, she was already getting good results after a week or so post-op. Hopefully she is out enjoying her new body!

Skeye

kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 1/18/2009 11:10 AM (GMT -7)   
Hi all, thanks for all the well wishes, makes me feel warm & fuzzy- who dosen't like all that positive- ness coming their way? I'm not getting stressed- one of the PM Drs at the PM center I go to is the person who gives the evaluations, and he is super nice. (and very handsome) I just want to get some of my life back & hoping for a miracle! Thanks though everyone for all the input! I'll just update on Tuesday & let everyone know. Hope everyone is staying warm & cozy!
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); 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

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