Psych appt. and PCP Appt. on Monday of next week.

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Scarred_for_life
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Date Joined Jul 2008
Total Posts : 1559
   Posted 8/19/2009 1:06 PM (GMT -7)   
Ok so I have two dr. appts on Monday and I am working on my Pain Management Plan so that psych doc can see that I am doing my best to do as he asks.  If you are wondering what is a Pain Management Plan....let me tell ya.  When your doctor requests that you see a psychologist for a year or so for the purpose of learning to deal with stress, your pain and your life around you before you get the trial of the SCS (Spinal Cord Stimulator, some psychologists will request that you write out a journal of what you plan to do to keep your back healthy for the rest of your life.  This is what I am doing.  Its a record of what I plan to do to keep my back in good shape and NOT do things that will be detremental to my back.
 
Okay...now that you know this....let me tell ya.  I don't plan on going roller skating, sky diving (geez I'm afraid of heights!) or anything else that would put my back in jepordy of having more pain or bringing it back!  But, the doctors want to make sure of this.  My psychologist told me that one lady had the SCS placed and her pain was 50% less.  Well apparently she loved to roller skate on pavement and did not tell her doctors or her psychologist this activity.  Well, she was feeling so good that she decided to go roller skating and really messed up the leads (they moved) and now she is getting ready to undergo another procedure to re situate the leads and its not even guarenteeed that it will work.
 
That said.....if I'm gettting 50% less pain then I have been.....I'm sure not going to do anything to reinjure it or make a new injury.  That to me is just nuts!  At least in my honest opinion.  Anyway, I've put down all my hobbies and made plans as to how I am going to alter my big hobbies (hunting, fishing and that) to ensure that I am not going to reinjure my back or create a new injury.
 
Okay.....so my doctor appt with my PCP is probally going to go something like this:  "Your doing fine with the medications your on......going to give you a new script for constipation meds....see you in 6-8 weeks."  Oh and by the way....(as I'm walking out) we need another urine specimin.  Gee doesn't that make 5 this year????  Heck ya it does!!!  Funny I was told that they only do 4 random ones. 
 
Oh well.....grin and bear it right? I'll keep you updated on how it goes.
 
Pain is at a tolerable level today ------6 so I am feeling pretty good :-)
 
Hugsssssssssssss
 
Scarred
What doesn't kill us only makes us fight back harder! :P


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 8/19/2009 2:17 PM (GMT -7)   

Scarred

You are lucky only 5 samples this year, My Doc requires one from all his patients every refill visit. The last visit ( last Thursday)  the collection cup I had, was equipped with an  hinged plastic cap, and it  broke off when I was closing it!!. I won't go into details but it spilled all over the place and I had a mess, to clean up! I was so mad at the time!Just as an added footnote I am on Sulfasalazine  and that just made it worse! ( now I can laugh about it but I couldn't at the time it happened!) At this Pain clinic  they give you a little brown paper bag with the specimen cup in it and you then go to the restroom and bring the bag back and sit with it till they call you back, and then they take the sample and label it and get your information, when you took your meds last and all that! You then go back to the waiting room and wait to be called, and brought back to an exam room, where the Doctor sees you! He is really Great but the check in kind of sucks! Anyway along with a less than half full broken specimen cup wrapped in paper towel,  I gave them a piece of my mind telling them they need to invest their money in getting better specimen cups and changing their procedures!!

You know Scarred it has been over 30 years since I have been roller skating I used to love that, my daughters do that inline skating thing, and oh how I would love to be able to do that! So many things that I miss! And hunting I have not been hunting since I was a teenager, used to go Pheasant Hunting allot as a kid. I love fishing too and I haven't done any of that in a year or two! The lake I live at is stocked, and a kid just caught a 7 lb large mouth the other week!

I do wish you luck with getting that SCS!!, How long do you think it will be yet before you can get it? Take care of yourself Scarred and make sure you keep us all informed of your progress!

Wishing you the Best!

White Beard



Moderator Chronic Pain
 
I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 8/19/2009 5:56 PM (GMT -7)   
White Beard,
That's kind of an ineffective strategy for collecting urine samples anyway. I mean you could go into the bathroom and get out someone else's urine. To do it correctly, someone needs to hold all your stuff (for us women it's usually our purse) or any other container we could have something in, and wait at the door. Your doc is just following a mechanical procedure, but then that's probably the case most everywhere.

PaLady

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 8/19/2009 9:34 PM (GMT -7)   
PALady

You know I never thought of that but you are right, because the restroom is across the entire waiting room and down the hall next to the exit to the stair way! Your right they were just following the mechanical procedure and that was all!

You know PALady when I was in the military they had random drug test and you would get called up and you had to give a urine sample right away, and if you couldn't go they would give you soda pop or coffee and you couldn't leave untill you did go! And they had an observer there, that had to see the urine actually leave the body and go into the container! One time later on in my career, since I was a Senior NCO I was assigned the observer duty for a day! It was the most uncomfortable extra duty I have ever had to do. I had to give the airmen the cup and then go in with them and watch them fill it and then take it from them and documented everything! I spent a good 6 hours doing that one day! They rotated that duty amount the senior NCOs in our Squadron! Since there wasn't very many women in out squadron they had to go over to the hospital to give theirs! It is uncomfortable for both individuals, but it had to be that way, as some people would go to great lengths to hide their drug problems because if you were found positive, you were facing some really difficult times! I am at least glad they don't do that at the pain clinic!

White Beard
Moderator Chronic Pain
 
I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 8/19/2009 10:00 PM (GMT -7)   
When I worked as a truck driver I took a lot of drug tests. Every single specimen cup I used had a thermometer on it that recorded the max temp of the urine. Made it hard to switch samples as the temp had to be in a specific range.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 8/20/2009 12:12 AM (GMT -7)   
You know....I actually have a doctor who has two bathrooms in his office. The last counter is the UA area and the lady gives out a cup and you can either use the bathroom oppisite of the UA counter or you can use the other one if that one is occupied.

If you cannot go.....you are given a cup to drink lots of water and cannot go out to your car or leave the building for anything. But you know...its not very protective as far as "cheating" in my eyes. A lady ahead of me last appt was in a wheelchair and was not made to empty out her basket in the front or have her purse held before she went in for her UA.

My Dr before made women take off their shoes......they were checked and no purses were allowed in the bathroom area. The water was treated with a blue dye and the water was turned off while the patient was in the bathroom. Also the nurse stood outside of the bathroom while the patient was in there.

So you see there are different ways the doctors treat these UAs IMHO.

Hugsss

Scarred
What doesn't kill us only makes us fight back harder! :P


edt
Veteran Member


Date Joined Dec 2008
Total Posts : 773
   Posted 8/20/2009 5:52 AM (GMT -7)   

Scarred,

WHY is it that ONE flake can cause Dr.'s to assume that the next 5,000 patients would be stupid enough to do what this one patient does?  Geez, in my condition putting on anything but Tennis shoes is taking a chance!

I'm so sorry this is taking so long for you to get approved!

Speaking of the pee pee test!  I was told in January that 4 would be required (this is a Medicare rule) for the year.  I see my PMD every 2 months and give a specimen everytime....last time I was probably 2 drops below the required amount and they literally threw the specimen out.  I asked if I needed to do another and was told no we'll get it next time?  Go figure??  The lab in this office is right across from the restroom and they do wait for you to come out! 

The things we have to do to control the pain!

XXOO
Patti

 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 8/20/2009 3:22 PM (GMT -7)   
You know, I bet some of this is a violation of civil rights in some way. And certainly if ONLY women were made to take their shoes off and not men that's plain discrimination.

We are treated like criminals. This is pathetic.

I've worked with drug & alcohol programs and the urine screens were done by the nurse, who waited outside the door, but those screens have to come back clean. Ours are supposed to contain varying degrees of medications, depending on what we're prescribed. If ours come back clean we're accused of diverting!

Patti - is this really a Medicare rule? It's all so crazy. shakehead mad

PaLady

Post Edited (PAlady) : 8/20/2009 4:25:34 PM (GMT-6)


BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 8/20/2009 6:54 PM (GMT -7)   
My doctor has a ton of procedural crap at each appointment, but I wouldn't trade him for any other. He's is one of the bathroom guarding, shoe stealing, toilet pilling, water cutting types and they just started those thermometer on the specimen cups a few months ago. As far as the discrimination/rights violation aspect goes, my doctor steals everybody's shoes.

I've always been curious about the shoe thing, because I wouldn't dream of trying to hide a clean urine sample there. I mean, I don't spend a lot of time thinking up places to hide my clean urine samples, because my bladder seems to be the most convenient place tongue but if I were that type, I'd be too worried about my weight causing the sample to explode or something and I'd end up walking in urine sloshed shoes! redface

I was pulled for a random screen at my last appointment (a month ago) so at my appointment yesterday, I asked my doctor what's up with the shoe thing. He said that several years ago, he had suspicions that several patients where using stored urine samples and that they were all coming from the same original sample. He scheduled them all for appointments on the same day and turned on the security camera in the bathroom to record their activity. (It's in the pain contract that he can do that at any time, for any reason, without notice or consent beyond the contract.) When he reviewed the film, he found that all 3 women had hollowed out the insides of the big square high heels on their shoes and stored the urine baggies inside. When it was time for their urine sample, they popped the bottom off the heel, pulled the baggie out, emptied it into the specimen cup, stuffed the baggies back into their shoes, and replaced the bottom. Later on, they were also able to prove that the urine was from the same original sample and located several other patients that were in this "ring" obtaining drugs from him for other purposes. smhair

He also told me he's had several occasions when people have smuggled in urine samples that were from their pets! Bein' that I have a cat that requires frequent UA's, I truly believe it's easier to just stay clean than to try to bribe a sample out of a cat.. LOLOL!

It ticks me off that I have to go through so much crap at each appointment, but I can totally understand why he does it all, considering this is the sort of thing he's faced with day after day. Even with all that we go through, I've never been to an appointment where someone wasn't being booted out the door, usually with a police escort, and always for very serious offenses like forging prescriptions, having their PMP report come back with unauthorized narcotics, etc. shakehead

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 8/20/2009 9:34 PM (GMT -7)   
You know, I think I'd rather just have a female nurse come in and watch. At least then she could hold the cup and get her hands all wet! shocked smhair smilewinkgrin

PaLady

BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 8/20/2009 10:38 PM (GMT -7)   
I actually take some sick pleasure in knowing what they'd be forced to look at if they turn the camera on while I'm in there. shocked redface

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 8/21/2009 2:33 AM (GMT -7)   
Why in the world would anyone carry urine in their shoe?????? I mean that's what I call desperate!!!!!! I can understand no purses, bags or things like that in the bathroom but come on......ONE person..(or in this case a ring of people) sure ruin it for those of us that are trying to be honest.

I truly believe with the Michael Jackson thing that doctors are now looking harder at us CPers then what they used to. It's just crazy! My doc won't even change my percocet...or my Kadian because she says I am on a really high dosage of pain medications and that if it isn't working then there is no other place to go.
I have asked to be changed on my percocet because its not working for the BT pain and she tells me no.

At what point did we lose the faith of our doctors?

Hugssss

Scarred
What doesn't kill us only makes us fight back harder! :P

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