Welcome to Healing Well. I am very glad that you found us, but we always hate to see another person come along afflicted with this dreadful disease. What is even worse is it to be someone as young as you are starting your life off with multiple surgeries that can very well leave you with chronic pain. But, do not despair at what this dr is telling you about a life of CP. This was obviously not a pain mgt dr telling you this, I am assuming it ws a surgeon. Just from what you have written in your post the very best thing I can suggest you do is have your PCP ref you to the best pain mgt dr they can find for you. Be sure they find one that does both medications and procedures. There are some pain mgt drs that do nothing but procedures and they do not prescribe medications. Depression and chronic pain go hand in hand. Many times the medications used for depression will help with the pain to a certain extent. I can tell you first hand you will find that many drs like surgeons do not like to rx pain meds to someone as young as you, the first words out of their mouths is "well I don't want you getting addicted"., therefore I will let you suffer, wrong answer. There is a big difference between addiction and tolerance issues. Addiction is someone looking for the a high, not someone trying to tame pain. Now you see why I suggested a pain mgt dr. Pain mgt drs are more knowledgable of how pain meds work, what combination may work better together and that sort of thing.
Please keep posting and let us know how you are coming along.
What meds is this PM dr wanting you off of exactly? In what way does he feel they would interfere with his treatment? He sounds pretty much like a cad. No, you don't have to held at ransom by him, its your choice as a patient to seek another dr, surely there is more than one your PCP can come up with? I am curious as to why the xrays reports were not furnished to your PCP. He should be able to get a copy of the reports. Plain film exrays will not show much except broken bones, a fracture and things of that nature. The MRI is much more definitive than a plain film. How did they diagnose your torn rotator cuff? Who recommended surgery on it without an MRI? Sorry for so many questions.
I have been there with the knee problems, have had 4 surgeries on the left knee for a torn meniscus to the last being for a partial tear of the ACL. Then 10 days post op, I severely twisted that freshly scoped knee and spent a year weaing a Don Joy brace. What a pain it was too. Spent one week in the hospital for pain control after twisting the knee. My ortho & I watched the thing swell to the size of a grapefruit in a short while. A week later it was even bigger and by that time my entire leg was involved. Fearing a blood clot had set in, he put me in the hospital to rule that out and to also try to get the pain under control. I also torn the meniscus in the right knee and had surgery three weeks before the ACL repair. Due to a medication I was on for my crohns disease it interferred with my healing drastically and it took over a year for the knees to completely heal. I was not,prepared for any of this long term stuff involving my knees simply because all my prior surgeries had been relatively easy. Now, I need both knees replaced and I am just biding my time. I did have the Supartz injections done and it helped me somewhat, at least now they do not snap, crackle and pop when going up a flight of stairs.
I am sure you know when there are multiple areas involved the drs only want to deal with one issue at a time. That just seems to make thing be drawn out a little longer. So, you are going to go to medical school, bravo for you. What field are you wanting to go onto, may I ask? Please keep posting as many more will jump on here from time to time.
Chris, I may have a better understanding now of the so called PM dr lol. He must be one of those that does procedures only, they do exist, there is basically two types of PM drs, one that does procedures only and then on that will do procedures and rx medications. You are on generic Neurotin which is for a nerve type pain, why would he have a problem with that, is he nuts??? You really need to get totally away from this jerk, his ego is way too big to be treating people. Chris, your PCP can schedule you for MRI's it does not have to be a specialist to order them. In fact, most specialist prefer the patient to have an MRI prior to being seen. It cuts down on time and the dr can tell you something on the 1st visit rather than waiting to schedule one and wating for the report and ect.. Why not discuss this with your PCP and above all do not pay out of pocket for one if you have insurance. They are terribly expensive.
One thing I learned many, many years ago about CP is, if a person is injured somehow, many times if that person does not receive proper care immediately, it can go on and develop into CP. I have seen this very thing happen many times.
I have a pain pump as you know, my PM dr writes more scripts for narcotics than any dr in the state of Tx and she has more pump patients than any dr in this state,lol. She is a retired neurosurgeon who decided to go into pain mgt a decade ago, mainly so she could still help people. The first time the DEA paid her a visit, the little guy got in her face and shook his finger at her and said "so, you are the naughty girl that is writing all of those prescriptions for narcotics?" She said she just looked at him and grinned and said "yes I am". They went in and did their audit, which is going thru her records. My dr also has massive amounts of medication in her office because she does her mixing for the pumps, instead of using an outside pharmacy. She said one of the people got to talking to her and gave her some valuable tips that she incoprorated in her office. At the end of the audiot, the little man, gave her a thumbs up and told her to keep up the good work. She was not intmidated one bit by the DEA. She says in our statee the DEA pretty much leaves the PM drs alone, its the PCP's they go after and get because of sloppy record keeping. She pretty much picks and chooses who she will take on as a patient. Before an appt is even made with her she requires the person to furnish her with a copy of all of their medical records for one year. She will review the medical records and determine whether she can help the person or not. She told me that alot of the PCP's do a very poor job in documenting and maintaining their medical records and thats why the DEA gets after them so bad. She says she see's this first hand on a daily basis. But, she only takes pump patients. Once you have a pump its very difficult to get another PM dr to take you on. I thik alot of it is liability issues.
I do hope you can get some help with your situation, Perhaps nudging your PCP to help out here a little more and getting him to order the MRI's would be a step in the right direction. I am not sure where you live, what the protocol is in your medical community. But, one thing is for sure, you need to kick that current PM dr to the curb just as hard as you can-he is sure not helping you.