I know that when I started seeing my Physiatrist (pain mgmt specialist), he was WAY more paranoid than the person who had been (lightly) medicating me before!!! He insisted that I go through an assessment with a Pain Psychologist (which I thought was FOOLISH since he KNEW I was a Mental Health Clinician/Program Director & could have GIVEN the assessment MYSELF), Ph.D. BEFORE he would prescribe ANYTHING!!! I had to wait 6 weeks for this Psychologist to have an opening, then do 3, 1 and 1/2 hr appts for the assessment PLUS follow up. I HAD my OWN PSYCHIATRIST. I didn't NEED a Psychologist, "Thank You Very Much". As soon as I started getting my pain meds, I stopped going as soon as I could!!!
I don't know how your Pain Psychologist got access to your info about hospitalization, past abuse issues, history of drug use... You said something about having a FIRST evaluation? Was this something that would've been in your Pain Doc's files so the Psychologist would automatically have access to it? Or was it done in another setting so that he'd have to LEGALLY have a RELEASE to KNOW the info???
Anyway, knowing what I know due to my profession--there were just SOME things that Psychologist wasn't gonna get to KNOW!!! 1) I have Depression (stable for MANY years) & was hospitalized 4 or 5 times (!!!) between 18 & 21. When I was in high school I drank EVERY DAY & took whatever drugs I could get my hands on (all of which I quit when I was 16)!!! I KNEW (though adolescent malcontent &drug use is pretty irrelevant to me) that they would NEVER medicate me with THAT kind of drug/alcohol abuse history AND mental instability--despite the fact that I was now in my 40's, with kids in college, and a Professional in the Community. "History" is looked at in "black & white" in the medical profession.
THAT SAID... It's not like you're looking for shots of Demerol!!! You're talking about Spinal Cord Stimulation, if I understand your abbreviation correctly!!! THAT could actually reduce your needs for narcotic medication--which I would think your Doc would be all for!!! AND I bet he WILL be!
I TOTALLY agree with "Straydog":
"...I just don't get what the importance of how we grow up affects what we expect from a SCS to a pump. I think if they are going to do these eval, why not center it around the pain, isn't that why we are there, to try to get something to help us... ...Ask me all you want about how I take my medications... ... if I ever abused drugs, but just keep it the actual reason for the equipment centered of how I have handled pain in the past and how I am currently handling it... ... how ir affects daily living..."
[Sorry about the "condensed" version!!!]
I REALLY believe THAT is what YOUR Doc is going to be interested in--in the end!!! Remember, the WC people are there, honestly, to try and SAVE their company MONEY!!! They are paying out BIG BUCKS. Your DOC is there to ADVOCATE for YOU--to make documentation SO clear... ...that it would be ILLEGAL for WC to refuse to pay.
Your Doc is your BEST FRIEND (IF you have a good rapport). Try to think of that and not to get "bummed out in advance".
Blessings to You;
"When I stand before thee at the day's end, thou shalt see my scars and know that I had my wounds and also my healing"~Rabindranath Tagore
DISORDERS: Osteoarthritis; Degenerative Disc Disease (degeneration at C- 2 to 4 with Osteophytes, T- 8 to 12; L-4 &L-5); Facet Joint Disease through out; Spinal Stenosis; Neurogenic Claudication; Anterior Displacement at the L-4/L-5 site; De Quervain's tenosynovitis of the wrist; Ulcerative Colitis; Diverticulitis; Chronic Clostridium Difficile; Irritable Bowel Syndrome
TREATMENTS: 3 Radiofrequency denervations (Thoracic/Lumbar Facet Joint Nerves); 2 Epidurals (Cervical Herniations, Cervical Facet Joints)
MEDICATIONS: MSContin ER 60mg 2x; Morphine Sulfate IR 15mg 2x prn; Naproxen 500mg 3x; Tizanadine 2mg 1- 3 at bedtime, 1- 2 2x daily; Clonazepam 1mg; Wellbutrin 400mg; Lexapro 30mg; Topomax 100mg bedtime; Provigil 200mg, 2x; Metoclopramide 20mg, 2x; Asacol 400mg, 3x