Veromia, welcome to the pain forum. It sounds like you keep very busy and probably do more than you should. Thats is no different than most of us here. There are demands in life regardless if we have pain. It sounds like your pain is coming from the lyme disease which can definietely be painful. I don't know alot about
lyme disease but I do know that it is not always transferred from the mother to an unborn baby especially if it is treated by antibiotics early. Anyway you probably know more that me. At the pain doc (PMS) several things can take place. They will have wanted to look over reports from other doctors before your appointment. The same questions about
where you hurt, when is the worst, what causes it to increase and what helps relieve it. They will do an overview of the medications that you have been on and are currently on. They will try and find the cause and that can include further testing. Many PMS drs have you sign a contract that says you won't get medications from anyone else, allow only one pharmacy to be used and that you will take the medications only as prescribed. What tests they will order depends on what has already been done, what the cause of the pain is, where it is at and in my sarcastic attitude what they think they can get paid to do. Not all are the same. It seems to me that they can be good and caring or they can be total jerks. Some PMS drs will want you to give a urine sample at each office visit and that is for drug testing. I hope you have ins. that is covering all this. After examining you they will look at tests, the possibility of changing the medications, adjusting the dosages as well as other possible treatments. I hope the PMS is a good one and is very caring and personal. I hope some of this helps and I am probably leaving a few things out. Blessings!