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.
Moderator Chronic Pain
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.