I truly hope it goes well today and you can get caring Dr. who helps formulate a comprehensive plan to help with your pain.
**The rest of the post is a generalization and not specific to one person on this board..just some insights that I have learned**
One thing I have learned...is trying to talk in terms the Dr. deals with...facts...and what types of actions/daily tasks can and can't you do because of the pain..
Using terms like.."feels like leg falling off"..or "being tortured"..etc....seems to make Dr.s feel that we are exaggarating our pain..So...be honest...but be realistic...
As in..it hurts the most when I bend over to pick something up...or when I take a shower..I have trouble reaching up to shampoo my hair....statements like that.
A patient should tell the Dr. where and how much it hurts...and a good PM Dr. should be the one to decide how to treat us and what to do to help make the pain less each day using all modalities..
A wonderful and caring PM Dr. has spent his whole life going to school and working at perfecting his job of pain management.
If someone smokes and has no plans on stopping...the Dr. sees this as someone not taking their health very seriously and wary to perscribe medicine to help if you already are doing something that is known to kill...same thing for being very overweight...if you don't tell them that you have a plan to help take care of yourself in these areas and are at least trying..they feel that you are just wanting them to provide medicine to solve all your issues.
Just like if someone comes in saying.."I take 12 Tylenol a day.."...this tells the Dr. that you have trouble following even the basic instructions on an OTC medicine and less likely to trust you with pain medicines...They are not thinking..."gee this person hurts so much they have to do that"..they think.."They are willing to risk their health (liver damage) and break rules to get what they want.."
I only offer these thoughts after becoming friends with my PM and picking his brain about what his day is like...He is extremely compassionate and does all he can to help his patients whom also help themselves. He has to follow DEA rules so therefore that is passed onto us and our job to follow our Dr. instructions to the letter..
My Dr. feels that if you ever are having more pain...or side effects that are bad..or questions about something...that you can NEVER go wrong by calling and asking the nurse or himself. That's what they are there for.
If someone decides that they are smarter than the Dr. and take more medicine than they is prescribed...or stop meds without asking..etc...then they do not need his assistance to treat them anymore and he is wasting his time.
Yes..there are terrible Dr.s out there..and those you should decide to leave behind and go someplace else...but for lots of Dr.s...they will do everything they can to help ease our suffering..in return, they just ask of us to be honest with them about our pain...to follow instructions...and do everything we can to take care of ourselves with every modality at our disposal.
I truly hope you are blessed with finding that Dr. today:)
SB and "the pup who snores loudly"
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha"))
ACDF with hardware, allograft bone Nov. 2005
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
PM since 2006
Post Edited (Snowbunny21) : 2/5/2010 7:39:34 AM (GMT-7)