OK! Saw the Dr today!....and I love this guy!
I took in my remaining meds to keep that trust building. It probably was not needed, but he did examine it, and clearly saw that I had a half a bottle left since my last visit.
He first addressed my neck issue, and said that an Epidural probably would not work from the symptoms I told him about
, and suggested a Trigger Point injection to start with. Next he took another look at my scar and groin area where I have intense pain if I touch it (scrubbing it in the shower) I also showed him that my stomach is now off center by 1 inch and he thinks they overlapped the muscle when closing me back up from the surgery. It is the reason that I have tugging and pulling when I stand up or walk, but strangely it is not too painful unless I scrub it in the shower. (or at least I though so) This includes my upper thigh as well. He shared some photos of the nerves in that area with me, and said while they try to avoid the major nerves, the smaller ones just cannot be avoided. They may not ever heal properly according to him.
Next we visited on the lower back issue, and as always he asked me what I thought I needed. This always makes me nervous, and I try to avoid giving him an exact medication I have in mind, so I told him all I could do was to name a few of them and let him make a determination as to the one he thought would be best. I rattled off the muscle relaxers first, and he frowned and said he was not keen on them and certainly not for my problems. I then said that the (Oxycontin) word was the unpardonable sin around here and for that fact around the rest of the country, and I recited several other medications to the best of my memory. This is where the conversation got interesting! I told him what I thought I needed was a extended release med with oxycodone as a breakthrough med. When I mentioned Dilaudid, Fentanyl, Embeda he said that those were for severe chronic pain (8 or better) and that if I ever got to that level he would send me to have a pump put in.
Now, I don't think my pain is severe at this point, (an 8 or better) but it certainly is not a cake walk either. What happened next almost floored me! He said I was right, in that I probably needed an extended med at this time and said he was going to script
me Oxycontin again. Three months ago, it was a big no no with him. However, since the new formulation has come out, I think they are starting to loosen their grip on some of the PM's & PCD's, at least in this area. By this time I was doing everything I could to keep from grinning ear to ear, and not because it was Oxycontin, but that I was now going to receive an around the clock medication. I have hated the up, down, up, down, of the short term meds. Now, maybe in the mornings I won't feel so bad as I get ready for work.
I asked him what number he had in mind for the Oxycontin and he said #30....and this is where I always stick my foot in my mouth....and said "I want to stay on the lowest dose I can, so please start with #10's first" Did I just say that?!!! Slap me silly!
I did not realize he was so pro pain pump until today, and he told me that the Fentanyl and Dilaudid were usually reserved for the worst cases, and that instead of giving them orally he prefers the pump. If and when I build up a tolerance to the Oxycontin, and it becomes no longer effective for my treatment, he will consider the Pain Pump for the other meds instead of taking them orally.
This morning I purposefully did not take my Percocet as I wanted him to see what I really feel like....WOW!....That was a mistake! I did not realize just how much the med was helping me, even though I was still hurting so bad. I had gone 13hrs without my last med. Remind me to never do that again!
Right now, I'm flat worn out, and need some sleep. Pain does that to you! Right or wrong or indifferent, I can sleep with some peace tonight knowing that my Dr is on my team, and not going to let me suffer if things get any worse. Knowing that just lowered my pain scale by 3 points!
Also for those of you wanting to know....yes the Oxycontin's now have OP stamped on them instead of OC.
Thank you all for your support....it has meant the world to me! It really has! I could not ask for a better family of friends. We all are in this together!
If some of this makes no sense to you...I'm very tired, and I could have possibly made a few mistakes in my statements. I'm just tired and still taking in what happened today while in this fog. At least there is hope now.
I'm also scheduled to go back in 30 days to make any adjustments as needed. He really wants me to use the Percocets as breakthrough, kinda of hard to do when I asked for the #10's (Dummy me)
Post Edited (Screaming Eagle) : 12/10/2010 5:18:11 PM (GMT-7)