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spinal soldier
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Date Joined Dec 2009
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   Posted 2/17/2011 1:33 PM (GMT -6)   
What kind of doctor is the best pain MD you ever had?

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Date Joined Oct 2010
Total Posts : 932
   Posted 2/17/2011 2:09 PM (GMT -6)   
I've gone to see quite a few -- both the "interventional pain management" docs and the ones who focus just on meds.

I've hated most of the IPM's. These docs typically charge insane amounts for an in-office injection ($600+) for a quick 3 minute visit. But the two orthopedic surgeons who did fluoroscopic injections (though only one worked), seemed far more competent (though costly due to that the procedures were done in hospital). Another orthopedic surgeon I saw for a consult (who also does med. PM), was hasty in her decisions, didn't give me a chance to ask questions, rushed me out after telling me to set up an appointment for some injections. I didn't trust her and didn't go back.

Of the neurologists who I've seen (though not for PM directly), both were very knowledgeable, spent a fair amount of time with me, and allowed me to ask questions.

I've seen a few D.O.'s (which are common in the Mid-West). All of them have been idiots and/or slimy.

My prior PM (for meds) -- an internist, was an old angry man whose waiting room is filled with posters advocating tort reform (I suspect he's been sued quite a lot). He was curt, wouldn't give me a chance to discuss my own views, a take-it-or-leave-it guy.

I then switched to another PM, also an internist. He was actually trained by the former doc, but his manner is much better. He seems to appreciate the care that I take in exploring my options and I feel like with him we're cooperatively working out what is best for me.

I've never seen an anesthesiologist or psychiatrist for PM, though I know that there are some.

Ultimately, though, I think that personalities will vary widely among PM's as among any group of humans. When we're looking at drug maintenance especially, I think the key is to find someone who is non-dogmatic, flexible to a patient's needs, and is sufficiently interested in what he's doing to stay current on the research.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs)
RT hip and SI joint damage from car accident
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .5mg ativan as needed for sleep.

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Date Joined Oct 2009
Total Posts : 5013
   Posted 2/17/2011 2:10 PM (GMT -6)   
Physiatrist (rehab and physical medicine) in pain and rehab clinic. The rheumatologist was better at diagnosing fibromyalgia, but the physiatrist correctly diagnosed tendonitis and bursitis in my shoulder when the orthopedic surgeon missed it and dismissed me as merely having fibromyalgia. He also helped with spinal injections when I was dismissed by the spinal surgeon because there wasn't anything needing surgery. (When I say dismissed, I mean basically kicked to the curb, pain ignored, only one of 4 even told me to see a different specialist, although I was sent to PT which didn't help at all.)

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Date Joined Oct 2009
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   Posted 2/17/2011 2:24 PM (GMT -6)   
PS: for those new to the unusual names of some of these docs - I posted a brief explanation on the thread labeled "Question."

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Date Joined Nov 2008
Total Posts : 1037
   Posted 2/17/2011 3:51 PM (GMT -6)   
My current one is the best...I guess because he's a Neurosurgeon....they have several Dr.'s and PM's in the office that I see so the entire practice is great...and I've had a few bad Dr.'s to gauge them by....

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Date Joined Feb 2003
Total Posts : 16423
   Posted 2/17/2011 5:51 PM (GMT -6)   
My current PM dr is a retired neurosurgeon and I saw another one several years ago that was an internal medicine dr and he was great too. I also was under the care of a neurologist and had excellent car with him. The very worst care came from a anesthesiologist turned PM. He had a wonderful bedside manner but had no clue about PM. My experience has been more positive with drs that have actually been in practice as a medical dr prior to going into the PM field.
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