I just wanted to give you guys an update on the PM appt that I was dreading so much. I went in (w/hubby) and saw the PM Dr....no UDS (that was a real surprise). He looked over my file then acted perfectly fine...like he had never said anything about "not chasing the pain with meds" that the nurse had told me.
So I gave him the run-down of what had been going on and he did an exam (boy has it been a long time since he did anything like that). He believes the horrible pain I am going through is not a result of all of the bulges everywhere, but a direct response to the problems with the L5-S1 that keep showing up as a bulging disc (despite the fusion). He was very happy that I was going to see the Neurosurgeon next Monday and agreed to do some RFA's on Sept 20th. He said he felt the muscles and joints were causing the pain and that treating the facet joints (w/RFA) would do a great deal toward giving me relief....(it really does very well for me).
I asked him to discontinue the Dilaudid because it just doesn't do any good and I don't want to take meds that don't help and he responded that he was very glad I had requested that and agreed completely. I then asked for an increase in the Oxy IR, which he did do (without making me wait almost a month to fill it...like usual). He said we would do the increase for now, but he wanted to see what the neuro said and hopefully get his "blessing" on what we are doing. He did express, however, that he didn't think he would get it because he had worked with that surgeon before. After the RFA at the end of September, he wants to reduce the Oxy. I'm sincerely hoping he will not do that, but I didn't want to argue the point right now. If he brings it up when I need the refill, then I will have to deal with it. I soooooo hope that he doesn't because that and Ultracet are the only two pain meds I am on now and I will be in a real mess if he does.
He did discuss the Ultracet too and said he believed the relief I get from the Ultracet is actually from the Tylonal it contains, rather than the Tramadol. I'm not a believer in that part. I've been on Ultracet for close to 10 years and I don't want to stop taking the only thing that helps my fibro!!
So that is the good and bad of it all for today. I didn't get much "real" information about the MRI results, but I did get what I asked for in a way. I just hope it was a good decision. Either way, I have a ton of pain meds that I did not need at the time they were given so I have just put them in a great safe and will keep them for emergencies :)
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....