when to go to hospital?

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mtgman
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Date Joined Mar 2005
Total Posts : 1289
   Posted 8/29/2011 8:28 PM (GMT -6)   
so this may be a question for the crohn's forum but i'm in severe pain...i'm basically out of my pain meds (early bc i've had a horrible month)...i called my pm doc and am able to get in early- he's going to see me tomorrow...when do you go to the hospital when dealing with chronic pain issues?  do they "manage" pain at the er or will they tell me tough luck can't help?  i have not had to go to the er for my crohn's in years...i've been for kidney stones 4-5 times but never for my crohn's pain. 

Jim1969
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Date Joined Jul 2009
Total Posts : 2042
   Posted 8/29/2011 8:52 PM (GMT -6)   
As a CP patient the ER should be an absolute last resort, especially if you have signed a pain contract. If you do have to go it would be a good idea to call your pain doctor, or whoever it is that Rx your pain meds and tell them, even if you have to leave a message, that you are going to the ER and why and then call them again when you get home and let them know exactly what happened at the ER, once again even if this is after hours and you have to leave a message. Then it would be adviseable to call the office as soon as possible on their next business day.

Before it comes to that though it really would be a good idea to talk this over with the doctor who Rx's your pain meds and ask them exactly what they want you to do if you find yourself in need to go to the ER due to pain or any other reason.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

mtgman
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Date Joined Mar 2005
Total Posts : 1289
   Posted 8/29/2011 9:22 PM (GMT -6)   
really? even when dealing with a chronic medical conditon like crohn's where the pain is only one of many symptoms? i understand keeping the pm doc updated with what's going on but would their concern be if someone was given medication in the er or if they were given a script to take with them when they are released?
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

mtgman
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Date Joined Mar 2005
Total Posts : 1289
   Posted 8/29/2011 10:52 PM (GMT -6)   
yeah i wouldn't hide anything. lord knows i wish i didn't have anything to do with pain meds or this horrible disease. with crohn's it's all ups and downs...unfortuantely right now it's a big down. i was able to move up my appt with the pain doc to tomorrow so i'm trying to hold off and not go to the er...i just have been feeling horrible. i don't want to go sit in the er unless absolutely necessary. thanks for the prof. perscpective!
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 8/30/2011 9:40 PM (GMT -6)   
so went to the pm doc today and he was AWESOME!! i was hurting so bad and i told him exactly what was up- how i had run out of my meds early, what was going on etc...he didn't bat an eye...let me refill today- no lecture, no guilt trip- just empathy!!! wow! the experience alone made me feel 10 times better!
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!
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