Hi Lee, and welcome to the CP forum from me too.
Cairns, huh? I'm from near Melbourne, but it's good to see another Aussie
I think a pain management doctor is an excellent idea. Things certainly seem to work differently here to how the guys in the US have to play it. We are very lucky here I think.
From my own experiences - I have multiple specialists (PM, GI, cardiologist, endo). My GP acts as kind of a central processing point. If one of my specialists wants to start a new medication, they do so - and then forward the information on to my GP to that he can continue prescribing. As far as day-to-day pain relief - I'm on Oxycontin, Endone, Topamax and Mobic. My GP looks after the lot. The only time he has insisted on me seeing my PM for a narcotic script
was when I trialled Methadone - and that was only because he'd never prescribed it before and wasn't comfortable with the dosing, rather than because he couldn't. He is also the one with whom I discuss any changes in dose - and he usually just leaves it to me to let my PM know where things are at.
Moderator - Chronic Pain Forum
Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.
Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump