When my pain becomes worse, moves to a different place, changes in type, or comes with additional symptoms like weakness (I get so weak sometimes I can only take a couple of steps without having to sit down), on the weekends I used to go to the ER, but as a patient in pain management they won't do anything. I have told them over and over that I'm not wanting them to do anything for the pain, just check and see if something 'new' is wrong, but they don't seem to get that. The few experiences I've had in the ER since being in a PM program is that they give me Toradol. I seriously, seriously wish that drug could be taken at home because it helps me FAR more than any narcotic med I've ever taken. One shot of that stuff and I'm almost pain free for an entire day.
There have been a few times when I asked for a CT scan because I was SURE they'd find something, but doctors don't listen and make their own decisions (usually for good reasons, I believe). My last CT was two months ago and there was a cyst that had grown significantly since the previous CT, but I still can't seem to get someone to send me for another CT, so I think they want to wait a while.
Also, ER docs will only prescribe a very small amount of meds, if any at all, and your doctor won't appreciate it (if s/he is worth their salt). ER is a very bad idea for refills of meds. If you aren't already in a pain management program (sounds like you're not), I suggest that as the best way of managing meds. PM docs look at pain and treating pain, not necessarily treating the cause - although they will help you find the cause if you don't know what it is.
PG, out of curiosity, which vitals do they look at? I have very low blood pressure usually (90/60 on average). So elevated for me is anything over 100 in the systolic number.
Post Edited (Backtolife) : 9/23/2014 5:41:59 AM (GMT-6)