cpapp31
10-03-2006, 04:25 PM
Hi Everyone!
I fell down the stairs the other day, the pain kept getting worse and I went to the ER yesterday. That was a waste of time!
The doctor (PA, not really a doctor) had an attitude with me because I am in pain management. He said all they can do is give me a shot and send me home. They did do an xray, thank God my tailbone was not broken. But, the pain is unbearable.
I called my pain doctor again today, all he said he can do for me is call in a Medrol Dose Pack. Big deal! I have had that before and it helps a tiny bit. But, I am in REAL PAIN. Why don't these doctors listen? I am soooo frustrated! Any advice or words of encouragement are greatly appreciated.
I feel as though I am very undermedicated, I am on the Duragesic 75mcg every 48hrs, with nothing for breakthrough.
Take care,
Cpapp31
I fell down the stairs the other day, the pain kept getting worse and I went to the ER yesterday. That was a waste of time!
The doctor (PA, not really a doctor) had an attitude with me because I am in pain management. He said all they can do is give me a shot and send me home. They did do an xray, thank God my tailbone was not broken. But, the pain is unbearable.
I called my pain doctor again today, all he said he can do for me is call in a Medrol Dose Pack. Big deal! I have had that before and it helps a tiny bit. But, I am in REAL PAIN. Why don't these doctors listen? I am soooo frustrated! Any advice or words of encouragement are greatly appreciated.
I feel as though I am very undermedicated, I am on the Duragesic 75mcg every 48hrs, with nothing for breakthrough.
Take care,
Cpapp31
Sponsor
ICC
10-03-2006, 04:46 PM
cpapp31*****after suffering numerous wrok related injuries in May (neck, back, left shoulder, rt knee and ankle) my first stop was ER. i am also in PA. dr????? i question if he actually was did NOTHING!!! no tests, nothing and sent me home. i made it clear it was a WC claim and gave them all the info. they billed my personal health insurance and told me i sprained my body. have MRI's to prove him wrong. i injured all 5 body parts and still sit in pain. they should all be reported.
kelsey1
10-04-2006, 01:08 AM
sorry to hear about your pain.Is your dr just unwilling to give b/k meds? Have you told him you are still in pain even before this fall? hope you get better soon,Kelsey
donaeis
10-04-2006, 07:27 AM
One of the issues doctors have with patients that are already on high dose pain meds such as 75mcg/hr duragesic is that treatment of acute pain with even more narcotics results in a situation in which many patients cannot get off the increased dose during the acute phase. Also, the medications usually prescribed for breakthrough are like spitting into the ocean given the strength of the duragesic. Sometimes an injection of steroid and local anesthetics directly into the area of pain can be useful. Otherwise, if there is nothing fractured, it is unlikely in the absence of a change in neurological signs, that anything new would be found on MRI.
Fibbles
10-04-2006, 10:31 AM
Oh well. It's good that you didn't break anything :)
What about a nonsteroidal anti-inflammatory drug?
A few years ago I was in quite a bit of pain from my neck (I had a slipped disk) and at the ER I was given IV Toradol. I don't remember if it helped though (it was 4-5 years ago). It was also before I was on opiates for pain (they came in late 2003 after I had my cervical fusion).
Maybe your Dr will listen if you ask for a temporary BT med?
What about a nonsteroidal anti-inflammatory drug?
A few years ago I was in quite a bit of pain from my neck (I had a slipped disk) and at the ER I was given IV Toradol. I don't remember if it helped though (it was 4-5 years ago). It was also before I was on opiates for pain (they came in late 2003 after I had my cervical fusion).
Maybe your Dr will listen if you ask for a temporary BT med?
cpapp31
10-04-2006, 10:41 AM
Hi Everyone!
Thank you so much for responding, you guys are GREAT! Yes, I am still in great pain and my pain doctor refuses to presribe breakthrough medication. I will be looking into finding a new pain doctor, there are only a few in my area.
I have had the steriod injections before and they do help a little. I asked the nurse yesterday if I could come in for the shots and was told to finish the Medrol Dose Pack and if I am still in pain then we can do the shots.
I NEED relief now. The pain hasn't gotten any better, and I have been crying in bed for the last few days. My husband is getting frustrated, he hates to see me hurting. He said he will take me back to the ER if it continues to get worse.
I realize that the Duragesic 75mcg is very strong medication, but I have been on the patch for quite some time. It is NOT even touching this pain, and I am at a loss.
Take care,
Cpapp31
Thank you so much for responding, you guys are GREAT! Yes, I am still in great pain and my pain doctor refuses to presribe breakthrough medication. I will be looking into finding a new pain doctor, there are only a few in my area.
I have had the steriod injections before and they do help a little. I asked the nurse yesterday if I could come in for the shots and was told to finish the Medrol Dose Pack and if I am still in pain then we can do the shots.
I NEED relief now. The pain hasn't gotten any better, and I have been crying in bed for the last few days. My husband is getting frustrated, he hates to see me hurting. He said he will take me back to the ER if it continues to get worse.
I realize that the Duragesic 75mcg is very strong medication, but I have been on the patch for quite some time. It is NOT even touching this pain, and I am at a loss.
Take care,
Cpapp31
zoey1
10-04-2006, 04:52 PM
There are different types of pain, it is a shame it is not treated as such,
one thing to add i noticed most folks go to their er for emergancies do you have a emergancy clinic near you?
We have a walk in clinic near us and use them for lots of things. They do far more then traditional ers do as well as doc offices.
They have full or almost full exray stuff set broken bones as well as treat diabetic oh nos.
The one by us has a full staff of internest, nurolgist, pa, and a few other speciliates on site all the time. We love that place. For one it is cheaper then er and 2 you can acatuly use them as primary care clinic.Just a thought for next time .....
one thing to add i noticed most folks go to their er for emergancies do you have a emergancy clinic near you?
We have a walk in clinic near us and use them for lots of things. They do far more then traditional ers do as well as doc offices.
They have full or almost full exray stuff set broken bones as well as treat diabetic oh nos.
The one by us has a full staff of internest, nurolgist, pa, and a few other speciliates on site all the time. We love that place. For one it is cheaper then er and 2 you can acatuly use them as primary care clinic.Just a thought for next time .....