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monkey5
05-24-2007, 06:09 PM
If any, is there a difference between a Pain clinic and a Phsyatrist? I am not finding anything that says it's different, because i was told i went to a pain clinic and and was treated kinda and then only to be told later it was a Physiatrist, and this was a Phsyaitrist office that deals with chronic pain treatment, so i am confused?

Thanks for any help anyone can give!
Love, discouraged

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conductor
05-24-2007, 08:45 PM
Dear Monkey5 (discouraged),

A physiatrist is a doctor who specializes in "physical medicine". Honestly, I have no specific idea what "physical medicine" is.

The only thing I can tell you is that I was assessed by a physiatrist when I initially applied for disability. From what I understand, they use their knowledge to see if a person is functioning within normal parameters. You know...Things like: Does a person use their muscles correctly when moving? Can a person perform simple mathematical functions (like making change)?

So, I can understand where a physiatrist might treat Pain problems. At the same time, you are NOT out-of-line by being confused. Pain Management doctors are often anesthesiologists or neurologists. My Internist is my Pain doctor! Many types of physicians are jumping into the game!

Finally, I want to ask you something. Did you not receive adequate treatment? Your original post led me to believe that you weren't all that happy. AND, I hope we all can help you concerning the fact that you signed off as "discouraged"!

Let us help if we can. There are many who are good at helping others become "encouraged".

Sincerely,
Jon (Conductor)

monkey5
05-24-2007, 08:50 PM
Conductor, i have posted on the back pain thread also and i copied and pasted this for you so you know what i'm dealing with, thanks a bunch!
I have posted a few times on here but i will post a recap and maybe someone can help me sort a few things out? I started with very mild back pain after a car accident, low Lumbar pain and then pain in the buttock on the left side running down my leg last year i gave a go and started seasonal at a greenhouse and worked full time only to find out again i couldn't walk so the job ended and i started therapy and had to leave my job in May of 2006 and applied for SSI due to not being able to walk and severe pain. Therapy didnt give any relief so i was refered to a pain clininc where i got an injection and a bone scan and before the therapy had an MRI and bone scan and xrays that showed natta, so i was stuck without any answers. Then from the pain clinic i was refered to a chiro, where he said this was from the car accident and that the damage was done and may be to late to fix and after 8 weeks of that making things worse went back to regular dr. who then refered me to see a Neurosurgeon and be evaluated still not being able to walk properly and they did an EMG nerve test and said that i didn't nee surgery and said go back to be regular Dr. who when i went back said this was not right of this Dr. So she was sending me in a referral to a spine clinic, okay thought i was getting somewhere(not). Okay so meantime i thought i'm not as bad as i was and the job wanted me to work so i agreed on partime to see how it goes and this is what happened.(sorry so long need some support here) I worked for two weeks limping some, pain some and came home after two days and my leg was really weak and walked out the door and my leg gave out on me and i fell bad, well, the next day after only going to a near by store to get milk i came back and couldn't move my leg up at all and went to the ER for what i felt was the worst pain ever and they gave me Valium to take along with my Vicodin wich by the way isn;t much effective after about a year or so now and then a shot of Dilotin and gave me another referal to the spine clinic as they haven't yet got me in there because they haven't got the info from my regular dr., meanwhile ER told me to go my regular dr. now i called and scheduled an appt. and i unfortuantely had to see a new one because my normal one was booked for the day. This Dr. did not exam me, told me she couldn't giveme anything stronger for the pain, told me i have chronic pain and need to deal with it and gave me another muscle relaxer , and i started to cry and she said , don't cry it will only send signals to your brain that you are weak. Now someone who already limps daily and has pain is not gonna be working in my opionion, it's showing others that your not gonna let this get the best of you without a fight. So here i wait for them to get this info about the for the referal and i get to not work because not they will not let me. And meanwhile i was feeling along my tailbone and found that here is something not right like something bulging, i am getting very worried as i know this not being addressed can tottaly or permantely disable you or whatnot, is there ways that you can find out if you have sciatic nerve damage or other tests that someone should be doing thier job that a person can find out? Or if something else? If i lose the use of my leg if they could have been more thorough about my conditon is there anything legally i can do on my end? I am a very outgoing and don't let things slow me down , but this i think is getting out of hand, do they actually want this to happen? Do they actually want to wait till i have bowel or bladder problems or what? Thanks for anyone that may have some insight to all this.


Sincerely discouraged

monkey5
05-24-2007, 09:03 PM
Conductor, this should tell you no, i do not feel like i have gotten any adequet treatment at all. I feel like i'm at a loss with all this and don't know where to turn, i love everyone on these boards for being here for me, but they cannot help me financialy, or diagnosis me, or give me the referals i need.
Love, Discouraged
P.S. Don't worry i'm not one to give up!

conductor
05-24-2007, 09:52 PM
Dear Discouraged,

Wow!! For someone as long-winded as I usually am, I don't even know where to start!

There's a particular point I don't understand. There is NOTHING easier for a doctor than scheduling tests. What I mean by that is a doctor can push back the timeline in dealing with you by scheduling an excessive amount of tests. So, why can't all sorts of tests be run to find out what the real problem is?

I sure wish you could have seen your regular doctor that day instead of the genius who seemingly recognized that you have chronic pain but was not able to give you anything stronger. I can't think of an appropriate word for this doctor that won't get me permanently banned. And, she said that crying will tell your brain that you are weak? Physically...yes, you're weak. However, by not beating the snot out of her right then shows significant strength, in my opinion.

Monkey5...who is the bottom-line doctor you can turn to? You have got to find a way to say all of this to a doctor who will listen. Of course, you know this.

When it comes to legal matters, you have to get all of your records in great order to prove a specific wrongdoing. As bad as this sounds...You would probably need an "ambulance chaser" for something of this nature! The one thing I know about getting something done LEGALLY is that you must have all of your paperwork completed!

I can now fully understand why you're discouraged. Heck...I'm even discouraged over this one.

So, is there any SINGLE aspect of this you can work on? YOU ARE YOUR OWN BEST REPRESENTATIVE! No, you don't have anything to prove to me! I believe you. Fortunately--by your own admission--you don't let things slow you down. You need that kind of outlook!

Others will read this and offer suggestions, too. I hope we can ultimately help you find the best solution.

Sincerely,
Jon (Conductor)

Wren9
05-25-2007, 03:47 PM
Monkey, I went thru a very similar experience. I think you need an MRI. You could need surgery and delaying it could make things worse. I have permanent nerve damage and no foot reflexes because I was uninsured and went untreated for 3 years. Finally I found a county medical plan to pay for it. I got an MRI and then they scheduled immediate surgery. Said they found a HUGE ruptured disk pressing into my spinal column. I had severe back pain with sciatica in both legs (which I read is rare, but not sure about that).

I could not work for all this time and I ended up in bankruptcy. I tried to get "Welfare" but it no longer existed. All I got were foodstamps and lots of credit card debt.

It is good you are applying for SSI. I did not do that because who knew I would be disabled so long??? I am working now and in pain management where I get Oxycontin with Roxicodone for breakthru pain. It took me a long time to get here.

-Wren

monkey5
05-26-2007, 11:49 AM
Sorta an update. I ended up going back to the ER because as you all know something just doesn't seem right, leg weakness. limping pain ect. Although the Dr.s i have seen there seem to have concern would do nothing again, they wouldn't do an MRI wouldnn't give any different meds, i can kinda understand this is any blow joe could come in there saying thier meds aren't working but i was honest throughout the who process and always have been, don't theses people realize there are some out there who worry about the long term effects of meds and such. Don't they realize i have been dealing with this pain in my own way evey way possible i worked fulltime last year until i couldn't even walk and this year i worked partime to know my limit and until i fell i was doing pretty da** good and they boom i'm done, they wouldn't even let me work. What do i have to do have a live picture of me falling to prove it, or have someone follow me around with a video camera daily to show how i have to do things and such, or have the witnesses come with me? I have a friend that has dealt with back problems, and alot would say nothing is wrong with her even though she has had back surgeries and she has learned her limits and ect. but she doesn't limp or drag her leg when she walks as with anyone else i have seen, so it doesn't mean it's not there, but my god when you can see a person limp and not be able to move thier leg ect. something is very wrong i would think . So the ER Dr. wrote me a prescription for PT wich is for 2-4 weeks 2 to 3 times a week, i am kinda okay with this because he said try it if it doesn't work then they need to take serious action basically, very sincere Dr. but my hubby tells me sometimes i complain alot ect. but this one he is with on that hes afraid it's gonna do more damage as myself i am worried. Noone would believe this but i am not a pills taker, if i was i wouldn't have five kids, i could and never wanted to take me pills haha, trying to find some humor in this, because there are people out there and i know this that go to dr. and ask for this and that because thier junkies, and trust me from past friend experiences this is a disease as well but they ruin for people who are reallly in pain like me as i sit here and type this and have OA in my hands but i take nothing for and don't complain, because what did work for me my insurance wouldn't cover. Okay to end this in saying i am gonna call my Dr. office first thing Monday, hopefully see my normal Dr. and schedule PT and see what happens, i beggining to think nothing can get any worse right? If it does someone will have to make it right!
Love, Discouraged

monkey5
05-26-2007, 12:03 PM
When it comes to legal matters, you have to get all of your records in great order to prove a specific wrongdoing. As bad as this sounds...You would probably need an "ambulance chaser" for something of this nature! The one thing I know about getting something done LEGALLY is that you must have all of your paperwork completed!


Sorry to repost rtying to reply to all my posts so everyone get the full story:
What do you mean by an ambulance chaser? I have all my records as i have been in appeal with SSI since a year ago this month and awaiting a court date, except from the Dr. i have at this moment only because feeding my children are more important then the 15$ they want me to spend to get them, but i have almost every slip i can for dr.s visit especially the one that states i fell and have back pain, and that dr.s name who made me feel so small, i know these are just the small ones they give you when you leave but i will never forget that dr. anway but i am bad with names. Should i go and get my copies from the Neurosurgeon who tossed me aside? The chiro?, the pain clinic? Would that help me at all to have on hand because i will get them? Do you mean next time my leg feels so weak that when i walk out the door and land on my back(lets hope this doesn't happen) that i should just lay there till an ambulance comes because i will if i have to , maybe i should have done that in the first place? But i am a stubborn one and really thought i didn't fall that bad. Your all so great thanks for being here for me!
Love, Monkey( i cant stay discouraged forever or it's gonna effect me more mentally)

monkey5
05-26-2007, 12:13 PM
Wren, i sincerely feel for you for what you went through, the ER didn't think an Mri was warranted because i had one over a year ago, it doesn't make sense can't a Sciatic nerve pressing or pinching get worse over time, or something may have ahppen when i fell that made this worse ect.?
Love, Monkey

monkey5
05-26-2007, 04:00 PM
The Er Dr. also told me that not having a bowel movement for one day isn't bad as of yet, when should i worry as he did not tell me this?
Love, Monkey

monkey5
05-26-2007, 04:00 PM
The Er Dr. also told me that not having a bowel movement for one day isn't bad as of yet, when should i worry as he did not tell me this?
Love, Monkey

monkey5
05-26-2007, 04:18 PM
Dear Group, i went ahead and got the Muscle relaxer Soma that the such not so nice Dr. prescribed to think positive and figured it wouldn't hurt anything, and then i can say hopefully Monday wether it's working or not. So does anyone know how long a muscle relaxer may take to work??? I've tried Motrin, Flexeral, Valium and a few others thus far?
Love, Monkey





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