thank you so much! I agree with you on every word you said, I feel the same way - absolutely! And Yes, my PM believes in rotation and that is what we done during this 3 years many-many times. The only problem with me I do have bad reactions to many of meds, but I love him because he never gives up. For example when I had bad reaction to Fentanyl patch he told me not to worry, the answer is always there and I will not be left with no hope. So he does it for me, even though he told me I am a patient with "a lots of surprises".
I just came back from seeing him today. He is very upset about me being Dx with RA since it means my immune system is very compromised. He told me that he could increase the dose of my LA to help with my pain, but doesn't suggest to do so. My HR at his office today was 49 and even though I get even lower sometimes, this is not a good sign since narco meds can bring your HR dangerously low. He asked if I am able to hang on with levels of pain I am experiencing right now until RA meds start working which can take 2-3 month.
I am on chemo therapy medication for RA at the moment and some others too. The reason for him doing this to see how much pain will go away after RA meds start working. He said that when people have another health issue in a body which causing severe pain like RA it adds more suffering with Neurological pain I have due to my spinal issues and damaged nerve after spinal fusions.
I am so proud to have him, such knowlegable and carrying DR as my PM Doctor. It could be so much easier for him to just increase my LA for me, go home and feel better. But instead, he worries saying that due my heavy medications I am on for different issues it can be very dangerous for me to increase Oxy. He suggested to go high on Keppra (for the nerve pain) since it's not a nacro meds and doesn't have same effect on a body and see if this helps pain.
He doesn't know how often I get low HR, but seeing it today, he got worry that this can be dangerous for me going on even higher doses of Oxy. He asked me 3 times if I sure can leave with level of pain as I am now for another 2-3 month until my RA meds kicks in. If I would say NO, he said that than he would contact my Cardiologist to put me on 24 hr. hulter to monitor HR.
This is what I call a DOCTOR.
Personally I don't believe that doses don't matter; of course they do. I do want a better life quality, but I want to be smart about it though. I did learn how to leave with high degree of pain and can tolerate more than others ; I guess when you grow strong, make yourself strong (your mind and body) it helps to handle pain at high levels. Not easy, but I try and often can.
That is why I am so satisfied that he did not go an easy way, that he cares and thinks what is the best way to protect me as a whole, not just his "part of the body".
like some of them do. If every DR would be this way, I wouldn't suffer so many years with RA and nobody wanted to see further than their noses, you know?
I wish everyone a better day tomorrow!
With love, Moldova.