Just to answer some quick questions. UA is Urianary retentian, sorry forgot to write retention.
Medtronics has a certification for implant and managmnent, which is probably a plus rather than letting any surgeon implant them and leaving you on our own to find one to manage it. From what your describing he seems to prefer the isomed pump or he's extremely over estimating battery life. Without the battery, you loose the programability to adjust the dose throughout the day.
The psych eval doesn't mean psych treatment, it's simply a test or a one hour session to make sure they aren't implanting it in a patient with unrealistic expectations or that might have underlying illness that would negate any benefit or leave the patient always unsatisfied and the doc commited to the patient to manage the pump. Medtronics ggoes as far as recomending using a plecebo dose during the trial and surprisngly the power of sugestion or idea they are receiving super potent meds elimnates some candidates. Not every doc is gong to cover every area, like not every doc is going to use PM contracts. I would think with the asthma, as you feel more acomadated with the meds after this long, you may be able to handle an increase at this point.
Demi is just a well known no no, who is presently treating your pain, Your GP? That's not meant to bash your GP , it's just a pet peeve when GP's start playing shrink and prescribing psychotropic drugs or mood altering drugs rather than referring someone ill enough to need meds and not follow up with counseling. Same thing with PM, If someone is so bad off they need morphine, they likely have other needs the doc isn't able to provide. They are simply dealing with problems specialist should, don't have the experience or expertise they have no buisness prescribing meds they don't have a great understanding off.
You an have a pacemaker with a pump, only an magnetic field like an MRI should shut your pump off and it's something you should be aware of so you can make an apt to have it turned back on. THe non battery pumps aren't likely effected other than the nomrmal problems of having metal in your body while having an MRI.
There are nightmare stories about every surgery, but the synchromed pump has been around since the early 80's. The more pumps out there, the more likely to have problems. There are other risks that a PM doc ceertified by medtronics is also going to be aware of, like concentration limits with morphine and the potential for cysts growing at the cath tip inside your spine. But that's not something a PM doc that doesn't use pumps is going to be aware off.
A month wait for a PM doc, sounds quick to me, If it's not what your used to it may seem like a long time,but compared to decades of pain, it's just a drop in the bucket. Needin a referral from another doc is also standard, otherwse every junkie would request one and likely the doc doesn't have the time for that nonesense.
Is their any reason you happen to be able to tell how many days you have been on these meds? That's the kind of thing a shrink will find interesting
I know the dates I had surgery, but couldn't tell you how many mgs of morphine I have taken.
There are 3 types of pain, Visceral, like an incision, stab wound, gun shot etc. Neruopathic pain is from damaged nerves, strokes, diabetes, pinched nerves etc and Somatic is best described as a crush type injury or crushing back pain, broken bones, etc. Each type of pain responds differently to different drugs. Back pain without the leg pain is somatic. If you have both, opiates are more likely to work better on the back pain then the leg pain.
Gotta run but I'll check back tomorrow.
Take care, Dave