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Originally Posted by duttin  I have no clue what to ask a PM DR. I'm just afraid he will want to remove meds that have been effective. |
This is a very normal feeling you're having. Not unusual for PM patients to experience anxiety when it comes to new Docs, procedures, meds & etc. After all, your pain and your pain mgt, probably controls a good deal of your life. Perfectly normal. Try to not worry about it b/c it's probably making your pain worse.
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My Neurologist has been doing a fantastic job controling the pain this far.My Neuro said see what they have to say.
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I would do just that....See what the PM Doc has to say. It sounds as if all doesn't go well, you can fall back on your Neuro for care. You could also try another PM Doc if this wasn't doesn't set right with you. Since you are being referred by such top notch specialists, I feel quite sure the PM Doc won't question your validity. After all, is a PM Doc going to tell the Neurologist he is wrong? What it will come down to is the "philosophy" of the PM Doc...Many different "theories" out there on PM...Some are super aggressive with meds, some aren't.
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The Neurosurgeon wants a spinal cord stimulator put in.Everything I have read that should be the last resort.
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Naturally, your surgeon wants to operate...That's what he does. I don't know anything about your case, but for me, any kind of surgery would be the last resort....Too many other avenues for patients to take these days to jump right to that. I'm even more gun shy, because a lot of my pain was caused by surgical trauma.
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Will a PM DR. control every aspect of ones meds.
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More than likely, yes....Unless it's routine stuff that your GP handles, like BP & etc. Of the ones you listed, yes. Again, unless the Neuro isn't scripting them all. For example, if the Ativan comes from your GP, the PM Doc probably won't assume it.
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My Neuro currently has me on dilaudid every 8 hours and oxycodone as a break through.It has been effective. Also on neurontin for nerve pain. Spasmatic meds for spasticity are baclofen,zanaflex and valium,the combination is very effective. Plus ativan at night if needed.
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I would be very upfront with the PM Doc about what you're taking and what works. If your regimen is working, then make sure the PM Doc knows. Talk about how well it's doing compared to some other therapy you've tried. My PM Doc is really big on "if it isn't broken, don't fix it." Again, each PM has his/her own philosophy on treating pain.
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I was on methadone and that put me in the hospital,adverse reaction to it.
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When you go over what's working, make sure you let him know that this doesn't, so it will be eliminated from the picture right of the bat.
Hope this helps, and good luck!
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