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    Old 02-28-2007, 02:42 AM   #16
    surgicaldisaster
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Hi there Younone , it's me again! The name of that other Dr. is Dr. Rubinfeld and he's located in Denville, N.J. I could not find his number, but if you call info., they should have it(he is on Route 10 in Denville). If you can't get the number, please let me know, and I will look for an old card....I know I must have it somewhere, but could not find it yet, and at least wanted to give you this, so possibly you can call and get an appt. soon. Oh, I have never had problems getting appt.s pretty quick, cuz I have insurance where you don't need a referral, etc. Do you have the same kind of thing? If so, it should be pretty quick for you to get in....or if you don't have insurance, same thing, you should get in pretty quick! I hope this helps at least a little! Ya never know, maybe this will be the guy, it's certainly worth a shot, right? Hang in there Bryan, I have been thinking of you a LOT! Wishing you less pain...and lots of great continued support from your girlfriend and family...that is a wonderful thing to have and really lifts the spirits. I am so glad to hear you have that support, it makes a world of difference. Please let me know how it goes k? Thanks, your friend, Surg

     
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    Old 02-28-2007, 08:50 AM   #17
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    youngone, I can relate to your issue and i am sorry that you had to endure the embarrasing situation that it is. I am 27 (which is still considered young by most docs) i have had severe back pain for the last 10 years. I never saught treatment because i had no insurance. I finally got married and received some insurance. Anyway, i had a primary, pm doc, and later a surgeon. To make a long story short...I scheduled my surgery and the pa told me that they don't think my current pm doc can take care of inpatient hospitalized people so they wanted me to go to the pain clinic they use. I agreed and made an appointment. I had been to this clinic one other time as referred by my surgeon for a discogram. After the disco, they tried to prescribe me take home meds, but i refused stating that i was under contract with my current doc. I went back there to basically talk with them about inpatient care. I explained my situation, and gave them all the doctor's names, current medications, and what i was looking for. I stated that i needed care while in the hospital and that i would just assume switch to their clinic if they work so closely with my surgeon. I felt totally uncomfortable the whole time like as soon as i walked in there was this air of suspicion. I also told him my prescription end date, i didn't ask for any meds cause i didn't need them is was the 11th and my scripts didn't run out till the 18th. The doctor said he would make a few calls and i said okay. After about 20 min, a nurse comes in and says that i wouldn't be getting any meds today.......I looked at her kinda surprised and said okay.......i told her i didn't need or ask for any meds. She then told me that my doc had prescribed my meds and therefore i couldn't go to their clinic. I then got ****** off and said then how do i switch doctors? She said" i guess you will have to write us a letter". I was like ya, you will get a letter from my attorney. Like i said i was ****** and ya know after that i was like i will never give this place the time of day. I went to my surgeon's office the next day and explained to the pa what had happened,,,,i then asked if their office received a call from the pm doc....she said no......what a bunch of jerks, they didn't even check my story out......

    I guess the point is when you are younger, you have to assert yourself a lot to be heard......It is a bunch of crap but i can understand where the doctors are coming from....it is their butt if they prescribe to a seeker but it would be nice if they took a little longer look at things rather than just write you off.

    When i was 25 my primary simply told me that i was too young to have these problems and told me he would see me in a year for my next physical. I had to scream from mountain tops to get these docs to listen.....i wish you the best of luck.....
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    Old 02-28-2007, 01:29 PM   #18
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    hey, brian hope your day is going alright? sounds like you went on the cipro ride as well, i was on cipro along with all the other flouraquinalone antibiotics for months and months for no reason. let me tell you that what we have is VERY MISUNDERSTOOD AND HARD TO TREAT. most docs including specialists do not know or even have a name for what we have other than chronic pelvic pain syndrome, chronic pelvic myoneuropathy, etc. there really is not a true diagnosis for this disease. that is why most doc's are ignorant to it and have not many treatment options, but i do think in the near future you will see and hear more and more about it. and chris we would love to be able to tell new doc's or even you what our condition is called but there is no true name where info is hard to come by. but this ailment does exist and is very real and extremely painful and frustrating. i could list a half dozen websites if that would make you happy if you would like to learn more about this condition and its realness. I did not find your post to be very nice and about you being very up front with what you say and all that other stuff you type on about. we deal with this every time we see a new doc it is hard to tell them about our condition but there are places you can learn about it, if i am able to list the web sites i will. sorry youngone i know you are only trying to find relief which is extra hard when this disease is such a mystery and really doesn't have a true name.
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    Old 02-28-2007, 02:44 PM   #19
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    I see where a lot of you think doctors misunderstood you well you're lucky. I had a car wreck in 1983 that left with me with RSD (Reflex Sympathetic Dystrophy) which is a disease of the nervous system which causes you a lot of pain everyday. I suffered for over 20 yrs with this disease and nobody never picked up on what was actually wrong. I was only 19 at the time it happened and it severed some on my nerves and left me with a hole in my left hand where the turn signal with through it. It also cracked my pelvis in two different places leaving a bone chip inside of me which eventually hit a nerve inside of my pelvic area. In 1996, my legs hurt for 3 days nonstop no matter what I took it didn't help. I even soaked by legs in extreme hot water just in hopes of relieving some of the pain so I could just go to sleep. Finally the quit hurting so bad went to the doctor and saw a nurse practioner who decided that being I had recently divorced my husband (which was a bad marriage) she told me I was depressed give a prescription for Xanaxx and Prozac. That didn't work so she sent me to a psycharitrist which he inturn told me I was Bio-Polar and prescibe me with Lithium. Which this didn't work either and when everything was said and done I lost my job, my home and like to have lost my kids because the medicine really messed me up. Luckily enough, I finally got myself off the medication because it sure wasn't helping and went back to work. But my condition kept keeping worse and when I finally lost most of the use of my left arm someone finally figured out something was really wrong with me and was finally diagnosed with RSD, cervical dystonia(severe muscle spasms of the neck) and arthritis. So anyone want to talk about being misunderstood about the pain, I know all about it and what it like for people to think you're just a drug seeker. My own mother felt like that about me and still even though my left arm is now permanently disformed and I have very little strength left in my right arm. She still don't believe there's nothing really wrong with me, that I just don't want to work and looking for an excuse.

     
    Old 02-28-2007, 03:22 PM   #20
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Bryan,

    Sorry about what you are going through. I also was (and am still considered ) young to be on pain meds. My disease began when I was 19 and I didn't get diagnosed until I was 34. I have had a hysterctomy due to severe endometriosis so I can relate to the pain you are going through. I finished my last semester of college bent over in pain, literally, and no pain meds.

    Have you considered a pain pump, or at least looking for a pain doc who does them. I think they would have more experience dealing with both different kinds of pain and also dealing with higher doses of pain meds. In addition from my understanding of the pump, you get more relief from smaller doses of meds. I don't know if this would be an option for you. My mom also sees the same pm I do and he couldn't get her pain under control with meds so she got a pump about a year ago and is doing so much better. Anyway, just a thought. I wsh you all the best.

    Take care
    Melissa

     
    Old 02-28-2007, 09:18 PM   #21
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Dear Bryan (and all),

    I just came across your posts while doing research on an issue you, and all others should be aware of -- pain Docs are under attack by the DEA nationwide. The Gov. says prescription drug abuse is the number one problem in the USA and they for the past three years or so are locking up docs in prison for things the patient does --- so please know this is happening and be 100% compliant and trusted patient. Work with your Docs, as even having a pain doc today is amazing, some places people have NO pain docs and none that will treat pain (the most common complaint a Doc hears) within 100 miles. Getting chronic pain is a curse no one asks for, and getting it treated is something rare today, so thank your lucky stars and fight for your rights when you can --- vote in every election for those that support your Doctors !!

    Me, I have been a pain patient for 16 years after injuring my cervical spine "losing a accident" (as a pedestrian) with a school bus head-on .... it threw me 20-30 feet and I landed on my neck. My chronic pain (without meds) is 10 out of 10. It took a year to find a doc, and I have been doing pain patient advocacy for a long, long time. My research is about some of the above issues I will not comment on now --- but I can make some comments to help you.

    #1 you say bath's help, see if your town has hot tub rentals as I have my own and although our injuries are not similar, warm/hot water helps and it was the best investment I made. Keep it at 104degrees F to start for a month, maybe kick it to 105degrees F if you can control the temp an hour before you go --- if you cannot rent one maybe a friend has one. Another option is a TENS machine and biofeedback, both I first laughed at but they do have their place and it gives yo options for controlling pain.

    #2 meds - Please be aware that ALL pain docs are worried about diversion (selling meds) because the feds are making Docs responsible with what patients do with their meds after leaving their office ---- to all us pain patients that is totally CRAZY as we would never, ever, ever, sell or divert the very meds that gives us pain relief (and our lives back) but it is the case today, (search for Richard Paey in Florida, doing 25 years, he was not perfect but just tried to live). Know they all look for short or running out of meds or anything that is a "red flag" which sometimes is normal behavior when you are suffering 24/7 --- asking for early refills, upping your dose without permission, losing meds, not gaurding your meds like cash, all of these are all BAD signs so do not do it and make sure to follow directions to the letter and work as a team. Tell your Doc how much pain control your meds are giving you and if your current dose is working or not, if it is not, they should titrate (increase) dose until it does (or intolerable side effects occur). Most pain is treatable, but getting the right combination of med and dose is "trial and error" so you should try the meds prescribed for 2 weeks, sometimes nausea and other light (bad) side effects wear off in a few days, some do not and a med change is needed. It is a team effort and you should work together -- it is your responsibility to keep the doc appraised, keep a daily log of pain levels and response to your meds. Be a good patient and most pain docs are the best medical professionals we have (and if you have one you are lucky as many do not and suffer terrible pain all day with no help or relief).

    Cut your Doc a little slack too, as they intientionally raise doses veryslooooowly for your own good. Follow instructions to the letter, as raising your dose yourself is a not good to do and what they call a "red flag" for problems. Report the relief and other facts to them and if you still have bad pain report that too ---- until you get your pain under better control appointments every week, or every two-weeks would be better than monthly appointments. It took a year to get my pain well controlled.

    Finally, the medication in Duragesic (name brand or generic, it does not matter) is about 1000 times more potent than Morphine. It is likewise more potent than Oxycodone or Hydrocodone, and it is about the most potent pain killer known to man (excepting some exotic meds, restricted cancer meds, and some ones in the research pipeline). It is popular with most pain Docs as it 1) works great, and 2) is hard to divert, and 3) has few side effects usually.

    I think it is a miracle drug & system and ends the ups and downs of taking pills all day, even sustained (long acting) release meds like oxycontin (which is now demonized and most try to stay away from it now due to this) do not usually do as good a job at controlling pain.

    It seems, from what you have posted that you need to let them titrate (raise) your patch size (dose) slowly as doing it too fast could cause problems for you and is not the way to use patches -- it should take about 2 months to get up to the 100 mcg/hr patch from a 25 mcg/hr (micro-gram-per-hour).

    Usually pain is treated by adjusting your rescue doses, if you use them all, then the base dose is raised by 1/3 to 1/2, and this slow upward increase continues until your pain is well controlled with the base dose and no longer need to many rescue doses (but should have some for emergencies as seeing another Doc, or the ER for pain, is not permitted. Do not take anything or see other docs as databases track this and it is a crime). Stay with your doc if he is working with you. When you said you already had a doc, thats when he saw a problem as he cannot treat another docs patient except in emergency rooms and it looked like doctor shopping --- better explain to your first doc what you were doing in seeing the second right up front as he is probably concerned about that (and will be getting a letter from the State about it).

    Know that 100% relief is usually not really possible. Going from a 8 or 9 on a scale of 0 (no pain) to 10 (worst pain imaginable) TO 3-4 is good to great relief and should make you very happy. To get to a 2 is absolutely amazing, so realize you must not have your expectations too high as their are limits.

    Frankly, at your age, if you are near a city I would be looking for, while having pain management, a specialist and a final diagnosis of what is causing your pain --- that should be your #1 goal as something is causing it and you do not want to be on pain meds for the next 80 years. I think your near NYC so I would be trying to get to a specialist and see what is happening and perhaps something can be done to fix your injury but until then you should not have to suffer. Do not let it get you down, keep your spirit up as that releases your own bodies meds into your blood.

    In closing, please know that the medical establishment, particularly pain management, is under assault by law enforcement and the Gov. Because the DEA cannot show any progress at slowing or stopping other "drugs" (with pot, the most weak thing on the planet the "worst" in their opinion), they are going after pain docs and wiping them out if a patient of their gets caught doing something wrong. I suggest you all get active and fight this as we do not want law enforcement having veto over our Doctors judgement especially when it comes to pain meds as then no one would get any (except them). That is the way it is heading and if you, as citizens do not tell your elected reps, it will be over before you know it and no one will prescribe pain meds. Let your Voice get to your elected reps. and vote for people that support the independence of our Doctors --- if you do not ask them how they feel you will not know, and if you do not vote for those that support your views, you will loose the ability to see a pain doc, as they already are next to none today (except for the "pain docs" who want to do $100 invasice "pain shots" every week... that wear off in a few days... when a simple medication prescription would do the same, RUN from these people as this is not pain management if they refuse to use medications in conjunction with diagnostic shots --- shots are just to find out if this or that nerve is the problem....it is not a treatment usually).

    Slainte !!

    Murph_

    Last edited by murph_; 02-28-2007 at 09:42 PM. Reason: 1

     
    Old 02-28-2007, 10:54 PM   #22
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Well lets see, what do I now KNOW about Bryan after reading this thread?
    1. Whats the condition causing all the pain?
    As Bryan STATED he has CHRONIC PELVIC PAIN SYNDROME OR CHRONIC PELVIC MYONEURPATHY. Bryan's CHRONIC PELVIC PAIN was originally diagnosed as CHRONIC NON BACTERIA PROSTATITIS,now known as the CHRONIC PELVIC PAIN SYNDROME, it is believed to be caused by the muscles in the pelvic floor being tight and going into muscle spasms. I think Bryan was AS CLEAR AS ANYONE COULD BE about his condition especially since it is relatively difficult for even docs to pin point it. If anyone feels the need to know more I also learned from Bryan than surgicaldisaster has the disorder also and can add alot about it.
    2. What OTHER things, non narcotic has Bryan done for the pain?
    Doctors he has seen A. 3 Primary care doctors
    B. 4 Urologists
    C. 2 Gastro's
    D. 1 Pain Management and 1 PM wannabe
    E. 1 Physical therapist
    Physical therapist does trigger point therapy which does provide a little relief sometimes.
    Warm Baths 2-3 for 45-60 min. each helps with the muscle spasms.
    Lots of general relaxation techniques.
    3. His original PM doc is a great doc but ONLY feels comfortable prescribing ONLY Duralgesic patch and Percocet. The patch's side effects are too much to bear. Bryan would just like to have a doc that will try different combos to find a better fit med wise. BRYAN DIDNT ASK FOR MORE DRUGS! just ones that will work right.
    4. Bryan saw a different PM doc (a wannabe) but the doc was unethical rude and all assuming like alot of other hypocrites on this earth. The wanna be didnt listen to Bryans explanation of his health problems and started the appointment stating no meds in the first appointment, BRYAN DIDNT ASK FOR ANY! After a very short rude unprofessional (a doc who cant listen to the patient) appointment Bryan told him to forget it (like he should) he would stay with his current PM doc, at least bryan liked his current doc he just couldnt take the meds.
    Now if I can get this from bryan's posts why cant some other people??
    I think it all needs to stop Bryan already feels bad enough, and as for people on this board being sensitive ? I hope so it makes them understanding and supportive. Good night and be painless and sensitive
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    Last edited by mzpain; 03-01-2007 at 12:52 AM.

     
    Old 02-28-2007, 11:12 PM   #23
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Murph that is one EXCELLENT post!!! I really enjoyed reading it, and feel I really learned somethings from it. It had very practical points, honest suggestions with out being hypocritical or condescending, it GREAT! thanks I really appreciate your opinions, views and honesty! Keep up the great posting we all need it around here right about now! Have a painless night
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    Old 03-01-2007, 07:04 AM   #24
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Hey Murph...

    Great post. Very interesting, and very important. During your research you say?? What is your research topic exactly? Smart of you to come to the boards here....you can get a sense of the daily thoughts and ideas that a Chronic Pain patient contemplates.

    When you say that we should get involved during the voting process, how would we recognize the subject matter?? Is it bluntly obvious, or is it crunched together with other topics?
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    Old 03-01-2007, 07:57 PM   #25
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Thanks every1 for all of your help. Hey Babs, I see your from NJ, I'm just wondering if you can reccomend any good PM's. Thanks. BTW, I'm going to call Dr Rubinfield first thing tomorrow morning. Thanks for telling me about him.

    Thanks

    Bryan

     
    Old 03-01-2007, 08:48 PM   #26
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Hey Bryan
    Sorry To Hear You Have Chronic Pain To Deal With In Your Life And Your So Young, Im 20 And Have Been On Painkillers Since The Age Of 13 At First They Couldnt Exactly Figure Out What Was Wrong But Id Several Surgeries On My Ovaries And Womb So For A Few Years Until I Was 17 I Was On Kapake, Ponston Difene And Cioxx And Aulin Granted Not All At The One Time Just A Few And What They Told Me I Could Take Together.
    Then At 17 I Got My First Arterial Clot And The Pain Was Soooooo Bad I Was On Iv Morphine At The Start But Once It Was Cleared I Still Had Bad Pain And I Continued Getting These Arterial Clots For About 15 Months And Was Put On Tramadol And Solpodol And Dfii8's And Difene, Then Last Year All My Joints Became V Sore Swollen And Stiff And I Had No Energy At All And I Was In The Middle Of A Really Important Exam Year Which I Was Repeating Due To Being Ill The Previous 2 Years When They Were Done, Anyway After Bloods Were Done I Was Reffered To A Rheumotologist And She Diagnosed Me With Early Onset Of Psoriatic Arthritis(psa From Here On) (i Also Have Psorisis And People Who Have It Are At Risk Of Developing PSA At First We All Thought It Was Mild Enough And A Few Doses Of Steroids And Anti Inflammatories Would Work They Didnt I Got Progressively Worse Over A 6 Week Period And Then It Was Worse Than Ever Pain So I Started Dmards( Disease Modifying Anti Arthritic Drugs AM ON MY SECOND TYPE OF THEM NOW BUT NOT V SUCCESSFUL) So I Was Put On Df118s Tramadol And Solpodol Which I Soon Became Tolerant Too, So They Started Me On Oxycontin And Oxynorms And So The Solpodol And Df118s Stopped, But I Was Only Getting Very Short Periods Of Relief That Brought My Pain Down To A 5 Or 6, So THen After Waiting A Few Weeks To See The Pain Management Doctor My Own Gp (general Practioner ???what Ye Call Primary's I Think) So Anyway He Looked At All My Meds Im On And Found A Few Which "fighting" With Each Other So He Started Me On Duragesic Dtrans Patch (not The Old Style Ones With The Wells Of Fentanyl In Them These Are Just Like A Clear Strip) As I Was On 160mg Of Oxycontin And Up To Another 50 To 60mg Oxynorms A Day He Told Me To Cut Them Out Completely And Started Me On The 50 Microgram Patches And We Didnt Discuss Bt Meds All I Knew I Was To Take The Solpodol And Amitriptyline With It I HAd A Flare Of The Disease Over The First Weekend I Was After Seeing Him And I Wasnt Due Back Until Thursday 2 Weeks And Its Impossible To Get Appts With Him But My Gp Got In Touch So Then They Started Me On 75microgram Patch And Started Actiq(lollipops Of Fentanyl) 200, This Kept Things Manageable Nut I Was Still Miserable With The Pain When I Saw Him Next So He Upped The Patch To 100 Micrograms/hr And Now My Actiq Are Either 600 Or 800 Mics Depending On The Pain And I Find Them Brilliant. Unfortunately Your Pm Doc May Be One Of The Docs Who Only Use Actiq In Pallative Care.

    Ive A Few Questions Id Like To Ask You Please
    1. Are You Working Or Studying Or Is It A Big No No For Now? (im On A Years Break Looks Like A Second Ones Coming Up As All My Docs Rheumy, Gp, Dermatologist Vascular, Bowel Surgeon My Gi Doc Are Trying To Get Me A Bed And To Do Loads More Tests As They All Agree Ive A Definite Connective Tissue Disorder As Well As The Arthritis)

    2. Have You Family And Friends Support?

    3. How Long Have You Been Suffering?

    4. Do You Think You Could Talk To Your Pm Doc About A Higher Dose Patch And Actiq As Bt Meds It Really Does Help When You Get The Right Combination Im Also On Amitriptyline And Difene( Voltrol) And Solpodol

    Its So Hard For Us Being Young As Many Doctors Jus Wont/cant Accept Young People In Pain They Live With Their Heads In The Clouds And Only See What They Want To See. AND THEY VIEW US YOUNG PEOPLE WITH CHRONIC PAIN AS NARCOTIC SEEKERS, MY PM DOC IS A GODSEND HE ALSO HAS ARTHRITIS(RHEUMATOID) AND HE CAN TELL ME HOW HE DEALS AND DEALT WITH THINGS, ON MY FIRST VISIT HE COULD EVEN TELL ME WHERE ID THE PAIN WORST JUST BY LOOKING AT ME


    Hope To Hear From You Soon And Hope Your Not In Too Much Pain Xxx

    Last edited by chellsbells; 03-02-2007 at 01:14 AM. Reason: TYPOS AND LEFT OUT A BIT

     
    Old 03-03-2007, 10:12 AM   #27
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Dear Bryan,

    I wanted to clarify that I urge you to keep working with your Doc and not to let things get you down. Perhaps my post covered too many topics when I should have concentrated on your issue. Sorry.

    I would work with your current Doc as its obvious that he/she is not afraid to treat you, and that is a good things as I mentioned in the first post. Your lucky so I would continue with them -- perhaps you can comment on why you are not happy and are looking for someone else?

    I would suggest, without first hearing your reply to the question, to tell them directly and nicely. If it is you do not think they are being agressive enough, I think I addressed that and the titration thing, but perhaps it is something else.

    Please let us know?

    Murph_

     
    Old 03-03-2007, 03:39 PM   #28
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Hey Youngone, it's me again! Just wondering if you were able to get an appointment with Dr. Rubinfeld. If you have any trouble getting the number from info., please let me know, I am SURE I have a card with his number. Please keep us up to date...I've been thinking of you lots and just praying you are o.k. Try to keep those spirits up...I know it's hard, but I think(pray) you will find the right Dr. and the right combo of meds that will work for you to at least keep you out of agony! Write soon! Surg

     
    Old 03-03-2007, 04:15 PM   #29
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    A Dr. Adam Sakstein is well known around Central Jersey for being compassionate and a smartie doctor. He uses the "mind & body" solution to pain. That is...he helps both to relieve the pain. Many people find this to be helpful with their chronic pain issues. I hear his name being praised in Physical Therapy all the time. Hope this helps!!!!
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    L3-S1 Herniations
    Thoracic Fusion via Thoracotomy 10/06

     
    Old 03-03-2007, 10:22 PM   #30
    IZZY'SMOM
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    Re: First apt with New PM Dr was Horrible! SurgicalDisaster Please read!

    Hi Bryan~
    Just wanted to let you know that Im thinking of you. I take for granted so much having good pain relief, and when i read your posts, it really makes me greatful, but yet there are so many like you who arent so fortunate. I think the key is to really have faith in the fact that things happen for a reason, and
    I know there is someone out there that will take good care of you, and please dont give up. It took me 12 years on and off to find someone who really cared enough to help me, and I know you will find someone Im positive, and while you are searching, you have us here to be your support. Please let us know how the appts are coming or if there is anything else we all can do for you~ I would have died to have friends like this while I was on my journey from hell~ Hang in there ok?
    You are in my thoughts and prayers~
    XOXOXOXOXO,
    IZZY'SMOM

    Last edited by IZZY'SMOM; 03-03-2007 at 10:23 PM.

     
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