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  • Primary Care Doctor Versus Pain Management

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    Old 09-04-2007, 08:00 PM   #1
    7YEARS
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    Primary Care Doctor Versus Pain Management

    I have a wonderful primary care doctor who was trained in Canada and I
    think has a genuine compassionate interest in his patients overall well being
    and as pain has such a debilitating effect on well being he has been a
    godsend for me for seven years. He recently left our town practice but
    still kept me as a patient. For years I battled a t12 fracture and multiple
    disc problems and he always treated my pain. My position on Pain management specialists is that they are not a good way to go usually
    they are just a reason for a doctor not to deal with chronic pain and
    their regulations are ridiculous for people who are suffering. My doctor
    left the practice he was in i think partly because the practice had started refe
    rring people to pain management. The first visit with the replacement doc at
    my old practice before i saw my reg doctor again was a fiasco. he informed me
    that this practice does not deal with chronic pain and a pm would be so much better. My doctor meanwhile had already arranged for me to finally have
    surgery at a top Boston hospital and on first mri down there it was shown how serious mycondition had become. the doctor at the old practice said
    without knowing me at all that there should be nothing wrong with an old fracture by now and certainly they would not operate on me. My own doctor
    came back and set up his new practice and i went to see him and two weeks later I had a lumbar fusion with bone grafting and boring of pancake flat
    sciatic nerves in my right leg. It was the second most difficult surgery of that year i had operation june 1 and the recovery will be long and painful but
    because of a doctor who believed in me for years and who is still with me
    I was totally validated. My back is now much stronger and my right leg pain
    much improved. I get pain meds as needed and never feel as though I am
    asking for somwthing awful. I take 7.5 vicodin 4-6 tmes a day and some
    medicine for anxiety klonopin which helps and flexeril as needed and if I
    needed something stronger I'm sure he would give it to me as I am responsible with my meds. I went the pm rout once, had a steroid shot
    which worked for a few days but had i remained trapped in the pm system
    with their contracts etc I would probably at this moment be in acute pain
    with a severe loss of right leg function.
    My advice find a good primary care doctor preferably trained in compassion
    and they are out there. Never be made to feel humuliated or that you are doing something wrong by trying to have a normal life with some quality to it.

     
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    Old 09-05-2007, 06:29 AM   #2
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    Re: Primary Care Doctor Versus Pain Management

    I agree with you completely--I do not like the whole idea of a specialized Pain Management doctor--Unfortunately, due to patients abusing and/or selling thier medicine to drug users and dealers, PM has become a standard in this country. Personally, I go to my Family doctor for everything--Then, if a specialist is needed, he refers me to a specialist (ie. Gastroenterologist, surgeons, etc.) I have had several health issues including brain surgery to remove a lesion, both hips replaced, pancreatic psuedo-cyst drainage etc. My primary did at one time send me to a pain-management clinic because he knows that I will need pain medication for the rest of my life. They would not take me as a patient as my problem is pancreatitus and they don't deal with that. While I was there, I noticed several signs indicating that they would not write duplicate prescriptions if they were lost and also could "do urine tests unannounced" etc. etc.--I guess that many patients abuse the system and real pain patients have to pay the price--Many Family doctors now will not write opiate prescriptions even if the patient needs it--I believe this is unfair and would not go to a doctor that has a blanket policy like that--They are there to help the patient and they work for you--Unless you give them reason to believe that you abuse or sell your medication, if you need pain meds, then they should not have to put you through "Pain Management" and all its implications and blind distrust--Just my opinion--I am lucky to have a compassionate and skilled family doctor and when he retires, I will find another--they are out there--whitfield

     
    Old 09-06-2007, 12:11 AM   #3
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    Re: Primary Care Doctor Versus Pain Management

    If I needed a surgeon, I would choose the most knowledgable and well trained surgeon, not the nicest and most compasionate one I meet. Compassion is nice but it's hardly a replacment for trainig or education. Same goes for any specialty. GP's virtually have no training about PM compared to that of an anesthesiologist, a neurologist, DO's or physical medicine docs with board certification in PM.

    I'm open to trying more than just opiates which is all a GP can provide.
    Good luck, Dave

    Last edited by Shoreline; 09-06-2007 at 12:16 AM.

     
    Old 09-06-2007, 04:09 AM   #4
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    Re: Primary Care Doctor Versus Pain Management

    I agree with you completely Dave--Was just having a bad pain day and felt like venting--You see so many people in pain on this board and not getting the relief they deserve. A primary care doctor does not receive much training in pain management, but can write opiate prescriptions if needed. My own primary believes in pain management and as I have mentioned, he even sent me to a specialist which is where I saw all the warning signs in the waiting room etc. Now this is South Florida and I think abuse is rampant--not sure why. Anyway, this particular board has helped me understand quite a bit about pain management and the many options available--Thanks to all--whitfeld

     
    Old 09-06-2007, 05:48 PM   #5
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    Re: Primary Care Doctor Versus Pain Management

    My Surgeon Was Voted The Best Surgeopn In The Usa In2006 And
    Does Not Hand Out Narcotics Easily As Jhe Should Not. But People
    Should Have The Option For Good Pain Relief Without The Complicated Strata Of Pm To Go Through. My Surgeon Like Any Surgeon Had Me Dropped To No Pain Meds In 12 Weeks But He Is
    Compassionate And Approachable To Problems As Is My Primary Care

     
    Old 09-07-2007, 04:53 AM   #6
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    Re: Primary Care Doctor Versus Pain Management

    OK, If you want the best surgeon, why wouldn't you want the best PM doc with the most training in all aspects of pain management. Too much complicated strata that doesn't gaurentee instant relief, but gaurentees physical dependence before knowing if a multi disciplinary aproach with a lesser price may provide relief?

     
    Old 09-07-2007, 01:50 PM   #7
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    Re: Primary Care Doctor Versus Pain Management

    Just thought I would say alittle something here, I was seeing a primary doctor new to me & I really liked her, I was in major pain & so bad she sent me to ER by ambulance because my vitals sky rocketed while in her office, when I got out of hospital & went back to her with concerns of controlling pain she flat out refused to give me anything to help calm me during the worst of the pain(even though she witnessed how my body reacted to it) & also stated she would keep me on vicodin for a very short time(which was not working).she expected me to wait months to get in for tests. I was blown away all of this was new to me, so I was sent home from her office in pain & my sister got me into another doctor the same day, he was majorly concerned with the pain & got me started on testing pretty quick. Put me on oxycodone, even his office said they will not deal with these types of meds, must be treated by what ever specialist I end up with(still looking for cause) or sent to PM doc. Very upsetting that doctors witness the pain & still don't want to treat you for it. I can understand to a point but where does it leave the patient?

     
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