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Pepper's First Pain Mgmt Appt

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Old 11-07-2007, 08:44 PM   #1
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Pepper's First Pain Mgmt Appt

I had my first pain management appt. It was the strangest appt I have ever gone to. I saw a clinical psychologist and he had me answer this 50 question questionnaire on a computer. Then he told me that my answers placed me as an chronic pain patient who was probably undermedicated and basically in denial about being a chronic pain patient.

We talked about a lot of my pre-surgery jitters and concerns about long term pain management if this upcoming surgery does not do the trick. He asked me a lot of questions and I was amazed that this stranger pulled some feelings out from me that really, really surprised me that I even had bottled up inside of me. The psychologist was very caring, empathetic, and easy to talk to. We really clicked.

He gave me a workbook on Chronic Pain (not sure if I can post the title) and a couple guided imagery or relaxation cdís. I started working on them tonight and all I can say is WOW! I think I needed to see this doctor a long time ago. A couple of the relaxation tapes are very powerful and if you really do what they say to do I was able to block out part of my pain. I would never have believed it if I did not try it. I did a couple of them while I was in the bath tub soaking, lights turned down, and candles lit. Anyone give this stuff a try? Has it worked or helped you?

He also told me that he is going to recommend that my doctor put me on long lasting medications. He said the percocet is short acting and is causing my pain levels to ping pong and he feels they need to be stabilized more. He also said there is not much he can do with me at this point like injections, biofeedback, acupuncture, etc. since I am scheduled for surgery in 2 weeks. We would not have enough time to really schedule and get things started before surgery.

This is the really strange thing. He does not prescribe meds. He will give his input to my general practioner who will prescribe my meds. Have you ever heard of pain management not providing meds??

He also gave me permission and encouraged me to give myself permission to not do things Ė he said a lot of chronic pain patients feel a lot of guilt for the things they physically canít do and they overdue because they are denial about the pain or they are trying to make up for their illness to others.

Overall, I think this man might be of benefit to me down the road. I figure I will give it a try after my initial recovery period from surgery.

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Old 11-07-2007, 09:46 PM   #2
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Re: Pepper's First Pain Mgmt Appt

Dear 123dietdrpepper,

The only major item to which I can respond is that a psychologist cannot prescribe medication. However, this person can suggest that medication should be Rx'd by a medical doctor like your General Practitioner.

This Clinical Psychologist is correct when he stated that Percocet is short-acting. Also, long-acting pain medications work better! These medications might allow you to use less short-acting drugs since the "PING-PONG" pain levels would probably be shortened.

Furthermore, the other modalities you mentioned--besides medications--could help. And, because you have surgery coming up shortly, it wouldn't hurt to wait until after this procedure to begin your true Pain Management therapy!

That's it for now.

We all want you to keep us informed, OK? Please promise.

Take care,
Jon (Conductor)

P.S. At some point, you'll have to reasonably explain your screen name!

Old 11-08-2007, 08:48 AM   #3
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Re: Pepper's First Pain Mgmt Appt

Wow, Pepper!

To me it sounds like you have found one of the good guys.
Did you like him? You sound unsure. What did you like about him?
What didn't you like? I wish we could pass around the first 50 question questionnaire that you took...if it showed that you were in chronic pain but under medicated? To even have that as a possibility on the survey meant that they are aware of a(at least)some of the issues we cpers deal with and without.

It's great that you 'clicked'. It's nice to have someone understand(like the folks here). My pm starts my prescriptions and my primary keeps them going. My primary is closer and cheaper and I only see my pm once a year or if I want to change my meds. I know there are others here who have there primary write their prescriptions. It sounds like your pm has a great little 'bag of tricks' to try and you have someone to back you up with a prescription in case the tricks don't work. This is a good position to be in.

Good luck and let us know how it's going. (Sorry fo the rambling)~Mush
undiagnosed lung and back pain after pneumonia in '03, tmj, migraines,(two failed surgeries for) Kienbock's disease

Old 11-08-2007, 08:57 AM   #4
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Re: Pepper's First Pain Mgmt Appt

Hi Pep! That's great!! It isn't all that unusual for a pain management doc to advise a primary care doc on the medications that the patient needs to control pain. When I first started seeing a doctor for pain management, that's exactly how it went. He called my primary and got his cooperation with the prescribing part, and I continued to see the pain doc every 2 to 3 months for exams and any changes in medication. After my pain doc left the practice, the new doc started doing the prescribing and that's how it continues to be. The psychologist associated with my pain clinic was also a caring and empathetic woman who I really enjoyed seeing. Glad things are working out. Can you remind me of the type of surgery you'll be having and the date? All the best - Memere (Kath'Mac)

Old 11-08-2007, 09:36 AM   #5
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Re: Pepper's First Pain Mgmt Appt

I will be having a spinal revision surgery on the 28th of November. They are going to remove part of my hardware, insert a cage, add bmp, decompress nerves and determine whether or not I will need further surgery the following week to insert a plate thru the abdomen.

Please pray for me. I had a terrible surgical experience that I pray that no one else ever experiences. I had surgery and felt everything that happened. I was able to tell them after surgery that they called in a specialist and told them what he diagnosed me with and what his name was. I felt the pain, the cutting, the stitching, the staples, etc. but I could not talk to them. I have had surgery since with no problems but this will always be something I will never forget.

My pm appt was very strange in that I feel that he understood and LISTENED to me. He also did not judge me or my pain levels. Lately, my experience has been the extreme opposite when talking to doctors about my pain levels. They tell me well don't do the activity if it causes pain, take tylenol or other Oh, really comments. I felt he BELIEVED in ME.

I also think it is strange that he is not going to perscribe meds just direct someone else on how to do it. It is something that I am unfamiliar with. Thank you for letting me know this is not abnormal Kath'Mac that makes me feel a little easier.

I liked the fact that I could really talk to him and he was offering me suggestions during the initial consultation to reduce the pain. For example I was standing with my hands behind my back in a fist and he gave me two balls to put behind my back then he gave me a blow up pillow to put behind my back. I am not used to that!!

Hope this all makes sense....right now my meds are at their peak.

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