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  • Negative toxicology - be aware

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    Old 01-19-2012, 07:33 AM   #16
    feelbad
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    Re: Negative toxicology - be aware

    we must have been typing at the very same time G. now i see the bigger picture here. just one thing tho, since 'most" people almost HAVE TO be on at least "some' level of narcotic only becasue of extent of injury PRE op, any ortho that tells you to go off in my mind is some kind of sadist, seriously. i would not have made it thru my pre op times with certain surgeries without that badly needed help(and this was before PM). it does not make TOO much difference in your post op abilitys to obtain releif. when i had my rotator, i was already on 70-70-60 of oxycontin with roxicodone two per day for BT pain and just adding the percs 10/325 was actually pretty good at helping with my really insense levels of post op pain. ice worked in there ALSO was an absolute godsend too. ice seriously CAN do so much for our post op pain. marcia
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    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
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    Old 01-19-2012, 08:05 AM   #17
    galalena
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    Re: Negative toxicology - be aware

    I have all the documents - he sent them right away and it is clear what the problem was, and that his office made a mistake.

    I did PT religiously. From the get go, 2+ years ago, I was hearing "you are the unlucky one", "someone has to be in the bottom 1 percentile of outcomes, and it is you", "when the first surgery goes bad, you are out of luck", "most people are in the 95% of good outcome but you are in the unfortunate 5%", "surgeons do not want to take a failed surgery patient because it will lower their stats on outcome" Thank heavens I got my second surgeon when the first one moved away - I didn't tell his office staff that I had previous surgeries, so they signed me right up - I learned that quickly after being refused by 3 other orthopods when they found out about the surgery. My current one is very confident, but now he is done. The expert I am seeing was a mentor of his, knows him very well, and he is happy to refer me to someone who specializes in failed surgery
    I was a healthy and active person- I often wonder if I had immediate attention (repair within 3-4 weeks like they would do for any male), if the outcome would have been better. The first surgeon admitted that the delay caused a lot of damage. But, you can't get anyone else to say that! I was just a middle-aged woman, you know, and of course my condition was strictly degenerative, the severe accident (collision with a 1000 pound horse) had nothing to do with all the damage to the tendon AND humeral head. They actually tried to convince me that there is no urgency about traumatic acute tears, even though it says the opposite on their web page. Then the one doc, after repeating that several times, said "you are not buying any of this, are you?" So, what was he trying to sell? Oh well - he may have to answer that question to the state medical board.

     
    Old 01-20-2012, 09:23 AM   #18
    feelbad
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    Re: Negative toxicology - be aware

    and i am hoping who ever did this too you does have to answer for it too. i am just thinkin here that a collision with a horse could mess you up pretty good, what were they thinking? kinda like bein slammed by a car ya know? the one huge thing that i have found and i am sure kat has to, as well as anyone who has had to have multi surgeries, you have the "lower' tier of surgeons, the middle tiers then the tops of the tops. depending upon what 'level' you get will have ALOT to do with the outcome too(and how truely 'seriously' they even 'take' youir situation that DOES need surgery).when my vascular glob(a lovely 'birthmark",yippie) that happened to just grow inside my cord that had to be evaled, and needed to be removed(but no one BUT the last one told me that). i had two fully "semingly'capable/knowlegeable types of NSs for the first two opinions on it(the second opinion did my acdf and hardware placement), but they were both kind of opposing each other(lovely). my primary referred me, thank god, the U of MN and wow, that head of NS was my doc with well over 35 years of experience with hundreds of what i had being resected or monitored by him, depending upon if it was or was not 'operable(meaning in the 'right' location). i did not even find out what this lil glob of vessels even ment for ME as a person/patient until i got to what seemed to be like the one and only who just even HAD the level of real working knowledge and experience to tell me what i needed to know(my head of NS also taught my second NS who did my fusion and 'thought' he was a really great NS too. but we found out very differently after i started telling THIS NS what the other had been 'telling me'). i WAS kinda blown away that other "seemingly' knowledgable NSs who had been around for like at least 8-10 years just had either never seen what i had wrong to DO the best things for me, or simply did NOT at all really 'understand the complexities of vascular malformations in ones actual cord.

    i have also been thru mine and also there for friends rotator cuff surgeries like with my bro in law too who had an absolute idiot for an ortho as well. its just the luck of the draw, or who you get 'referred to" that gives you the good, bad or the ugly of surgeons.

    you really do not know with 100% certanty G, whether or not HAD someone taken your injury just like seriously(hellloo?) how that outcome may have been, or if your original ortho had done the 'right' things there for your level of damage if things maybe would have turned out differently too.. what you got told is unfortuently kind of a 'srtandard response' from any given surgeon who actually does screw up, or does NOT know what the heck they are doing IN your surgery either. so it could be either way, ya know what i mean? could be that particular surgeon, OR your damage just was that severe, or not moved on quickly enough too. and thats pretty sick. it would be really interesting to simply read thru your op notes for that surgery just to see if that ortho EVER mentioned deterioration anywhere in those notes(or the biggie for you 'not repairable')? alot about the overall success or failure of any given surgery just mostly lies with that surgeons overall knowledge and expertise, which of course would dictate a 'good outcome' or 'failied' surgery. ya gotta ask the surgeon, what exactly 'failed", ya know? while a parson CAN have damage that is really beyond repair(something like this would also have to be stated in your op notes too), it unfortuently and VERY sadly is much more common that any particular surgeon with 'failied surgerys" is the underlying reason. it just is. then we as their patients are the ones left to live with their stupidity with constant pain and suffering while they run out and by planes, cars, boats...and whatever they 'made" off us.

    to even say that YOUR rotator issues were NOT at all involving that severe level of trauma but 'only' deterioration?? just does not sound at all 'right" to me. thats alot of horse ya know? things just would deteriorate FASTER after trauma(if NOT fixed soon or properly) than they would if that trauma was not at all even a small part of your problems(when tendons just snap, since they are under tension, they DO retract backwards once they 'let go'. this happened to me too. 11mms with just my supra). but 'something' just does not at all sound 'right' if any surgeon feels being hit by THAT much wieght and force would NOT have actually impacted the area in a traumatic way? i really would contact the surgical hosp, even if this was a ways back, and get your hands on those op notes that by law, still have to be in your central file in that hosp. it would not change YOUR outcome unfortuently, but it would have to state the overall condition of that whole rotator pre op and post op and if anything WAS actually deteriorated. also, if the surgeon simply did not at all reattach things the way they were supposed to be, just 'him' not doing his job correctly, YOU would not be able to PT this back no matter what YOU actually did, or how much you actually put into your own PT. then he could just "tell you' your surgery 'failed' and not, hey, 'i screwed up your surgery'? same thing but for two totally different reasons.

    i really do feel for ya G. i am dealing with the exact same 'no one wants to take on my liability for my c spine" and just help to even stabilize it right now too. and it is pretty sick, and just plain scarey. and life goes on. i would check and see about getting your whole central file records from the surgical hosp from that initial surgery tho. depending upon what that ortho placed in them 'as done' or "too deteriorated to repair", at least THEN you will know how that rotator cuff actually was or was not at the time of the surgery. i just have always gotten alll my many surgical records and clinic notes from any doc i see. and of course any actual testing types of results too. they CAN be a lil goldmine of info for any patient to just 'have". marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 01-20-2012, 11:40 AM   #19
    galalena
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    Re: Negative toxicology - be aware

    Interesting stuff. Yes, I have all my records and op notes. It is interesting that the first surgeon coded it as an "acute traumatic rotator cuff repair" on the requisition for the second MRI. He was good. Actually, he was the head of the shoulder division - late 30's but I have never met a more honest, open surgeon EVER. At my last appointment with him, I specifically asked him if the delay in surgery caused the subsequent problems with difficulty healing. He said YES, and went on to explain how he thought it went wrong. Now, mind you, he was NOT happy the first time I saw him that the idiot before him (general orthopod) had given me a cortisone shot. I learned later that cortisone interferes with healing, and you never, EVER give someone a cortisone shot if they may need surgery. So he HAD to wait.
    Anyway, he left that institution shortly after that - guess he was clearing his conscience before he left - but he did the best he could with what he had.
    At that point, everything hit the fan - I was furious, the guy who took over my care found out I complained about the first orthopod and HE went ballistic and started screaming at me at my follow-up appointment, and making insinuations about my relationship with the shoulder doc (who he trained.) Give me a break - I could almost be his mother. It was horrible. He was the one who sent me to pain management and "don't do anything with the shoulder". I RAN to another institution - and the new one (he and the shoulder doc were friends - but even he could not believe his colleague admitted to a mistake - not his, but the first guy.) The second surgeon tried to do what he could to salvage, never touched the cuff, but he is sending me to the top of the top.
    It just gets my BP up to think about it. I filed a 10 page complaint to the medical board and they are "investigating" for the last several months. It may come to nothing, but I am sure the investigator has been knocking on their doors (general orthopod and follow up surgeon who screamed at me) and that probably is making THEM very sick.

     
    Old 01-21-2012, 08:14 AM   #20
    feelbad
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    Re: Negative toxicology - be aware

    dang i most certainly hope so. all i could think of as you were explaining the "relationship' was oh my god! geez what some surgeons will say to try and get any liability OFF them and their lil buddies huh? god thats so sick G, seriously. but thankfully their also ARE those good ones too.

    i am glad you filed against that a$$ et al. your 'good' ortho really sounds like the one i thankfully was referred to by my rehab hosp doc(my physiatrist) who i still see from time to time with 'mechanical" issues, that helped me to walk again and also regain at least "some' L hand movements back post op. my whole hand was clawed by the time i got to the acute rehab floor there too. my ortho has done two seperate knee surgeries and on an RSD knee(just plain scarey what can occur with having RSD if the ortho does not know what the heck they are doing) so that was very lucky for me. he also keeps me in the hosp overnight just incase my body reacts insanely(believe me, it CAN and has gotten pretty insane at times) from all my cord injury "syndromes"(the 'gifts' that keep on giving) too. he also was the one who did my rotator repair which is also more his specialty(or 'joint" surgerys). this is an ortho who also understood all my other syndromes from cord injury too. i was amazed since everytime i had mentioned the insanity that is now my body, most, even specialists eyes just kinda glaze over, lol? i seriously was never ever told/warned about ALLLL the sick little syndromes that can come along for the ride with the surgery i had done on my cord, and they ARE pretty sick and off the wall.

    but i DO LOVE my ortho and he IS just one of the tops around here for a very good reason(but did not know that til after my surgeries what just a really great guy he is), he loves what he does, he actually cares about his patients, and he makes sure that pre op, everything that needs to be in place for even my level of wierdness just "is' too for during the surgeries and post op. the three sugeries i had done are "usually "done out patient surgery then home, but thankfully he kept me in and hooked up to a PCA with dilaudid since i am already on high level oxycontin, and sooo many things just can go wrong too. and THAT i just love him for. i did end up staying a wee longer than planned from my rotator(was supposed to go home the very next morning) only becasue i could NOT for the life of me actually get that sling off, and with help, to even attempt PT without throwing up from the pain(i was able to do it later in that day tho, just kept working at it little by little). so one extra day and we went home and doing all my lil excercises, then the CPM chair. that rotator repair is just the 'mother" of pain, geezuz god. but once in a while you just DO get lucky with your surgeons, then others, you get the crappy treatment and sick accusations with another. god that just makes me ill that that surgeon even could THINK that about you, or ANY flippin patient, ya know? when backed into a freakin corner, ALWAYS blame the patient i guess huh? now THAT IS really pathetic and sick. i DO hope someone ends up with disciplinary action from THAT lil number.

    just wondering here G. if the actual op notes state the surgery IS for "ACUTE traumatic reasons", what the heck is written in them ABOUT the true extent of real trauma then? he kinda screwed himself there if he is saying that it was NOT from trauma being slammed by a ton of horse? and you are very right about the cort injections too. haivng them too close to surgery really can 'degrade' even healthy tissue to an extent, not just 'only' keeps healing from occuring. waiting about 9 months to a year after is usually what 'most" surgeons would do(so you just cannot randomly give it BEFORE you know whats actually wrong inside the person. if he did actually know, he IS a total idiot who needs to redo his surgical rotations in ortho at least).. even my dang primary knew enough not to give me a cort injection. his words to me were, as he was "trying' to run me thru all shoulder ROMS but not real successfully, "we will send you for the MRI on your shoulder, and depending if this IS a surgical repair or not, if not, you can make an appt and i will give you a cort injection if this is 'only" inflammation or a case of tendonitis". my shoulder was a freakin mess of ongoing wear and tear/shredding til my supra just snapped in half and required surgery to fix a ton of crap, so NO cort injections were done at all on mine.

    you unfortuently DID get that sick lower teir of an ortho G. i wonder just how many actual years/months? he had been DOING rotator repairs, or even "just' surgeries on his own at all before he did yours(were ya like #2 or #20 or what)?? it DOES matter alot, esp if you have traumatic injuries since alot of structures just are not at all where they 'usually' are supposed to be? it just DOES generally take a much more experienced ortho to deal with severe trama with ANY body part, not not with the type you had to settle for.


    while anyone and most people in late 30s and beyond(sports(esp softball) and other things can just do this) just 'do' have at least some level of deterioration/wear and tear going on, it does not mean at all that the area cannot ALSO suffer severe trauma too. then you have a 'combo of' both types of rotator injuries, and in no way 'only' one or the other anymore. and ANY levels of deterioration we have inside our bodies simply also create a much more vulnerable to injury type of situation there too. our spinal is one of the most perfect examples of how deterioration can lead much more easily to traumatic injury/fracture/herniations under the 'right" circumstances. i certainly hope that idiot gets whats coming to him. and sorry you had to even go thru such a sick surgical experience and an even more humiliating one after all that G. marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 01-22-2012, 02:54 PM   #21
    galalena
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    Re: Negative toxicology - be aware

    The doc who did my first two surgeries was trained as a shoulder specialist and head of the shoulder division. He really did care - but he was in a sort of cover-up mode for the previous general orthopod. I have no complaint with him, he was honest - the most honest of all of them, and kept me comfortable with percocet for almost a year. When he left I ended up with the PM doc, who made a judgement error - but our state is SOOOO overboard with narcotic issues that I almost don't blame him. Maybe I am too nice. I want to keep on good terms with him, because I have a feeling I will have to go back.
    I am very miserable right now. The tramadol is barely effectual. 3 more weeks of this, I can handle it as I've been going through this for 2.5 years. Your story and situation is really horrible too. I have great sympathy for anyone who suffers and cannot understand why people just can't be treated for pain. Makes me sick.

     
    Old 01-23-2012, 09:12 AM   #22
    feelbad
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    Re: Negative toxicology - be aware

    yep, i would stay on good terms with ANY "good" surgeon you may have to use again at some point too. ya never know.

    i am wondering what you are thinking about PM now G? are you going to stay with this doc and nurse operation or try and find another? we kinda got sidetracked there, lol. as long as YOU are documanting everything and making certain that THEY are too(your reffering doc in this too should also be getting updates from this doc as well), it may not hurt to try and stay, esp if finding ANY other form of PM is going to send you wayy beyond your capacity to even really get to? if tramadol is not doing it for you, then something more of the narcotic realm is going to have to be implemented just for YOU to even have some level of tolerability, ya know?

    there are some other things that i found that i use around my c spine and on that shoulder area too since i did have some areas of good deterioration too that my ortho took little 'keyhole' pics of using that scope, that feel VERY achey and once in a while sharpish too. this is a combo of c spine into shoulder. have you ever heard of something called 'biofreeze"?
    this stuff really is amazing for some pain and sometimes not so well for other types. but boy, what a huge difference it can make for me with my shoulder and neck areas. some PT places carry this, but the one place i KNOW you can usually obtain this is at just about any chiros office. it just really DOES knock down the pain much more than with ANY other topical i have ever used(got a 'basket" full of the 'trieds' sitting in my closet that never touched my pain).

    on the real bad days, i just roll this on and rub it into my skin, and in about 20 min, my pain DOES go down and i have much better mobility too(while it does have a certain 'scent' it really does go away much better, and sooner than like ben gay or other topicals i have tried). if i recall, it was only like ten bucks for a roll on bottle type thingy of the bio. this has been one of my main 'go to's for years ever since a friend gave me a small sample of what she had. love this stuff G and it just could help you too. this really IS the only topical that i found even works at all for my crap. it should help with that overall shoulder crap you are feeling if it helps mine. we both kinda share the same type of pain base, ya know? lidocaine patches are another lil wonder that if i had not had back after my cord surgery triggered(while i was STILL under anesthesia) a horrid stinging 24/7 non stop pain just to help me to 'accomodate' this screamin hell over both blades and my arm, i honestly do not know how i would have made it out of that rehab hosp in one piece without wanting to off myself. when it comes to anything just a screamin at you like that,with NO real reason, covering and numbing it only, when things hit the fan is about your only option(but only with 'certain areas" for safety reasons). but this also helps with the many many trigger points and wads of 'globbed up muscle tissue that develop over and over from inflammatory signals from my screwed up c spine to surrounding fascia/muscles. this stuff has really saved me from sheer hell some days with alot of different pain generators.

    just some stuff that seriously helps me keep things 'mostly" down if needed. trying to realistically 'manage' most pain using 'only' strictly narcotics usually does not work for most of us, esp if we have multi pain generators. it is having those other 'tools' as back ups when things get ugly that also helps us to NOT take more narcotics than we are 'allowed', just becasue we had a bad pain day too. compliance IS mandatory compliance with PMs, or 'most' anyways.

    if you just can speak with that PM doc and get ALL of your documents signed and in your file and they should be giving YOU your own copies of this stuff too so 'you know' what is expected with the contract always, it may be worth staying there, but keep documenting. but that of course is up to you G. i just hate the thought of you having to suffer thru with this crap when just having the 'appropriate' narcotic treatment(ideally it would be some form of long acting narc with the percs for BT pain) would keep you just able to better live your life and 'do' things at all again. i really DO hope things get worked out with this doc or you can actually find another who adheres much more to ESP the rules set down by the DEA. those being broken would seriously be what would casue them to even place any PM facility on their radar.

    i just really find it odd that this is only ONE doc and one nurse who travel around and 'do PM"? usually if any doc does this type of thing, they DO have a 'base facility' that they are attatched to but go to other areas where the needs are a couple times a week just like surgeons do? that really is the part that bothers me personally more than anything. they just really do not have an actual 'base of operations" as in a larger facility that IS trackable. you 'could" check up on this doc who is doing all the rxing there thru various state run web sites where you live just to see if there has ever been any disciplinary action against him at all ever? it would help to give peace of mind anyways for you. or you could ask whoever you called at the state medical board about this 'type' of PM operation and see what 'they' have to say about it too? just some thoughts. we just do not want to hear that you got 'stuck in the middle' of something there that really never should have happened. losing a PM doc is a huge deal for EVERYONE of the thousands of patients who see that particular doc, who are now going to have to find another 'after". take care G., marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 01-23-2012, 09:38 AM   #23
    galalena
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    Re: Negative toxicology - be aware

    I am thinking some issues got confused. The current PM is affiliated with a huge institution/academic teaching hospital, and while they have a main campus, they also have satellite offices. So a lot a docs will see patients at 2 or so satellite offices for patient convenience. My orthopod goes to 3 of them, and I have gone to all 3 to get a convenient appointment (they are generally close together.) The insurance issue is even crazier - I can go to any satellite campus/office and be covered, but cannot go to the main campus - not covered.
    I do have lidocaine patches and volteran gel. The patches are better.

     
    Old 01-24-2012, 07:26 AM   #24
    feelbad
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    Re: Negative toxicology - be aware

    well THAT sounds a bit better. believe me G, i can sooo relate to stupid ins. we had to go to a different one than we have always had since the 90s this year when their premiums just shot thru the flippin roof and out of our reach and this one sooo sucks right now.

    the reason i got confused there G is somewhere in this lil 'book" we got goin here, lol, i did ask you if this was a PM who was indeed running a form of a satellite type clinic and had an actual "base facility" too when i mentioned to track this back to the "main facility" he worked out of, and you mentioned that he did not run out of any other place, just that he came to where you see him with him and his nurse? its here somewhere, but who knows where at this point, lol. there just has been ALOT of info going back and forth. so thats where i got a bit confused. its not always easy to recall everything thats actually in the longer running threads.

    it is good that this is not 'only' what i thought it was at the begining. if they have a huge reputation to uphold considering where they are out of, chances are they do NOT want any "problems" so would be more willing to work with you here since "they' screwed up YOUR good name with their error anyways. and they DO need to make everything 'right' again for you so this stupid UA does NOT ever come back to haunt you down the road here at some point. they OWE you that much. just make darn certain they do this one thing FOR you.

    but they STILL DO have some issues here if they are just writting scripts and sending patients on their ways with NO re eval done BY either an NP, PA or the doc FIRST to "prove and well document the need' for the rx in the first place? esp with ANY newer patient. this part is what the DEA will be all over should anything ever prompt an audit of patients records. it simply comes down to the 'way' they are doing this at all that could make it soo much easier for any of god knows how many patients this doc has under his care to divert/sell those meds since NEED and evaluating is NOT a big part of the whole PM program? they simply cannot possibly 'know' what any given patients pain levels are, how they are using their meds or anything about the actual patient unless they are indeed seeing them to evaluate this part.

    they simply cannot 'rely"(as you already are too painfully aware) on UAs alone to try and determine compliance(too many variables just CAN interfere). the patients at any PM just also have to be SEEN by the rxing doc like at least every other month or so, just to document the patients continuing need and any problems, reactions, or adjustments that may need to be made too. and that just IS the part about this clinic that i really do not understand. the fact that the nurse did not just do what she was supposed to that screwed up your UA, that kind of tells me that they just 'may not' have a ton of overall experience in administering UA's either? i really wonder just how many they have done there overall.

    hopefully the ortho will be able to give you the help you so desperately need G, actual 'care' and help with your pain. if that tramadol is simply not working for you, they need to help with the more "appropriate for chronic pain' types of meds. usually the long acting with something for BT pain. marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 01-24-2012, 08:18 AM   #25
    galalena
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    Re: Negative toxicology - be aware

    OK - there were 2 PM docs. I was referred to the first one by an orthopedic doc - I only saw him after my first surgeon left and before I went to the third (actually 4th) orthopod - LOL - if I hadn't been living it, *I* would be confused. He did follow all the rules very strictly, everything was done according to the book, I went to his office every month for an evaluation by a nurse, and then he saw me to discuss my situation every month - all by the book. However, one day, there was a new person (nurse? lab? tox company rep? - I don't know) who took the UA and filled out the requisition - She made the mistake.

    It has all been cleared up and straightened away on that end as my records clearly state there was a FALSE result - I got off the opana & percocet - just got a kick in the butt to do it - because I really would rather be "fixed" than have to go through this long term. I went to PM #2 at the large institution - PM#1 had a private practice - just to be supervised to wean off, but he gave me tramadol, patches, volteran gel, and trazadone for sleep. I HATE the trazadone - will see him in a couple days to discuss that.

    If I come away from this consultation with no answer or plan, it will be time to re-assess. Man, I hate this. There was a big article in the paper today about pain treatment in the state, and how the rules have become SO restrictive for pain docs - just happened this summer, so I am sure they are all running scared right now.

    "In August, an law went into effect requiring special licensing for pain clinics and doctors with 50 percent or more of patients being treated with controlled substances for chronic pain. The law tightly regulates record keeping on patients and mandates subspecialty certification and continuing education in pain management for physicians. The law also limits how many pills doctors can dispense and establishes a system for collecting unused narcotics....."

    I particularly like this statement:
    Recent studies show that acute pain -- such as that accompanying burns or kidney stones -- should be treated immediately. Otherwise, there can be changes in the central nervous system and spinal cord that cause the pain to become worse. These changes can result in severe pain that lingers long after the original injury or disease is resolved."

    Hello???? 4 months of severe pain without ANY relief or diagnosis??

    Also:
    "Physicians strive to find the balance of keeping patients comfortable and avoiding dependency on these powerful drugs."

    "If someone has an acute condition, such as a broken ankle, by all means pain drugs can be safely prescribed for a short period of time -- two to five days," Hayek said.

    Doctors said that the vast majority of the patients who need pain medications don't abuse them. "

     
    Old 04-12-2012, 10:00 AM   #26
    galalena
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    Re: Negative toxicology - be aware

    It has been awhile since I posted, so don't know if anyone is still around and reading. I am the shoulder problem and have been busy. I quit narcotics and went to Tramadol in order to get a consultation with a nationally esteemed surgeon. Well, I've been to see him twice (travel 600 miles) and will be having surgery next month - number 5. Long long story, but he will be doing a total shoulder replacement and another rotator cuff repair. I have superior migration of the humeral head, glenoid erosion, and another massive tear after the humeral head resurfacing. If he can't repair the tendon, I am sunk. He doesn't want to do a reverse replacement which is the typical answer because I am too young. That procedure is not recommended for anyone under 70 and I am mid 50's.

    Anyway, my new PM doc (from academia, not a private practice) finally relented and added percocet. Now I am going to try nucynta. I figure nothing will really help the pain at this point, but will give it a try.

     
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