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  • new pain dr and meds?

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    Old 06-10-2014, 07:57 AM   #16
    backhurtz
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    Re: new pain dr and meds?

    Ken,
    How is the tapering going? I am afraid that your calling is going to reflect badly, and there are doctors who have been known to dismiss patients for 'harassing' the staff.
    If you use the stuff that I suggested, and that PIO in suggested, you will get through this, but there is a hint of desperation in your posts. I hope that it doesn't come across in your calls.
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    Old 06-10-2014, 01:28 PM   #17
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    Re: new pain dr and meds?

    Hey Ken, we were only trying to help. But whatever else, weather you take the advice given or not, just remember that you are not the only patient out there OK, most pain management doctors are usually fully booked for month's in advanced, its only been 30 days, that's really not too bad considering, many people have to wait month's just for an appointment.

    It just seems like you're not considering that other people are involved and some doctors can't just squeeze you in at the last minute; are they supposed to cancel someone else' appointment for you? Seriously, take it easy OK. They'll get to you when they get to you, backhurtz is correct, they very well could decided that you might be one of those "problem" patients and not take you at all. Remember, they DO NOT have to take you on as a patient, and they DO NOT even have to give you a reason, so just take it easy. If you call everyday, eventually, you WILL upset the receptionist and/or the nurse. Don't get upset by this, but you are dealing with people, not robots. Remember we are just trying to help.

    But why didn't you just make the follow up appointment when you were there the first time, it would have saved you this headache of trying to get scheduled in.

    Anyway, good luck to you.

     
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    Old 06-10-2014, 02:19 PM   #18
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    Re: new pain dr and meds?

    From my understanding of his post,they wanted to get his records before deciding to take/not take him as a patient.I can't add much more to your excellent post.We are all terrified when doctors may or may not help us. Ken, Please know we all understand and really are helping you! You may not know it yet. Very rarely will someone show up at these boards just to screw with us. Please stay positive but if you call again,they may JUST SAY NO. Take a breath and we will all pray.That is all that can be done right now.Hang on just a little longer.God Speed.Tom

     
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    Old 06-10-2014, 03:56 PM   #19
    kenb63
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    Re: new pain dr and meds?

    Sorry. Bad day. I appreciate the advice. The drs office did call me but to reschedule my injection for a later date. I asked if any update on my request for an apt and they can see me first week in July. I fully get,I'm not only patient but when yourmin pain and can't function at work it causes all, kinds of worries. I will see if my family dr can help me. If not,i will go cold turkey on meds. I went from 6 10mg Norco daily own to 4 a day and it was hard and it is still causing sleep issues due to the pain. I use Advil alot and it is ripping my stomach apart. I work in an office and sit at computer all day. Sorry, again for my shortness before.

     
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    gmak (06-11-2014)
    Old 06-10-2014, 05:46 PM   #20
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    Re: new pain dr and meds?

    Quote:
    Originally Posted by kenb63 View Post
    Sorry. Bad day. I appreciate the advice. The drs office did call me but to reschedule my injection for a later date. I asked if any update on my request for an apt and they can see me first week in July. I fully get,I'm not only patient but when yourmin pain and can't function at work it causes all, kinds of worries. I will see if my family dr can help me. If not,i will go cold turkey on meds. I went from 6 10mg Norco daily own to 4 a day and it was hard and it is still causing sleep issues due to the pain. I use Advil alot and it is ripping my stomach apart. I work in an office and sit at computer all day. Sorry, again for my shortness before.
    Hi kenb, I am truly sorry that you are still having to wait & i understand the worry & frustration you feel because when im in pain i want to know i have a dr that is caring for me too & bless your heart, honestly i would be upset because i understand that the dr has to do what he feels is best but left with hurting or possible withdrawal would seem to me like desperate times & not necessary especially if i had already been to the pain dr. I get it though about having to be patient because i am having to wait 3+ weeks to rule out breast cancer & all i can do is wait my turn. So, praying that you get a definitive treatment plan from the dr soon & the injection will help & the bad pain managed as soon as possible! NSAIDS hurt my stomach too & some OTC meds for acid relief & loperamide OTC for cramps help me some. Take care friend, we are here for you!

    Last edited by gmak; 06-10-2014 at 06:07 PM.

     
    Old 07-02-2014, 04:18 AM   #21
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    Re: new pain dr and meds?

    ok, not sure if im missing something here but went for my appt yesterday that was scheduled to give the dr adequate time to review my records. I get there and they have no record of my appt but can try to fit me in. I meet with the dr and he said i dont think we have your records, i told him i called and confirmed that they did get the on 5/29 and this appt was to discuss my options for pain meds and next steps. basically he did a 2 minute exam and said we should do an EMG test for nerve issues. I said fine, he said ok well your getting epidural next week and then we will see you. By the way they had to look for my records while i was there and they finally found them. I asked if he would be able to prescribe something for pain as my family dr was prescribing with the knowledge that i would be seeing him on 7/1. he said to have my family dr continue to prescibe and then we will see after the epidural. I left the appt speechless. I am not sure what I am missing or not seeing. My pain levels have not changed at all and he has stated that he believes i should be on pain medication to manage the pain. I am at a loss and would appreciate any advice or feedback. I am going for my epidural on Monday witha $400 copay because he does at surgery center and i am looking forward to relief with my hands and arms. I know it will not cure my neck pain. Luckily my family dr is willing to help me with meds. Im at a loss.

     
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    Old 07-03-2014, 06:20 PM   #22
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    Re: new pain dr and meds?

    thanks for the kind hugs all. Just was hoping if anyone else has run into this type of situation or am i reading too much into everything. I really appreciate and respect all feedback- good and bad.
    i have bulging discs-cervical, bone spurs, degenerative disc disease, and stenosis. ty

     
    Old 07-07-2014, 10:07 AM   #23
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    Re: new pain dr and meds?

    just had my cervical epidural injection and was hurting something awful after. had done in surgery center ( previous 3 were done in office). granted there was less anxiety and pain but nt sure the 400$ copay was worth that to be honest. the dr came to see me prior and said ok this is your second epidural , i said no, first one. he then said oh we did a lumbar epidural before, i said no i had 3 cervical epidurals with another doc several months ago. Kind of felt like he had no clue and made me nervous if he was going to do right procedure. lol. anyway, i am feeling better now that i am at home but feel the anesthetic starting to wear off and know from past procedures that the first several days are more painful. hoping for relief with my hands and arms- numbness, etc. my question is my follow up appt is not until 4 weeks from now. which previously when i had these done they always saw me 2 weeks later. I am still recving pain medication from my family physician at the direction of this pain dr. I am still trying to wrap my head or whatever around the reasoning behind his not prescribing me something for pain- the reason i was referred to him was to assist with pain- provide better pain management as taking the norco long term as i have been ( since Sept 2013) is not providing the same relief. I am not sure what to do at this time. If my pain continues as it has I will need to request another refill from family dr and they are prescribing 40 at a time with the script for ever 4-6 hours. Im not sure what im doing wrong/right? I really am not overly impressed with this new pain dr and do not feel comfortable with him. I would really really appreciate any feedback or suggestions as I am at a loss. I dont want to jump ship and look for a new dr as dont want to be accused of dr shopping. I just want to feel better and be able to function semi-normal. appreciate any comments. thank you

     
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    Old 07-07-2014, 10:46 AM   #24
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    Hi Ken,

    My only advice would be to relay all of what you're feeling and sharing here with your pain doc.

    I'm new to pain management (3 or so months) and I've noticed that if I am not very clear with my doc about my thoughts/questions/pain he runs his own show almost on auto pilot. Once he hears me out, he almost always listens to my needs and provides me the pain management I need.

    My thoughts are this: they see so many folks in pain and while they try their best to keep everyone straight, I'm sure it's hard. No, it's no excuse and I'm used to docs knowing me well, remembering everything about me and seeming well on track. My pain doc just isn't like that bit every time I see him he has a line wrapped out the door and around the building. They're great about short waits so I don't complain when I have to refresh his memory a bit (not that you're complaining).

    So maybe call for a sooner apt and express everything to your doc?

     
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    Old 07-07-2014, 10:57 AM   #25
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    Re: new pain dr and meds?

    Hi kenb, It seems like maybe the new dr thinks that you have been referred to him by your pcp temporarily as a consult only, just to see if he can provide relief by doing procedures the pcp cannot do & afterward you are to return to pcp for the continued management of pain, then if necessary after procedures the pcp will give referral to neurosurgeon or orthopedics care for surgical evaluation & this dr doesnt know that the pcp wanted you to be transferred his care for long term pain mgmt. Perhaps, the letter of referral from pcp to this pm dr would provide some information that could explain why this is happening or talk to your pcp & see if there is some confusion that the pcp could clear up by asking this new pm dr to take over the management of your pain long term. I hope that the ESI provides
    you with relief! You have been through so much & im sorry & hope if there is confusion that it is cleared up asap!

    Last edited by gmak; 07-07-2014 at 11:25 AM.

     
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    Old 07-07-2014, 12:26 PM   #26
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    Re: new pain dr and meds?

    Hi GMAK- you are always so helpful.... TY I was referred to this new pain doctor by the ortho/pain specialist I was seeing since Sept 2013, The ortho had done 3 epidurals and facet injection. The epidurals did relieve my arm/hand issues but never took the neck pain away- i really didnt realize that they were really geared towards the hand/arm issues. The ortho dr felt that the pain mgmt dr could provide better pain mgmt through meds I am assuming. This is what I have told the new pain dr. I have seen him 3 times and the last visit he said for me to have my family dr continue to prescribe my pain meds. My confusion is that I dont feel like he listens and makes me feel like i am drug seeking but yet acknowledges my pain and cause for it through recent mri. Not sure. Appreciate your thoughts- you have been through alot. TY again

     
    Old 07-07-2014, 01:04 PM   #27
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    I'm surprised the family doc is still prescribing. My pain doc said he works with my family doc with regard to communication but that he is to be the only prescribing doc, period. My first due refill he had been out of office on emergency. I tried to ask my PC to prescribe for the few days he was gone and she said since I signed the contract we could all get in a lot of trouble if she prescribed. I was shocked and upset that she wouldn't work with me under the unusual circumstances and for the fact that she'd been the prescriber of said rx for 5 years. So I had to deal with WD's for a few days. Needless to say, gmak gave you great advice to work with!

    Last edited by Pismogirl; 07-07-2014 at 01:05 PM.

     
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    Old 07-07-2014, 02:06 PM   #28
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    Re: new pain dr and meds?

    I have not signed any type of pain contract with any doctor . My current pain dr has not prescribed anything ever for me and I have never signed anything in his office. He told me to have family dr to continue to refill. He would reevaluate after this epidural. My follow up is not for a month,. Just wanted to make sure u knew I have no contract in place. Thanks for comments so tired now.

     
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    Old 07-07-2014, 02:24 PM   #29
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    No contract keeps it so much easier for ya! Get some rest and I wish you as pain free of a week as possible

     
    Old 07-07-2014, 03:59 PM   #30
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    Re: new pain dr and meds?

    Hi ken, Thank you for explaining. I had a pm dr for 2 years that my NS of 17 years referred me to so i could try epidural injections & try long acting pain meds because he too thought the pain dr would be much better at prescribing long term long acting meds. I mustve had over 30 ESI's because he would give me multiple injections (8-12) per procedure but just continued norco 10 mg 1 or 2 every 6 hours & would never agree or suggest a long acting timed released narcotic. Then i was admitted to hospital to be re evaluated by my NS, had another NS, neurologist, gastro, internist, pain mgmt/anesthesia dr& physical medicine & rehab dr & the concensus after MRI & tests was that i was not a surgical candidate again & to start fentanyl patch & the PM & R dr would be my pain dr. I remember that the fentanyl patch made you very ill but there are alot of other long acting meds that may really help you. Maybe the ortho dr who referred you could talk to the new pm dr & find out what his treatment plan is for you & clear up any confusion as to why you were referred to him originally? Surely hope that everything works out so that you will have a great pain dr that manages your care!

    Last edited by gmak; 07-07-2014 at 04:39 PM.

     
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