Discussions that mention asacol

Pain Management board

Back in 1993, after a severe, many month bout with Crohn's, I was advised that I'd be getting my colon removed and would be getting some information on "the bag" and life after surgery, etc. I turned the corner just in time, and found a new doctor due to moving just after...who's philosophy was that Crohn's/Colitis patients should keep their intestines as long as possible. He introduced me to Asacol, and that medicine has been a godsend for me.

As for the binder, yes, I did get one, and I wore if for several days after surgery. I have an insulin pump that has always been most effective when I keep the valve/catheter inserted into my side...so that does interfere with the binder. I can move it, though, and give the binder another shot.

As for dealing with so much right now, yes, I was and continue to be overwhelmed, and have been seeing a therapist and my pastor, both of whom have helped me greatly.

The ridiculous assessment about the pain meds dulling all of my pain receptors did bother me...thanks for the sense of humor on that, Shoreline. It still amazes me at how opinions on pain management can be so vastly different between doctors. It seems to me that publicity about prescription pain med abuse, which is a real issue in my local news, has doctors very hesitant to prescribe these types of meds. Rush Limbaugh ends up plastered all over the news for "doctor shopping" and checks into rehab ASAP, giving naysayers even more ammo. I'm sure other doctors think you should just learn to "tough it out". Then you find a doctor who does seem to understand, but it's still hard not to feel guilty. It makes it really hard for people who are in chronic pain, though, when so much misinformation abounds, and when the professional healthcare community itself seems to be at odds on pain management.

I've jumped onto this board and poured out a lot of info about myself in just a few days, but I really like this place already. Oddly enough, when I was in the violent car accident back in 2002, I was on my way to campus for a 3-week session. My company was sponsoring me in an Executive MBA program, paying for everything and giving me a lot of paid time off to attend onsite sessions and one overseas internship. All I had to do was sign a 5-year commitment to work for them or pay back some $90,000. (That's another story, too, with plenty of irony...some of it very cruel).

However, the point here is that there were two Master's program's running in parallel...one that I was in called the E-MBA, and another called a "Physician's MBA", strictly for doctors. I was in way over my head, as most of my classmates were well on their way to the top of the corporate world, and several CEO's were actually in my class. Well, the same teachers ran both programs, and we were often on campus with the doctors. Most of the business folks were pretty laid back and fun loving...with the usual exceptions. Most of the doctors considered themselves geniuses. After getting to know a few of the better faculty members, it was hilarious hearing them tell stories about humbling some "idiot doctors" who couldn't even write a simple white paper...let alone tackle a case study. They often had the worst imaginable people skills, and they tended to do poorly in the leadership portion of the curriculum. For the most part, they enrolled to try to deal better with the rising costs of healthcare, and I'm sure they learned how to make more money in their profession. To be fair, though, that's a legitimate challenge that's only going to get more difficult with time.

Please understand I'm being sarcastic, too, and I fully realize there are great doctors out there, and plenty of business managers who suck. I have a great gastroenterologist as well as P.M. doctor, who, btw, told me that over 80% of all doctors he knows are arrogant, self-worshipping jerks. Perhaps the same goes for Corporate America, who knows. I've been very fortunate in both arenas in that I've found great physicians who do care, and I’ve also worked for, and with, great people as well.

The stigma of pain management, and the extremely different opinions and approaches to treatments & medication, really does cause a lot of undue stress, guilt, and confusion for chronic pain patients. It's good to be able to laugh about it, but it's also saddening to hear other stories of people in very legitimate need of relief being lectured, ridiculed, or labeled as addicts. It seems to be a very common problem everywhere.