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Re: Dr. W. Follow-Up

Re: Dr. W. Follow-Up

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Posted by MLWhitworth, MD on April 03, 2000 at 09:11:43:

In Reply to: Dr. W. Follow-Up posted by John V on April 03, 2000 at 06:24:32:

The beauty of the intrathecal pump is that severe pain regardless of the source will not be masked by the infusion. This provides an element of safety for the body should you develop a condition such as acute appendicitis. It would be worth having the cervical films reviewed.

: Dr. W.

: I read your reply to me concerning the morphine pump. When I sat and really thought about it, I realized that the pump probably was reducing my back pain at least 60 %. I knew that I still hurt too much, though.

: Yesterday, I was out of state. My neck was really hurting, but I kept on going. I thought that maybe this pain might be all in my mind. I was really starting to doubt myself. All my doctors gave me the impression that they didn't believe I was in as much pain as I said I was. They almost had me convinced that I was becoming an "addict".

: Then I ran out of gas, literally. I had to walk almost a mile to get some gas for my truck. Of course when I got the gas, I had to carry it back to my truck. I don't know how I made it, but I did. When I finally put the gas in my truck, my neck felt like it was on fire and that someone was stabbing me with a knife between my shoulder blades. I knew I wasn't imagining this pain.

: I went to a local hospital. I had never been there before, so they didn't know any of my history. I told them about the neck pain and that I had a morphine pump inside. The ER doc gave me a shot of demerol and sent me to have X-rays done on my neck. I had four pics taken.
: When the ER doc looked at them, he spent a good deal of time studying them. Finally he told me that my allignment looked pretty good, but that I had a serious problem with the fusion in my neck. It was obvious that the fusion had never fusion. He also told me that the bone sliver was very close to where it could affect my breathing. The pic makes it look like the bone sliver is sticking out away from my spine and right toward my windpipe. He told me not to delay and to get this problem fixed (fused) ASAP.

: Dr. W. Do you think that maybe this problem is the casue of my pain, or at least does it sound plausible to you? Could the pump be controlling my lower back and not be doing enough to mask the pain in my neck, or cervical area? I realize that you only have what I have told you to go on, but I am just looking for an opinion. I am really looking forward to confronting my docs with this problem. I am curious as to why they wouldn't have even boothered to take a lousy X-ray.

: Thanks,
: John V

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