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@jgrn87
I'm afraid I might have been guilty of the occasional 'full and frank exchange of views' with members of the medical profession ;)
 
@jholden40
You sound like one of those difficult patients ;) That's not always a bad thing, sometimes you have to stand up for yourself, and sometimes that does involve something along these lines to convey that point. There is certainly a variety of views amongst doctors, and on a lot of things there's no agreement even amongst ourselves...
 
@betsky,
Lol. Good grief huh? You are kind. You are looking out for everyone.

Wait, you mean that we didn't post that we are prostitutes? Damn. I screwed up again. Rest easy tonight my friend.
 
Şömine şunları söyledi:
@Diamond22, I had horrible endo type pain too, although it could not be seen via laproscopic surgery. In my experience, docs think if the pain is bad enough that you need significant painkillers, that you should have a hyster. That is what I was told over and over again. I made it until I had one child and hit the 50yr old mark, b4 I succumbed. I am sorry jgrn87 did not answer your question directly.

I do not understand why jgrn87 is on this board. As a doctor, assuming that is true, he can give us lots of helpful information, which will earn him access to the Restricted Section.

In one of his earlier posts which I reported, he stated that he believed most of the board member's were seeking unjustified amounts of meds (or something like that).

I am just not sure of his motives in being here and I think we need to be careful. Although I do agree with his answers and did just send him a nice pm.

Just not sure about all of this ... Maybe he's not really a doctor and just plays one on PR. Just seems super weird that he would take the time to post and answer questions. @jholden40, any opinion on this?

Ateş
genişletmek için tıklayın ...



@Şömineler You been such a good friend since we both came to PR. I remember how scared I was to share my chronic pain story. I'm glad you encouraged me to do so, because any woman dealing with Endo needs all the support she can get. My Obgyn tried to get me on Lupron last year. I had considered it as an option until I did the research. For most women it was absolutely horrifying. The side effects that I read about in the brochure was enough to drop your jaw and keep it open. So I said no and they were semi-fine with that. Doctor's were taking alot of heat from giving so çok women hister's that in modern day time as in now, it's highly discouraged and less evasive measures are to be tried first. Of course as a last ditch effort, or in some that may seriously need it from the start it's still performed. The average woman is diagnosed in late teen and early 20's and that's a huge weight to decide if you want your parts taking out that early in life or at all any time. So most women just want enough relief to be functional and go on with their lives. It get's tough when we are so undermedicated for a condition we have no control over and has no cure. :( So all the minor surgeries, emergency visits to the ER, and normal scheduled visits to the doctor can get pretty tiring in and of itself. Pain control is critical to my quality of life on a daily basis. I do have some options though, and I'll be whole lot more comfortable detailing the rest in a pm to you. Thanks for caring. :)
 
ME NICE nnoooooooooooooooooooooo

Mlmk said:
@betsky,
Lol. Good grief huh? You are kind. You are looking out for everyone.

Wait, you mean that we didn't post that we are prostitutes? Damn. I screwed up again. Rest easy tonight my friend.
genişletmek için tıklayın ...

@Mlmk@riverstyx
Growing up with seven brothers taught me very quickly to "Catch more flies,or in their case vermin, with honey"
seriously though i've always had a codependant personality. or as i like to call it a friendly nature, I find it easier to be cautiously accepting and helpful than to be a judge on first sight. CRIPES was I just serious nnnoooooooooooooooooooooo : Rolleyes:
most people show their true colors rather quickly but not seeing facial cues or body language does make this "virtual" kindness a bit more of a chore.
as to my profession, i think nurses end up being both, just without
the benefit of the s**.
 
Son düzenleme:
Diamond22 dedi ki:
@Şömineler You been such a good friend since we both came to PR. I remember how scared I was to share my chronic pain story. I'm glad you encouraged me to do so, because any woman dealing with Endo needs all the support she can get. My Obgyn tried to get me on Lupron last year. I had considered it as an option until I did the research. For most women it was absolutely horrifying. The side effects that I read about in the brochure was enough to drop your jaw and keep it open. So I said no and they were semi-fine with that. Doctor's were taking alot of heat from giving so çok women hister's that in modern day time as in now, it's highly discouraged and less evasive measures are to be tried first. Of course as a last ditch effort, or in some that may seriously need it from the start it's still performed. The average woman is diagnosed in late teen and early 20's and that's a huge weight to decide if you want your parts taking out that early in life or at all any time. So most women just want enough relief to be functional and go on with their lives. It get's tough when we are so undermedicated for a condition we have no control over and has no cure. :( So all the minor surgeries, emergency visits to the ER, and normal scheduled visits to the doctor can get pretty tiring in and of itself. Pain control is critical to my quality of life on a daily basis. I do have some options though, and I'll be whole lot more comfortable detailing the rest in a pm to you. Thanks for caring. :)
genişletmek için tıklayın ...

@Diamond22, really feel for you. friend of mine, 26, with this, very painful and she's sticking to her guns, only pain control, had a good doctor but he dropped everyone and went back to solely GP non-controlled meds, so she's rethinking some options all because of prescription drug paranoia in FL. Seems like endo is not on some "official list" for conditions warranting schedule II for a chronic pain condition. She's so disgusted with the medical community, eating OTC meds now, trying to keep her job; just not fair to see her struggle so, but she's very strong AND very angry right now. take care of yourself....WR
 
@Melly - how are you doing now? Reading your topic and I appreciate it. I hope you have found some relief.
 
I really don't like the current state of pain treatment.

We are already in pain , now we have to add stress to this predicament by walking on eggshells around semi-sympathetic doctors .

I don't like the fact THAT WE AS PATIENTS have to be extra thankful to doctors like WE OWE them some sort of extra gratitude, we pay them , that's all we owe them. We are kind yes to a point of great respect like anyone else we meet ,but not hang our head like a dog. Now before you reply with a temper tantrum reply KEEP READING on...

We are in pain we DESERVE treatment , plain and simple as that.
We shouldn't have to feel so deserving and act like little puppies with tails between our legs when the doctor does give us a script.

That IS NOT how a proper pain patient and doctor relationship should be.

If you as a doctor lack the skills to not tell a pain patient from a drug addict then GTFO out of my wallet and GTF back in school and close up shop. I'm not the problem YOU are.

I'm tired of being overly nice (I'M IN PAIN I'M ALREADY GRUMPY DAMMIT!)... the suffering of pain patients has got to lessen, enough is enough already, we need proper help , we don't need to act "extra nice" just so YOU the doctor or govt. can feel comfortable giving us a script, THAT is not how it works.


sorry for the rant , I'm just so sick of this feeling like I need to walk into a pain clinic and put some fricken song and dance on for the doctor and govt.

we shouldn't have to feel this way , we are not addicts but people in pain

This whole scenario of trying to not give drugs to addicts who are not in pain IS EFFECTING REAL PATIENTS IN A BIG WAY .

Doctors NEED more education in the proper treatment of pain patients and not "treating addicts" as they are now.

They seem more concerned with treating addicts than helping pain patients.



I walked into a local pill mill here in Florida and it was like walking into a jail cell ... grimy people hanging out with the shakes, the doctor had tattoos all over his body ( not respectful war tattoos) but gang looking types; patients with baggy pants hive fiving the doctor saying things like 'hey bro thanks for the hook up' as they walk out .
This was no 'regular' clinic it clearly was a hook-up joint.

Here I am a real fuking pain patient with a mal union collarbone, a box full of deck screws holding my leg together and I'm sitting in a ****ing jail cell/ fake pain clinic , rather a 'pill mill; feeling extremely out of place and it's like the powers that be ...forced me to slum the underground for treatement to live a normal daily life without nagging excessive pain and this ...this pill mill has become my option?

How the fuking ****ity did this happen?

I mean I'm a real bona fied paint sufferer and here I am in rio de druganaro skimming the bottom of the cum bowl for some proper medication .

It really hit me how low I've sunk to to seek treatment and made me mad at the same time , how the F is this even America? How the F did all these wars , all these veterans die for us to live in such a broken state of pain treatment?

It just pisses me off...

sorry guys , just ranting

Please understand that I'm am fully aware of how we are supposed to act in a pain clinic I'm a fricken saint that's healed millions when I enter one that's for darn sure. I often try to hover as I enter so the doctors know that I am indeed the holy saint of true pain suffering. :güzel:


But this side of me you read typing now , wishes he could come out , just once and let the truth be heard. ENOUGH IS ENOUGH already , TREAT US CHRONIC PAIN PATIENTS WITH DIGNITY , KINDNESS AND RESPECT WE DESERVE AS PATIENTS !


My entire point can be summed up into one simple sentence or two.

Doctors (and pharmacists) are so consumed with weeding out drug addicts that it is truly effecting the lives of millions of legitimate pain sufferers around the globe. They need to put the focus back onto the pain patient and the govt. needs to let them have the security to let them do that without severe penalties they incur nowadays .

Like wise those who are just addicts , need the same help and caring , BUT NOT at the expense of those who are in legitimate pain.


Their certainly needs to be more education in this field as in my experience many if not every doctor I've encountered during my treatment is misinformed.

I demand to be treated as a pain patient and not as an addict it is my right as a legitimate pain patient.
 
Son düzenleme:
waverunner said:
@Diamond22, really feel for you. friend of mine, 26, with this, very painful and she's sticking to her guns, only pain control, had a good doctor but he dropped everyone and went back to solely GP non-controlled meds, so she's rethinking some options all because of prescription drug paranoia in FL. Seems like endo is not on some "official list" for conditions warranting schedule II for a chronic pain condition. She's so disgusted with the medical community, eating OTC meds now, trying to keep her job; just not fair to see her struggle so, but she's very strong AND very angry right now. take care of yourself....WR
genişletmek için tıklayın ...

@waverunner OMG, I'm so sorry I'm just now seeing this post! :eek: Next time you log on just know I thank you so much for your kind words, and I wish you the best of health as well. :):p;)
 
I'm so sorry honey. I have had bad experiences with my local pain clinic. Very high brow and will boot you for the slightest. They don't even validate or treat Fibromyalgia pain at all. That's the midwest for you.

I go to the sliding scale fee physician clinic here in town. I found it by calling my health and human service office in the blue pages of the phone book. They do all pain management techniques except shots. Those I get at an internal medicine doctor who is not affiliated with any hospital. She is independant so is willing to treat chronic pain. She is wonderful. I recommend trying to find an internal medicine specialist who isn't affilitated and going to the local sliding scale fee physician office. They can get you into the med assistance program for free meds and are so understanding. So much more than those high brow pain clinics.

At least this is what I found works for me. I had to get two docs to replace one, but am so much happier. I hope this helps at all sweetie.
 
rana0x0 said:
I'm so sorry honey. I have had bad experiences with my local pain clinic. Very high brow and will boot you for the slightest. They don't even validate or treat Fibromyalgia pain at all. That's the midwest for you.

I go to the sliding scale fee physician clinic here in town. I found it by calling my health and human service office in the blue pages of the phone book. They do all pain management techniques except shots. Those I get at an internal medicine doctor who is not affiliated with any hospital. She is independant so is willing to treat chronic pain. She is wonderful. I recommend trying to find an internal medicine specialist who isn't affilitated and going to the local sliding scale fee physician office. They can get you into the med assistance program for free meds and are so understanding. So much more than those high brow pain clinics.

At least this is what I found works for me. I had to get two docs to replace one, but am so much happier. I hope this helps at all sweetie.
genişletmek için tıklayın ...

Most pain clinics do not recognize fibro anymore. A shit load of docs used fibro as a loophole to write a ton of meds to people who don't need them. They would press a few spots on your back and if you said "that hurts' you had fibro.
 
I too am in mid-west and I also found those things to be true.
I had to look, and look and look and look to find good Drs.

Now, here is a question:
Who would get criticized for shopping around when making a big purchase for a car or a house?
Hiç kimse.
We would criticize if they did NOT shop around, right?

Talk to different Drs?
CRIME.
You are Dr Shopping.

I would like to quote a man named Iced T who said,

" S**t is F**ked Up!"
 
GoingBananas dedi ki:
I too am in mid-west and I also found those things to be true.
I had to look, and look and look and look to find good Drs.

Now, here is a question:
Who would get criticized for shopping around when making a big purchase for a car or a house?
Hiç kimse.
We would criticize if they did NOT shop around, right?

Talk to different Drs?
CRIME.
You are Dr Shopping.

I would like to quote a man named Iced T who said,

" S**t is F**ked Up!"
genişletmek için tıklayın ...

Talking to different doctors is NOT a crime NOR is it considered doctor shopping from a legal perspective. Its called getting a second opinion

Filling subscriptions from multiple doctors that don't know about one another IS a crime and considered to be doctor shopping. There is a very big difference between the two.
 
I wasn't sure where to put this but I think this thread might be a good one....

Several months back I posted about my doctor going to the Concierge type relationship. You pay one flat fee every year and that gives you access to the doctor any time you want to talk to him, covers getting your written prescriptions, shots he may need to do in-office and basically the ability to talk to or see him any time you feel like it.

He figured he'd lose around 50% of his patients and was actually glad to be getting rid of some of the more troubling patients. He's a kind, caring and compassionate doctor with degrees in psychiatry and anaestiology (nope; can't spell it and don't want to go look up how to spell it) on top of his M.D. I think it makes him a better doctor for chronic pain situations than a dr. who hasn't practiced in anything but general medicine.

So I had my monthly visit and I noticed I had to wait quite a bit longer than normal; it appears that some of the people paying the fee had decided that they are going to get every cent out of it, which is rude for those waiting. Then a lady came in and we're all talking and she said she decided to go to a pain doc who would take her insurance instead of staying with our doctor. But she had one visit with her new pain doctor and they wanted to eliminate some of her medicines and lower others so she left and came back to our doctor. Now, I would have thought it would be obvious that if you go to another group of PM doctors that they will do things differently.

The receptionist told me that many of the patients were coming back because of that reason. So now instead of having the smaller practice he was hoping for and the ability to spend more time to really find out how his patients function on a day to day basis, he is instead flustered and slightly rushed because one client is taking 40 minutes of his time and leaving the next 2 patients waiting a long time. I don't do that and if my month has been fine then my visit could be 5-10 minutes. It's not very often that I need to talk about something but when I do he sits and talks with me until we work out the problem (like the migraines that started recently and a problem with my right wrist that requires I wear a brace 8 hours a day).

I'm concerned. Are my monthly visits going to go from waiting 5 minutes to waiting an hour and having 8 or 10 people in the waiting room because someone just wants to talk? He said he has patients that come in in the middle of the month just to talk but it doesn't bother him since he's also a psychiatrist.

So that's my update on the new way many doctors are going. I hope that he'll just stop accepting new patients if all or most of his old patients come back. I know that he is generous and I'm occasionally shocked that he gives me the medicines that I take and I'm sure there are very few PM clinics that would do the same. I guess the patients that initially left instead of paying the fee didn't know that most docs aren't as happy go lucky and helpful with meds as my doc is :)

i'm going to go Google him and see what is being said. Some people complained about the fee so I want to see what they are saying now!
 
Lynx4 dedi ki:
I wasn't sure where to put this but I think this thread might be a good one....

Several months back I posted about my doctor going to the Concierge type relationship. You pay one flat fee every year and that gives you access to the doctor any time you want to talk to him, covers getting your written prescriptions, shots he may need to do in-office and basically the ability to talk to or see him any time you feel like it.

He figured he'd lose around 50% of his patients and was actually glad to be getting rid of some of the more troubling patients. He's a kind, caring and compassionate doctor with degrees in psychiatry and anaestiology (nope; can't spell it and don't want to go look up how to spell it) on top of his M.D. I think it makes him a better doctor for chronic pain situations than a dr. who hasn't practiced in anything but general medicine.

So I had my monthly visit and I noticed I had to wait quite a bit longer than normal; it appears that some of the people paying the fee had decided that they are going to get every cent out of it, which is rude for those waiting. Then a lady came in and we're all talking and she said she decided to go to a pain doc who would take her insurance instead of staying with our doctor. But she had one visit with her new pain doctor and they wanted to eliminate some of her medicines and lower others so she left and came back to our doctor. Now, I would have thought it would be obvious that if you go to another group of PM doctors that they will do things differently.

The receptionist told me that many of the patients were coming back because of that reason. So now instead of having the smaller practice he was hoping for and the ability to spend more time to really find out how his patients function on a day to day basis, he is instead flustered and slightly rushed because one client is taking 40 minutes of his time and leaving the next 2 patients waiting a long time. I don't do that and if my month has been fine then my visit could be 5-10 minutes. It's not very often that I need to talk about something but when I do he sits and talks with me until we work out the problem (like the migraines that started recently and a problem with my right wrist that requires I wear a brace 8 hours a day).

I'm concerned. Are my monthly visits going to go from waiting 5 minutes to waiting an hour and having 8 or 10 people in the waiting room because someone just wants to talk? He said he has patients that come in in the middle of the month just to talk but it doesn't bother him since he's also a psychiatrist.

So that's my update on the new way many doctors are going. I hope that he'll just stop accepting new patients if all or most of his old patients come back. I know that he is generous and I'm occasionally shocked that he gives me the medicines that I take and I'm sure there are very few PM clinics that would do the same. I guess the patients that initially left instead of paying the fee didn't know that most docs aren't as happy go lucky and helpful with meds as my doc is :)

i'm going to go Google him and see what is being said. Some people complained about the fee so I want to see what they are saying now!
genişletmek için tıklayın ...

Lynx4

You do not realise how lucky you are in the US, being able to chose your health service provider, see my recent post today about the service you can expect in the UK. What does it cost over the pond for a service like you have desribed?

Saygılarımla...
 
At my PM doctor's office it's $2400 a year or $200 a month basically. Since I had been paying a monthly copay with my insurance, the difference isn't that much to me. I figure one fee that I can pay and be done with is great and gives me more freedom.

Also, when I signed the new pain contract there was no mention of pill counts, urine tox screens or any of the other stuff that his original contract had when he accepted insurance.

But, that $2400 is for a very specialized service. Normally I would pay $20 to $35 for a doctor's visit and $8 to $35 for prescriptions. Hospital ER is $50 and covers everything they may do.

Insurance on this side of the pond is usually around $200-$500 (individual versus family policies) a month and gives you the freedom to see whatever doctor or specialist you need to see, with small fees ($35 in my case) if you need an MRI, CT Scan, etc. I was in the hospital for about 9-10 days and we owed $1000 when insurance got through paying. We only paid $20 for our son :)

I do not want Obamacare thankyouverymuch. I prefer the freedom I have right now versus being forced to pay for insurance out of every check for Obamacare and then paying again if we want individual insurance.
 
Pain management clinics often operate on the fringes of the law with a constant dark cloud of the DEA looming over them. They have gone through the hoops to become a legal drug dealer in the United States and know they have the upper hand in every situation. They are a business that is out for profit "not that that's wrong" so when people schedule appointments and don't show up that is costing them money. The two things these places are concerened with is making as much money as possible and staying within the legal guidelines so they don't get their cash cow shut down. Pass your drug tests "the way they cover their a#$" and show up to your appointments "the way they make their money" and they will love you.
 
the stigma attached to opiate drugs causes so much bullshit for the people who truly need them long-term... it's a damn tragedy. Even asking for benzos from a pdoc has gotten me the "druggie stare," I can't imagine what it must be like having to go around asking for opiates.
 
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