So okay for all my friends this is how my doctors visit went.I just went to ask my PCP for that medication I got in the hospital.She said that she personally could not give them to me but that I would have to go to a orthopediest specialist.Is this the first step to getting into pain mangement??I really need those pills they gave me in the hospital.They told me that if that medication worked that I should take it.It works and I can actually do things without falling asleep.If you have any Feedback,Comments,Ratings feel free to let me know how you think my doctors visit went to try and get those pills from the hospital.
25 Aug 2010
Dear Arc: You never really said what your pain problem was. That would answer what kind of doctor that you need to see. When you go to a pain specialist., I have found (through four different ones), that they will help with chronic pain, and give you meds, but they will NOT try and fix a pain that might be able to be treated instead. This is an important difference. If you have received the problem within the last three months or so, you need to keep finding ways of CURING the problem, and not letting become chronic. That is why you might need different doctors. An anesthesiologist, psychiatrist, pain specialist, or physiatrist, generally treat chronic pain. An orthopedic, will treat pain, but look for answers. So might a rehabilitation specialist. You have to decide which doctor you need, and if your pain can get better. As far as your PCP is concerned, she could have given you some pain meds until you got an appt.
but the FDA is getting down on doctors so bad lately, that they are afraid to be shut down. First they make a law that NO ONE should suffer from debilitating pain, and then they make life hell for t he doctors who treat it.
What state do you live in, and what kind of problems are you having. Maybe someone from that area can help you with doctors. Good luck!!
25 Aug 2010
idk where you live but most PCP's and walk-in clinic dr's and even a lot of ER dr's won't give out Rx's for anything stronger than Rx strength ibuprofen for pain anymore. It depends on whether your insurance requires a referral for you to see a specialist (and they typically consider any dr other than a PCP a specialist - dr's for pain mgmt, orthopedics, neurologists, the list goes on forever) and also whether the specialist you want to go see requires you to have a referral. If neither your ins. and the dr you wanna see require a referral, you s/b able to just call and make an appt.
You'll probably get a quicker appt with a referral, and maybe you should ask your PCP for a referral to pain mgmt, or call the hospital back and see if you could get in touch with the dr you saw there for a referral, bc most specialists are backed up for weeks if not months, and usually your 1st appt is WAY longer than any other visit (like my first vist with my pain mgmt dr was an hour, after that all visits were 15 minutes) and it's hard to find a dr with that long of an opening in their schedule, another reason it takes weeks to months to get in to see one. Since the ER only told you to follow up with your PCP and your PCP isn't helping with the situation, I might try to get back in touch with the ER or even possibly take all the release paperwork from the ER and go to a walk-in clinic and see if they can help you - give you an Rx and/or referral to specialist. But for me I was able to get referrals to pain mgmt dr by the neurologist, orthopedic surgeon, walk-in clinic dr, and ER. I'd been to all of them within a matter of a week or two when my back first started hurting (which happened all of a sudden for no reason that I can think of, just woke up one morning in so much pain I couldn't even get out of bed, had to call a friend to come over and help me, and once they got me out of bed I couldn't even stand up straight and it got even worse over the next couple days til I couldn't walk at all and spent 6 months in wheelchair... but that's a whole other long story for another time).
Long story short, find out if your ins requires a referral to see a specialist, then find out if the specialist requires a referral. If either/both do, probably the fastest way to get in to see a pain mgmt dr would be to see if your PCP will give you the referral. Or the ER you went to. Or if you're in that much pain, go to either the ER again or a walk-in clinic (I'd take all the paperwork you were given when you left the ER the last time either way) and tell them you went to your PCP who gave you no help with the problem and see if you can get the referral and also Rx to get you by til you can get in to see the specialist. And you could possibly tell them that what they gave you barely helped and see if you might be able to get something a little stronger, that way it should last you longer.
I hope that helps. I hope you feel better. I hope things start working out for you better, and soon. I've been where you are, way back when my back just suddenly went to sh*t. I often wish I had freakin broken my back or been paralyzed just so I wouldn't have to feel the pain. Let me know how it goes hun, got my fingers crossed for you! Hang in there and take care, lmk if there's anything I can do to help.
24 Aug 2010
Hi arc, After what you told us about this doctor I though for sure she would help you out, I guess that next step will be up to you and measure your pain level and decide what, if anything more you will or won't do to get the pain relief you are seeking. Let me know how you make out. Fall Queen
24 Aug 2010
Back in 1999 I was sent to an Orthopedic specialist after seeing my family doctor who recommended that I did. It was the 2nd Orthopedic surgeon that ran the tests needed to first diagnose me with RSD aka Reflex Sympathetic Dystrophy. This was the 2nd Orthopedic doctor I saw as the 1st one I was referred to kept telling me it was only a bad sprain and I just had no pain tolerance. He would literally get mad at me, write me a script, and just tell me to deal with it not even knowing to look for my symptoms as a clue to the disease I had (an unreasonable amount of pain for the diagnosis of a severe sprain only) much less run any further tests but X rays.
I ended up going to one that I had went to years before when I had a cyst on my wrist and he took my pain seriously as no X rays showed any fractures or cracks of the bones in my right foot where it all started yet he knew what tests to run to look for other reasons that not only why my pain was so bad but also why my right foot remained swollen almost 2 1/2 months after the initial injury occurred.
You need to make sure you are going to one that specializes in the area of your body that needs tests/attention as now many of these doctors only specialize in one area like feet, hands, backs, and knees but will not look at other areas of the body.
If for any reason you are treated the way I was by the 1st Ortho (or a pain doctor) one I went to, by all means get out of there and find one that can give you a second opinion.
This doctor made sure I was not only diagnosed but sent to a wonderful pain management doctor who knew a lot about my particular disease and my diagnosis was confirmed within a 3mo period verses some people I know who waited for months or years to have a doctor that knew what they were doing to get a true diagnosis of the same chronic pain disease I have.
I will also tell you to be very careful as there are some really good pain management doctors out there but there are also some of them that are only in it for the money; not to help you, diagnose you, or treat you in the way you would need.
Due to the timely manner of getting two doctors to diagnose me, I do believe it is why this disease has spread but hasn't gone full body after over 11yrs now because I was treated early on, put into physical therapy, and had my pain managed correctly.
You will need both an Orthopedic and a pain management doctor to come up with the same diagnosis even if you already have one to confirm the best treatment plan for you including your medications but also so many other things that can help you in the long run.
Medications have helped me tremendously but finally being able to accept and deal with what ended up changing my life forever was as important if not more than the actual medications.
I know I will never get the life I had before back but to finally accept what I have and to never give up to fight for all the capabilities I do have left in me because I was also mentally treated for depression that pain does cause was getting the best of all treatments and not just one.
I hope this helps you. I truly hope you find the best doctors for your care and do not forget to treat all the problems that does include your mind also because when I wasn't able to mentally handle it, nothing could help my pain as much as dealing with it all.
It takes time and a lot of effort on your part to ensure you get this type of care but it is so worth it to help you to get on with life in the best ways possible.
24 Aug 2010
I'm sorry arc, but what the hell does 'I personally can't give them to you' mean? I think your PCP is NOT a good doctor! To let a patient of hers suffer in pain is unacceptable! She knows darn well she CAN prescribe them to you. She chooses not to. If you have to go to a hospital for pain relief until you get in to see a REAL doctor, then do so! It may be 2 months before you can get an appointment. I would make 2 appts asap. One with an orthopedic specialist and one with a pain specialist. Is your doc even helping with that? The least she could do is make a professional courtesy call and see if she can set up an emergency visit since she is not willing to help with your pain. But whatever you do, promise us you will not let yourself suffer. If you need to go to the er, then please don,t hesitate. Good luck to you and thanks for keeping us posted. your friend, chris
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