... magic word or secret handshake that gets you treated seriously rather than as an inconvenience? Four years of alternate numbness followed by excruciating pain when the feeling returns. My blood sugar is fine and I have no diabetes or unusual blood results. I will not tolerate this much longer. Please don't give me platitudes of ways to achieve what I deserve in the first place - some quality of life. These God-Complex morons have us all thinking we're the problem. In my case, nothing could be further from the truth. What now? He acts as though me asking for a referral to a pain specialist is an affront to him personally. I cannot wait several years while I start a new Dr.-patient relationship. I'm 60, and have never had foot problems before.
I'm sorry - I'm not sure what you are asking. What is your diagnosis? Am I understanding correctly that your primary care doctor does not want to refer you to pain management? Can you self -refer? I don't know what your insurance will allow - possibly it could be considered a second opinion. I am sorry you are having such a hard time. It is getting harder and harder here in the US to find doctors that will adequately treat chronic pain. I wish you the best - Eliza Jane
Do you have neuropathy? There are things that help that, like gabapentin or lyrica and cymbalta. I would tell my pcp that I realize he's not a pain specialist and I expected a referral to a doc who was. Can you change docs? Depending on what kind of insurance you have, your doc could have a financial motivation not to refer you. If you have an hmo, he gets paid a flat sum to take care of you a year, and any referral comes out of his pocket.
The squeaky wheel gets the grease, or so I've heard, so start squeaking and LOUDLY!! Yes, chronic pain is so life-zapping that one begins to doubt if life will ever have ANY quality to it, but it will! You just need the right medication.
Demand to be referred to a pain specialist and if your doctor takes it as 'a personal affront' tough dung!
You may want to call any near by University Hospitals to see if they've pain management clinics, then ask your doc to send you there, if he takes umbrage with this, please tell him where he can go. I so agree with you, many chronic pain patients feel as you do, especially women. We are rarely taken seriously to begin with, but if we cry "Chronic Pain" we are labeled hysterics. You may have a better chance with a new doctor. Fire the current doc that is not taking you seriously.
Best wishes to you, most sincerely,
Find a new doc. This guy obviously doesnt have your best interests in mind. I have found that it can take a lot of trial and error to find a good doc. If a GP doesnt want to treat pain, he should send you to pain management, plain and simple. You can give him one more shot and tell him to either treat you or refer you to someone who will or you will find a Dr who will or you can just go the next step and find a new PCP. I know it is a PITA to get to know a new doc but sometimes that is the only thing you can do. The climate in American medicine right now is so anti-opioid that doctors are afraid to use opioids for fear of being sited by the DEA. Normally I wouldnt wish pain on anyone but sometimes I wish these anti-opioid nuts would writhe in pain for a few years to see what it is like. Again, I say let your politicians know what this scrutiny is doing to the legit pain patient. All they are hearing from right now are the parents of kids who abused drugs and died and they want everyone to suffer to keep drugs off the streets (which is oxymoronic)
If you are in a system that has a co-pay for Urgent Care-go to Urgent Care-just say that you hurt- tell what hurts, don't complain about your doctor. I promise that you will get the attention of your doctor and of the system. I did this to get a diagnosis-of course my doctor expressed dissatisfaction. I was told if I was really sick to go to the ER. I did- it was a $6,000 + bill. I was dehydrated, etc. I pretty much go where I want- and they sort of let me. 4 some reason a nurse was weighing me in 10 lbs heavier-and that doctor didn't believe me. I got an appointment with a dietitian-only way to get an independent weigh-in, and then went in shorts and tank top with the same day doctor visit.. Took the results to the clinic head-I also had the good fortune of lab work being mailed to me that showed my thyroid was out of range-so I could add that to my complaint. They had a year's wait for a new doctor- I had one in 48 hours.
RaymondA, sorry if this comes through twice, I'm new and finding my way around. I can sympathize with your problem. You may not need a referal to see a pain specialist. I've been a patient at a local pain management clinic for over a decade and never had a referal. I met my Dr. in the hospital when I was in for an unstoppable migraine. I asked if he would take me as a patient and he did.
See if there are any pain management clinics in your area. They are usually strict, but you won't be treated as a drug seeker or blown off as a complainer. They are also not afraid to prescribe drugs that other Dr.s seem to be. Don't wait for a referal, do some independant looking.
I hope this helps.
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