the years that i have been on this site, i think the main or major topic or tone are patients not getting along or not having a good relationship with their pain drs. it seems to be the main issue and the main incident with depression and pain. why does there seem to be so many posts about bad things with pm's. i don't know and maybe it is just the nature of the beast with this site, venting about bad things. the main problems with pms seem to be treating us like drug seekers, not enough meds to help, not believing us, talking down to us, etc etc. is there a magic panacea that can help? all i know is i will try to offer a few suggestions without sounding like a know it all. maybe these are a few reasons we feel negative
1. maybe tension with the patient when one is going to a new pm
2. feeling like i won't be believed
3. there is no proof with tests
4 , dr is a jerk with a know it all personality and comes accross as he knows it all and you know nothing.
5 signing a pain contract, having blood test and counting meds
6.bad relationships in the past with pm's
these seem to be the main issues or reasons with patients with pain drs. i am
sure there are a lot i missed.
well how do we solve these problems or issues?
i can only offer a few suggestions that have helped me i am not trying to come across as a know it all and i am perfect, but this is what i do and have done with pm's
1. go in to the office with a smile for all, receptionist, nurse, dr all people
2.not telling my life story and my relationship with pain. i have come across with patients sitting in the office telling each other horror stories and asking what meds they are on. remember the front desk can hear this and it can get back to the dr.
3 not complaining if dr is late. i know most pms are chronically late and mine has been up to 1 and 1/2 hours. i just sit and smile
4.smilling and shaking the hand of dr even if he is 8 hours late
5. when he asks what is the problem and why are you here, don't come over as a whinner or complainer. be brief. yes you are in pain but dr hears stories like this all day.
6. remember you are not the only one in pain there are others out there so don't keep the dr busy and away from other patients. even if we feel it, we are not the center of the universe
7. when he examines you, don't be dramatic and a drama queen or king. drs use this as a tool because most things they do don't cause extreem pain. if it starts to tell him or her and stop what you are doing
8 don't say only narcotics help me and i can't take naisd's-major red flag
9 don't say meds i am on don't work and i need something stronger. if they don't then phrase it in a way that won't make dr feel like you are there for meds only.
10 treat him like a partner not an adversary. always be pleasant and nice.
11. listen to him and his advice and don't interrupt and say that won't work, i have tried it.
12 if he has rules, don't complain, say yes i will follow and do sign the contract, it won't kill you.
13. always be on time and never ever miss appointments even if he gave you a script for meds, oh boy i got my narcotics, now i won't have to see him
14. if he wants to do a procedure, do it, steroid injection, discography etc even if you know it will be painful
15. when over, say thanks, smile thank him and be pleasant.
16. if he says something that really pisses you off like giving you less meds or strengths etc, don't be angry say i will try and make an appt in a couple of weeks to let him know if it helps or not
these are not things that will always help, but i try to do these. i always try to be agreeable and nice and not argumentative. shake his hand thank him and when you leave thank the staff also. you will be surprised how their input is valued by the dr. remember these are just suggestions and not an i know it all attitude. i try to do these and like i have said, for the most part, i have had excellent relationships with my pm's
just ideas to throw out there. try and see if they help, if not so be it, it seems to work for me.
I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.