Central NJ Pain Management

Central NJ Pain Management

Welcome to Spine-health’s Pain Management patient community. You can also read doctor approved Pain Management Articles.
3 posts / 0 new
Last post
jegspineynj
Offline
Last seen: 3 years 10 months ago
Title: Member
Joined: 06/10/2010 - 2:15am
Central NJ Pain Management

Hey Everyone,

I am a new member on these forums. I just posted my first topic in the Lower Back forum. I am having an issue with my pain management doctor. I've been to four different PM docs and I keep having issues because I am 24.

So I went to my first PM doctor and he was really good, but he wanted me to get an Epidural right away, but at the time my insurance was investigating me to see if I had a pre-existing condition. So he gave me 90 5/325 percs for the month and said if I couldn't get an epidural by the time the script was done I wouldn't be able to go back to see him. I was forced to go back to my PCP for medication. He was only giving me 60 perc 10's at a time so I found a second PM.

I went to the second PM doc and she put me on Lyrica, and continued the Percocet and then she gave me the same ultimatum about getting an epidural. I was still under investigation, so I was uncomfortable getting an 11,000 dollar procedure if my insurance wasn't going to cover it. She ended up calling me a liar and a drug addict. Even though she worked in the same hospital as my mom.

My PCP switched me from percocet to oxycontin. But he took me from 6 perc 10's a day to 20mg OC every 12 hours. I was in SOOO much pain I had to try and find another pm that would be understanding.

I found a guy that has several office locations and runs an office at night in my area. I had heard good things about him. He was the first person to treat me like a human being and he was the first one to do an EMG. He took care of me and finally started medicating me so I could be comfortable. But he is always late, his office is a mad house. There are some normal people there, but I can definitely see that there are a fair share of drug seekers. I feel so uncomfortable because I am a totally legit pain management patient. I've gotten two Transforaminal Epidurals from him, and I trust him. But like I said, his office drives me NUTS!

So I went to a fourth doctor for just a consultation and he told me I am on way too much medication without ever even seeing my EMG. My MRI shows nerve impingement on 4 different levels. I didn't ask for any medication, I just went to get a consulation. He spoke at me, not to me. I left the office in tears because I try to be as conservative as possible with my meds.

Does anyone have any suggestions on how to find a regular pain management doctor in Central NJ that isn't going to treat me like a child or a drug addict. I feel like all the doctors around me just do injections and no meds. I not trying to be a drug seeker, I am just trying to get the right amount of meds so I can work and do what I need to do. I am frustrated, scared, and at my wits end.

Thanks,
John

advertisement
J.J.Grey
Offline
Last seen: 2 years 6 months ago
Title: Member
Joined: 06/23/2008 - 8:45pm
Unfortunately

I have seen many young people that are treated exactly as you are. It is not fair to assume that you are just a drug seeker but you have had a glimpse of what these docs deal with everyday. It is very unfair but I do see how many of these docs just get suspicious of everyone given what they have to deal with.

My only suggestion would be to have an initial consult with a doc and be totally honest with him about what you have been through and how you have ben treated with these other docs. Lay it all out there for them and tell them that you need a doc that is willing to manage your pain and ask what their treatment plan would be before you commit to becoming a patient.

If you go through too many docs you will not only be seen as a drug seeker you may also be labeled a doctor shopper. Remember many people that are drug seekers just hop from doc to doc in order to get what they want.

I really believe that you have to stick with 1 doctor and earn their trust just as much as they need to earn your trust.

Many PM docs are being very careful because of the liability that they assume when prescribing these type of meds. My guess would be that the reason that they want you to get an injection is because people that are really in pain would normally try anything to get relief. People that are just trying to get drugs would most likely not put themselves through getting an injection.

I hope that I made sense to you and I really am not siding with the docs that have mistreated you at all. Just trying to explain to you how they may be thinking so you may be better able to find a good doc that you will be able to work with.

Good luck to you and please keep us posted.

John
John's picture
Offline
Last seen: 8 months 3 weeks ago
Title: Member
Joined: 06/20/2008 - 4:07am
How are you.

In trying to find solution we all look to those who we think can help us and the more accumulative the numbers of doctors you have seen the more the issue seems about you rather than your condition and I would as suggested by JJ and try to find a satisfactory outcome with one doctor.

Although opinion will differ taking increasing volumes of medication although understandable, is not the best solution if finding what the underlying problem is, we all wanted a quick and helpful plan and this can take time. Did you explain to the second doctor about your epidural issue, this may well be the next recommended approach and part of the improving management process, even if the epidural only lasts a length of time, two doctors have suggested that this may be the next stage of your treatment.

You say you found a level of medication that was appropriate for you and effective how far away was that from the reduction that was recommended, the fact that the timing of you epidural was not helpful for you was not your fault and in trying to manage it more effectively.

Try to develop that working relationship with one individual and work together.

Take care.

John.