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problem with pain drs

terror8396tterror8396 Posts: 1,832
edited 06/11/2012 - 7:22 AM in Chronic Pain
i am glad i am going back to work,teaching, tomorrow. i've been posting too much-ha ha. well back to semi serious. another thing i have noticed lately is the number of people who complain about their pain doctors and how they are treated. it seems to this humble poster that it is quite a lot lately. i for one have for the most part never had a problem with pain dr's. my first one retired, 10 years, the second one i did not like they were not very compassionate and the last-one and one half years. for the most all were compassionate and did not accuse me of drug addiction or i did not get the feeling that i was not liked. remember these guys have the hardest job in medicine. people demanding narcotics, being lied to, exaggerations, and the worse not bringing in test results to show them. if you have mris cat scan etc one needs to bring in all tests and reports, drs are not going to make a diagnosis on the spot and prescribe drugs because you feel you want them. there is a systematic proceedure that one has to go through before meds are given. rarely will they give you meds at the first visit. i had to go through a whole routine before given meds, mri discography, nerve test cat scan x=rays blood tests office visits etc. so are some of you paranoid because you think they don't like you? you have to work with them. don't go in and say i can only take narcotics because i am allergic to naisd's etc. red flags. if they give you nerve pills it might be they don't write scripts for narcotics or they might suspect you of wanting drugs. some won't give out narcotics at all
pain free and happy lives for all
give the guys a break
jon >:D<
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.


  • Amen Jon. Too often we forget that even tho sometimes it may not feel like it at the time, Doctors are humans too! Just as with all people, there are good Doc's and bad Doc's. The same can be said for Dentists, firefighters, mechanics, parents, teachers....and we shouldn't get tunnel vision and lump ALL PM Doc's together just because we might have had a bad experience with one.

    We all have the same goal....to get better and to be pain free or at least have our pain decrease to a level of more "normal" functioning. We need to remember to work with our doc's in order to achieve this goal. Doctor's aren't mind readers....like Jon said, show them the test results, imaging, etc. so that they can help us and for the most part, they WILL help. And if you do get a 'bad doc', then by all means, find another! We all deserve to be treated with respect, but keep in mind-so do Doctors.

    Take care of you....
  • and that being said I think that they are quite capable of being in it for the $ and having no compassion at all. I think that even if they start out really wanting to help people in pain they can over time become calous from being lied to and start to think that most are just addicts. I also have had very good luck with PM. I have had the same one for over 4 years. I have heard him talking to the nurses in the hallway about so and so that just left just being a drug seeker on many occassions. But, I have always followed his instructions to the letter and actually was resistant to the meds at first so I have never had any problem getting the meds that I need. Actually, since he is about 1 hour drive for me, he is nice enough to write the script for more than I actually take so that I do not have to go so often. I still think that there may be lots of folks that he is labeling that do not deserve it.
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  • would like to hear some personal stories from PM docs, nurses or someone who has worked in a PM office. There is a site where pharmacists post. THAT was an eye-opener.
  • i have sat in offices and listened to patients complain to drs out in the open in front of everyone. they want more meds what they have does not help etc etc. they have not shame trying to get meds. once a woman in a wheel chair came in without appt and wanted to see dr. she told staff he once gave her something that began with oxy and she wanted more. remember she walked in and demanded meds. also people in office all seem to talk about what they are taking and how much then they ask you what you take. with all of this going on in the office, no matter pain drs think that a lot of people just want drugs. this is the reason my old paid dr retiired. he moved to lake tahoe to get away from this silliness and the patients followed him. he did not give out drugs haphazzard but he was tired of all of the crap. this is why they don't believe people or are suspicious
    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.
  • Absolutely Jon! I agree with you.


    The same can be said for police officers-in fact, my dad is a retired policeman from a high crime city. After 20 years he cant help but believe that most people of a certain color are "bad" just because that was 95% of who he arrested for doing bad things. It doesn't mean that all people of that color are bad-but in his eyes it sure looks that way! Does it make it right? Does it make it wrong? Pain Doc's have the same dilemma, and you're all right-we all see it every time we go in for our own appts. There's always people that want these meds for reasons OTHER than pain...but that's not fair to those of us that need them, is it? Of course not...but what can WE do about it? We can be honest, and hope that our Doc's don't ever lump us into that same group of people.

    Isn't it sad how things have gotten over the years? What scares me is wondering how much worse things will be 5, 10, 25+ years from now-not only for us, but for our kids and grandkids. Scary.... :S

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  • a comment was said the pain drs are capable of getting in it for the money and having no compassion after being lied to over time. to become a pain dr most start out as anethesists(sp?) my ortho said he would never become one and it is the hardest job in medicine. anesth. have he highest rate of complaints and of malpractice that other drs. their insurance rates are also high. i don't think this is a field that people would get into even if they were lied to and made a lot of money. you have to go to classes and are constantly monitored by the dea. my pain dr told me a story about having to go to a a class because some paperwork was missing from a patients's folder. in fact less and less people are going into this field due to malpractice and harrassment by dea. this excludes also the fact that they are lied to and complained to by their patients in order to get drugs. i can think of a different medical field that would be less hastle and more money. it is like teaching. it is always easier to blame the teacher instead of the student or his/her parents for bad grades and behavior problems. one needs to be compassionate in both fields or it will not be worth the hastles or money.
    i infact respect pain drs eventhough i disagree with what they say or do to some patients
    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.
  • I have to say that I have been referred to a great pain doctor who really cares about where I am. I had been seeing another one for about 6 years and all she offered me were trigger point injections and non-narcotic pain meds. They helped some, but as the years went on and the pain got worse, it was the same old thing. She isn't even the one who suggested I have an MRI when I started having numbness in my hands and pain radiating down my arms. My Primary is the one who said "we've got a problem here". The neurosurgeon who did my ACDF referred me to a pain doctor who is fairly young and I really like him. He is not opposed to narcotics, but at the same time wants to be careful in how we use them. He is talking about doing some type of a bone scan to see if I've got some facet joint issues (which he strongly suspects) and doing injections. I'm holding off on those, but will most likely give in. I agree with the folks who are saying, it is your body and you alone know what you feel like. If your doctor isn't listening, it's time to gind another one.

  • The pain doctors in my area, which are very few are just injection factories.My PCP who knows how bad my reaction to steroids was during my gout attack could not get himself to unleash me on them, thankfully.I have done physical therapy, massage, ice packs, and hope to try acupuncture in the coming months.
    I do get meds thankfully from him, but it will only be Norco and no muscle relaxers or LA meds.I am grateful, but I feel that other therapies may help too and wish that injections were not the first line around here.To make matters worse, I still feel something "bigger" is going on and feel under treated at times.
  • I agree with everyone here, everyone has there own eperiences with there own doctors. Some truely do care some just do it for the money. I have most recently after 8 months found another great great doctor who listens. Its very hard, but in my opinion i would find i doctor who has had back problems and surgeries like mine so they know what pain is like and what helps it when muscle relaxers, and surgery isnt the question due to age.
  • dilaurodilauro ConnecticutPosts: 11,347
    I have read so many posts talking about horror stories with their pain management doctors and then I have read so many that have been totally happy.
    I am one that has been totally happy. My pain management doctor (who we really call a Psychiatrist here, we dont have many pain mgt doctors and the ones we do really just do ESIs and other surgical like procedures.)

    One thing that I have seen is that people are looking for their pain mgt doctor to write scripts for all different types of medications. This one didnt work, so give me another one, this one isnt strong enough, give me something stronger.

    From the time I first met my doctor (over 2 1/2 years ago) we have had a super and trusting relationship. She understands my condition and she makes sure that I have had all the proper diagnostic tests, have regular blood work done and we talk about my pain medications each visit. She insists on seeing me every 4 weeks, which I enjoy and she calls me at least twice in between. She knows that I was trying so hard to eliminate the oxycontin from my routine and together we were able to do that. But thats the way I look at this, we work together. And I would have to say in over 35 years in dealing with various medical professionals, I have found that establishing an open and trusting relationship is so very important

    Working with doctors and other medical professionals is a two way street. We have our expectations and they have theirs. Hopefully those meet and when they dont both sides owe it to try to work things out.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
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