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Does anyone else feel like your doctor just doesnt listen?



  • dilaurodilauro ConnecticutPosts: 13,528
    So many times we hear in this forums about a doctor not listening to a patient.
    Stop back for a second and think about what is doing on.
    Yes, some doctors will not readily prescribe pain medications nor should they. First, they need to completely evaluate the patient. Once they do that , they should be in a good position to determine what medications are in order.
    Now, of course as a patient, you can always disagree.
    Then it is up to you to find another doctor that will address what you are looking for.
    That does not make you or anyone a pill seeker. Doctors need to be very careful about what narcotic medications they prescribe.
    The best scenario is working with your doctor and finding a happy medium. I have yet to run into a doctor that will not prescribe pain medication when it is needed.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • I actually did work with my second GP on it, but he immediately sent me to the pain management doc who screwed up the other side of my neck. On top of that, the PM doc seemed to prescribe me medicines that werent taking care of the pain, more muscle relaxers that didnt do a thing. I told him on several occasions that they did nothing. He only prescribed me pain meds once and that was after begging him for them due to the pain and an upcoming trip.

    I understand how cautious all of these doctors are due to pill seekers. The problem is, the doctors had my X-rays in hand and could see the problems and knew what they could cause, but still refused any sort of reputable treatment. That is, other than Cortisone injections that hurt me more and muscle relaxers that did nothing for the pain.

    As I said, I am going back to my original GP doc. He actually listened to me and tried to help with any situation that came up with my neck and back. It helps that my wife, a nurse practitioner, worked for him and is good friends with him.

    Maybe there should be a law put in place for these pill seekers, making it a federal offense with a 3 year minimum prison sentence. That way, the real people in the world who legitimately need these meds are covered.
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  • There is little that someone who is looking for pain medications or any other drug won't do to get them, so a prison sentence is unlikely to stop the behavior.
    As far as how PM's respond, well they do have licenses they have to protect. Anyway, PM is a series of treatments that start at the non invasive end of the spectrum and work their way through , until they come up with a combination that will help relieve the pain, is not too invasive, and if necessary, finally leads to surgery/surgical consults.
    Typically, treatment starts with prescription anti inflammatories, muscle relaxants, mild pain relievers, and then possibly moving up the treatment plan to injections, and there are a whole series of those to choose from based on what the films and xray, MRI reports, etc all show to be the problem.
    If those don't work, then there may be an increase in the type of pain medications offered, to include stronger muscle relaxers, stronger mid range pain medications, and PT, more injections and therapies.
    At about this far along the treatment plan is when you also might be told to see an ortho or neuro spine surgeon for a consult.
    The idea behind the treatment plan is to try the simplest, more common treatments to see if they are effective at treating the pain and inflammation, while avoiding the more invasive therapies.
    None of this happens on the timeline that we would all like to have, find the problem, fix it, treat it, cure it- but it is how it happens in most practices today.
    You have to build a relationship with your PM, as with all other doctors who treat you, in order to establish the trust and respect that comes with getting to know that you can rely on your patient and the patient can rely on you as their PM. It's not an overnight thing, as much as we might want pain relief now , today, we may not get it right away. Pain medications work differently for each individual. None of them will work the same way for someone else. It is a period of trail and error to find the right medication or combination of medications for someone while minimizing the side effects that would prevent someone from taking them. Too much nausea, someone will not take them, too sleepy, won't take them either- etc.....
    I don't know how long you have been seeing this PM, but if he does not include medications in his treatments, then you might want to see one who does. Not all of them do anymore and the patient needs to find that out.
    Best wishes to you,
  • Jailing drug abusers is a failure of massive proportions unfortunately. I mean there are thousands of people in jail for tiny amounts of marijuana, who leave prison WORSE off than when they went in. Maybe more violent, maybe psychologically damaged, who knows?

    The DEA is a psycho organization that makes it hard for doctors to feel safe prescribing medications. The doctor should not be at fault if he thinks for sure someone is in pain and it turns out they're a drug dealer, that's not his fault. If he knows, or prescribes massive amounts that's something else obviously.
  • It is my understanding that nurse practitioners can write prescriptions for medications. Can you not get your pain meds from your wife? Maybe there are rules against this that I am unaware of, don't know. But that would certainly solve the problem if your wife were able to get your medications for you.
    xtreme said:
    I explained to the pain management doctor, that if they would just operate and fix the problem, I wouldnt need meds. The problem is, they wont do that until I am(What seems like) basically paralyzed.
    Just wanted to chime in here that surgery isn't always the answer, and often we are left with more neck pain after surgery than before. It sounds like your pain is mostly in your neck and not affecting other extremities, and I was told by my doctors that they won't do surgery for neck pain only, as they can't guarantee they will get rid of it. However, if you have cord compression or nerve root compression, they are more apt to operate, feeling that decompressing the cord or affected nerve root will relieve your symptoms.

    Have you tried a TENS unit? I use mine daily and it gives me more relief than any medication I take. Good luck, and I hope you get some relief soon.

    Surviving chronic pain one day at a time, praying for a reprieve because living another 40 years like this doesn't sound too fun!
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  • Neck of Steel said:
    It is my understanding that nurse practitioners can write prescriptions for medications. Can you not get your pain meds from your wife? Maybe there are rules against this that I am unaware of, don't know. But that would certainly solve the problem if your wife were able to get your medications for you.
    I wish it were that easy. While my wife can write prescriptions, it is only under the watchful eye of a doctor. It becomes even more suspicious under the DEA's watchful eye if you are writing scrips for family members. So that is out.

    I hear you about surgery, it can go either way. My nerves are on the verge of being pinched as per my xrays, so maybe that will help in seeking a surgeon to do something. It is a shame that meds seem the only way to go. After getting injured at the hands of my last PM, I am a bit more hesitant on trying another as the doctors around here have little to no time for each patient. To top things off, my 7 day a week business doesnt help matters. It wont be until mid September until my schedule loosens up a bit, though I am going to see my original, trusted GM soon to at least get some meds before then.

    How is it that these athletes hurt their neck and are operated on the next day, yet it takes a normal person years to get the same treatment? ( I already know the answer... $$$$).

    Thank you everyone here for the help and kind words.
  • a nurse may be able to write a script like a blood preesure med under an dr and so can a PAC but that doesnt include narcotic pain meds, one has to have a DEA # to do so and that requires that one is an MD, at least thats how it is in the USA. in other countries like mexico for instance you can buy some meds over the counter like vicodin and valium and you are allowed to bring back to the usa up to a 3 month personal supply. when we going?
  • Nope, my new pain management "doctor" is a nurse practitioner and she prescribed fentanyl patches and kadian for me, both narcotics. I am in the US, in New Hampshire.
  • Ah New Hampshire, one of the sane states of New England. I hate Massachusetts!
  • DonnaJay said:
    Nope, my new pain management "doctor" is a nurse practitioner and she prescribed fentanyl patches and kadian for me, both narcotics. I am in the US, in New Hampshire.
    Yes. She has to work under a Doctors license though. That is federal. If you were a family member, it would be a no go as far as prescriptions are concerned... unfortunately. If my wife could write me prescriptions(Yes, she has a DEA #), I would have never found these boards :))(

    Again, I thank everyone. It is very disheartening to hear that others experience the same difficulties in getting the relief that they deserve.
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