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I liked this ( written by doctor ) :

There is no substitute for time. Checklists and boilerplate intake forms are impersonal and often confusing. Medical histories taken by less experienced personal are often too superficial to be useful. Other than the simplest medical problems, it’s impossible to diagnosis ailments with any degree of accuracy without time. Ample time for the patient and the physician to discuss the patient’s problems is an irreplaceable component of diagnostic medicine.
Do your due dilegence, trust you know your body and question everything if it does not fit. Advocate for yourself and you will be suprised what will be revealed trusting your body and instinct.


  • In the last 9 years I've seen between 40-50 spine specialists not including therapists (PT, massage, yoga, weird) chiropractors etc. That's just surgeons, pain management, etc. Many of them were single 'assessment' appointments. I've been wracking my brain but I can only remember 3 of them actually touching me, physically examining me. 2 of them are now my regular specialists....PM doc & surgeon!
    For most of them I've filled out forests of paperwork. Tattooed endless little outline people with various symbols (xxx, ooo, ---) trying to indicate the variety of pains & sensations that zing around my body. Spent seemingly endless hours answering stock questions while a nurse tippy-taps away on a keyboard, rarely concealing frustration when I don't give simple yes-no answers, only to spend 10 minutes with the specialist who rarely looks at the computer or brings up my imaging. They glance at the typed summary of diagnostics & jump to the common conclusion, "I'm completely & utterly xxxxx!!".

    I agree with that quote. It takes time but time is money & often in short supply. It also takes time to build relationships & trust with our doctors (particularly in the current anti narcotic prescription enviroment) but how many months/years have I wasted building relationships with docs who decided within a couple of minutes that "I'm completely & utterly xxxx!" & never really looked further to truly help me chip away at the unrelenting pain I live with?

    Fortunately with my limited level of functioning in life I've had plenty of TIME to find good specialists!
    I truly feel for those who don't have the luxury of time & have lost jobs, relationships, homes, lives to chronic pain. Sometimes reading these forums & reading how people's lives change with time & chronic pain breaks my heart.

    Thank you to everyone who sticks around to remind us that with time some people's lives DO return to 'normal', their are great doctors & fantastic good news stories out there....most of them don't take the time to write on chronic pain forums!
    Osteoarthritis & DDD.
  • To both of you I wished I had the skill to put it all in words like the both
    of you just did. The truth of it all like you and I have talked Englishgirl
    one of the biggest things for me was in the past year to get all my
    Doctor records and to review them. I admit I am not the best at communicating
    but there comes a point where it just boils down to who was this person
    they talked to, did tests on, gave information to, called, made a plan, touched for
    sure, listened to on and on. Those records follow us and down the road haunt our
    care and in the end who comes out being the honest person not me.
    Sure take words said out of context to a point and then it becomes something else.
    I have witness to many of my experiences and lost faith time and time again, the
    only thing that motivated me to keep on was a dear friend that I met here.
    Time spent like said huh last apt. one hour in waiting room then 5 minutes with
    nurse and wow in the end 10 minutes with the Doctor for what? I left in tears
    begging him to help me, that I would do anything to lessen this pain. The result
    he would call the next day and as always was there a phone call NO!
    What now we pick ourselves up and struggle on with high hopes this one or the
    next one will make our dreams come true just a little relief tell me what to do.
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  • Motor1MMotor1 Pittsburgh, PaPosts: 606
    I've had plenty of time to think about everything I've been through. Tomorrow (March 3) will be 2 years since I injured myself at work. I've since had 2 surgeries, been to 3 different therapists, had so many injections (I've lost count), I've lost count of how many doctors I've been to also. I'm on more meds now than I've ever taken in my entire life! I sit here & reflect on how I got here & how I don't want to accept that "this is where you are" according to my pain doctor. I do trust him, but he is starting to get frustrated with me because when I see him every month, he wants to just write the refills on my meds & be done. I want to talk about what else I can do to help my pain? Is it wrong for me to not want to accept that this will be my life now? He gave me a referral to a neurosurgeon. I will go see one but the thought of going to another new doctor & starting from the beginning with my medical history, is exhausting! Plus, being on gabapentine, my memory has been affected. And now I have to hope that this new doctor has the time to actually sit down & read all my history & talk to me about it. Ok, my little rant is over! Ha!
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