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MS Contin ER (Extended release morphine
#21
(05-31-2011, 12:34 PM)Cycler Wrote: No one is too young for a pain pump - kid down the street has one at age 26 after a bad cycle accident which allowed him to get off all the narcs that made him dipey and is now working a 40 hour week in a reasonably physically demanding job. SO maybe you shoudl ask if your guy even does them as there may be a financial disincentive to refer you out and fix your pain. Are you a patient or an annuity in other words?

I recommend you do Google Prialt. There's simply no place for "five different drugs" in todays' pain management world - especially all the the tylenol you are on. Scares me to death even reading that.


I have been involved in the WC Circle for almost 8 years. I have been trying to settle for at least 4 of the 8 years and I an still bound by WC. Getting ANY changes through WC is like squeezing blood out of a turnip. I know this system pretty dang well myself.

I hurt; I hurt like a SOB at times. I also know rocking the boat until settlement causes major delays and mental anguish.

I am a Very strong/opinionated man who had a severe car wreck in 2003. Pain relief is my only option through narcotics because my options are very limited. Pain pump has been discussed and taken off the possibilities 3 years ago. I cannot fight a bear with a bb gun and that is reality.

My PM Doctor is a good man. Besides the Tylenol intake, My cocktail is fairly low in mg and mcg/hr for Fentanyl patch. I do what I can do and live within my restrictions.

Also, I am low 50's in age not 26. I am disabled; draw a pretty good SSDI check and WC pay with no offsets. I want to settle before the 10 years is up and I want to control my own destiny with a MSA that is currently being reviewed by CMS.
 
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#22
A pain pump would seem to offer you many advantages then and Prialt is the current preferred injectate although many others are commonly used as well. There is no contraindication for use of the pump, mew reservoirs can be filled for 120 days or so and side effects are minimized due to the low doses involved while pain relief is maximized without the impairment of oral opiates. Perhaps a university level consultation would be in order then.
 
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#23
(06-01-2011, 08:35 AM)Cycler Wrote: A pain pump would seem to offer you many advantages then and Prialt is the current preferred injectate although many others are commonly used as well. There is no contraindication for use of the pump, mew reservoirs can be filled for 120 days or so and side effects are minimized due to the low doses involved while pain relief is maximized without the impairment of oral opiates. Perhaps a university level consultation would be in order then.

How do you propose I get this done? Not a chance in Hell WC would approve this.
It sounds good on paper but It would never be approved.
 
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#24
No ? Why not?

It is the current state of the art and best practices and much much cheaper than your meds over the life of the device. Any decent credentialed Pain Specialist can write a letter that should overcome any resistance of an adjuster in my experience. The primary risks of long term opiate use is death from accidental overdose ( yes - it happens) and accident due to impairment. Those are non-issues with a pump. These pumps are being implanted by the thousands daily all over the country. Simple push back from an adjuster seems a minor obstacle. Is your situation really that unique or do you nned to be at a different Pain Center ?

As my pappy schooled me: when something doesn't add up, follow the money.

(06-01-2011, 09:53 AM)freebird Wrote:
(06-01-2011, 08:35 AM)Cycler Wrote: A pain pump would seem to offer you many advantages then and Prialt is the current preferred injectate although many others are commonly used as well. There is no contraindication for use of the pump, mew reservoirs can be filled for 120 days or so and side effects are minimized due to the low doses involved while pain relief is maximized without the impairment of oral opiates. Perhaps a university level consultation would be in order then.

How do you propose I get this done? Not a chance in Hell WC would approve this.
It sounds good on paper but It would never be approved.

 
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#25
(06-01-2011, 10:08 AM)Cycler Wrote: No ? Why not?

It is the current state of the art and best practices and much much cheaper than your meds over the life of the device. Any decent credentialed Pain Specialist can write a letter that should overcome any resistance of an adjuster in my experience. The primary risks of long term opiate use is death from accidental overdose ( yes - it happens) and accident due to impairment. Those are non-issues with a pump. These pumps are being implanted by the thousands daily all over the country. Simple push back from an adjuster seems a minor obstacle. Is your situation really that unique or do you nned to be at a different Pain Center ?

As my pappy schooled me: when something doesn't add up, follow the money.

(06-01-2011, 09:53 AM)freebird Wrote:
(06-01-2011, 08:35 AM)Cycler Wrote: A pain pump would seem to offer you many advantages then and Prialt is the current preferred injectate although many others are commonly used as well. There is no contraindication for use of the pump, mew reservoirs can be filled for 120 days or so and side effects are minimized due to the low doses involved while pain relief is maximized without the impairment of oral opiates. Perhaps a university level consultation would be in order then.

How do you propose I get this done? Not a chance in Hell WC would approve this.
It sounds good on paper but It would never be approved.

Seemingly, You have had "little dealings" with the WC System. I travel 110 miles one way to go to a Pain Management clinic.

I was told that due to the location of my injury (T10 - T12), Use of A Pain Pump and locating the lead in this area is "hard and dangerous" due to the location and the spinal cord. Now it was 3 years ago and my explanation might not be exact but It is not going to happen.

I guess I will die taking Opiates. You draw a grim outlook for me...
 
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#26
cycler sometimes it isnt a money issue its a ego issue.....adjusters sometimes just like to hold things over our heads cuz they can......it is why so many good Drs wont work with WC any more....its a do what I want you to or you aint getting Kaka issue.....you will settle for nothing just to get out from under them and they know it....
........I love cats, I just cant eat a whole one by myself......







 
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#27
A pain pump does offer many advantages but there is room for human error with the pump.

My daughter's pain pump was implanted when she was 10 yrs. She died less than 6 months later due to an overdose, an error the neurologist & nurse made in settings of the amount of medication she was to receive.

 
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#28
there is room for human error in anything
........I love cats, I just cant eat a whole one by myself......







 
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#29
I suppose that is too often the case but isn't there always a legal remedy to capricious denials ?

(06-01-2011, 11:10 AM)jayne Wrote: cycler sometimes it isnt a money issue its a ego issue.....adjusters sometimes just like to hold things over our heads cuz they can......it is why so many good Drs wont work with WC any more....its a do what I want you to or you aint getting Kaka issue.....you will settle for nothing just to get out from under them and they know it....

 
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#30
yes but it takes time...sometimes years to get thru the court systems....and when you get thru them there is always a second and third opinion
........I love cats, I just cant eat a whole one by myself......







 
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