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Doc Visit Today-HELP
#31
Limbo;

One of the areas of intense disagreement and even professional sniping is between the interventional [pain professionals, you know, the ones that open up a "Pain Clinic" and will see you as long as they can make a small fortune sticking prednisone into your spine but are not qualified to practice comprehensive pain management and so have no incentive to continue to provide pain meds monthly at what - 13 dollars an office visit.? ..and true pain management specialists who utilize multi-factorial approach to the life problems of living with chronic pain and offer far more than just another injection.

Believe me when I tell you that the communications are not cordial and big bucks are at stake since the payors are now asking why they are spending all this money and not seeing any results in getting people back to work or off medications or whatever.

Understand it better now ?
 
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#32
hi guys, i wrote on another thread that here in il. as my doc explained to me--they go by your blood pressure to tell if you are in pain or not. he says it is extremely helpful in the er where many druggies go to get a fix--if their blood pressure is normal they are only prescribed tylenol anything above normal they believe you that u are in pain and write scrips for what will releive your pain. it really does make since i feel for anyone who cannot get the pain meds they truely need--ivew been there before and even with an elevated blood pressure the doc had no idea of my disease and called me a druggie when i showed up in er screaming of pain--it was only when he contacted my docs did he begin to un derstand what amount of pain i truly was in.. i couldn't imagine any life without my pain meds--i to would look for another doc--perferably someone in pain management who understands pain and is not afraid to perscribe them as you are typicaly monitered while u or on them
good luck and remember we all deserve to live our life as pain free as possible for some pain meds are what give us our quality of life

cheers!!!!!!!!!!!

fireball!!!!!!!!!!!!!
 
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#33
Fireball, I understand what You are saying about the Correlation of High Blood Pressure and Pain, but You have to remember all of the Folks, such as Myself, that take Blood Pressure Meds. So I would have to Disagree with that Dr.'s Approach, I'm not Disagreeing with You, but I have Severe Chronic Pain, Medically Documented, and My Blood Pressure Averages 120-125 over 80-90. If You are given the Correct Meds. for Pain, or Blood Pressure, the way Your Dr. Prescribes Meds. would Leave Me in Severe Pain, and Bedridden!

Cycler, I Totally Understand what You Mean by these "Overnight Corner PM Clinics" where an Anesthesiologist takes a few Extra Classes and becomes Certified as a PM Provider, and throw the Shots and Meds. at Folks for True Profit, and not Caring about the Patients they See. There is 2 within 15 Miles of My Home, and I Live in the Country!!Rolleyes My PM Dr. is not Only Certified in PM Management, She is also a Pysciatrist,(Spelling?), does Acupuncture, and the Office She Practices in has the Full FCE Equipment Installed, the Flouroscopy for Injections, and when I Asked My PCP for the Initial Referral, He Stated that this was the Best One in the Area, and I've had Great Luck there! My Injury and Subsequent Surgery has left Me Totally Disabled, and My Condition will never Improve, but only Decline, and I'm Very Glad She is at My Side to Help Me along! But there are good PM Clinics and Bad, and I would Probably Venture a Guess there are More Bad than Good out there Today, and I Hope in the Future they can Somehow Regulate them Better, so that there is More Good than Bad! So Yes, I do Understand Your Point!!Wink By the Way, I have for the Last 3 Years Only seen My PM Dr. once Every 3 Months, I would only have to Call in and Remind the Receptionist that it was Time for a Refill on My Opiates, and She would give the File to the Dr. to fill Out the Script. My Meds. come to Me via UPS to My Door, so the Dr.'s Office Mails all of My Scripts to the Pharmacy!Wink
 
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#34
Still in Limbo Wrote:Fireball, I understand what You are saying about the Correlation of High Blood Pressure and Pain, but You have to remember all of the Folks, such as Myself, that take Blood Pressure Meds. So I would have to Disagree with that Dr.'s Approach, I'm not Disagreeing with You, but I have Severe Chronic Pain, Medically Documented, and My Blood Pressure Averages 120-125 over 80-90. If You are given the Correct Meds. for Pain, or Blood Pressure, the way Your Dr. Prescribes Meds. would Leave Me in Severe Pain, and Bedridden!

Cycler, I Totally Understand what You Mean by these "Overnight Corner PM Clinics" where an Anesthesiologist takes a few Extra Classes and becomes Certified as a PM Provider, and throw the Shots and Meds. at Folks for True Profit, and not Caring about the Patients they See. There is 2 within 15 Miles of My Home, and I Live in the Country!!Rolleyes My PM Dr. is not Only Certified in PM Management, She is also a Pysciatrist,(Spelling?), does Acupuncture, and the Office She Practices in has the Full FCE Equipment Installed, the Flouroscopy for Injections, and when I Asked My PCP for the Initial Referral, He Stated that this was the Best One in the Area, and I've had Great Luck there! My Injury and Subsequent Surgery has left Me Totally Disabled, and My Condition will never Improve, but only Decline, and I'm Very Glad She is at My Side to Help Me along! But there are good PM Clinics and Bad, and I would Probably Venture a Guess there are More Bad than Good out there Today, and I Hope in the Future they can Somehow Regulate them Better, so that there is More Good than Bad! So Yes, I do Understand Your Point!!Wink By the Way, I have for the Last 3 Years Only seen My PM Dr. once Every 3 Months, I would only have to Call in and Remind the Receptionist that it was Time for a Refill on My Opiates, and She would give the File to the Dr. to fill Out the Script. My Meds. come to Me via UPS to My Door, so the Dr.'s Office Mails all of My Scripts to the Pharmacy!Wink

stillinlimbo, sorry you misunderstodd, i was referenceing people who are not on any pain meds(or like i said druggies) who show up in the er's wanting pain medication just for a high. I was just giving tidbit info-as i thought it was an interesting fact. I to take multiple pain meds anf high blood pressure meds-- i referenced the er doc thinking i was like a druggie until my doctor was called.(being that i was sreaming with pain but my blood pressure was not high). as for my doctor i feel i am extremely lucky--from day one he has prescribed any thing i habe needed to be as comfortable as i can be--quite honestly i feel sorry for those people whose md's etc., that either refuse to give the meds needed or not enough.
i hope this clarifys my meaning behind my thread

cheers!!!!!!!!!1

fireball!!!!!!!!!!!!!!!
 
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#35
I Apologize Fireball, I didn't See a Reference to the ER Dr.'s, that must have been on another Thread or Reply. I can See what You mean in that Context, believe Me, even though I'm in a Town of less than 2,000 People, I'm 15 Miles to the North of Our County Seat, and 30 Miles South of Pittsburgh, and the Drug Corridor between Both Cities is the One that Runs Straight through My Town!! From My Back Yard I can See a Motel on the Main Highway that is Raided at Least 3 to 4 Times Yearly, they Use it as an In Between for Drug Transactions. So even being in a Small Town the Fingers of Illegal Drug Use has hit Hard Here, because of the Cities to the North and South! Have a Great Day, and I understand Your Reply Much Better Now, Thanks!!Smile
 
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