Ok I have been seeing a pain Doctor or doctors since I had a fall in 2007. I had to have a laminectomy at L3 L4 and I developed arachnoiditis afterwards lots of scar tissue degenerative disc disease fibromyalgia diabetes COPD neuropathy of unknown origin and a few other illnesses that may or may not have to do with all of the above. My recent pain doctor got closed up and I am not having any luck getting any type of pain relief from my primary care physicians. In the last week and a half I had a very bad cycle and had a CT that showed a couple of ovarian cysts. Also I had a fall a few weeks ago and while I thought I had a broken rib it turns out that I didn't and everything looked fine. Yesterday I had CT and asked the dr to double check my tail bone as it lit up on a bone scan. A detailed rib X-ray revealed that I had no broken ribs. I have multiple issues and I guess that is why i required chronic pain treatment in the first place. Because I am in between pain Drs and not receiveing adequate pain relief for any of the multiple pain causing diseases , I feel like I'm running a risk by going to ER for anyone of the many different issues I have of being labeled as drug seeking. Usually I would have just been able to take my pain meds for relief of the current ovarian cysts and premenopausal cramps, the possible broken tail bone or ribs that I felt like I had or any other pain that I might have had. Now I think I had forgotten that I even had COPD because my coughing, and difficulty in breathing is beginning to surface and present again. I think that this is due to not getting adequate pain/ cough meds that I have been on for seven years. After my CT the ER Doctor told me that I did show DDD in my pelvic area. I new I had been having pain in my pelvic area recently that I've never had before but the bone scan and CT just confirmed it. I have a pain clinic appt set up
But it's a self paid clinic so I am a bit afraid it may not be as reputable as others, and it too might be closed soon. I even went so far as too look out of state but I know that also sends a red flag. So what is the best way to approach this situation? My PCPs just refuse almost any help and send me away. I think they even have forgotten I COPD when said my chest felt like I had a broken rib and couldn't breath without it hurting. He didn't listen to my chest even after the negative bone scan that only revealed past known degenerative changes in left shoulder ( need a replacement per Ortho ), degeneration along spine from tip of coccyx to about cervical area. However, a past MRI in 2013 at a different establishment reveled spondylithesis and bone spurs in my cervical neck. I have had several MRIs since at this one particular hospital that made no reference of this. And this particular hospital keeps coming back with the same negative reports except that I still have a mild herniation or budge with no root compression. After a fall last year I did have a broken coccyx tail bone and since I have had bad pain on both sides of lower buttocks pain and even feel like it is still broke. That is probably why it lit up last week in the bone scan but because not a thing was mentioned about this new hotspot I have to question and did the reliability of the radiologists that are reading these reports. This time instead of commenting about the uptake in ankles, wrists, left knee and shoulder they just merely referred to them as past known uptake in the areas and remarked that no rib bones appeared to be broken. However I have to say that while I know kidney uptake is normal, that it takes someone who really cares to differentiate between the uptake there and to make a differentiation between normal possible kidney infection or disease or even a rib fracture that might be in one of the floating ribs in this area. Plus my fall was over 6 weeks by the time I even got the bone scan because I did have a bad UTI and been treated with three rounds of antibiotics before thinking maybe I did break something.
Because of the closing of my Pain Doctor here I have been given Percocet with in the past and gave me bad UTIs , I was told due probably due to the aspirin. The CT confirmed yet another one but he said bladder.
I guess I need to know how or what to do in a few days when I will have no pain meds left. I didn't even fill the ones given at ER for fear of too many docts writing me in past six months. So far there has only been three but at this rate I have two weeks until I can get into one and it seems that my primary just wanted to pass the buck to my neurologist who did give me two 20 day supply's. But only 10 mg very 12 hrs. So I went ahead and used what little Percocet with it. Should I even suggest being put in hospital ? My PCP use to love to put me in the hospital which he knew I hated. He is the chef of medicine at that particular hospital. But he hasn't mentioned it this time when I really am in need of it. It's just crazy and I'm spinning my wheels as to what to do.
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