Aa
Please tell me what you thiink.
Ok I have been going with this over and over in my head and I have been looking everything up online about nerve blocks. Here is my thing,
1. I don't have the money to pay for a nerve block, my isnurance don't pay everything I have to pay out of pocket also and the bills add up. I just got $600 in bills from my sons surgery so that is going to be hard to come up with plus the bills aren't even done coming in.
2. I have been told not to get nerve blocks because of the location of the pain, since it is in my face if the pain gets worse I won't be able to eat or talk and I won't be worth anything to my family, I have read online that in alot of people it does make the pain worse.
3. All my pain isn't nerve pain I also have pain in my mouth and I know for a fact that is not nerve pain. I do understand if you can control some of the pain that would be good but what if you make the pain worse? I don't think I can chance that.
I have told this pain dr over and over again I don't like the idea of nerve blocks. I can't chance dieing from pain cause I can't eat and I can't chance my kids seeing me in that bad of shape. I don't do well with new stuff and It seems like something always goes wrong with me, really true lately. When I told the fill in pain dr all my pain wasn't nerve I also have pain in my mouth from all the work that has been done on me, he looked at me like I was the dumbest person on this earth and said "SO?" I thought you are kidding me right? If this dr can treat someone like that I really don't want to be a part of this practice. And when I told him all the trouble I have with the pills they use for nerve pain like gaba he still give me a look, and I said "When I was on them pills I fell down the stairs 5 times and the last time really messed up my knee since I Have been off them pills I have fell down the stairs 0 times" And then I got that look again. And he even got mad at me when I said I didn't want anything to do with morphine, I thought when you go to a pain dr that you both agree on your treatment? With this dr they push and push and push stuff on you that you don't want. Am I wrong for not wanting to try the nerve block? Please tell me the truth. I have trusted 3 drs that said please trust me and they all made things worse and I am sorry if I am not going to trust a dr that I talked to for 10 mins and made me feel like I was the dumbest person on this earth. I thought theses kinds of drs was suppose to help you get better? Then if that is so why are they pushing me around so much?
Thanks
Jamie
1. I don't have the money to pay for a nerve block, my isnurance don't pay everything I have to pay out of pocket also and the bills add up. I just got $600 in bills from my sons surgery so that is going to be hard to come up with plus the bills aren't even done coming in.
2. I have been told not to get nerve blocks because of the location of the pain, since it is in my face if the pain gets worse I won't be able to eat or talk and I won't be worth anything to my family, I have read online that in alot of people it does make the pain worse.
3. All my pain isn't nerve pain I also have pain in my mouth and I know for a fact that is not nerve pain. I do understand if you can control some of the pain that would be good but what if you make the pain worse? I don't think I can chance that.
I have told this pain dr over and over again I don't like the idea of nerve blocks. I can't chance dieing from pain cause I can't eat and I can't chance my kids seeing me in that bad of shape. I don't do well with new stuff and It seems like something always goes wrong with me, really true lately. When I told the fill in pain dr all my pain wasn't nerve I also have pain in my mouth from all the work that has been done on me, he looked at me like I was the dumbest person on this earth and said "SO?" I thought you are kidding me right? If this dr can treat someone like that I really don't want to be a part of this practice. And when I told him all the trouble I have with the pills they use for nerve pain like gaba he still give me a look, and I said "When I was on them pills I fell down the stairs 5 times and the last time really messed up my knee since I Have been off them pills I have fell down the stairs 0 times" And then I got that look again. And he even got mad at me when I said I didn't want anything to do with morphine, I thought when you go to a pain dr that you both agree on your treatment? With this dr they push and push and push stuff on you that you don't want. Am I wrong for not wanting to try the nerve block? Please tell me the truth. I have trusted 3 drs that said please trust me and they all made things worse and I am sorry if I am not going to trust a dr that I talked to for 10 mins and made me feel like I was the dumbest person on this earth. I thought theses kinds of drs was suppose to help you get better? Then if that is so why are they pushing me around so much?
Thanks
Jamie
I tend to agree with Mollyrae. Please don't think I am trying to be unkind. I am trying to be helpful and honest. This PMP may see you as a drug seeker, not willing to give alternative treatments a try and not willing to try other medications or opiates. Physicians like to direct your care, plain and simple, right or wrong, good or bad.
My prescribing physician says the patients that come to her and tell her what they will and won't try or will and won't take make her leery. I have always tried everything she requested or had a long conversation with her to discuss the procedure or medication suggested. 99% of the time I take or do what she suggests, especially when I was a new patient. Now my physician trusts me and heeds my wishes.
In my opinion it takes time to build trust and a good patient/doctor relationship. This PMP may see you as non-compliant. They see all types and kinds of ppl. Remember any new physician doesn't know or understand you yet or know the good person that you are. Give them some time. And let's face it sometimes we just don't click with a physician. I know that has been true for me in the past.
Another fact is that PM Clinic's are monitored closely by the DEA. They have to show that they are doing more to chronic treat pain than just dispense opiates.
I hope this helps you understand where the PM Clinic and PMP may be coming from a bit more. They should all be kind and understanding regardless, unfortunately that is not always the case. There is no excuse for rudeness in the medical setting or any where and if you were treated unkindly that is not acceptable. I am so sorry that your experience was not good. I hope that you and your new PMP will be a better a fit.
Hang in there.
Take Care,
~Tuck
My prescribing physician says the patients that come to her and tell her what they will and won't try or will and won't take make her leery. I have always tried everything she requested or had a long conversation with her to discuss the procedure or medication suggested. 99% of the time I take or do what she suggests, especially when I was a new patient. Now my physician trusts me and heeds my wishes.
In my opinion it takes time to build trust and a good patient/doctor relationship. This PMP may see you as non-compliant. They see all types and kinds of ppl. Remember any new physician doesn't know or understand you yet or know the good person that you are. Give them some time. And let's face it sometimes we just don't click with a physician. I know that has been true for me in the past.
Another fact is that PM Clinic's are monitored closely by the DEA. They have to show that they are doing more to chronic treat pain than just dispense opiates.
I hope this helps you understand where the PM Clinic and PMP may be coming from a bit more. They should all be kind and understanding regardless, unfortunately that is not always the case. There is no excuse for rudeness in the medical setting or any where and if you were treated unkindly that is not acceptable. I am so sorry that your experience was not good. I hope that you and your new PMP will be a better a fit.
Hang in there.
Take Care,
~Tuck
I always upfront tell the drs what meds I have been on and what drs I have been thru when I tell them my whole story, so they know UP front what is going on and how things have worked. I didn't ask the pain dr for any meds. I know better then that, he said "let me try to get you on some morphine I said no I don't want on morphine I won't touch that stuff" he said well what are you on now I said I am on vicodin. That was the end of that. He said his self, let me see if I can give you something stronger not me. Then they called my PCP and they also told them I am on vicidin, so they told me to keep taking that til I can see the dr at the end of July. I wrote on the paper when I first got there what I am on and how much so they knew that. I am not hiding anything I know what works best for me and I know what I don't feel safe taking and what I don't feel safe doing cause this isn't everyones pain this isn't the drs pain this is my pain my life and I am not going to let anyone or any dr try to make me feel bad cause I don't want a treatment!!!! I was giving the choice, do it now or you can go home and think about it. I deside what is going to happen with me, I am not going to let any dr push anything onto me that is going to effect me and my life and my kids, my kids don't need that right now they have seen me go thru enough and enough is enough.
Jamie
Jamie
Hi Jamie:
I'm wondering with your latest post that maybe with all of the bad luck with these Doctors, just maybe they think that your out scouting for meds. Please don't take this the wrong way. It certainly not intended for negativity. It's just that these Doctors are so leery about treating anyone that is new to them or the clinic.
I'm also wondering if you directly asked the Doctor for opiates, not including the Morphine? Sometimes asking questions of that nature makes it look like that's all you're interested in. You see, once upon a time I was in your position with real pain like yours and no Doctor that knew me well enough to treat me with opiates. It took me a good couple of years to build my relationship with my then Doctor.
She was not willing to just write a script and in the course of treatment, Nerve Blocks, Anti-Inflammatory Meds, PT...you name it, was the only option the Doctor gave me until my first Surgery. 5 Surgeries later + 26 years and Doctor # 2 is my medical care excellent.
So, my advise would be to ( and of course I know nothing of your previous conversations with him) ask the Doctor medication wise, what he think would work best for you. Give him no indication that you want him to write you a script for a Narcotic right off the bat. Do stress to him that you're at wits end ( no doubt you have already done so) but basically let him play god and earn his trust in you.
One more thing, even though all of us here at MH know the suffering you've been through, the Doctors don't and many times when someone has multiple Doctors in a short period of time can throw up the red flags for treatment with opiates and that could possibly make it almost impossible for proper treatment.
I'm sorry Jamie. You've had such a rough time of it and I feel bad for you. Something has to give here.
My thoughts are with you,
Mollyrae
I'm wondering with your latest post that maybe with all of the bad luck with these Doctors, just maybe they think that your out scouting for meds. Please don't take this the wrong way. It certainly not intended for negativity. It's just that these Doctors are so leery about treating anyone that is new to them or the clinic.
I'm also wondering if you directly asked the Doctor for opiates, not including the Morphine? Sometimes asking questions of that nature makes it look like that's all you're interested in. You see, once upon a time I was in your position with real pain like yours and no Doctor that knew me well enough to treat me with opiates. It took me a good couple of years to build my relationship with my then Doctor.
She was not willing to just write a script and in the course of treatment, Nerve Blocks, Anti-Inflammatory Meds, PT...you name it, was the only option the Doctor gave me until my first Surgery. 5 Surgeries later + 26 years and Doctor # 2 is my medical care excellent.
So, my advise would be to ( and of course I know nothing of your previous conversations with him) ask the Doctor medication wise, what he think would work best for you. Give him no indication that you want him to write you a script for a Narcotic right off the bat. Do stress to him that you're at wits end ( no doubt you have already done so) but basically let him play god and earn his trust in you.
One more thing, even though all of us here at MH know the suffering you've been through, the Doctors don't and many times when someone has multiple Doctors in a short period of time can throw up the red flags for treatment with opiates and that could possibly make it almost impossible for proper treatment.
I'm sorry Jamie. You've had such a rough time of it and I feel bad for you. Something has to give here.
My thoughts are with you,
Mollyrae
Jamie: I can't believe what these jerks have done. So glad you're seeing the other doctor. Your reason for not wanting the injections is very valid and I don't blame you. Pain management is NOT one size fits all!! I hope these people get you out of pain. After all you've been through, you definitely deserve pain relief. Hang in there Kiddo!!
Sara
Sara
Thanks Sherry,
When I told my PCP she said that if I don't want to do the block then to refuse it. She said that there is alot to risk by doing the nerve block, I mean if it was my back or leg I would JUMP right on it but my mouth and face is a different story.
I am just hoping that since this new one will have my shrink papers with me being cleared and I will see him June 11th everything will be set and I am hoping there is no delay on starting my treatments. I am hoping this dr won't push the nerve blocks on me and I hope even more that he can help me. The nurse said me and the dr would have to talk and he would have to exam me to see if he can help. So we will see. If not I don't know what I am going to do. I can't ask my PCP for more meds I won't do it. When I run out I run out, no more she shouldn't have to be treating me she didn't cause this problem. So alot of riding on this next dr. Thanks alot again Sherry,
Jamie
When I told my PCP she said that if I don't want to do the block then to refuse it. She said that there is alot to risk by doing the nerve block, I mean if it was my back or leg I would JUMP right on it but my mouth and face is a different story.
I am just hoping that since this new one will have my shrink papers with me being cleared and I will see him June 11th everything will be set and I am hoping there is no delay on starting my treatments. I am hoping this dr won't push the nerve blocks on me and I hope even more that he can help me. The nurse said me and the dr would have to talk and he would have to exam me to see if he can help. So we will see. If not I don't know what I am going to do. I can't ask my PCP for more meds I won't do it. When I run out I run out, no more she shouldn't have to be treating me she didn't cause this problem. So alot of riding on this next dr. Thanks alot again Sherry,
Jamie
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You have to trust your gut feelings!! I can think of one Dr. that you might check with one more time and that is your PCP that you like so much and trust. I'm sorry I can't remember exactly what she told you about the nerve blocks. If I'm remembering correctly didn't you give her some of the info. that you found on line and didn't she tell you to do what you thought was the best? I'm sorry I can't remember more clearly than this.
Jamie, you have to TRUST YOURSELF!! You know you and you have a LOT to lose here if something goes wrong. If you decide to do this, before you do it PLEASE check up on the Dr.'s success record with this procedure. Find out if you can talk to some of the patient's that he/she has performed the procedure on and see what they say. I know that sometimes this is possible as I did this for my hip surgeon on my first hip implant after my surgery. I would talk with her patients that were thinking of having the surgery.
Like I told you earlier all that Dr. wanted was to FORCE you to do the Nerve Block!! They NEVER cared about you and what you wanted. I don't know if your original Dr. had been there if the result would have been the same, but I have a feeling that it would have been.
You did EVERYTHING RIGHT!!! Do not beat yourself up about this!!! I would have done exactly what you did!! I would have walked right out the door also!!!
I'm very proud of you!! You did a wonderful job today and you even have an appt. with your NEW PM Dr. on the 11th of June. You should just close your eyes and relax bevause you have everything taken care of. Congratulations my dear.....Sherry