Wednesday, February 15, 2012

Thursday, July 17, 2008 Rayne asks

Q: How do I better communicate with my doctor?

 I have a new pain management Dr. I like him, but I he does not seem to understand the severity of my pain. My first visit I brought in old records, surgery reports, imaging reports, and films. He did a series of spinal epidorals (which exacerbated the problem) and prescribed Vicodin. That's all. I've had chronic pain most of my life ranging from migraine, TMJ, a number of serious back issues, endometriosis, FM, arthritis.......He explained I was too young (44?????) for long acting narcotics. That defeats the purpose of my visits! I want to live a more comfortable, "normal" life! When I explained the Vicodin was just not strong enough and I had built a tolerance to it in no time (rx 4-6x's daily), he switched to Percocet. Of course I built a tolerance to that and it has a lot of unpleasant side effects. Some may even be adverse reactions. I "look healthy", but it's deceiving. If I looked like I feel, I'd scare people. I don't want to switch Dr's. Any suggestions as to how I can convince him I am still in A LOT of pain and am having sleepless nights? Any suggestions are appreciated.

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7/17/08 11:17pm

Establishing a relationship with any doctor takes time, trust does not come overnight. But, I am sure that this doctor has a network of referring doctors which is like his circle of trust. The best bet is to talk with your primary doctor who referred you. The two doctors can discuss your case and create some team work. Team work is the best way to remove the barriers which block the roadway towards solutions.

 

If you don't have a regular doctor, maybe you have another health professional, like a physical therapist, who can express concern on your behalf.

 

Find some advocates and create a comfort zone for your new relationship.

 

Dr. Christina Lasich, MD

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