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	<title>Comments for Pain Management</title>
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	<pubDate>Tue, 16 Mar 2010 15:19:31 +0000</pubDate>
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		<title>Comment on Do pain management doctors have problems prescribing narcotic pain medicine? by thesweeteststar</title>
		<link>http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/comment-page-1/#comment-644</link>
		<dc:creator>thesweeteststar</dc:creator>
		<pubDate>Sat, 02 Jan 2010 08:37:23 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/#comment-644</guid>
		<description>YEP.   I have had fibro for YEARS and YEARS and it basically all comes down to THIS...too many quacks out there
too many online pharmacies with false meds (fake meds)
and too many LAWSUITS!!!!!!!!!!!!!!!!!!!!


I was referred by my Neurologist to get a medicine from my CPS yesterday and he was hesitant to do so even though its a LEADING FIBRO med!!......and he gave me another one instead , to which is not as effective, so i hear

I just need something to motivate me off the couch and ease my pain and tiredness.</description>
		<content:encoded><![CDATA[<p>YEP.   I have had fibro for YEARS and YEARS and it basically all comes down to THIS&#8230;too many quacks out there<br />
too many online pharmacies with false meds (fake meds)<br />
and too many LAWSUITS!!!!!!!!!!!!!!!!!!!!</p>
<p>I was referred by my Neurologist to get a medicine from my CPS yesterday and he was hesitant to do so even though its a LEADING FIBRO med!!&#8230;&#8230;and he gave me another one instead , to which is not as effective, so i hear</p>
<p>I just need something to motivate me off the couch and ease my pain and tiredness.</p>
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		<title>Comment on Do pain management doctors have problems prescribing narcotic pain medicine? by justjan</title>
		<link>http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/comment-page-1/#comment-643</link>
		<dc:creator>justjan</dc:creator>
		<pubDate>Wed, 30 Dec 2009 00:27:52 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/#comment-643</guid>
		<description>Narcotic based medication is rarely prescribed for short term pain related to a condition like yours.

The reason is that they need receptor sites in the body that requires that level of intervention.   You wont have them.  And that is how people get hooked on narcotics.  Using them when alternative medications would deal with the pain just as well.

If you have a rib fracture, you will also have bruising, whether you can see it or not.  As that resolves itself, the pain will lessen.   But good old, garden variety paracetomol, taken 4 times a day faithfully will manage the pain for the most part.
The reason so many people think it is useless is that they wait until they are climbing the walls before they take any.
And then don't follow up with it.

So unless you have liver problems or some reason you cant use paracetomol, just try it.  Breakfast, lunch, dinner, bedtime.
Do it for 3 days and be amazed at the difference.

But seriously, you don't want to go down the narcotics path at this point for this kind of pain.  You have nowhere to go after that!

Pain management teams do more than give prescriptions.
They are going to look in to your life history of pain experiences; show you how those experiences influence how you perceive your pain now; teach you techniques to turn off the pain and teach and monitor how you use your pain medication.

What goes on in the brain when we experience pain has as much to do with the severity we perceive as the injury itself.
In other words, you will live out your expectations.
If you expect this to go on forever with no end in sight, it probably will.  Because you are programming your brain to embrace it.  Whereas if every day you tell yourself 'today I feel better than yesterday' you will live that out.

There are a lot of pay-offs to pain.  People don't expect as much of you; you get to opt out of things you'd rather not do without question; you get a lot of sympathy; you get time to process whatever the trauma was that caused the injury.

Think about what your pay-offs are.  Acknowledge them.  And then decide whether or not they are worth trading off a pain free future for.

Hypnotherapy is very useful to teach yourself how to turn the pain off.

Best of luck, hope something here has helped or at least got you thinking.</description>
		<content:encoded><![CDATA[<p>Narcotic based medication is rarely prescribed for short term pain related to a condition like yours.</p>
<p>The reason is that they need receptor sites in the body that requires that level of intervention.   You wont have them.  And that is how people get hooked on narcotics.  Using them when alternative medications would deal with the pain just as well.</p>
<p>If you have a rib fracture, you will also have bruising, whether you can see it or not.  As that resolves itself, the pain will lessen.   But good old, garden variety paracetomol, taken 4 times a day faithfully will manage the pain for the most part.<br />
The reason so many people think it is useless is that they wait until they are climbing the walls before they take any.<br />
And then don&#8217;t follow up with it.</p>
<p>So unless you have liver problems or some reason you cant use paracetomol, just try it.  Breakfast, lunch, dinner, bedtime.<br />
Do it for 3 days and be amazed at the difference.</p>
<p>But seriously, you don&#8217;t want to go down the narcotics path at this point for this kind of pain.  You have nowhere to go after that!</p>
<p>Pain management teams do more than give prescriptions.<br />
They are going to look in to your life history of pain experiences; show you how those experiences influence how you perceive your pain now; teach you techniques to turn off the pain and teach and monitor how you use your pain medication.</p>
<p>What goes on in the brain when we experience pain has as much to do with the severity we perceive as the injury itself.<br />
In other words, you will live out your expectations.<br />
If you expect this to go on forever with no end in sight, it probably will.  Because you are programming your brain to embrace it.  Whereas if every day you tell yourself &#8216;today I feel better than yesterday&#8217; you will live that out.</p>
<p>There are a lot of pay-offs to pain.  People don&#8217;t expect as much of you; you get to opt out of things you&#8217;d rather not do without question; you get a lot of sympathy; you get time to process whatever the trauma was that caused the injury.</p>
<p>Think about what your pay-offs are.  Acknowledge them.  And then decide whether or not they are worth trading off a pain free future for.</p>
<p>Hypnotherapy is very useful to teach yourself how to turn the pain off.</p>
<p>Best of luck, hope something here has helped or at least got you thinking.</p>
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		<title>Comment on Do pain management doctors have problems prescribing narcotic pain medicine? by sexyfun2007</title>
		<link>http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/comment-page-1/#comment-642</link>
		<dc:creator>sexyfun2007</dc:creator>
		<pubDate>Mon, 28 Dec 2009 15:38:08 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/#comment-642</guid>
		<description>what to expect from pain managment- they do have problems prescribing certian medication also its very important to work out the side that you have problems with because in some cases the rib will not heal properly pain managment docs will highly recommend that you do this as well as other things they are highly trained to help you and wants the best thing for you in advance do the research on your pain managment doctor also very important do not go in there without doing research i failed to do research and went to a doctor that my pysican recommend and ended up getting felt up and it was a female that had no liscense and some imposter  so follow these instructions and you will do very well</description>
		<content:encoded><![CDATA[<p>what to expect from pain managment- they do have problems prescribing certian medication also its very important to work out the side that you have problems with because in some cases the rib will not heal properly pain managment docs will highly recommend that you do this as well as other things they are highly trained to help you and wants the best thing for you in advance do the research on your pain managment doctor also very important do not go in there without doing research i failed to do research and went to a doctor that my pysican recommend and ended up getting felt up and it was a female that had no liscense and some imposter  so follow these instructions and you will do very well</p>
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		<title>Comment on Do pain management doctors have problems prescribing narcotic pain medicine? by Tom</title>
		<link>http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/comment-page-1/#comment-641</link>
		<dc:creator>Tom</dc:creator>
		<pubDate>Sun, 27 Dec 2009 09:44:42 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/#comment-641</guid>
		<description>Yes, some doctors have problems prescribing certain medications for administrative reasons.  They want to help you with the minimum amount of drugs needed, but are subject to Federal review if they prescribe certain things more often than some D.E.A. agents think they should.

They will find something to help and that something may include medications, exercise, physical rehabilitation, biofeedback and/or acupuncture.</description>
		<content:encoded><![CDATA[<p>Yes, some doctors have problems prescribing certain medications for administrative reasons.  They want to help you with the minimum amount of drugs needed, but are subject to Federal review if they prescribe certain things more often than some D.E.A. agents think they should.</p>
<p>They will find something to help and that something may include medications, exercise, physical rehabilitation, biofeedback and/or acupuncture.</p>
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		<title>Comment on what is the worst thing that can happen to you if you fail a drug test for a pain management doctor? by great makeup</title>
		<link>http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/comment-page-1/#comment-715</link>
		<dc:creator>great makeup</dc:creator>
		<pubDate>Sat, 26 Dec 2009 20:54:03 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/#comment-715</guid>
		<description>I don't know.  I'm guessing based on my TV viewing experience (Brothers and Sisters).  The guy was addicted to some drug in the past  and they refused (didn't recommend) to give him pain medication for his current knee injury because he may become addicted to his current drug prescription.  He had to suffer through the pain, since  he decided to not take the knee painkillers because he may develop a current dependency on them (based on his past drug experimentation).  I'm not exactly sure what your asking , so ignore my entry if i'm down the wrong lane...</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know.  I&#8217;m guessing based on my TV viewing experience (Brothers and Sisters).  The guy was addicted to some drug in the past  and they refused (didn&#8217;t recommend) to give him pain medication for his current knee injury because he may become addicted to his current drug prescription.  He had to suffer through the pain, since  he decided to not take the knee painkillers because he may develop a current dependency on them (based on his past drug experimentation).  I&#8217;m not exactly sure what your asking , so ignore my entry if i&#8217;m down the wrong lane&#8230;</p>
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		<title>Comment on How do you tell your pain management clinic that you don&#8217;t want to go there anymore? by Rachel T</title>
		<link>http://painmanagementideas.com/pain-pain-management/how-do-you-tell-your-pain-management-clinic-that-you-dont-want-to-go-there-anymore/comment-page-1/#comment-664</link>
		<dc:creator>Rachel T</dc:creator>
		<pubDate>Sat, 26 Dec 2009 11:28:21 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/how-do-you-tell-your-pain-management-clinic-that-you-dont-want-to-go-there-anymore/#comment-664</guid>
		<description>You just need to tell them that they are not meeting your pain management needs and you are going to be transferring to a new clinic.  Your new clinic will need your records from the current pain management doctor so just request a records transfer and make an appointment with another PM doctor in your area.  When you see the new doctor, let them know what was tried in the past and what did and did not work.  They should be willing to help make a new plan with you if you have diagnostic imaging and tests that clearly show what the problem is and what you have been diagnosed with.  There is no reason to continue seeing a doctor that is not helpful to you and is not willing to adjust treatment when the current plan is not working.  But you do need to tell them you are leaving so you can get your records sent to the new doctor.</description>
		<content:encoded><![CDATA[<p>You just need to tell them that they are not meeting your pain management needs and you are going to be transferring to a new clinic.  Your new clinic will need your records from the current pain management doctor so just request a records transfer and make an appointment with another PM doctor in your area.  When you see the new doctor, let them know what was tried in the past and what did and did not work.  They should be willing to help make a new plan with you if you have diagnostic imaging and tests that clearly show what the problem is and what you have been diagnosed with.  There is no reason to continue seeing a doctor that is not helpful to you and is not willing to adjust treatment when the current plan is not working.  But you do need to tell them you are leaving so you can get your records sent to the new doctor.</p>
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		<title>Comment on How do you tell your pain management clinic that you don&#8217;t want to go there anymore? by imklo928</title>
		<link>http://painmanagementideas.com/pain-pain-management/how-do-you-tell-your-pain-management-clinic-that-you-dont-want-to-go-there-anymore/comment-page-1/#comment-663</link>
		<dc:creator>imklo928</dc:creator>
		<pubDate>Thu, 24 Dec 2009 23:48:48 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/pain-pain-management/how-do-you-tell-your-pain-management-clinic-that-you-dont-want-to-go-there-anymore/#comment-663</guid>
		<description>I would simply not make another appointment.  If asked, say that you were not satisfied with the care you received and you found the staff to be unprofessional and rude.  You don't owe an explanation- afterall you are paying for their services-either out-of-pocket or through your insurance carrier.  They work FOR you.  You don't say what sort of pain you are experiencing, but if you have back pain, try actipatch.  It works great.</description>
		<content:encoded><![CDATA[<p>I would simply not make another appointment.  If asked, say that you were not satisfied with the care you received and you found the staff to be unprofessional and rude.  You don&#8217;t owe an explanation- afterall you are paying for their services-either out-of-pocket or through your insurance carrier.  They work FOR you.  You don&#8217;t say what sort of pain you are experiencing, but if you have back pain, try actipatch.  It works great.</p>
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		<title>Comment on what is the worst thing that can happen to you if you fail a drug test for a pain management doctor? by mjblonde70</title>
		<link>http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/comment-page-1/#comment-714</link>
		<dc:creator>mjblonde70</dc:creator>
		<pubDate>Thu, 24 Dec 2009 23:43:53 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/#comment-714</guid>
		<description>They will refuse to prescribe anymore pain meds for you. Due to HIPPA (Healthcare Information Patient Privacy Act), the provider cannot release your medical records to anyone without your consent.</description>
		<content:encoded><![CDATA[<p>They will refuse to prescribe anymore pain meds for you. Due to HIPPA (Healthcare Information Patient Privacy Act), the provider cannot release your medical records to anyone without your consent.</p>
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		<title>Comment on Do pain management doctors have problems prescribing narcotic pain medicine? by anoldmick</title>
		<link>http://painmanagementideas.com/pain-pain-management/do-pain-management-doctors-have-problems-prescribing-narcotic-pain-medicine/comment-page-1/#comment-640</link>
		<dc:creator>anoldmick</dc:creator>
		<pubDate>Thu, 24 Dec 2009 05:31:22 +0000</pubDate>
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		<description>A pain management specialist has a surprisingly wide armamentarium of tools with which to approach this problem.  Narcotic analgesics are only a few of said tools.</description>
		<content:encoded><![CDATA[<p>A pain management specialist has a surprisingly wide armamentarium of tools with which to approach this problem.  Narcotic analgesics are only a few of said tools.</p>
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		<title>Comment on what is the worst thing that can happen to you if you fail a drug test for a pain management doctor? by midnightmoon62</title>
		<link>http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/comment-page-1/#comment-713</link>
		<dc:creator>midnightmoon62</dc:creator>
		<pubDate>Wed, 23 Dec 2009 06:38:21 +0000</pubDate>
		<guid isPermaLink="false">http://painmanagementideas.com/medicine/what-is-the-worst-thing-that-can-happen-to-you-if-you-fail-a-drug-test-for-a-pain-management-doctor/#comment-713</guid>
		<description>I guess that depends on whats is going to show positive.  The majority of docs dont care about thc.  But they may get upset if something along the lines of meth or cocaine were to be positive.
But no, they are not going to put you in jail.  They can do something like refer you to a rehab clinic and refuse to further treat you if you dont go through the program.</description>
		<content:encoded><![CDATA[<p>I guess that depends on whats is going to show positive.  The majority of docs dont care about thc.  But they may get upset if something along the lines of meth or cocaine were to be positive.<br />
But no, they are not going to put you in jail.  They can do something like refer you to a rehab clinic and refuse to further treat you if you dont go through the program.</p>
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