Hello… Rheumy Apointment Tommrow
Question:
what book? what’s tha name of that book. the name escapes me at tha moment, did you order it online? or from where did ya obtain this forthcomin’ book? (books ordered online or even in tha mall take 2-3 days) so i’m sure it’s in front of ya as we speak… i’d like ta know tha name of it, i’m in’ah tax crunch muhself. (yer so helpful !)
Stand Up To The Irs by Frederick W. Daily (2001) Won it on a ebay auction that ended 4 days ago… waiting for it to arive… – Hide quoted text — Show quoted text – Jamie? you didn’t order no book, yer playin both ends aginst that middle ta gain our "confidence" on tha primrose path ya THINK yer leadin’ us… well, ME… down. i don’t buy it. it’s horseshit, ROY !
Response:
That’s all I have to offer. I didn’t go to med school, and your doctor did, so his opinion is of more value, and don’t forget to consider your own as well. Have you been evaluated by a chronic pain specialist? You may want
to There is only one pain specialist that I could find in this area, and last I checked, he was not accepting new paients. So I would end up driving atleast 50 miles for each appointment to see a pain specialist, if there is one accepting paients in green bay. Not unthinkable,, but I didn’t know if it was really necessary. Sounds like it might be a good idea. I have been taking 15-20mg total a day as needed of hydrocodone for about 5 weeks now. Thus far, it has helped my energy, and it has helped the way I feel quite a bit. It reduces my over all pain, by perhaps 2 points with the dose I am taking (5mg a atime right now). Overall in the past month, I have been able to do much more than I was able to do the month prior to starting the hydrocodone. I have to say that my function level has deffinatly improved, if it will stay improved long term or not, that in another question… Plus, I still have pain that is not controaled, I mean it is all helped by the hydrocodone, but just not quite controaled well enough. I will look into seeing about finding a pain specialist that I can get in to see. I feel like I should go with what my primary care suggests, since he has always been good to me, and he has always had my best intrest at heart. Based on my primarys suggestion, I am going to politely decline the use of a tca at this point in time if that topic comes up with the rheumy. You make some very good points gary, and I guess it comes down to if I am one of the people that are helped, and it increases what I can do and such, then there is not reason not to continue with the treatment that works. I will let you know how this afternoons apointment goes, and I will let you know what I can find in terms of a pain managment specialist. If all else fails, I know that there are some good doctors out at mass general hospital in boston… My aunt is the Director of peds (I believe that is still the largest childerns hospital in the us) out there, but she does know some of the adult docs also. Since she runs the pediatric hospital, I am sure she could get me in to see the best doctors on staff there (even though I would have to see the adult pratice docs ofcourse)……if it comes to that. Thanks, Jamie – Hide quoted text — Show quoted text – consider that prior to forging ahead with some opiate. I am not anti-opiate at all, but I am starting to become anti "long-term" opiate, to be honest. I think any of them are OK to use for a week or so. G Hi All! Sorry I have not been on the computer much in the past 2 weeks. I have just found stuff to do around the house and such. I am finally getting my carpet cleaned up the rest of the way from my back porch (if you remember back, it was heaivly stained (and orders) from the dogs). I have acomplished several other smaller projects around the house as well. As far as how med stuff is going,, I am still in a fair amount of pain, presumable from Fibro, and my Asthma is acting up. For The asthma, I started using some flovent, inhaled steroid. I am not sure it is doing enough yet. I am a bit concerned, and my end up going into my asthma specialst if this asthma crap keeps up. I started using nasal sprays again to try and cut down on any allgeric reactions that might be making asthma worse. Mood / depression has not been much of a problem. Some anxeity, but I have delt with it. I have kept myself out of stressful / anxeity producing situations pretty well, and I am doing well for now. I don’t know how this will translate long term (i.e. work, etc.), but for now it is working… Going on the asumption that my ssdi is comming, I have been able to relax a bit. I am planing on using that money to help me get everything strightened out, i.e. taxes, etc. I did order that book that was suggested to me, and it should be here soon. Thing I am a little anxious about right now, is my doctors apointment tommrow. I am seeing the rheumy that diagnosised my fibro. I get the impression that he really wants to put me on a pschyc med of some kind. I have a couple issues with it, 1. I am doing well emotionally without one. 2. I am so so glad not to have the side effects from the pschyc meds bugging me anymore. 3. All the meds I have tried seem to cause a number of side effects, and I don’t get from other trearments for pain (i.e. pain killers). I even tried some wellbutrin back last month for a while, and even at 150mg, I thought it made me more anxious, and screwed with my sleep, so I stoped taking it. The rheumy suggeted taking a TCA, I did consider this option quite carefully, and some of you here helped answer many of my questions about it. I brough this up with my regular doctor, and he does not want me to use a tca. He said it should be a very very last resort options for me. He said that because I have a history of asthma and sensitivty to dry mouth, and urinary hesitation / retention (had to use alpha blockers in the past, due to the severaty of the urinary problem i.e. doxizosin,, flomax type products), and he thinks that it would be a really bad idea to try a tca. My thoughts over all are this, If my pain is controaled, I do much much better. I rarely have trouble with sleep now. If I take a pain killer at night, I sleep better (Perhaps this is helping PLMD, but nothing else I tried ever helped it, and I did try a number of things), and I am more refreshed in the day. I have been handling my mood well as I mentioned. Also, the pain killers I have tried thus far, have not shown to have any amount of side effects at all, virtually none. Some of them have even helped a lot with ibs when I take them. I have been told that taking pain killers long term is a bad idea, and I don’t want to do it if I don’t have to. However, I am just looking at this from the stand point: Painkillers help 10X more than anything else I have ever tried::: Tried many many other things that didn’t work, and my doc doesnt want me to try the TCA, for what sounds to me like fairly decent reasons. So, do I ask for pain managment with pain killers that have very few side effects (almost none other than the fact that they are pain killers and I guess that is supose to not be the best thing to do for long term…) or do I forge ahead and go against my regular doctors advice and use a TCA like the rheumy wants? or some other off-label treatment that the rheumy wants to try…??? So sorry to ramble on here… This is just what I stuck in my head for the evening since my apointment is tommrow. Any comments and suggestions are welcome… And Thank You again to all of thoes who have helped me in the past on this subject, I was ready to try a tca at a small dose as margrove had suggested, but as mentioned, my regular doc is really against it. Jamie
Response:
Hi All! Sorry I have not been on the computer much in the past 2 weeks. I have just found stuff to do around the house and such. I am finally getting my carpet cleaned up the rest of the way from my back porch (if you remember back, it was heaivly stained (and orders) from the dogs). I have acomplished several other smaller projects around the house as well.
sounds ta me like yer pain took’ah flyin’ leap there for awhile, eh? As far as how med stuff is going,, I am still in a fair amount of pain, presumable from Fibro, and my Asthma is acting up. For The asthma, I started using some flovent, inhaled steroid. I am not sure it is doing enough yet. I am a bit concerned, and my end up going into my asthma specialst if this asthma crap keeps up. I started using nasal sprays again to try and cut down on any allgeric reactions that might be making asthma worse.
how bout namin’ tha stuff that AIN’T wrong with ya. let’s cut this meetin’ short. is there a specialist ya DON’T see? do all these docs KNOW yer seein’ all these other docs? cuz my doctors, when on controlled meds, make me sign a contract to see no one BUT them and get my meds filled at ONE pharmacy. (uhhhhh, i didn’t do that pharmacy thing once and saw another doctor after my shop was broken into… along with the 2 other drug stores in town and mind you it was FRONT PAGE NEWS in that podunk town, TOLD their whole office i had ta have my stolen adderal/xanax replaced and had em scripted with another doctor, TOLD em i had em filled at another pharmacy and he STILL refused ta treat me after i was so fuckin bold ta replace muh meds with his knowledge…. and this is documented shit, police reports, newspaper headlines…tha whole kaboodle)…. so lemme ask ya sumthin, Jamie…. HOW’S THAT DOCTOR SHOPPIN’ WORKIN’ FOR YA? and WHAT tha HELL’RE YOU THINKIN’? (and tell my ass these docs know about one another. g’on… lie to me, baby !! ) i’m gonna give ya some advice, unsolicited…. READY? (god, yer gonna thank me later)… Mood / depression has not been much of a problem. Some anxeity, but I have delt with it. I have kept myself out of stressful / anxeity producing situations pretty well, and I am doing well for now. I don’t know how this will translate long term (i.e. work, etc.), but for now it is working…
yer usin’ an "i’m a model patient" and don’t need these particular meds" theory to deter theses docs from yer real agenda. YOU know it, I know it, and GARY knows it, he just ain’t gonna admit it. (well, i’m BETTIN’ he knows it anyway) Going on the asumption that my ssdi is comming, I have been able to relax a bit. I am planing on using that money to help me get everything strightened out, i.e. taxes, etc. I did order that book that was suggested to me, and it should be here soon.
what book? what’s tha name of that book. the name escapes me at tha moment, did you order it online? or from where did ya obtain this forthcomin’ book? (books ordered online or even in tha mall take 2-3 days) so i’m sure it’s in front of ya as we speak… i’d like ta know tha name of it, i’m in’ah tax crunch muhself. (yer so helpful !) Jamie? you didn’t order no book, yer playin both ends aginst that middle ta gain our "confidence" on tha primrose path ya THINK yer leadin’ us… well, ME… down. i don’t buy it. it’s horseshit, ROY ! lemme guess… controlled meds are next and trust me… .i do NOT read ahead. CALL VEGAS ! Thing I am a little anxious about right now, is my doctors apointment tommrow. I am seeing the rheumy that diagnosised my fibro. I get the impression that he really wants to put me on a pschyc med of some kind. I have a couple issues with it, 1. I am doing well emotionally without one. 2. I am so so glad not to have the side effects from the pschyc meds bugging me anymore. 3. All the meds I have tried seem to cause a number of side effects, and I don’t get from other trearments for pain (i.e. pain killers).
SEVENNNNNNNNN cum ah’leven, baby needs’ah new pair’ah shoes. i’m tha KLING KLANG KING FROM THA RIM RAM ROOM ! BAM, BABY ! of course ya don’t have side effects from psych meds. it’s tha perfect golden op ta throw in how FORTUNATE y’are not ta have that crap buggin ya no more, and thank GOD tha only ones that don’t have side effects are opiates. why ya need pain killers? ya been doin just fine cleanin’ yer house and doin’ physical labor… whaddup? I even tried some wellbutrin back last month for a while, and even at 150mg, I thought it made me more anxious, and screwed with my sleep, so I stoped taking it.
oh yes, which is PROOF you can and are willin’ ta stop medications el pronto. translation: "see, doctor? i am NOT an addict." – Hide quoted text — Show quoted text – The rheumy suggeted taking a TCA, I did consider this option quite carefully, and some of you here helped answer many of my questions about it. I brough this up with my regular doctor, and he does not want me to use a tca. He said it should be a very very last resort options for me. He said that because I have a history of asthma and sensitivty to dry mouth, and urinary hesitation / retention (had to use alpha blockers in the past, due to the severaty of the urinary problem i.e. doxizosin,, flomax type products), and he thinks that it would be a really bad idea to try a tca. My thoughts over all are this, If my pain is controaled, I do much much better. I rarely have trouble with sleep now. If I take a pain killer at night, I sleep better (Perhaps this is helping PLMD, but nothing else I tried ever helped it, and I did try a number of things), and I am more refreshed in the day. I have been handling my mood well as I mentioned. Also, the pain killers I have tried thus far, have not shown to have any amount of side effects at all, virtually none. Some of them have even helped a lot with ibs when I take them.
yanno? i was on 300 mgs of opiates (lortab/lorcet) a day for almost 2 years and didn’t go thru all THAT bullshit ta get em. AND i didn’t need validation nor was i in that river in egypt, i was just stupid. nobody believes i was on that much, and i don’t either but i was and that’s on a non-party day, Jamie… so it… AIN’T MY FIRST FUGGIN’ DAY ! NOW … Gary’s tha med expert along with Philip, Elliott, Meryl, etc. but HERE is where i SHINE LIKE A FUCKIN’ ANGEL ! k? k. yer handlin’ yer moods well, so ya don’t need no mood shit… yer oh… ya need pain shit. (even though ya do more physical labor’n me’n half muh friends, but DON’T MIND ME, i’m just here for tha free donuts.) now Jamie? yanno what opiates are good for? SHORT term pain… like dental surgery or havin’ yer leg cut off in’ah wood chipper accident…. and whatever relief yer gettin’ after’ah week or so is from that 500 mg of ibuprophen in them thangs and YER DOIN CHORES SO DO YA EVEN NEED THAT? boyyyyyyyy, am i gonna get shit for THIS post. see, Jamie… i’m a fuckin’ opiate shopper from hell, i know all tha tricks. why? cuz i had to, not cuz i was "real aware" i was developin’ em. face it, Jamie… yer tryin’ ta convince yerself… cuz ya ain’t convincin’ me’ah shit. i can’t speak for others. but i’ll tell ya one thing : i ain’t gotta DAMN thang aginst doin yer thang, and havin’ no shame in yer game. shit… i get fucked up with tha best of em still… my doctor even knew it. so lookie here…yer not gettin validation or "tips" for drug shoppin’ here…. at least from me… yer game is all too transparent. NOW… if skeezin’ opiates makes ya cum, fine. cum in muh ass, my mouth, my hoo hoo, but do NOT cum in muh hair, i just washed it. translation: KEEP IT REAL, REAL I CAN HANDLE… but don’t insult me havin’ tha audacity ta think i won’t notice when ya choose ta have’ah tidy lil agenda ya think is the least noticeable. just STEP UP and slam it ! tha little prim’n proper crap don’t get it. i notice that stuff. and i don’t like washin’ muh hair twice. I have been told that taking pain killers long term is a bad idea, and I don’t want to do it if I don’t have to. However, I am just looking at this from the stand point: Painkillers help 10X more than anything else I have ever tried::: Tried many many other things that didn’t work,
except physical labor. now get real or sit tha fuck down, shut tha fuck up and GET THA FUCK OUT ! and my doc doesnt want me to try the TCA, for what sounds to me like fairly decent reasons. So, do I ask for pain managment with pain killers that have very few side effects (almost none other than the fact that they are pain killers and I guess that is supose to not be the best thing to do for long term…) or do I forge ahead and go against my regular doctors advice and use a TCA like the rheumy wants? or some other off-label treatment that the rheumy wants to try…??? So sorry to ramble on here… This is just what I stuck in my head for the evening since my apointment is tommrow.
SURE… try’n getchur fix. if not? there’s ALways……(mistah Big.) YO YO, SPOON ! Any comments and suggestions are welcome… And Thank You again to all of thoes who have helped me in the past on this subject, I was ready to try a tca at a small dose as margrove had suggested, but as mentioned, my regular doc is really against it.
just redeem yerself… call’ah spade’ah spade. ~t
Response:
Only you and a physician who you have a therapeutic and professional alliance with – only that combo can make the decision about "painkillers" (am assuming you refer to opiates such as hydrocodone, oxycodone, etc..). They are excellent – for a while. What happens though, is that tolerance develops, and then more mgs. per dose are required. This is the scenario that occurs with daily use. Or, you stay comfortable at a certain level, but that basically means that the drug is only keeping you from going into withdrawal – that’s my take on it. I’ve met people on chronic long-term opiate "pain-management", but their lives invariably were going nowhere fast. Maybe I am wrong about it all, but that is my definite impression about the whole thing. Of note, I recently stopped using hydrocodone after 60 days of continuous use, and I tapered it down to 5 mgs/day prior to stopping it. Not pleasant…Possibly biases my view…. My shrink says that there are a "few" people who do seem to do well on an opiate, and feel normal, and whose functional level improves, but that they are rare. That’s all I have to offer. I didn’t go to med school, and your doctor did, so his opinion is of more value, and don’t forget to consider your own as well. Have you been evaluated by a chronic pain specialist? You may want to consider that prior to forging ahead with some opiate. I am not anti-opiate at all, but I am starting to become anti "long-term" opiate, to be honest. I think any of them are OK to use for a week or so. G
– Hide quoted text — Show quoted text – Hi All! Sorry I have not been on the computer much in the past 2 weeks. I have just found stuff to do around the house and such. I am finally getting my carpet cleaned up the rest of the way from my back porch (if you remember back, it was heaivly stained (and orders) from the dogs). I have acomplished several other smaller projects around the house as well. As far as how med stuff is going,, I am still in a fair amount of pain, presumable from Fibro, and my Asthma is acting up. For The asthma, I started using some flovent, inhaled steroid. I am not sure it is doing enough yet. I am a bit concerned, and my end up going into my asthma specialst if this asthma crap keeps up. I started using nasal sprays again to try and cut down on any allgeric reactions that might be making asthma worse. Mood / depression has not been much of a problem. Some anxeity, but I have delt with it. I have kept myself out of stressful / anxeity producing situations pretty well, and I am doing well for now. I don’t know how this will translate long term (i.e. work, etc.), but for now it is working… Going on the asumption that my ssdi is comming, I have been able to relax a bit. I am planing on using that money to help me get everything strightened out, i.e. taxes, etc. I did order that book that was suggested to me, and it should be here soon. Thing I am a little anxious about right now, is my doctors apointment tommrow. I am seeing the rheumy that diagnosised my fibro. I get the impression that he really wants to put me on a pschyc med of some kind. I have a couple issues with it, 1. I am doing well emotionally without one. 2. I am so so glad not to have the side effects from the pschyc meds bugging me anymore. 3. All the meds I have tried seem to cause a number of side effects, and I don’t get from other trearments for pain (i.e. pain killers). I even tried some wellbutrin back last month for a while, and even at 150mg, I thought it made me more anxious, and screwed with my sleep, so I stoped taking it. The rheumy suggeted taking a TCA, I did consider this option quite carefully, and some of you here helped answer many of my questions about it. I brough this up with my regular doctor, and he does not want me to use a tca. He said it should be a very very last resort options for me. He said that because I have a history of asthma and sensitivty to dry mouth, and urinary hesitation / retention (had to use alpha blockers in the past, due to the severaty of the urinary problem i.e. doxizosin,, flomax type products), and he thinks that it would be a really bad idea to try a tca. My thoughts over all are this, If my pain is controaled, I do much much better. I rarely have trouble with sleep now. If I take a pain killer at night, I sleep better (Perhaps this is helping PLMD, but nothing else I tried ever helped it, and I did try a number of things), and I am more refreshed in the day. I have been handling my mood well as I mentioned. Also, the pain killers I have tried thus far, have not shown to have any amount of side effects at all, virtually none. Some of them have even helped a lot with ibs when I take them. I have been told that taking pain killers long term is a bad idea, and I don’t want to do it if I don’t have to. However, I am just looking at this from the stand point: Painkillers help 10X more than anything else I have ever tried::: Tried many many other things that didn’t work, and my doc doesnt want me to try the TCA, for what sounds to me like fairly decent reasons. So, do I ask for pain managment with pain killers that have very few side effects (almost none other than the fact that they are pain killers and I guess that is supose to not be the best thing to do for long term…) or do I forge ahead and go against my regular doctors advice and use a TCA like the rheumy wants? or some other off-label treatment that the rheumy wants to try…??? So sorry to ramble on here… This is just what I stuck in my head for the evening since my apointment is tommrow. Any comments and suggestions are welcome… And Thank You again to all of thoes who have helped me in the past on this subject, I was ready to try a tca at a small dose as margrove had suggested, but as mentioned, my regular doc is really against it. Jamie
Response:
Hi All! Sorry I have not been on the computer much in the past 2 weeks. I have just found stuff to do around the house and such. I am finally getting my carpet cleaned up the rest of the way from my back porch (if you remember back, it was heaivly stained (and orders) from the dogs). I have acomplished several other smaller projects around the house as well. As far as how med stuff is going,, I am still in a fair amount of pain, presumable from Fibro, and my Asthma is acting up. For The asthma, I started using some flovent, inhaled steroid. I am not sure it is doing enough yet. I am a bit concerned, and my end up going into my asthma specialst if this asthma crap keeps up. I started using nasal sprays again to try and cut down on any allgeric reactions that might be making asthma worse. Mood / depression has not been much of a problem. Some anxeity, but I have delt with it. I have kept myself out of stressful / anxeity producing situations pretty well, and I am doing well for now. I don’t know how this will translate long term (i.e. work, etc.), but for now it is working… Going on the asumption that my ssdi is comming, I have been able to relax a bit. I am planing on using that money to help me get everything strightened out, i.e. taxes, etc. I did order that book that was suggested to me, and it should be here soon. Thing I am a little anxious about right now, is my doctors apointment tommrow. I am seeing the rheumy that diagnosised my fibro. I get the impression that he really wants to put me on a pschyc med of some kind. I have a couple issues with it, 1. I am doing well emotionally without one. 2. I am so so glad not to have the side effects from the pschyc meds bugging me anymore. 3. All the meds I have tried seem to cause a number of side effects, and I don’t get from other trearments for pain (i.e. pain killers). I even tried some wellbutrin back last month for a while, and even at 150mg, I thought it made me more anxious, and screwed with my sleep, so I stoped taking it. The rheumy suggeted taking a TCA, I did consider this option quite carefully, and some of you here helped answer many of my questions about it. I brough this up with my regular doctor, and he does not want me to use a tca. He said it should be a very very last resort options for me. He said that because I have a history of asthma and sensitivty to dry mouth, and urinary hesitation / retention (had to use alpha blockers in the past, due to the severaty of the urinary problem i.e. doxizosin,, flomax type products), and he thinks that it would be a really bad idea to try a tca. My thoughts over all are this, If my pain is controaled, I do much much better. I rarely have trouble with sleep now. If I take a pain killer at night, I sleep better (Perhaps this is helping PLMD, but nothing else I tried ever helped it, and I did try a number of things), and I am more refreshed in the day. I have been handling my mood well as I mentioned. Also, the pain killers I have tried thus far, have not shown to have any amount of side effects at all, virtually none. Some of them have even helped a lot with ibs when I take them. I have been told that taking pain killers long term is a bad idea, and I don’t want to do it if I don’t have to. However, I am just looking at this from the stand point: Painkillers help 10X more than anything else I have ever tried::: Tried many many other things that didn’t work, and my doc doesnt want me to try the TCA, for what sounds to me like fairly decent reasons. So, do I ask for pain managment with pain killers that have very few side effects (almost none other than the fact that they are pain killers and I guess that is supose to not be the best thing to do for long term…) or do I forge ahead and go against my regular doctors advice and use a TCA like the rheumy wants? or some other off-label treatment that the rheumy wants to try…??? So sorry to ramble on here… This is just what I stuck in my head for the evening since my apointment is tommrow. Any comments and suggestions are welcome… And Thank You again to all of thoes who have helped me in the past on this subject, I was ready to try a tca at a small dose as margrove had suggested, but as mentioned, my regular doc is really against it. Jamie
