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-   -   Just met with Nerurosurgeon today (https://www.neurotalk.org/scs-and-pain-pumps/188131-met-nerurosurgeon.html)

littletexan77 05-07-2013 12:00 PM

Just met with Nerurosurgeon today
 
The meeting did not go quite as I had hoped. I had all of my pains and symptoms listed out, when they started, what they do to me, etc. He read through it and told me that I was "a complicated patient". He understands everything he read, but cannot, from his end, come up with a cause for any of it - especially the peripheral neuropathy symptoms. He asked me if I knew the difference between a neurologist and a neurosurgeon. I told him no because I assumed you had to be one to become the other. He said no. He has no idea how the rest of the nerves in the body work and therefore, has no explanation for my problems. He did tell me that he has had family and friends that have had similar problems, with regard to having neurological difficulties without explanation. At least I'm not completely alone, but it doesn't make me feel too much better. He is referring me to a neurologist so now I get to sit back and wait for a call from this new guy - or girl.

I guess I'm just venting because I was hoping for a slightly different outcome. I was hoping he would agree with my assessment of neuropathy based on my symptoms and test results. My next appt is with my pain management dr on the 20th and I don't really like this guy, and don't trust him, so I am not looking forward to that either. We have some serious talking to do - he and I.

Spiney95 05-07-2013 04:34 PM

so sorry
 
Quote:

Originally Posted by littletexan77 (Post 981470)
The meeting did not go quite as I had hoped. I had all of my pains and symptoms listed out, when they started, what they do to me, etc. He read through it and told me that I was "a complicated patient". He understands everything he read, but cannot, from his end, come up with a cause for any of it - especially the peripheral neuropathy symptoms. He asked me if I knew the difference between a neurologist and a neurosurgeon. I told him no because I assumed you had to be one to become the other. He said no. He has no idea how the rest of the nerves in the body work and therefore, has no explanation for my problems. He did tell me that he has had family and friends that have had similar problems, with regard to having neurological difficulties without explanation. At least I'm not completely alone, but it doesn't make me feel too much better. He is referring me to a neurologist so now I get to sit back and wait for a call from this new guy - or girl.

I guess I'm just venting because I was hoping for a slightly different outcome. I was hoping he would agree with my assessment of neuropathy based on my symptoms and test results. My next appt is with my pain management dr on the 20th and I don't really like this guy, and don't trust him, so I am not looking forward to that either. We have some serious talking to do - he and I.


Ask your pain doc for another referral. The right one is out there. Prayers and gentle hugs.

Spiney

ginnie 05-07-2013 05:32 PM

Hi Texas
 
It took me four times and four interviews to find the right pain specialist. Don't stop trying. If this doctor you go see won't listen, wave bye bye and find another. You need to have someone in your corner who is going to work with you and actually listen to you. It is important to Like the doctor you see. I wish you all the best. ginnie:hug:

littletexan77 05-09-2013 09:49 AM

It seems everyone I speak with - on here and in person - tells me the same thing about pain docs - you gotta find the right one, if he doesn't listen, or if he won't help you, or if you don't agree with him, move on. But, this was my neurosurgeon I was speaking with. The one who did my SCS implant and the only doctor I have ever found in my entire life that I trust completely. So, if he tells me I need a neurologist, then it is what it is. As for neurologists, I've never dealt with one, I guess they are the same way as the pain docs? If you aren't happy, move on?

As for my pain doc, don't even get me started. This guy is a @#$% - and you can make that word whatever you want it to be, and you will be right!!!
Unfortunately, I am in the last leg of my wait for SSD to kick in and all the Social Security office is waiting for is the final paperwork for him, and then I am done. I think I'm gonna have to put up with him until this goes through. As soon as I get my first check, he's gonna get a piece of my mind - and if I can lift my leg, a piece of my boot too! To back my complaints, he's got me on 3 medications. According to the manufacturer's own websites, they are NOT to be given to patients with OSA (obstructive sleep apnea) which I've had for years. I am on a CPAP and he knows it. It is also common knowledge - and again the manufacturer agrees - that Norco is not to be given to patients on a daily basis with long term chronic pain. He has me on 2 doses a day for (according to my surgeon) the next 5 years. He is literally trying to kill me! The third medication is closer - at least he's giving it to me for the right reasons, but again not for patients with OSA. I have found 2 alternatives that will work just as well, and possibly better that will not affect my OSA. I'm starting to think I know more than he does !?! My next appt with this dude is on the 20th, so I have to wait til then and see if he will listen to my complaints, and if he doesn't, I will just have to wait and say "yes sir and no sir" and pray SSD comes through quickly!

Again guys, thanks as always for the support, suggestions, and letting me vent!

johnme 05-09-2013 04:25 PM

I have seen a lot of doctors and most seem bored with you, until surgery is
needed. Then they sit on the edge of their chair. I do feel lucky now that I found a great pain specialist !

littletexan77 05-21-2013 10:34 AM

Update:

So I took the advice of Eva5667Faliure and spent the last 2 months keeping a journal and shared it with the pain doc who I just met with yesterday. It helped! Eva - thank you soooo much for that seemingly small piece of advice for it made all the difference! He accepted my diagnosis of neuropathy and realized that the meds he was giving me were not only NOT helping my pain, but were actually hurting me because their side effects caused my sleep apnea to worsen. He agreed to pull me off of those and put me on Lyrica and Cymbalta as I requested. I walked out in a pretty good mood and happily turned my scripts in to the pharmacy. I was still in a good mood until the pharmacy called an hour later telling me that my insurance company was not accepting the prescriptions, but that I was welcome to come in and pay full price for them. I told my wife last year that she was going to regret switching to Aetna. I used to work for them. Needless to say - good mood is now gone! If the doctor doesn't get you, the insurance company will. I'm going to end this before I start swearing at them all!

ginnie 05-21-2013 11:05 AM

Hi Little texan
 
I sympathize with the insuance companies and medications. I switched after being told my asthma medication would be covered. Well I got the new program, and low and behold, they don't cover it. I was told an outright lie. So much for insurance. ginnie

Nanc 05-21-2013 11:45 AM

Quote:

Originally Posted by littletexan77 (Post 985358)
Update:

So I took the advice of Eva5667Faliure and spent the last 2 months keeping a journal and shared it with the pain doc who I just met with yesterday. It helped! Eva - thank you soooo much for that seemingly small piece of advice for it made all the difference! He accepted my diagnosis of neuropathy and realized that the meds he was giving me were not only NOT helping my pain, but were actually hurting me because their side effects caused my sleep apnea to worsen. He agreed to pull me off of those and put me on Lyrica and Cymbalta as I requested. I walked out in a pretty good mood and happily turned my scripts in to the pharmacy. I was still in a good mood until the pharmacy called an hour later telling me that my insurance company was not accepting the prescriptions, but that I was welcome to come in and pay full price for them. I told my wife last year that she was going to regret switching to Aetna. I used to work for them. Needless to say - good mood is now gone! If the doctor doesn't get you, the insurance company will. I'm going to end this before I start swearing at them all!

Hey there! Glad the visit to your pain dr went better this time. Sometimes all the insurance company needs is a prior authorization from the dr, for the dr to complete an exception form or for you to file a claim appeal. Sometimes a peer-to-peer review works...this is the dr talking directly to the dr at the insurance company. I would suggest contacting your insurance carrier and explaining your situation, then ask them what you need to do to get it approved.

Good luck!
Nanc
:hug:

eva5667faliure 05-22-2013 06:45 AM

i am sooo glad you took it and it helped
you go after the insurance company
the premiums are through the roof
not without a fight
nanc hit the the nail on the head
you go

someone who cares

ger715 05-22-2013 11:04 AM

Good advice. I have a few prescriptions my doctor has to fax prior authorization in order to have insurance company okay.
But...first need to contact insurance company to find out how to proceed. Unfortunately, I have to do the Prior Authorization for these prescriptions every year; but it is worth it.

Gerry

eva5667faliure 05-22-2013 11:26 AM

Quote:

Originally Posted by ger715 (Post 985702)
Good advice. I have a few prescriptions my doctor has to fax prior authorization in order to have insurance company okay.
But...first need to contact insurance company to find out how to proceed. Unfortunately, I have to do the Prior Authorization for these prescriptions every year; but it is worth it.

Gerry

you know it
my friend
hope all is well
pray that you
may have found some
type of joy even now
there are those miracles
i'm thinking of ya often
there is communication
but she is manipulative
in her ways
and i fell so badly for her
and i shouldn't
working on that
she managed a sleep
over on a school day
never again
and i told her friend
she lives in the building
the granddaughter of
one of the women in
the office downstairs
she is 2 years younger than
Corissa and Jackie trying to
hurry being an adult
where as Corissa started to be
exposed to mature horse play
like making out on the school
bus rushing her innocence
and Jackie brings her back
sometimes
but that isn't the point
i want so badly to spare
her pain

we are close

be well
sending lots of love

someone who cares

Mark56 05-27-2013 12:48 AM

Working the insurance
 
Just gotta keep pluggin away at it Texan! The advice others have given is right on point! Doc should be able to assist with the evaluation of the medical need for the meds..... mine have done it successfully.

May all be well, :hug:

littletexan77 06-09-2013 10:32 AM

Thanks to all of you for your advice and continued support. Sorry I haven't been on in while - I got super busy with the kids and then went into a deep depression that left me not really wanting to talk to anyone. Obviously, I have pulled out of it now and am back to playing the waiting game for a couple more weeks til I see the dr again. Again, Thank You to each and every one of you. I sincerely appreciate it!

Hannabananna 06-09-2013 01:51 PM

Hooray!!!
 
You got to the other side of depression.....wonderful that you can recognize it...that sure helps with pulling out of the tail spin..

for me...I am working on keeping an even keel with activities most every day so I just don't even start to go under...and sunshine helps.

all my best
Johanna

AZ-Di 06-09-2013 01:52 PM

Quote:

Originally Posted by littletexan77 (Post 990725)
Thanks to all of you for your advice and continued support. Sorry I haven't been on in while - I got super busy with the kids and then went into a deep depression that left me not really wanting to talk to anyone. Obviously, I have pulled out of it now and am back to playing the waiting game for a couple more weeks til I see the dr again. Again, Thank You to each and every one of you. I sincerely appreciate it!

Glad to see you posting, it's good to have some support on here.


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