Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

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Old 01-07-2010, 10:40 PM #1
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Default I must be the world's biggest baby!:(

My 'wonderful' SCS experience
OK I am frustrated and confused! AHHHHHH!
I came home a few hours ago with my trial leads in place
(L1,L2 i think) For ONE thing, the hospital surgical floor is very busy today (It was like a sureal bad dream from a rerun of "Scrubs"!) So I felt as tho i was very rushed.

The procedure went great (took 15 minutes - bam DONE) They wheel me into my little 'area', the Medtronics Rep handed me the equipment and a quick 'easy' guide on how to use it. Said he had another client waiting, so couldn't stay long....then my Pain Doc who placed the leads comes by and gives me some quick instructions mostly about the meds. He said to STOP the Fentanyl patch cold turkey! This is NOT the way he talked when we scheduled this deal!! Hardly anything was said about restrictions as far as the BLT's. All he said (wouldn't even let me FINISH a question!!) was -- the leads are taped down real good....just go and live your life....do the things you weren't able to do before the pain...!
Now I remember why i ran from this guy a year ago when this was first brought to my attention. This guy is cocky and seems to think "PAIN" isn't a reality. !! I wish HE could wear our shoes just for ONE FRICKIN HOUR!!!
For ONE thing, my BACK hurts like hell from the procedure....I'm already getting intestinal fortitude from the beginnings of what i presume to be withdrawal....! How in GODS name am i supposed to 'GO LIVE MY LIFE!!"
IN F O U R DAYS ?! I'm supposed to make a life-long drastic decision in 4 days.

I apologize for sounding this way, I'm sure you understand. I'm trying to remain calm and remember the feedback i've received so far....

Someone did say they were quite sore the 1st 2 days and by day three they were a whole new person. Maybe that'll be my case - i hope. But i was under the impression that we had a whole WEEK to do the trial?!

But the medication thing MAN! There is NO way i'll be able to just 'throw away' my pain patches. THAT is NOT good advice AND it goes against what he told me during the consult a few wks ago.
Ok, i'll shut up. I'm just PO'd about the way the whole thing went. It's just another day and another dollar to these guys, but this is a LIFElong decision to me!
And only 4 days to decide. 4 days to wean thru all the different types of pain I'm dealing with ON TOP of the orginal condition. Gonna take a miracle from the looks of it.

Sorry for the Rant...

If i haven't scared off the entire forum, i'd really like a hand here. Cuz i sure ain't gettin it from the medical professionals.
Rae
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Old 01-07-2010, 10:58 PM #2
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Well, if you are the world's biggest baby, I am in 2nd place sweetheart.

I can tell that you have had a very busy and stressfull day & I know it is so much easier said than done, but please try to take it easy. You deserve it!!!

I had my trial done in August 09 and I know that each and every person is different...I take oxycontin (40mg at the time) along with percocet 10/325mg and a handful of other meds and my drs. didn't have me stop cold turkey. I was told that if I did I would become sick pretty quickly.

I was told to take it easy the first couple of days and then try to do some "normal" things "gently" after that. My trial SCS was in for 7 days, by day 4-5 I was feeling 1/2 way decent...not great, but decent...but I didn't stop my meds either.

I am so sorry to hear that your day sucked. When you do go back in a few days, please talk to the PA or whoever is taking out the SCS and let them know how you felt, esp. the rep. as this rep is going to be with you for a very long time. You need to have a good working relationship with them. If you are feeling rushed now during the trial no telling how it will be when you have the perm. put in....just my 2 cents.

Keep us posted as to how you are feeling, feel free to pm me if you want to chat or need anything

Awna
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Old 01-08-2010, 12:56 AM #3
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NOO it is completely normal, I dont know why he told you to stop your meds though?? strange.... i was practically in bed the whole time when i had my trial in. Big baby i am you arent the only one. But i noticed a huge difference in pain when it came to putting shirts on etc.. touching things.... and that is how i knew it would work. In my head- I figured that if I got some relief from the trial then after the whole thing was scarred into place then it would HAVE to give me relief because settings etc can be changed!!! DONT GIVE UP!!!! yes you feel like you just got the shi!t beat out of you and you are running through hell. promising huh?? its the truth though, but I am speaking on my behalf it only got better from there sooo-- it can only get better for you!!!!

I had my 3rd ketamine infusion today and I am feeling GREAT!!! so if my words were jibbberish it is still the high in me dont give up. The trial hurts horrrrrribly.how they say go on with your normal life beats me - well i do know- THEY HAVE NEVER BEEN THROUGH THE PROCEDURE OR THE PAIN- soo they say it with a grain of salt. keep us updated more days to come.
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Old 01-08-2010, 10:19 AM #4
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Default SCS Trial

Rae,

You are absolutely right that it is frustrating to have the doctors rush you in this situation. Cocky – not letting you finish a question – giving you the brush-off – that is all what gives the medical field its bad reputation.

That the Medtronic representative also gave you the little more than time of day is inexcusable. He/she is supposed to be the expert in this deal. She should have taken as much time as necessary to go over the controls with you, and let you know what to expect and what kind of restrictions there were.

You have hit it on the head. This is a major life-long decision, not to mention very expensive for you and/or your insurance and very profitable for Medtronic, the doctor, and the clinic. You need to be able to come to a good conclusion without feeling rushed.

I have contended that post-surgical instructions should always be given before the surgery. Your experience is not atypical. The doctors and other staff are often very hurried and have many other patients scheduled the same day, so they dash through instructions and send you on your way. Thank God my wife was along when I had my stimulator put in. I don’t remember a thing. They were in a hurry to get me up and out, whether I was coherent or not!

A similar thing happened when I had scheduled foot reconstruction. After the operation, when I was spaced out on morphine, had wires and tubes running in and out, and could barely stay awake, the Physical Therapist came in to teach me how to go up and down stairs with crutches. (That could have been done anytime in the previous four months.)

I wonder if you can call your doctor’s office and ask about an extension of the trial. They only want to keep them in for a couple of days because of the risk of infection. Also, the longer you keep it in, the greater the risk if yanking the leads. But, if you have all sorts of weird feelings from the Fentanyl withdrawal, pain from the surgical trauma, and so on, how in the devil are you going to decide that the trial is really working? Maybe you could see if one or two more days would be possible. The trial removal is not a big-deal procedure. Mine was done by a PA as an office visit and took about 15 minutes.

Now, when I had my trial, I could tell it was working right away – at least as soon as the anesthesia wore off. I had all sorts of discomfort, but it was not the same as the RSD pain I was used to. Maybe by this time tomorrow, we will be hearing how good you feel! Good luck with that.


Mike
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Old 01-08-2010, 12:24 PM #5
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Default Oy!!

Rrae,

The only theory I could come up with as to WHY your doc pulled you from the patch is because you might not notice the difference in relief that the stimulation provides if the patch "numbs" things for you. Nonetheless, the withdrawal from the fentanyl would be an extreme distraction, including disorienting you, and you certainly deserve to be completely with your wits when making this decision for yourself. I know it can be very painful where the leads are, but try not to focus on that, but rather the difference in your PN pain. Is the stimulator providing the relief in your limbs?? That is the bigger question and issue you need to focus on now..... the hell with everything else (it will pass). Four days is not a long time to come to that conclusion (mine was in for 7) so you will need to pay attention and take notes. Do your homework and don't let the BS distract you

I'm here for you and good luck!!!! Vanna
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Old 01-08-2010, 03:41 PM #6
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Quote:
Originally Posted by vannafeelbettr View Post
Rrae,

The only theory I could come up with as to WHY your doc pulled you from the patch is because you might not notice the difference in relief that the stimulation provides if the patch "numbs" things for you. Nonetheless, the withdrawal from the fentanyl would be an extreme distraction, including disorienting you, and you certainly deserve to be completely with your wits when making this decision for yourself. I know it can be very painful where the leads are, but try not to focus on that, but rather the difference in your PN pain. Is the stimulator providing the relief in your limbs?? That is the bigger question and issue you need to focus on now..... the hell with everything else (it will pass). Four days is not a long time to come to that conclusion (mine was in for 7) so you will need to pay attention and take notes. Do your homework and don't let the BS distract you

I'm here for you and good luck!!!! Vanna
Hi Rae, this sounds like a nightmare! I'm so sorry. I'm glad others have answered-I have no experience with the SCS. I've had experience with bad doctors-which I dropped. I hope others that have had the SCS see your thread and respond. It does sound like 7 days is the norm- was that your understanding before having the trial? Maybe you could contact the medronics rep. and ask. Hope the best for you, loretta with soft hugs
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