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 10-19-2010, 02:55 AM #11
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That stinks Sandy,,,,I hope you can get things settled before the pain comes creeping back
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Gee, this looks like a great place to sit and have a picnic with my yummy bone !
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Old 10-26-2010, 06:41 PM #12
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Default USC ketamine infusion

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Originally Posted by fmichael View Post
Assuming I get clearance from a glaucoma specialist at USC, I'm probably going to do the ten day, out-patient infusions of 200 mg. over a four hour period.

Just exactly what side effects - for men and women - are you guys talking about? And how long do they last?

Thanks,
Mike
Hi, Mike -- are you doing the ketamine infusion through the USC Pain Center? I'm newly diagnosed with RSD and literally just starting to research the ketamine infusion treatments, there is nothing where I live currently, but I used in live in L.A. [and went to grad school at USC] so would consider that center. Did you get a consult with Linda Rever, or how did you go about it? Any info would be appreciated. thanks!
T.
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Old 10-27-2010, 01:05 AM #13
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Originally Posted by Truffle View Post
Hi, Mike -- are you doing the ketamine infusion through the USC Pain Center? I'm newly diagnosed with RSD and literally just starting to research the ketamine infusion treatments, there is nothing where I live currently, but I used in live in L.A. [and went to grad school at USC] so would consider that center. Did you get a consult with Linda Rever, or how did you go about it? Any info would be appreciated. thanks!
T.
T -

I understand that the ketamine program at USC is just getting off the ground. I have been a patient of Steven Richeimer, MD, the Director of the USC Pain Center and Chief of Pain Medicine at USC, since 2003, in one capacity or another: first as a consultant and w/in the last 3 years as my primary.

When I last saw him in August, he told me that I was not going to be his first patient - he didn't know who was - because with my histrory of glaucoma and the apparent need to have my pressures monitored during the procedure which he is setting up through another department - he didn't want to take the chance that their first case could be scrubbed by Ophthalmology well before the series of infusions had ended.

As it is, my glaucoma specialist has referred me to an ophthalmologist at USC, whom I will see in a week or two, both to to determine if I need additional meds for my glaucoma and whether he will oversee the monitoring of my pressures during the infusions by a resident of clinical fellow. But if he does not believe that I should be receiving ketamine under any circumstances, then it's the same result as I had via email with the doctors in Saarbrücken, Germany on Aug. 13, 2004, when I was told - with tickets for travel in 9 or 10 days already in hand - that even well controlled open angle-glaucoma operated to per se disqualify me from participating in their ketamine coma trials.
Hopefully, that won't happen here. And so far, the early indications are looking good, at least on the issue of per se disqualification.

And while there are other doctors in LA administering ketamine, I would trust Dr. Richeimer with my life. That, and USC takes most insurance, whereas the other guys who are into this are essentially (if not exclusively) on a cash basis.

So I'll see what happens. Thanks for asking.

Mike
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Old 10-27-2010, 02:05 AM #14
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Originally Posted by gabbycakes View Post
Really intersting Sandy. Sorry to here yours are bloody and scary.

How are you feeling?

Gabbycakes
Sandy,

Are you being given the antipsychotics during and at the end of the infusions? I wonder if maybe a benzo to take the first couple of nights after the infusion might help if you PM would do it?

Dawn
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Old 10-27-2010, 05:40 AM #15
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Mike - I think it is so incredibly cool that this is finally happening for you. I truly wish you the very best. Please keep us all updated....

love and peace....Sandy

Quote:
Originally Posted by fmichael View Post
T -

I understand that the ketamine program at USC is just getting off the ground. I have been a patient of Steven Richeimer, MD, the Director of the USC Pain Center and Chief of Pain Medicine at USC, since 2003, in one capacity or another: first as a consultant and w/in the last 3 years as my primary.

When I last saw him in August, he told me that I was not going to be his first patient - he didn't know who was - because with my histrory of glaucoma and the apparent need to have my pressures monitored during the procedure which he is setting up through another department - he didn't want to take the chance that their first case could be scrubbed by Ophthalmology well before the series of infusions had ended.

As it is, my glaucoma specialist has referred me to an ophthalmologist at USC, whom I will see in a week or two, both to to determine if I need additional meds for my glaucoma and whether he will oversee the monitoring of my pressures during the infusions by a resident of clinical fellow. But if he does not believe that I should be receiving ketamine under any circumstances, then it's the same result as I had via email with the doctors in Saarbrücken, Germany on Aug. 13, 2004, when I was told - with tickets for travel in 9 or 10 days already in hand - that even well controlled open angle-glaucoma operated to per se disqualify me from participating in their ketamine coma trials.
Hopefully, that won't happen here. And so far, the early indications are looking good, at least on the issue of per se disqualification.

And while there are other doctors in LA administering ketamine, I would trust Dr. Richeimer with my life. That, and USC takes most insurance, whereas the other guys who are into this are essentially (if not exclusively) on a cash basis.

So I'll see what happens. Thanks for asking.

Mike
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Old 10-27-2010, 05:42 AM #16
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Thanks for the suggestion...never thought of that!!

xoxox Sandy

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Originally Posted by Reddawn600 View Post
Sandy,

Are you being given the antipsychotics during and at the end of the infusions? I wonder if maybe a benzo to take the first couple of nights after the infusion might help if you PM would do it?

Dawn
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Old 09-06-2014, 01:13 PM #17
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Originally Posted by fmichael View Post
I guess the thing with ketamine is that once its left your system, and the quoted figure is 72 hours, it's gone. Compare that to most meds, where when you're on them, you're generally trying to keep a relatively constant level of the drug in your system at all times.

Then again, thinking back at least 30 years, it was never all that easy to get it on when I was directly under the influence of any substance intended to put me in a "dissociative state." Perhaps other other folks had more luck in that department. Dunno.

Mike
Mike, I just wanted to thank you for one of the first serious smiles I've had since this nightmare started. Your reference to what you did 30 years ago made me giggle, because I personally related to those experiences. I'm seriously considering the ketamine at this point because the spinal injections are not working and they want to take away my pain meds. This sounds more promising, and less invasive, than the implant they want to put in my spine, a sort of tens unit. Not really to excited about that one - so thanks everyone for the information!

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Old 09-14-2014, 12:45 PM #18
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Quote:
Originally Posted by SandyRI View Post
Thanks for the suggestion...never thought of that!!

xoxox Sandy

Hi Sandy -

I'm new, so I'm sorry to butt into your conversation. Doesn't your doctor prescribe Ativan before you do your infusion? It's standard practice by ours, so I just wondered.

My 12-year-old does the ketamine outpatient infusions 4 days a week (for 4 hours) and has done the hospital inpatient infusions 5 times now. They have been successful each time for her. She was diagnosed with RSD/CRPS on 3/23/14 and it's been a nightmare for us. She also takes ketamine orally twice a day in the form of a lozenge that was specially compounded for her at one of the pharmacies here. Perhaps that's something that the doctor could think of for you as well? Oh - we are in San Antonio, TX.

I hope this helps you!!! :grouphug

Catherine

PS I'm so excited to see someplace that actually has other people doing the ketamine treatments! But no one's mentioned doing the oral ketamine?
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Old 09-14-2014, 02:25 PM #19
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Hi Cat,
Welcome to the forum.
I know that there are some folks in here but I never talk about other people.
If you start a new thread about it I'm sure someone will jump in...
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okska'sssini ómahkapi'si
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Old 09-14-2014, 11:56 PM #20
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Default 26 treatments?

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I am feeling the onset of the cold in the Northeast!! And for now, until my attorney gets me a court date, I am cut off from my ketamine infusions by my RI doc because my authorization has just expired (I was only approved for 90 days by the WC court). My last infusion was a week and a half ago, so hopefully it will last at least another week and a half or more. We can file a request for a court date in the next few days and hopefully get one within a month.

So I am off WC payroll, and back to work, but still being tortured by WC. Makes no sense, but that's how it is. My head and shoulder will never be normal, but I've learned how to deal with them most of the time. Unfortunately, since April, I have never had to deal with them for longer than 4 weeks without ketamine or really strong meds.

Dr. Getson NEVER cut me off for lack of $$ or authorization. EVER. He cared more about the patient than his lining his own pockets. I miss him. My RI doc (court ordered) is just not like that at all. He comes across as the nicest man in town, and is highly qualified. But when the chips are down, he will leave you in pain rather than risk a loss of revenue (which is not likely in my case because every one of my ketamine bills has been paid to date by The Hartford - all 26 infusions). It sucks.

Sorry for the rant. Hope the colder weather is OK for you - I know the hot weather made you miserable.

Thanks so much for asking about me - and you take care, XOXO Sandy
Sandy,

I am just learning about the Ketamine - I thought it was a one time shot? It sounds like you have to go for repeat treatments?

I am so sorry to hear you are having trouble with WC - I know that sorrow all too well.

Pix
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