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 05-26-2009, 05:02 PM #1
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Dew58 Dew58 is offline
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Location: Oklahoma
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Dew58 Dew58 is offline
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Join Date: Jul 2008
Location: Oklahoma
Posts: 498
15 yr Member
Heart Dew Back from PM Doc Visit 5/26/09

Hi Friends,

I was placed on MMI today.(Maximum Medical Improvement; WC term). That means I am as good as I am going to get, medically speaking. I will be placed on a maintenance plan for meds ,to be reviewed every 3 months,indefinitely.

My PM upped my Opana ER to 20 mg. x 2 (every 12 hrs). He told me to stop Lortab as I know longer need it.The Lortab was not doing anything,anyway. I had been on it for over a year(10/500 x 4 per day).

PM doc didn't say anything about tapering off of the Lortab...what do you all think?


Doc said that Opana ER will take care of all my pain. Also, he said to con't Ultram ER 300 mg.,Neurontin 2400 mg daily,Mobic 15 mg daily;Cymbalta 180 mg daily;Diovan/HCT 160/25 daily; and TENS UNIT,daily..and flector or lidoderm patches as needed.

My Gerd( Protonix 40 mg daily), Xanex( .25 x 4 per day), and Ambien CR(12.5 mg) medication must be scripted by my Personal Care Physician. PM Doc said that he had not scripted Xanex in over 6 yrs. That is not a problem for me.

I will not have anymore water PT because that is something my atty. will have to fight for in my WC case. Once on MMI, PT is rarely granted by WC.

I am to see PM doc in 45 days, to see how I am doing on the new script of Opana ER. I went to fill the 90 pills at the pharmacy, and the WC ins. would only allow 68 pills to be dispensed at one time. That means I am 22 pills short of the current script. I called my PM doc and spoke with the receptionist, and she told me to call her 7 days before my pills would be gone; next, the PM doc's office will mail the pharmacy another script for the 22 pills that I am short until my next visit with PM doc. (68 pills = 34 days of Opana ER 20 mg x 2 per day: cost to WC $445.79)

PM doc also told me that I should consider moving to Arizona. The dry, hot temps/ heat, is what I need to be as healthy as possible. He would recommend a PM doc in AZ,for me. I told him that I would have to think about that...hubby agreed with me. My psychologist told me the same thing.."You should move to AZ once your WC case is resolved." Again, because of the dry heat.

I am exhausted. I need a good night's sleep.

Thanks for you input
__________________

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A Positive Attitude Will Assist Me Toward An Active Life, Once Again
.

WC Injury 03/24/07;Two Right Knee Surgeries on 5/22/07 and 01/16/08. Surgeons and Physical Therapists ignored my concerns of burning pain, swelling, and no improvement and getting worse. Diagnosed RSD/CRPS I/Sympathetically Mediated Pain Syndrome/Chronic Pain on 06/2008 by family doc;on 08/2008 and 12/2008 diagnosis confirmed by two WC PM Doctors: Both legs;hips; hands; and spine effected by this culprit. SSDI granted 01/2009.

Last edited by Dew58; 05-26-2009 at 05:44 PM.
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