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-   -   Stimulation... PENS / SCS for face pain, AD , T.N. (https://www.neurotalk.org/trigeminal-neuralgia/124048-stimulation-pens-scs-pain-ad.html)

trainwreck 09-08-2012 07:52 PM

I am open to questions about the PNS or Pain pump. My PNS units all failed over the years for various reasons. I've had different manufactures for them. Medtronics being the most common. My pain pump is Medtronics and after 4 months it's working well except where the catheter moves in my spinal cord space and hurts at times. Well worth the discomfort for a 7 on the pain scale. The doc in CO at the University is only working on military personnel and is now down in Co Springs. The University won't touch PNS or SCS now and neither will that doc's old practice. They are parceling us out to other states for now. The rate of success isn't high enough to offset the cost they have said. I don't regret any of mine while they were working-they brought some relief for a few months each.

Burntmarshmallow 09-09-2012 09:47 PM

@Mark :hug: I have been on the sidelines most of the summer also with the dark side of things . I have been following here and there your update in the scs pain pump sub forum and keeping you in prayers. :grouphug:Thanks for the knowledge and point of view .

For BETH sorry made it personal :p .You are leaving out Tuesday for Cleveland for adjustments with settings/programs and if that isnt of help your then going for lead adjustment surgery. I will text you . Remember like I told you on the phone no running threw your yard and garden ... I have it in my pocket ya know that Hope thing ;)

@Trainwreck where is your pump located ? you mentioned spine area, by your neck or base of skull? before I got my PNS they wanted to put pain pump tank into back of my skull but when they did the med threw iv bad reaction so went ahead with T-Rex . What made you decide to go with pain pump did they mention MCS ? I know a few that are candidate for that but they arent up for the whole idea . so can i ask when they left the unit implanted they took out the battery and left the rest???

I have a t.n. friend flying out from s.c. to co. this month to get her st.jude fixed. Was done at Duke University. She is not a member here but Kat on this thread here her doc and rep are going to be doing it. so much to pray for and send positive energy out to. That is what I will be doing . I will post again soon . I see and feel a busy crazy work week I am not ready for that is right on the other side of tonight. Leaving Good energy , low pain vibs and prayers to all :grouphug:
PEACE
BMW

trainwreck 09-10-2012 02:02 PM

Quote:

Originally Posted by Burntmarshmallow (Post 913205)
@Mark :hug: I have been on the sidelines most of the summer also with the dark side of things . I have been following here and there your update in the scs pain pump sub forum and keeping you in prayers. :grouphug:Thanks for the knowledge and point of view .

For BETH sorry made it personal :p .You are leaving out Tuesday for Cleveland for adjustments with settings/programs and if that isnt of help your then going for lead adjustment surgery. I will text you . Remember like I told you on the phone no running threw your yard and garden ... I have it in my pocket ya know that Hope thing ;)

@Trainwreck where is your pump located ? you mentioned spine area, by your neck or base of skull? before I got my PNS they wanted to put pain pump tank into back of my skull but when they did the med threw iv bad reaction so went ahead with T-Rex . What made you decide to go with pain pump did they mention MCS ? I know a few that are candidate for that but they arent up for the whole idea . so can i ask when they left the unit implanted they took out the battery and left the rest???

I have a t.n. friend flying out from s.c. to co. this month to get her st.jude fixed. Was done at Duke University. She is not a member here but Kat on this thread here her doc and rep are going to be doing it. so much to pray for and send positive energy out to. That is what I will be doing . I will post again soon . I see and feel a busy crazy work week I am not ready for that is right on the other side of tonight. Leaving Good energy , low pain vibs and prayers to all :grouphug:
PEACE
BMW

The unit was left in dead battery, leads and all-the doctor is no longer working on non-military people so there is no one to remove it. If the battery case corrodes or leaks we will deal with it then. My pump is in my back hip the catheter is in my S3 with a long lead up to T6 so that is why I can feel it moving and tugging. I can also feel when they remove meds or add them via a long needle into the hip pump. The snail sludge med wasn't an option so I am on heavy doses of intrathecal dilaudid. I have had the MCS (failed) and I've had necrosis of the skin on both sides of my chest where all the other SCS and PNS units were placed. No skin left to make a pocket so they went with my hip. I also have spinal cord tumors which negated some of the ares for lead placement for the pump.

RBHWaynesboro 09-11-2012 08:04 AM

Quote:

Originally Posted by trainwreck (Post 912923)
I am open to questions about the PNS or Pain pump. My PNS units all failed over the years for various reasons. I've had different manufactures for them. Medtronics being the most common. My pain pump is Medtronics and after 4 months it's working well except where the catheter moves in my spinal cord space and hurts at times. Well worth the discomfort for a 7 on the pain scale. The doc in CO at the University is only working on military personnel and is now down in Co Springs. The University won't touch PNS or SCS now and neither will that doc's old practice. They are parceling us out to other states for now. The rate of success isn't high enough to offset the cost they have said. I don't regret any of mine while they were working-they brought some relief for a few months each.

Did you get the pain pump for tn? I am new to this site and desperately seeking relief. I am wondering if anyone else has had the problem of feeling the docs have given up on them or shuffeled the issue on to someone else?

trainwreck 09-11-2012 09:39 AM

Quote:

Originally Posted by RBHWaynesboro (Post 913557)
Did you get the pain pump for tn? I am new to this site and desperately seeking relief. I am wondering if anyone else has had the problem of feeling the docs have given up on them or shuffeled the issue on to someone else?

Yes, TN or TN-like issues. I have it on both sides and all three branches. I have been told by docs in Mayo and Oregon that they would not touch me with a 10 foot poll. So I completely understand the shuffle and dump by doctors. Try to find a pain management doc or a neurosurgeon who understands facial nerve pain. The pain pump is not usually prescribed for new diagnosis since they have to try the cheaper (meds )route. My unit came in just under 250 thousand. It's a no fuss unit that is filled every 90 days in my home.

BethO2L 09-12-2012 04:11 AM

Pns
 
Sister Warrior ,,you know me too well to have to apologize for getting too personal!!! you made me laugh with that one!
I had my PNS put in in January and have not had a better 7 months in the last decade. Yes,,now there is a problem,,don't know yet I see my Doc an the worlds greatest programmer tomorrow so we shall see what we shall see.
First,, am I pro using PNS units if you qualify,,,Hell yes., For too many people the minor issues far outweigh the problems.
Second, my Doc is at the forefront of trying to get FDA approval on these for TN patients.

To Trainwreck,,a couple of things,, first don't know what the military is looking at but being a military dependent in one form or another for 30 plus years doesn't mean they are making the wisest choice perhaps just the money choice,,,,because every study done shows that the highest rate of positive outcome in using PNS units is among TN patients.
Now that being said it is also at clinics that have great Docs and in house programmers who have been doing this as long as he has so you are no guinea pig with these folks,,,they've seen it all before you and because of the nature of the hospital ,, they talk among other Docs without concern of whose more inmporant ,,,only with the concern of the patient.

If you haven't been GO to the Cleveland Clinic,,no4 hosp in country and no 1 for heart problems......Now let's be clear I had been going to the no 7 hosp in country for all my treatment,,,clearly not a backwater jerk hospital....But I will say the difference is astounding...I don't care what you've heard about MAYO or any other facility,,,I went to MAYO with my mother and the focus is just different.

Everything Cleveland does is really for the comfort and better health of the patient,,,,I have had more surgeries than I can count on 3 hands,,,I am familiar with hospitals,,,Cleveland is different....Done.

I have COMPLETE faith in my doc and his staff,,he does just PNS units and in how many different places he can get good results,,,he does dozens of TN patients a WEEK,,,this is the go to guy.,
He is caring has a personality and is still a Neurosurgeon,,,,go figure!

Trainwreck,,,aI am so sorry that you have been through so much,,it sounds like you have some other issues besides TN and I hope you find relief,,,,,but depending on your circumstances you may be able to get Champus/Tricare to pick up the tab for a second opinion at Cleveland,,,Look into it, I just had a friend who got them to do it, by law they have to do a second opinion and because only so many places even work with what you have if you get a patient advocate that is willing to fight for you,, you might get them to do it,,,even if it's just to check out what they are doing now and if it's the best thing,,,,at least look into it.
Also,,I can see that the military would no longer either do these or pick up the tab for them. Look doing these is still not FDA approved so it makes sense and I'm sorry but no matter how good the Doc is if the programmer isn't BETTER it's not going to work.

It really is the support staff that makes or breaks the efficacy of this unit especially for TN patients. If they do not know how to make that unit dance across the floor,,their not good enough for TN patients.....
In my humble (stop laughing Tina) opinion if any hospital relies on the Rep from the company to program you,,,,you're screwed. They need to have full time on staff programmers that have been taught (and they will do it in Cleveland and they don't charge to train people!!) by the right people and then your numbers on success rates are going to go into an area that makes it worth keeping,,,,,

I've done my homework on this,,I read all the medical journals from all the big hospitals,,,,did you know until recently Stanford did the Motor Cortex but not the PNS,, why?? they didn't think their surgeons would be doing such a minor procedure,,,,,,
Ask that to the patient whose Doc put the lead in the wrong place and should have used 3 instead of 2,,,,,yeah it's beneath them,,,,,

My point is do your homework,,and look I get it a trip to Cleveland except for some great restaurants (which it hurts too much to eat at) is usually not in the budget,,,,but look into it at anyway possible....

The clinic is Neuro Restoration which makes me feel good to begin with,,and the pain mgmt guy I saw first who referred me over was in the OR when they did the final implant,,,,they want each other to know at this hospital,,,,it's kind of the attitude that knowledge is free so lets share it for the benefit of our patients,,,,,

Now,,,am I bolstering myself up,,sure,,ai just had the best 7months in a decade and now it's being taken away from me and I'm scared ********,,,, and I want that back,,I want to eat salad with no pain,,I want to smile with no pain and I want to say my name with no pain,,,,but you know what,,I have faith,,,,faith in my God, faith in the prayers being sent my way (warrior sisters) and I have faith in my medical team,,,that they are going to do EVERYTHING THEY CAN to fix this and get me home so eating salads and smiling will be my real life again,,,,,

If you can ,,go,, they are that good,,,private message me I will give out the MD's name if you are serious about going.....
let's put it this way,,I'm on medicare and I had approval for an experimental procedure in TWO WEEKS,,,,because it had his name on it and it said Cleveland Clinic,,,,that tells you their success rate with TN patients,,,,

If you can throw some prayers my way today,,,my nerves are going to need them,,,,Love to you all

BethO2L 09-13-2012 11:51 AM

OK back again,,,,saw my programmer and Doc yesterday,,,,here's the scoop

This is normal,,,,go figure. I spent an hour and an half trying to get something to work,,,and it's better but not great,,,,then did another hour after a break,,still not great...
but you can't get beat up like that forever,,,so I go back tomorrow and will have better info for my programmer and she will be able to come up with something that will be liveable for a while,,,,then I'll come back up later in October when I can plan this trip better and we will try again,,,just so long as I can eat and say my name without pain,, I'll take it,,,, then later on we'll go after the beast again,,,,

She is confidant that she'll get me a lot better than this but it will take time. For anyone who has gone through programming when in severe pain you know,,for those who don't after too long you can't tell what is hurting or making it better because it just hurts so damn much. So you have to take a break to let things simmer down and then try again,,,,it takes the patience of Job to try and figure out what is helping or hurting and how the combinations of programs work together as a group,,,,,not everyone can do that job,,, I am LUCKY to have her,,,,

I was so scared and holding it together well,,,,until,,,,,I was getting on the elevator and my Doc was getting off and I saw him and I LOST IT!!! I threw myself into his arms and sobbed " please, please help me" and he stood there in his beautiful clean suit as I cried all my makeup on to his collar,,,, and he stood there,,,,just holding me saying "it's ok,,it's ok,, we'll make it better,,I promise" over and over again until I stopped,,,,,,he didn't have to do that,,, his compassion made him do it,,,,,that's who he is,,,he's human,,,,,,

After that all during my xrays and all the waiting I couldn't stop crying,,,,ask BM (Tina),,, that aint' like this girl,,I'm tough,,,,but seeing him made me break down,,,kinda' funny..

I went in to start the programming and at one point he came in again to just see how I was,, he didn't need to,, he wanted to,,, and I started sobbing again,,, and he came over and held me,,,he didn't say anything he just knew I needed him,,,,trust me crying like that during your programming doesn't help but they both understood,,,,,

So he left and I put on my strong face again and got back to the process,,,,I asked Erica my programmer,,"is this normal??" and she (who is not the warm touchy feely kinda' person) ,,put her hand on my arm and looked me in the eye and said " yes this is normal,,,sometimes your brain stops registering the signal and we have to change it,,,you will be okay" and then I knew that every dollar we went into debt for me to go there and get this done was worth it,,,,,this is my life!!! what value does that hold??? to have been able to go to the best clinic for my disorder,,,I was o blessed,,,,

The hardest part to all this has been the fear,,,7 months of real life,,,eating salads,,,kissing my husband,,,talking without fear,,,, was all taken away and I was left believing that it would never be back,,,because of not knowing,,I let my imagination run away with me,,,I thought the worst,,,,,just knowing that this will happen again makes living through this time easier,,,,today I am recovering from getting beat up yesterday,,figuring out what programs are good and what need to be changed,,,and just decompressing,,,getting me head around the fact that I will be better (perhaps not great,,,this time) and this will happen again,,and again,,and again,,,and sometimes will be great and others won't,,,it's a tool not a cure,,,,I kinda' forgot that,,,,it won't always give me the same coverage,,,but will always help,,, and help enough to get my life back to as normal as anyone with such a severe case of TN/AD as I have,,,,,

I thank you all for your good thoughts and prayers (to whatever higher power you believe in) they helped just by knowing they were there,,,,

And now because I can never end anything on a positive note I have a question,,,,,where are all of you from the beginnings of this thread??? I don't know you but I spent some time reading last night,,,all those people in the early stages of this who needed help and got it,,who were there for each other??? where did you go?? I get it that not everyone got the help they deserved,,,,but did someone out there go through what I just did??? was there one person who knew,,,she'll be ok,, it just needs reprogramming or even it sounds like it just needs reprogramming,,,,,ANYONE????

Because I could have really used you,,your help and support ,,,your knowledge,,,I know these systems have changed ( but dear god they're not as old as Tina's and she's still hanging in here helping us),,,but isn't the basic idea the same?? I will now know to not let it get so bad,, to pay attention more to the changes and to see Erica sooner,, not let this kind of terrible pain happen again,,,I learned and I will pass this knowledge onto anyone I can so they know,, so they do not go through the terror I did,,,
dId you decide that once you got help or are still struggling that you no longer needed us?? what about those of us who still need you???
Your knowledge, your input, support, disagreement??? whatever,,,where did you all go,,, because I could have really used your help in facing this,,,,,,ok

I love you all even though I don't know many of you,,I thank you all and am grateful for your thoughts and prayers even though I may not have been aware of them,,,they helped,,,I will always be eternally grateful for God getting me to the Cleveland Clinic and even more grateful for my Doc and Erica the worlds greatest programmer,,,words can not say how grateful I am for the support of my family and that my Stim worked well enough so I could kick my son out to find his own life and not worry about mine,,,I am grateful for Ken and 30 years of not killing each other yet,,,,,and words can not express how grateful I am for Tina who got me through the initial Stim process and continues to bless me in ways she doesn't even know,,although her life right now has been full of pain she brings me nothing but joy,,I don't know how she does it,,, MY warrior sister,,,,,thanks to you all

Burntmarshmallow 09-14-2012 03:59 PM

Quote:

Originally Posted by trainwreck (Post 913355)
The unit was left in dead battery, leads and all-the doctor is no longer working on non-military people so there is no one to remove it. If the battery case corrodes or leaks we will deal with it then. My pump is in my back hip the catheter is in my S3 with a long lead up to T6 so that is why I can feel it moving and tugging. I can also feel when they remove meds or add them via a long needle into the hip pump. The snail sludge med wasn't an option so I am on heavy doses of intrathecal dilaudid. I have had the MCS (failed) and I've had necrosis of the skin on both sides of my chest where all the other SCS and PNS units were placed. No skin left to make a pocket so they went with my hip. I also have spinal cord tumors which negated some of the ares for lead placement for the pump.

so if you dont mind me asking . as I have a few t.n., a.d. people 2 are on this thread Cheryl and lastnerve. the latter had hers removed. all of them candidates for DBS or MCS none want to go that route. so if you had choice of MCS or pain pump do you think you would of had the pain pump if it was offered at that same time as your MCS ??? I remember hearing of you a long while ago and I am sorry for all the issues you have been battling . A True Warrior you are and I am glad you are here sharing and helping. sending positive good energy to everyone .
PEACE
BMW ( Tina )

Burntmarshmallow 09-14-2012 08:09 PM

Beth I hope today was better all around for you. You are right I know NOTHING about having programs, settings or rechargeable battery . but I do know that those you mentioned 3 arent doing well... one had pns removed is candidate for MCS but dose not want to do it . so they are stuck in the cage with only meds to try and fight the pain monster another has pns in one of the 2 leads works well the other not so much so they are just keeping it as is and not having it out to have a MCS. when they are on the flip side of the ugly. I am sure they will be posting again. sometimes members forget they posted and are in other forums or f.b. ... But they are out . and ya know honestly having one get their life back and not look back is the best freaking thing ever. and on that note You get rest get back regroup . we will be in touch. :grouphug:
PEACE
BMW

Quote:

Originally Posted by BethO2L (Post 914210)
OK back again,,,,saw my programmer and Doc yesterday,,,,here's the scoop

This is normal,,,,go figure. I spent an hour and an half trying to get something to work,,,and it's better but not great,,,,then did another hour after a break,,still not great...
but you can't get beat up like that forever,,,so I go back tomorrow and will have better info for my programmer and she will be able to come up with something that will be liveable for a while,,,,then I'll come back up later in October when I can plan this trip better and we will try again,,,just so long as I can eat and say my name without pain,, I'll take it,,,, then later on we'll go after the beast again,,,,

She is confidant that she'll get me a lot better than this but it will take time. For anyone who has gone through programming when in severe pain you know,,for those who don't after too long you can't tell what is hurting or making it better because it just hurts so damn much. So you have to take a break to let things simmer down and then try again,,,,it takes the patience of Job to try and figure out what is helping or hurting and how the combinations of programs work together as a group,,,,,not everyone can do that job,,, I am LUCKY to have her,,,,

I was so scared and holding it together well,,,,until,,,,,I was getting on the elevator and my Doc was getting off and I saw him and I LOST IT!!! I threw myself into his arms and sobbed " please, please help me" and he stood there in his beautiful clean suit as I cried all my makeup on to his collar,,,, and he stood there,,,,just holding me saying "it's ok,,it's ok,, we'll make it better,,I promise" over and over again until I stopped,,,,,,he didn't have to do that,,, his compassion made him do it,,,,,that's who he is,,,he's human,,,,,,

After that all during my xrays and all the waiting I couldn't stop crying,,,,ask BM (Tina),,, that aint' like this girl,,I'm tough,,,,but seeing him made me break down,,,kinda' funny..

I went in to start the programming and at one point he came in again to just see how I was,, he didn't need to,, he wanted to,,, and I started sobbing again,,, and he came over and held me,,,he didn't say anything he just knew I needed him,,,,trust me crying like that during your programming doesn't help but they both understood,,,,,

So he left and I put on my strong face again and got back to the process,,,,I asked Erica my programmer,,"is this normal??" and she (who is not the warm touchy feely kinda' person) ,,put her hand on my arm and looked me in the eye and said " yes this is normal,,,sometimes your brain stops registering the signal and we have to change it,,,you will be okay" and then I knew that every dollar we went into debt for me to go there and get this done was worth it,,,,,this is my life!!! what value does that hold??? to have been able to go to the best clinic for my disorder,,,I was o blessed,,,,

The hardest part to all this has been the fear,,,7 months of real life,,,eating salads,,,kissing my husband,,,talking without fear,,,, was all taken away and I was left believing that it would never be back,,,because of not knowing,,I let my imagination run away with me,,,I thought the worst,,,,,just knowing that this will happen again makes living through this time easier,,,,today I am recovering from getting beat up yesterday,,figuring out what programs are good and what need to be changed,,,and just decompressing,,,getting me head around the fact that I will be better (perhaps not great,,,this time) and this will happen again,,and again,,and again,,,and sometimes will be great and others won't,,,it's a tool not a cure,,,,I kinda' forgot that,,,,it won't always give me the same coverage,,,but will always help,,, and help enough to get my life back to as normal as anyone with such a severe case of TN/AD as I have,,,,,

I thank you all for your good thoughts and prayers (to whatever higher power you believe in) they helped just by knowing they were there,,,,

And now because I can never end anything on a positive note I have a question,,,,,where are all of you from the beginnings of this thread??? I don't know you but I spent some time reading last night,,,all those people in the early stages of this who needed help and got it,,who were there for each other??? where did you go?? I get it that not everyone got the help they deserved,,,,but did someone out there go through what I just did??? was there one person who knew,,,she'll be ok,, it just needs reprogramming or even it sounds like it just needs reprogramming,,,,,ANYONE????

Because I could have really used you,,your help and support ,,,your knowledge,,,I know these systems have changed ( but dear god they're not as old as Tina's and she's still hanging in here helping us),,,but isn't the basic idea the same?? I will now know to not let it get so bad,, to pay attention more to the changes and to see Erica sooner,, not let this kind of terrible pain happen again,,,I learned and I will pass this knowledge onto anyone I can so they know,, so they do not go through the terror I did,,,
dId you decide that once you got help or are still struggling that you no longer needed us?? what about those of us who still need you???
Your knowledge, your input, support, disagreement??? whatever,,,where did you all go,,, because I could have really used your help in facing this,,,,,,ok

I love you all even though I don't know many of you,,I thank you all and am grateful for your thoughts and prayers even though I may not have been aware of them,,,they helped,,,I will always be eternally grateful for God getting me to the Cleveland Clinic and even more grateful for my Doc and Erica the worlds greatest programmer,,,words can not say how grateful I am for the support of my family and that my Stim worked well enough so I could kick my son out to find his own life and not worry about mine,,,I am grateful for Ken and 30 years of not killing each other yet,,,,,and words can not express how grateful I am for Tina who got me through the initial Stim process and continues to bless me in ways she doesn't even know,,although her life right now has been full of pain she brings me nothing but joy,,I don't know how she does it,,, MY warrior sister,,,,,thanks to you all


BethO2L 09-15-2012 02:50 AM

Me again,,,,sorry if I came across as harsh,,it was not intended,,just fearful,,,,
There are those of you who came before me and I WANT no perhaps NEED to know how you are even if it's not good...because everything I can learn about this help me,,,,the good and the bad....knowledge is power,, it helps with our fears and tells us the right questions to ask....

OK,,so here it is.after three very long programming sessions I have a group that helps but not as much as I would like,,,,
SO I will live with this for now. The pain is not gone but much reduced,,,, and I will have to accept that for now...even the amazing Erica could not find something that could cover it all...we agreed that trying to program me in short sessions is not the best ,,for me.

So I will go back again in October after this has had some time to work and see if in time it helps more,,,that seems to be,,,for me,,the best approach...there is just too much pain involved on trying to do it this way.....
when I go back I will plan it for over a week,,when she can work in shorter times,,,less pain for me and the ability to give her better responses,,,,after a while it's too hard to tell what is helping and what isn't,,,, so shorter session every other day over the course of a week and with some pain already reduced,,,she is certain we can do better,,,,

It helps having a programmer who understands that it hurts me more than it does her,,,,but who still BELIEVES she can do better,,,,she has not given up and said,,,oh well that's it,live with it,,,, she encourages me and understands that not everyone can be programmed the same way,,,,it is reassuring,,,, I respect and appreciate her for that,,,,

So I will plan for this next trip and she can plan me in rather than coming in on her day off just to try and help me,,,,she had things in her life that needed to be done but took the time to help me anyway,,,,these people care about me and helping me control this pain,,,,,she is looking ahead and does not want me to face the Holidays and the winter without better pain control....
and every visit my Doc has made time to stop in and see me to see how I'm doing and he is genuinely concerned that we did not do better this time,,,,but he too understands that you can't always get it right the first time,,,,,,

Perhaps that is why I am so convinced that this hospital and Doc is the place to go,,,,for us TN/AD patients,,,,they really care and don't give up,,,,they keep trying,,,keep believing that they can do better,,,,it makes you feel that you are not the only one fighting for you to get better,,,,as I was leaving,,it was clear he had other places to be as well,,but he was with me,,one patient among the many,,,,
He gave me a hug and said "don't give up,,we haven't,, we will get this better" that's what you need to hear from your Doc,,,,
He's really done with me,,,there's nothing left for him to do,,no surgeries,,then why did he make the time to be there??? because he cares,,,,,he REALLY cares,,,,
knowing that everyone is with you in this journey,,,calms the fears and gives you hope,,,,,
I thank God daily that I was lucky enough to get to THIS hospital with THESE people,,,

No I am not pain free or even as pain controlled as I would like but I know we are not done at this,,,,we are fighting this pain together and that takes that burden from my shoulders and puts it on OUR shoulders,,,,,that weight I can bear.....

So now I head home,,,better but not great,,but still better,,,and I will come back and fight this beast together with these people who care about me,,,, and that I can face with less fear,,,,in the end that's all I can ask for,,,,

My love and thanks to you all,,,For the prayers and "good low pain vibes",,,,,I will stay here with you through the good and the bad and hopefully my knowledge may help someone else make this difficult choice or perhaps I may help someone who feels like the medical system has passed them by,,,,get the courage to go where I did and maybe ind the hejp they need,,,,,,Good Luck to all of us,,,,,Beth

calewark 09-17-2012 01:18 PM

Dr. here in Denver
 
Quote:

Originally Posted by trainwreck (Post 912923)
I am open to questions about the PNS or Pain pump. My PNS units all failed over the years for various reasons. I've had different manufactures for them. Medtronics being the most common. My pain pump is Medtronics and after 4 months it's working well except where the catheter moves in my spinal cord space and hurts at times. Well worth the discomfort for a 7 on the pain scale. The doc in CO at the University is only working on military personnel and is now down in Co Springs. The University won't touch PNS or SCS now and neither will that doc's old practice. They are parceling us out to other states for now. The rate of success isn't high enough to offset the cost they have said. I don't regret any of mine while they were working-they brought some relief for a few months each.

Hi,
I would assume you live in Denver since you mentioned the Univ. and the doctor that does the stim. I am aware of him and I know that he does not see patients any longer.
I received my stim in Aug. 2010. I have had real success with mine. I have it in all three branches. It has never been worked on since. I have had the rep from St, Jude's in the beginning work with my settings. The doctor that
did mine is in Denver and he is great and very experienced. He has done seminars in other states to teach docs his method. So many docs will say that it can't be done for V3 as the lead would break due to chewing, talking, and yawning. This is untrue. My doc has a method that works. If you would like his name please email me and we can talk. It is calewark@me.com
Cheryl

BethO2L 09-18-2012 01:00 AM

calewark
 
Howdy,,,,
I have had my PNS system done in January at The Cleveland Clinic,, and I have a V3 lead.

Never had any problems with it and it was never even mentioned that the V3 lead might not work or break,,,not had any problems with it and recently had XRays done and nothing has moved and it is working properly,,,,,

I'm so glad that it continues to work well for you,,, I think that these systems will in time become more and more available to more TN patients and if done properly will become another tool to help control this difficult disorder,,,

Good luck with your system and I hope you continue to get good results with your system,,,,,
I am going to email you and get the name of the physician since so many people ask for the referral in Colorado,,,,

Thanks again and best wishes,,,,,Beth

Burntmarshmallow 10-06-2012 07:20 PM

Beth sending you prayers and crossing my fingers for your rep and doc to work more magic at each and every one of your programing apts all next week.I know you r off to cleveland tomorrow. got your message lol your are such a "B" ha ha....B as in Beth ha ha ha :p stay strong warrior sister. safe travels we will talk when you can actually talk and not be in monster pain.I pray that is very soon Love ya t.n. sis.:hug:
PEACE
BMW

CLTL 08-27-2013 09:48 PM

Question
 
Quote:

Originally Posted by Burntmarshmallow (Post 920436)
Beth sending you prayers and crossing my fingers for your rep and doc to work more magic at each and every one of your programing apts all next week.I know you r off to cleveland tomorrow. got your message lol your are such a "B" ha ha....B as in Beth ha ha ha :p stay strong warrior sister. safe travels we will talk when you can actually talk and not be in monster pain.I pray that is very soon Love ya t.n. sis.:hug:
PEACE
BMW

Hi! I am trying to find someone who knows about having a Medtronic system put in at Seattle in a few days on two branches of the nerve that cause ATN pain 24/7. I am having trouble finding anyone who knows about this, I can't let my employer know for fear of losing my job, and am just not able to find much specific information about the upcoming trial. Can anyone help?

parisathena 08-29-2013 04:49 PM

Doctor's name
 
I have been looking for some time for a doctor who can do V1,V2,V3 and I would appreciate if you direct me to your doctor. By the way are you still happy with the PENS?

Thank you,
Bill from NY



Quote:

Originally Posted by Burntmarshmallow (Post 662141)
I decided to start a tread here about this topic .
I have been contacted by quite a few others who are faced with this as an option , and I wish it were easier for them all to find some info about this.
I believe I am the first in the U.S.A. to try and then have permanent implant
of a PENS for face pain,T.N.(A.D.). I had my surgery in July 2002 . I have been and still very very happy with out any trouble with my PENS or the battery. I have read and been along side of so many others who have gone threw an MVD or Gamma and PENS or Pain Pump becomes the last option . Since getting my Stimulator I have tried to help others going threw the trail and implant of this type of Stimulator .

I want to go over the different names this type of stimulation is called.

It is called PENS which is Peripheral Electronic Nerve Stimulator

It is called SCS Spine Cord Stimulator

It is called a Neuro Stimulator

ALL OF THESE THINGS ARE THE SAME !!

It is NOT approved by the Gov yet for treatment of face pain. T.N or A.D. etc and is still considered experimental / off market use of SCS.
Which in part I think is why it is the last option. Maybe that will change . Maybe someday others wont have to claw their way threw so much pain so many meds and failed surgeries before they are offered to have a trail of the Stimulator.
The biggest best thing about SCS is you have a trail before you have the permanent implant surgery. You know if it is going work well , you know if the stim will help you as soon as you have the trial period. Most times you know right away as soon as it is turned on . Most others I have been in touch with shared they knew right away and cried a little . The first thing I dd was smile without so much pain.
You are awake during most of the surgery and it is a same day surgery also. Both for the trail and the permanent implant of the stim...go in and go home the same day. You are awake so you can help the Doctors know where the leads feel best and are helping the most .
For the trail there will be tiny wires coming out of you and they are taped tight to the skin and covered to avoid chance of infection. You also have a little battery which is in a small case like a cell phone case . You wear that either on your waist or sometimes others have said they had their battery pouch with band / belt/ under arm by bra line or upper chest. .A connecting wire or adapter connects the battery to the stim device or the leads if you will. Almost like plugging in to charge your cell phone. You cannot wash hair or get the area wet during this trial time. They turn the device on and show you how to handle the battery and such then you have your trial time with the stimulator. I find it seems to vary by the Docotrs and the reps of which ever maker of the stim is used. From 3 days up to 2 weeks.

I will share the makers I know of that make this device but I am sure they are a few others and new companies who make simulators that I have not mentioned too.

Medtronics ( I have Medtronics )
Biotronics
ANS by St Jude
Boston Scientific
-------

They place leads and need you awake to be able to tell them if and when you feel the stimulation. next thing you know you are out of surgery and on way home.
In most Cases YOU WILL KNOW RIGHT AWAY if the SCS/PENS is going to help. You Can feel it right away and within a few days the affects may improve to reach further in the painful area.
MY SCS is for my lower right trig nerve also called V-3 . So I only have 1 lead .
Others have leads to all V-1, V-2 , V-3 and yet others have Leads to both sides because they have bi-lat .
The SCS/PENS surgery is not evasive and not major surgery like an MVD or anything like that at all.
I wish Doctors would let others try this before sending them off to have a motor cortex or heck even before they do a 2ed or 3ed MVD. but I am not a pro I am just a normal T.N. person and Doctors I am sure have reasons for 2 and 3 and 4 MVDS Just Hurts me to hear after that many end up with A.D. :( .
I have AD I got from accident back in '99 I have steel plated on both sides of lower jaw and my lower right T.N nerve snapped and the plate is close to that area. I have had my SCS/PENS since July of 2002 .I have not any any issues , the lead has never broken ..it has slipped a teeny tiny bit but the scar tissue around the lead is and has been holding it steady. I have a battery that DOSE NOT recharge... now most are the smaller recharge type battery AND they use them almost always now. The SCS saved my life when nothing else could help...maybe it can help you too.

I will slowly add more but wanted to get this started and posted .
If I can help or anyone has questions please post , or let me know.
PEACE
BMW


leejcaroll 09-01-2013 05:45 PM

re SCS
 
I had my first SCS in 1986. for trigeminal neuralgia, atypical TN, atypical acial pain and anaesthesia dolorosa.
It worked for about 85% of the pain. Unfortunately I lost it due to an unrelated infection. The next did not work at all and I also lost that to an unrelated infection.
Having no other options I had a sensory cortical stimulator implant placed in 1991. It was 100% experimental, only the 13th in world to have it.
All of the were covered by my insurance, medicare and blue cross and blue shield.
The last one helped more then I realized. It failed about a year ago and that allowed me to see how much better I had been doing with it working.
The are not sure why it failed. I apparently have had it on and working longer then anyone else on whom they have records.
I have been told that insurance companies are not willing any longer to pay motor cortical and brain implants because the studies do not back up the benefit.

CLTL 09-02-2013 12:38 PM

NY
 
Quote:

Originally Posted by parisathena (Post 1011105)
I have been looking for some time for a doctor who can do V1,V2,V3 and I would appreciate if you direct me to your doctor. By the way are you still happy with the PENS?

Thank you,
Bill from NY

Hi Bill, I am new here but not to TN. I have heard of a very competent Dr from NY who has done many Stim implants successfully. I will try to find his name and get back to you. It may take a few days, however, because I am going out of town tomorrow evening to have my own Stim trial Weds. and I am swamped with stuff I have to do before leaving. I will get back to you in a few days. CLTL

leejcaroll 09-02-2013 04:23 PM

I may be wrong but I have a feeling you are referring to Jeffrey Brown

CLTL 09-02-2013 11:47 PM

Loved your book and yes it was Dr. Brown
 
Quote:

Originally Posted by leejcaroll (Post 1011894)
I may be wrong but I have a feeling you are referring to Jeffrey Brown

You are correct, I just found his name, it is Dr. Jeffrey Brown in NYC.

Your book was incredible, I wanted so many times to reach through the pages and help you with your struggles. Thank you for writing it, I wish you could write a couple of more chapters at the end to continue your story. CLTL

Burntmarshmallow 11-02-2013 08:47 AM

I have learned that after my 12 plus years of support and wishing that FINALLY the stim has been approved by the gov for use in any part of the body for nerve pain as well as other things such as depression and strokes . and with that I feel I reached my dream and feel the need to move on. many of you that have posted have become great friends and I will continue to keep in touch. Thank you all.
PEACE
BMW

mouselc 11-18-2013 02:17 PM

Quote:

Originally Posted by BethO2L (Post 915330)
Howdy,,,,
I have had my PNS system done in January at The Cleveland Clinic,, and I have a V3 lead.

Never had any problems with it and it was never even mentioned that the V3 lead might not work or break,,,not had any problems with it and recently had XRays done and nothing has moved and it is working properly,,,,,

I'm so glad that it continues to work well for you,,, I think that these systems will in time become more and more available to more TN patients and if done properly will become another tool to help control this difficult disorder,,,

Good luck with your system and I hope you continue to get good results with your system,,,,,
I am going to email you and get the name of the physician since so many people ask for the referral in Colorado,,,,

Thanks again and best wishes,,,,,Beth

Beth, Sent you a friend request. Interested to speak with you about Cleveland Clinic.
Cheryl had shared with me about Doctor in Co. but family support at low ebb and was unable to continue. I see you are in Illinois, I am located in Chicago. Would like to get in touch. Unable to post my email. Please acknowledge.

kwebster 04-22-2015 09:41 PM

Hey crowd!
 
Miss everyone here on this thread heres a shout out to all that helped me through my surgeries and how about a checkin from everyone and an update on their PNS!!!???!!!😍

Burntmarshmallow 04-23-2015 01:04 PM

I can do update. Cheryl in Colorado recently had her PNS removed . I keep in touch with her and will aim her to this post. Beth has moved to another state . I hope to make contact again soon when she has settled and adjusts to the move . She has been doing pretty good when we last spoke. Myself and my PNS aka T Rex are fine. Kwebster why is angry face icon up.... Do tell . I miss this place but still lurk . Leaving positive energy low pain and PEACE. BMW

kwebster 04-23-2015 05:28 PM

Quote:

Originally Posted by Burntmarshmallow (Post 1137826)
I can do update. Cheryl in Colorado recently had her PNS removed . I keep in touch with her and will aim her to this post. Beth has moved to another state . I hope to make contact again soon when she has settled and adjusts to the move . She has been doing pretty good when we last spoke. Myself and my PNS aka T Rex are fine. Kwebster why is angry face icon up.... Do tell . I miss this place but still lurk . Leaving positive energy low pain and PEACE. BMW

:hug:thanks for update! Tried to change my angry face but couldnt figure out how lol just did a recent trip to Chicago to see Kevin Bacon to get footloose worked on... Im hanging loving Florida living for sure helps with TN pain, i did find out that our facial stim batteries should last alot longer than expected as facial patients run them lower frquency thought that was good news hope everyone will check in and get this post going so we can pass along help to anyone who needs it Love ys my tn sis be well :hug:

Burntmarshmallow 05-22-2015 09:24 AM

I aimed a couple peeps here to update but they must still be "on the way ". Ill try again with direct link and if log in is forgotten the Mods here:cool: are very Top Notch at helping any and everyone with forgotten passwords or issues logging on and posting. Oh ... Happy Birthday to you Kwebster :hug: :p off to re aim some peeps to this thread for update. I can only hit target if the arrow wants to fly ;)
low pain and Peace .
BMW

Burntmarshmallow 06-22-2015 02:02 PM

I did my check ins on a few contacts. Cheryl has been doing a rough patch but I got her at a semi good part of the day today:) Time well spent and its always nice to chat for a few mins.I just got done texting with Beth who is busy times 10. doing good and still happy with the stim. I really want /hope a couple of yous come back here to up date because even thought i know how you are ... it would be very much of help to others who have this as an option. Yes Cheryl even if it has been removed ... this is first and foremost a forum for support and this thread a place with info and to show the good the bad and the support and help that should come from such "journey". . sending out low pain good energy :grouphug:
PEACE
BMW

calewark 06-24-2015 12:49 PM

Hi to everyone!!
Most of you will not remember me ( or know me) but I have a long story which I will not bore you with. In short, I got TN in 2009. Doc did gamma knife. I should have done more research; but I was in too much pain. I have it in all 3 branches. The gamma gave me Anesthesia Dolorosa. In Jan. of 2010 I had MVD surgery. Took the attacks away; but the AD was still there. The AD was more than I could bare. I found a doc to put in a stimulator for it. A miracle...just can't find another word for it. It took 90% of the pain away.
Now for the bad news. As the years went by it seemed to work less. I would say about year 4 it was not as effective.....or I thought my pain was so much worse. Not sure?? At year 5 ( 6 years after I got TN) my TN attacks came back. Doc wanted a MRI to see how bad. No MRI with stim in!! It had been in for 5 years and just was not working as well so I thought I might as well have it out. My pain doc told me that they are great for about 5 years and then our bodies are so smart it knows a way around the problem. The AD is not so good without the stimulator; but my pain doc gave me lots more opiods and I get by.
I would encourage anyone who is thinking about getting a stimulator to get it as soon as you can. Even if it only lasts the 5 years and maybe yours would last longer. To get even the short amount of time was so wonderful. Like I said I have in all 3 branches. So many docs say they won't put it in if V3 is involved as it could break. That is not true. If they put a little slack in the wire ( just in that area ) it will not break.

If anyone is interested in talking about this ( or anything els ) please email me. I don't come to this site so I won't see a reply. Please email me at calewark@me.com.

Thanks for reading and I pray that all of you have some pain relief. Take good care of yourself. Your sister with TN also,
Cheryl

Burntmarshmallow 06-24-2015 03:22 PM

Thank You T.N warrior:hug::hug: . now off to nag Beth :grouphug:
Peace
BMW

BethO2L 08-27-2015 10:30 AM

you old Nag
 
Nag, Nag, Nag

I'm Back....
Beth



Quote:

Originally Posted by Burntmarshmallow (Post 1150550)
Thank You T.N warrior:hug::hug: . now off to nag Beth :grouphug:
Peace
BMW


kwebster 11-13-2015 09:50 PM

Please allow me to VENT
 
As you all know I have a St Jude PNS system implanted December of 2011 It has been nothing short of an almost 4 year all out battle with the St Jude reps to get a decent programmer St Jude as a company has no empathy towards patients that pay close to 100,000 dollars for their units I had mine implanted 4 hours from home lived in the midwest have since moved to Florida in hopes warmer weather would help with pain, called St jude after trying 3 different programmers herein Florida one that threw my paddle down and said you dont like anything I do, called in the pain dr and I had to pay a 300.00 dr bill, as I am resistant to any of the pain meds nothing works for me but my stimulator however no one tells you how hard it is to get someone to program it St Jude reps are NOT experienced with FACIAL stims, gave up on Florida and have been flying back to Chicago, where my original programmer has been promoted and now cant see me and after many wasted trips mostly last trip October 28th gal I so ewhat liked didnt bother to tell me she was sick and sent another gal to meet me after flying all the way to Chicago, the gal didnt know where my leads were and decided it best to put me in a heap of pain then lower to set programs all she accomplished was to FLARE my nerve damage up to the point its unbearable
Reached out to my original programmer who said nothing he can do he working in 6 states and offered no help, so weigh in ya'll should I complain to surgeon about the rep treatment?...who do I cry out for help no one understands once the pain is down and it comes back it feels twice as bad I regret I have supported this system any meditronic people care to weigh in, im getting close to ending it I just cant take anymore PLEASE HELP

survnrsd2008 09-20-2018 07:23 PM

Quote:

Originally Posted by Burntmarshmallow (Post 662141)
I decided to start a tread here about this topic .
I have been contacted by quite a few others who are faced with this as an option , and I wish it were easier for them all to find some info about this.
I believe I am the first in the U.S.A. to try and then have permanent implant
of a PENS for face pain,T.N.(A.D.). I had my surgery in July 2002 . I have been and still very very happy with out any trouble with my PENS or the battery. I have read and been along side of so many others who have gone threw an MVD or Gamma and PENS or Pain Pump becomes the last option . Since getting my Stimulator I have tried to help others going threw the trail and implant of this type of Stimulator .

I want to go over the different names this type of stimulation is called.

It is called PENS which is Peripheral Electronic Nerve Stimulator

It is called SCS Spine Cord Stimulator

It is called a Neuro Stimulator

ALL OF THESE THINGS ARE THE SAME !!

It is NOT approved by the Gov yet for treatment of face pain. T.N or A.D. etc and is still considered experimental / off market use of SCS.
Which in part I think is why it is the last option. Maybe that will change . Maybe someday others wont have to claw their way threw so much pain so many meds and failed surgeries before they are offered to have a trail of the Stimulator.
The biggest best thing about SCS is you have a trail before you have the permanent implant surgery. You know if it is going work well , you know if the stim will help you as soon as you have the trial period. Most times you know right away as soon as it is turned on . Most others I have been in touch with shared they knew right away and cried a little . The first thing I dd was smile without so much pain.
You are awake during most of the surgery and it is a same day surgery also. Both for the trail and the permanent implant of the stim...go in and go home the same day. You are awake so you can help the Doctors know where the leads feel best and are helping the most .
For the trail there will be tiny wires coming out of you and they are taped tight to the skin and covered to avoid chance of infection. You also have a little battery which is in a small case like a cell phone case . You wear that either on your waist or sometimes others have said they had their battery pouch with band / belt/ under arm by bra line or upper chest. .A connecting wire or adapter connects the battery to the stim device or the leads if you will. Almost like plugging in to charge your cell phone. You cannot wash hair or get the area wet during this trial time. They turn the device on and show you how to handle the battery and such then you have your trial time with the stimulator. I find it seems to vary by the Docotrs and the reps of which ever maker of the stim is used. From 3 days up to 2 weeks.

I will share the makers I know of that make this device but I am sure they are a few others and new companies who make simulators that I have not mentioned too.

Medtronics ( I have Medtronics )
Biotronics
ANS by St Jude
Boston Scientific
-------

They place leads and need you awake to be able to tell them if and when you feel the stimulation. next thing you know you are out of surgery and on way home.
In most Cases YOU WILL KNOW RIGHT AWAY if the SCS/PENS is going to help. You Can feel it right away and within a few days the affects may improve to reach further in the painful area.
MY SCS is for my lower right trig nerve also called V-3 . So I only have 1 lead .
Others have leads to all V-1, V-2 , V-3 and yet others have Leads to both sides because they have bi-lat .
The SCS/PENS surgery is not evasive and not major surgery like an MVD or anything like that at all.
I wish Doctors would let others try this before sending them off to have a motor cortex or heck even before they do a 2ed or 3ed MVD. but I am not a pro I am just a normal T.N. person and Doctors I am sure have reasons for 2 and 3 and 4 MVDS Just Hurts me to hear after that many end up with A.D. :( .
I have AD I got from accident back in '99 I have steel plated on both sides of lower jaw and my lower right T.N nerve snapped and the plate is close to that area. I have had my SCS/PENS since July of 2002 .I have not any any issues , the lead has never broken ..it has slipped a teeny tiny bit but the scar tissue around the lead is and has been holding it steady. I have a battery that DOSE NOT recharge... now most are the smaller recharge type battery AND they use them almost always now. The SCS saved my life when nothing else could help...maybe it can help you too.

I will slowly add more but wanted to get this started and posted .
If I can help or anyone has questions please post , or let me know.
PEACE
BMW

i have two spinal cord implants for rsd full body, but it's not been working since I had adjustments a year ago. I have ringing in my ear terribly. Does anyone else suffer this?


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