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  1. #1
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    Urologist very upset need advice?

    I went to see my new Neurosurgen and he got my records from the pain clinic I was going to , and he was saying my back pain was due to my kidneys and my Urologist my old one and the new one both said it was due to my back , well this Neurosurgen told me I have Kidney diseae I called my old Urologist and had a talk with him and he told me I might have swollen kidneys due to my last operation he asked for my new Urologist phone number , later that day my new Urologist called me up and was very Upset saying this Neurosurgen had no bussiness telling me I had Kidney disease where that is not his line of Medicine ,I told him he ordered a Cat Scan from S1-T12 , so then my Urologist called and Ordered a Cat scan Of my Kidneys to compare with the ones I had taken in Sept. so now Tues. I go see the Neurosurgen I even have my old copies on my mylogram from Oct. 2002 they won't do anymore Mylograms on me because the last time 4 days later I shot a blood clot in each Lung I can't have MRI's because I have a Spinal Stimulator so it just XRAYS and CAT SCANS for now onthen I see my Urologist on DEC.6th then my Primary DR.on DEC.8THall these DR's and none of them think they can do anymore for me ,the new NEW NEUROSURGEN want the Pain clinic to increase my Lyrica to the max but at a slow rate when I called them they said no ,.the DR that is taking care of my medication has seen me 2 x's I called my Primary DR. who has been treating me for over 8 years said add one pill and see hpw it goes and I see him on DEC. 8th , which DR do you think I should be listening about increasing LYRCIA my Primary DR or this DR who I've seen twice? ;LBUSH

  2. #2
    If you are seeing a pain doctor I would think he would be the one however, sometimes they just oversee what other doctors do. Without specific instructions - the best way to increase Lyrica, or any med, is one at a time for a week or two, then if you need to increase, or decrease due to side effects, you can do it then. Rule: start low & go slow.
    Sometimes, you can take a higher dose for a month or two, then when the pain dulls or goes away, you can lower the med some.


    CWO

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    I Primary Dr all so is a Pain management DR. he deals with a lot of Cancer patients and also Is Family DR. too , He has been my DR. for over 8 years this pain management clinin I've been their to see One of the DR.'s twice and the othere DR. about 8 or 9 times , so I think I'll stay with my Primary R. for my pain management too. ;LBUSH

  4. #4
    Your primary MD probably thought the other doctor might have something to offer you & have a different aspect & view point. It is always worth a try with both looking for a solution.

    CWO

  5. #5
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    My Pain Management DR kept saying it was my kidneys causing my pain and my Urologist had a dye injected CAT SCAN and that was normal the Neurosurgen said to go up to the Max oN THE LYRICA but doing it slowly , and the pain Management DR . said NO ,I've only been to that DR. who put me on the LYRICA I've only been to see her 2 times so she doesn't know me at all where as my Primary DR. has been my DR. for 8 years now ,so I trust him more than I would trust a DR. who I've only been to 2 x's

  6. #6
    Quote Originally Posted by LBUSH49
    My Pain Management DR kept saying it was my kidneys causing my pain and my Urologist had a dye injected CAT SCAN and that was normal the Neurosurgen said to go up to the Max oN THE LYRICA but doing it slowly , and the pain Management DR . said NO ,I've only been to that DR. who put me on the LYRICA I've only been to see her 2 times so she doesn't know me at all where as my Primary DR. has been my DR. for 8 years now ,so I trust him more than I would trust a DR. who I've only been to 2 x's
    Larry, this isn't anything new for you. It's ongoing.

    If I were you, I'd go with one doc for pain management. You have a pain management doc, but if others prescribe this or that for pain without knowing what your pain management doc is doing, you could quickly be in a world of trouble.

    Let each doc know exactly what the others are doing through medical records from each appointment. Request records for each appointment to go to the other docs automatically upon conclusion of each appointment if you aren't already doing this.

    Use only one pharmacy for your meds. Prior to any doctor appointments, ask your pharmacy to provide a printout of all meds you've taken since your last appointment with whatever doctor you are seeing. You'll need to request this from your pharmacy up to a week in advance of your doctor's appointment, but most pharmacists are happy to do this. Pick up the printout before your doctor's appointment and take it with you.

    My docs at Vanderbilt automatically got copies of anything any other docs or specialists did. At Vanderbilt when something goes into a computer for one doc, it's with the other docs that day. It cuts down on confusion, possible med interactions, duplications of tests and labs which may be unnecessary, etc.

    They automatically knew what meds I'd been prescribed within Vanderbilt doctors.

    Now that I no longer live in Nashville, my docs are at diff hospitals. My physiatrist is at a rehab hospital, my PC/Internist is with the UT system, urologist and neurologist at a different hospital, my neuro-opthalmologist is in a different city. However, they each communicate with the others.

    You're on a ginormous amount of medication. I'm concerned doctor A may not know what doctor B is prescribing and why, what, how much, etc.

    Also, with the amount you're taking of some of those meds, especially the opiates, it's easy to get fuzzy around the edges. Ask your doctors to write down for you how to increase and decrease any dosage changes so you can remember. Write down questions you have for the doctor on paper before you go. Write down answers you are given during the appointment, ask for written instructions/information from your doctor so you don't forget.

    The doctors have prescribed the meds for you for a reason, just make sure there isn't duplication or interaction of meds.

    I wish you the best, Larry.

  7. #7
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    When I go to a Dr. appointment I always bring a copy of my medical history and a list of medication for them to kep I have it stored in my Pc memory and when they add or take me off a medication , I up date the list and give it to every DR. I go to , it makes it easier for me and for them so all DR.'s know my history , and my medication list also I keep them all up to date. LBUSH

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