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Should I find a new Primary, since it takes so long for a referal?

Started by 100002222460291... on 09/04/2011 9:45am

I have a post that goes into more details about my condition. Bascially I have a "free clinic'" Dr, who did the MRI and found I have a couple of bulges, and large herniated disc. My problem is this. It take him forever to write a referal since hes only in the office on WEDS, one day a week. Had to go to ER to get the referal to Ortho! Only to find out all he could do is give me 1 script of loratab= 50. And go BACK to my Primary to get referals to the Internal Dr, and Pain Spealist. I called Wed and never heard back. So thur I called him at his "Pratcice" to ask if he could just send me to those drs. His nurse told me he cant do it bc my MEDICAL RECORDS are not at that office, and I would have to wait untill SEP 14! NOw once i get the referals its gonna take some time to get the apts. He cannot write anythg but Ultam for pain since its at a church, and hand written, witch does nothing for the pain, as well as over the counter since I have been usuing them so long. So i have to go to ER for real pain meds. Last weekend I went to Er and have normal blood pressure, but due to the pain it was 147/109. so she uped it to percot 10-325 bc of the concern of my body being in a stress mode. But also infomed me that I CANT keep comin too the ER for PAIN MEDS, since my DR cant write anythg that touches it! SO when i went to the ortho he said I could have the surgery but dont want that to be the first option, wanna try the more concertave first and then if that doents help i will move on to the next step. So got the script for Phyisal Therary. But was informed that I need to have my Priamary give me the referals to the Drs. I really need to see. Even if I talk to them on the 14, my referals will not be put in unill the week of the 21 of sept, since their hours are from 6pm to 9pm!!! MY quesion is should I just pay to see a diffrent PRIMARY, Take all my ER VISITS< MRI DICS, and expain that i feel like my condtiion is not being treated w any ergency when it should. Bc even when I do get the refeals its gonna take some time to get apts w two diffrent, very busy DRS, and being that I will be a new Patient. Will they allow that? Or does the referal have to come from the dr who ordered the MRI?? Please any advice will help. The ER also told me that I cant keep coming back to ER, I need to see a spealist for this, and could be RED FLAGGED!! What do u do when u cant see the spealist that u need or just get the referals u need. But I bet If I was payin him at his "PRATCICE" this would have been takin care of along time ago!! Should i just pay to see another dr, to have this matter taking care of bf the end of the month, and end up back in the ER???

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Hey Jamie Lynn, I see uve approached with a new question, and no one has answer for u,.......u poor kid, have u found doc yet?R u being treated yet and how,( and I didnt mean calling u a i kid out of disrespect) just an expression. :) My kids r prob ur age. haha anyway, hope ur making progress, (Or do as i said b4), u bring urself to ER w ur info and plea for help that u r in pain,,,plead, they cant deny u. U cant stay suffering this way, ur too young n ur kids need u, MUST be hard on u..I wish u well, keep me informed if u try ER or possible finding a primary, if u found that good,compassionate ,willing to help primary it may b worth the fee and talk to them, alot of times they wont charge u copay or only charge copay if u hav no insurance,Ive seen it, being a nurse.U can only get what u need by speaking for urself,be obnoxious if u hav to. ( I DO) ,its only way to get someone to hear us..Ive experienced what ur goin through, maybe not on ins end, but finding a doc to fix pain, fix me mentally and give hope that I will be working again,,,,, wich we seem to loose..bye,RENE :)

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Well rene, I was a bit confused. But did get to the bottom of it!! My Doc is outside their network, though the state care. So my primary would have to be changed to state care, and start all over again!! Well I spoke w the nurse, and she told me about a program they do though Bon Serure Hospitals. Thats in their network!!! WOW. Im not gonna get too happy, but she should be calling me back soon, bc i asked for a referal to see a neurosergon, since the ortho says he cant treat me and would pefer to send me to there anyways. I was a little nervous at first, but they explained to me that just bc I will see him doenst mean sergery right away. That he will beable to treat my whole condition. I have been about a week wo meds, just over the counter stuff. But have been working, and standing, and walking alot more. And it does seem like it was helping. However lastnite when I got in bed, i started having muscle jumps? I wasnt doing it they did it on their own. And the last on I had was in my neck and it just snapped back real fast and i had no control. I was very still. Not sure what it was? But woke up this morning w/ pain. My right hand was shaking and i couldnt control it, my finger tips were cold, and my arms felt very weak, like just hanging. they felt numb, but not tingling, just didnt have all the sensaction i would normally have. I felt like i was gonna be sick and pass out, the pain was so intence. I felt real tired and drained, and a little confused. I have normal blood pressure, but this moring when i went in it was 152/116!! They said my pulse was okay. He told me I need to see this Neuronsergon ASAP! He diagnosed me w cervical radicular pain? Im not sure what that means, but it was a bit diffrent this time, with the other symtons. I was so scared, I thought i was gonna die!! I came home took some meds. and started a steroid. In hopes this will help.. And said my blood presusse should return to normal w/ taking the meds and im out of pain. Its high bc of the pain..

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Relax my friend,,,, ur finally making progress to get to see neuro-surgeon, Hes the doc thats gonna perform surgery, (if needed), ask around, look him up on internet.ask other nurses in hosp where he performs surgery, nurses giv info. A liitle trick , Ask nurse about 2 diff neuro-surgeons, not just 1 name of doc. Usually a nurse will tell u everything, scope out talkative nurse).when u go for pre-op testing or visit if u need another disc ask people then,ask those whom sit in waiting room. people will spill their guts if they had a bad experience.. Im happy for u so dont be nervous, Ur making the progress I WANTED TO HEAR. First by getting to that neuro-surgeon..Keep me informed. One more thing,, Ask neuro-surgon,if he can do surgeries withou and Rods ,Screws,Im not a doctor, but all the stories u hav read from people, I found the most problems to be w those who had rods and screws inserted. My diagnosis is similiar to yours and I had 3 Herniated,(a total of 5) but they only surgically cut down the 3 that where most herniated n I didnt have any Rods n screws put in,My surgeon told me I was to young to have so much limitation in my spinal movements,which is caused by having Rods and screws put in.. Im also comteplating going back to (work) nursing, I ve been out since Dec 10. had my surgery March 25 of this year.,its expect to be out almost a year. technically its not even 5 months.Whats a few more months out, Primary and surgeon both told me .to expect to b out close to a yearIf I take job.I cant keep calln in sick cause pain is to bearable to work next day,in nursing we work 12 hr shifts and u never get out on time, Thats my biggest fear...THE INFOMOUS PAIN THAT WE ENDURE WHENEVER WE TRY TO DO SOMETHING). I guess i just answered my own question.I got to be nuts to go back so soon,. What do you think? RENE :)

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well once again bad news. So i called the other hostpial and thay said the dr doent see ppl like me w ACESS NOW INSURENCE. Iam so over this whole thing. Maybe when i end up having a stoke or become parlized someone will help me and take me serious.. this is totally hopeless

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Its not hopeless..And dont be . Look at that beautiful picture u posted of ur daughter I assume, stay strong for her....What state do u live in, maybe I can help by doing some research for you.And the word Radiculopathy just means unknown pain rertaining to spinal nerves n nerve root endings, That term sounds scary, but its not,.All of us in pain are considered having Radiculopathy. I still say, get ur butt into ER, w/ur info, hav all your facts straight when speaking w doctors plead ur heart out how other neuro surgeons wont help you due to insurance issues. Unfortunatly sometimes we hav to make a seen, speak ur mind and see where it goes. sorry for your dissapointing news, but again u cant giv up. Feel better n good luck, RENE

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Hey Rene, well first thats my little boy..lol.. Im not offended at all bc he is a pretty boy~!!! His dad says he loooks like me bc hes so pretty. He even has dimplies like me.. Anyways, so Im am so close to giving up, and then this unbearale pain happens again, that over the counter just cannot touch. Witch force me to ER for a doctors help. I live in Montpelier VA, my closest city is Richmond Va and where I was trying to get some help from MCV. I applied for their insurence over a month ago and still waiting for approved!!! I called this week and they said they had a flood so the last letter that i needed to send in is caught up in the mail, to call again next week. Now my Primary is outside thier network. So i asked them about the network they were in and they said they had no problem giving me a referel, so that is call Acess Now though Bon Secure Hospital. I spoke w her WED and she said she would call me back, but never heard anythg back. So i had to go to ER thur, and explained the DR, and he said he gave me the info of a neuro in the Acess Now program. But when I called them they said they no longer are partpicating in it. So I called directely to the Acess now and she said there is no longer a neuro in that group.Why does it feel like I am always giving the run around, this should be illegal. Im so afarid somethg will happen serious, and all I can do is go to the ER for Med and get sent out another time!! I am praying on two thgs to happen next, one my insurence will go though at MCV and I will go into ER their and plead my case and tell them all i need is a referel to the neuro and its in thier network, and the ER DR will give it to me. Thats how I got into the Ortho, witch told me my case was way out of leage. The reason I have to wait is bc its a State Hostpial, and if u have a bill, they will take ur whole paycheck, tax check and so on. Well i work for the dining services and only make 10.37, work 35 hrs a week with out help for my 3 children. But I make OVER the amount for Medicade!! Unbelievable rite? I need every dollar I can make and could'nt afford for them to take one paycheck, bc it would throw me in debt!! I am bearly staying afloat as is. I am so private, and cant belive i just told u all this , but i do have faith, and my heart says i can trust u, even though we just talk on here. The second thg im praying on is that my Primary calls and has found some God Sent messsage for me that they have found a Dr that can help. I have been at this for 3 months now just trying to see a dr that can treat me condition. I get so nervous when I hear surgery but every Dr I show the MRI to says I need it. I did notice a differnce in the pain when I took the Percots and Valiums for a month bc i was moving more, standing for 7 and 8 hrs a day. I went a week and it was bearable untill it stiked again, so maybe Im just being hopeful that PT will work for me. Altough this time it was diffrent w the shaking and cold fingers, I couldnt even write down my own info at the ER, I had to ask for help. My blood presure contines to get higher each time. And I want to ask a question to u, Is this only going to get worst, like it has continued? Im telling myself its a dumb question, but a part of me still has hope that my body maybe able to heal itself. Or is it just too far gone that wo the help of a neuro? If i ever get to see them I will ask what his opinion is, since hes the expert at this. I will trust what he/she will say. If surgery will and can fix this I will do it. I just didnt want it to be the first option bc I am only 32 years old. And if im not okay, my kids cant be okay bc im all they have on a day to day basic. I also wanted to ask u about Prednisone, I started on thur, and was wondering does it usually help and for how long? I hate the side effect, i cant sleep but I feel so drained almost like Im sick. My body knows somethg is there. Ukkk.. But Im willing to try anythg at this point. Okay so back to MCV If i call this week and they say im approved i will return to there ER and plead w the ER doc my case and get that referel, and skip the year long wait of trying to get an apt w their Primary! Bc thats how long they said it could take for a "new patient" apt. Since there is NONE, to keep calling back on a weekly bacis!!! WOW I know right? Or secondly my Primary will call w good news, but I dont think they are bc she promised me she would call me back that day! I think she is tired of being the one who has to get me bad news over and over again, I understand, but at the same time i need the trurth bc it s just wasting more time, that i really dont have. This pain started about Sept of last year. But I didnt think much of it till March of this year. So I have been to several apts w my primary, and he orderd the MRI In June, and its been in a stand still ever since. I would rather have the truth so I can take the next step, witch I already have thats one @ MCV is, witch it long too. Who know where this will go. I can understand now why ppl become deperssed w chronic pain, bc im a lil teary eyed, and very afraid bc I am calling out for help and it feels like everybody just turns they head, like sorry we cant help u. Im very frustated most of the time, and my family has said something and I feel guily, I aploligze. But they dont understand what I have to feel everyday and deal w the things that I want to do, but my body will not allow. I love to cut the grass, but i just cant do the thgs that make me feel worthwhile, Im so sick of this controling my life. I could go on and on. But I know things will get better when i finally seee the neuro, I just dont knw when that will happen, witch creats alot of anxzity, witch im sure stress doesnt help my pain, or my brain either.
Thanks for all of ur help. And is this cervical radicicual pain just somethg that happens when this goes untreated, or is this a sign that it s getting worst? And if so what is gonna happen next? Or is this it, have i reached the plato? Im so confused, I hate not knowing. And Im grateful I found this sight and u found me. Thanks again RENE <3 Jamie Lynn

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JAMIE.i pray for u everynight.I feel in my heart u r making progress w docs, keep being pushy!. As far as pain, the Radiculopathy is whats causiing it, is it getting worse? I dont know, when was ur last MRI ? Just watch your body movements, try not to make anything worse.And as far as us constantly complaining to our families, and their tired of hearing us bitch,....well thats what where here for, bc we understand. U said the valium and percs worked,(they do for me too).the valium relaxes the muscles and our mind. I know the feeling, u hav a good week or couple of days n think its finally gone and BAM, guess whos back, MR.PAIN, Im not givin up on you. I will listen no matter how long you write, (if it helps). YOUR FRIEND RENE :) by the way what state r u in? maybe I can help u out by doing some research.,And dont forget the anti-inflamatoryt I told u about, I think the combo of meds will giv u MUCH releif,plus n anti depressent that also acts as an anti-inflamatory,. Can u get to be seen by psychotherapist, bring ur reports, they can prescribe everything but the Percs.Ill check back later and see if u had a chance to respond. Try to enjoy ur day. One last thing, what kind of work do u do? that might not be helping if ur lifting n stretching, and b careful w PT, I found it made my pain worse by enflaming my nerves. and if it takes more visits to ER untill u get a doc, so be it. I know its a pain in the ass,all the waiting,but atleast ur leaving w some sort of script,I know they only giv u about 10 pills, but its better than nothing. FEEL BETTER :)

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Hey Rene, well first i live near Richmond Virginia. I took the sterdiod this time. Today is the 4 day, and im am so suprised at how much it has helped. I just wonder how long does it last? lol. Since like u said Im ok for a week and then BAM, that unbearable pain it back. I will be happy w two to three weeks!! I am a cashier and do alot of standing, some lifting, and always moving and walking. Witch has seemed to help. Or thats the only thg diffrent that I have been doing. I am a seasonal worker and have off during the summers, and thats when my pain was the WORST. Do you know if stress can bring on the pain as well? Or is it just a cycle thats on repeat? And stress dosent play apart? Anyways thanks for all ur help. And I hope somethg really good happens this week. Oh and when I go to the ER they give me like 20 of each in hopes that I will see a DR in a week, but it never happens. So Im hoping this week. And medicine adds up!! I will be glad to get help w that!!! And agian Im near Richmond, Virginia...

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Glad to hear the steroid shot worked, but call 2morro bc usualy their done in a series of three.after the first in 2 weeks u get 2nd and in 6 mos u get 3rd. so stay on top of them, be firm, tell them u started the course, found releif and want to finish w the course of shots,.And so be it , if u hav to go bak n forth to ER for pain meds.Tell staff why, otherwise they will think u r narc seeking, and flash that paper report of MRI findings in front of every staff members face that comes near u, trust me they will treat u different. If u have primary, bring discharge papers w u. show him what they gave u. percs n valuim and tell him that worked, he should then write a sript for 30 days supply, prob 6 tabs day on percs. so thats 180 month. then evry month u go bak n get another script. as far as the valium, the primary will decide about what he will allow per day, n dont forget to ask for celebrex 200mg 2x daily which is the anti inflamatory, tell him ur extremely depressed, get cymbalta( they take 2 weeks to start to feel effect). n if he asks why not go to psycho therapy , tell him about ur ins, issues, also ask forsamples for 1st month on cymbalta n celebrex bc if they dont work for u, ur not financially in position to pay n them not work, trust me they hav a closet full of samples, if u ask theyll give them to u.So U see u r making progress w docs, but continue to be firm n obnoxios if u hav 2 in ER. explain u wouldnt hav to come so frequently if u could only find a neuro surgeon in network, sometimes if nursing isnt too busy they can find a doc that is in ur new network. ur making progress. if u can atleast get situated w a primary for ur scripts, then we shall work on neuro surgeon. Ill help as much as I can by researching ur area, hospitals n ur insurance n find u a neuro surgeon. but most important is getting this primary situation finished and all your meds at your availability till we find neuro surgeon, U made my night,w the good news, Keep goin girl....:) :) :) RENE.. Ill find u 2morrro have a goodnight.N SUEEZE IN A PEDICURE ,,,U DESERVE IT , haha

ad to hear the shot worked,but now that uve had the first in 2 weeks they give u another one n in

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I hate to be the barrer of bad news, but thats really in a nut shell it is. I didnt get the shots , just the oral sterdiods. And pushed away another time. My Primary works in a chuch and cannot prescribe anythg that works for pain or musle spasms. He did the MRI testing, and I have been waiting on him to send me to a specialist. First he told me to go down to the State Hostpial and get a evaluation, MVC. So when I get down there. They tell me I need a referring Primary? When I call my Priamary back the tell me they are outside "Their Network". This whole thing has been a run around. And when I say somethg, they tell me they have never had a case so severe. So didnt really know how to "handle it". And so I have been trying everything. I know I making progress, its just taking forever, concidering I dont have insurence. I cant take advil, Nsaid bc they bother my stomach so bad. I having been taking them in high doses for months. Bc of this back issuse, and the fact thats really all besides Ultram my doc can write. anyways it will all work out soon. thanks. I will let u know.. Jamie

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Hey Jamie,Long time no chat..TOO funny, they booted me off site 3 weeks ago for my last post writen in all capital. In there policy it sates no using of captitals, it is considered SHOUTING.So I reopened new account.SO, hows things? What is ur progress up to n how u feelin? :0 :) :).I feel like im going backwards all of sudden,,,dealing w alot of right lag neuropathy pain,numbness,burning and PAIN!!!!! Next week I go to neurosurgeon,get MRI n see whats goin on.Doesnt this stink,I had surgery,,ur needing surgery,,n where all still in PAIN..TTYL :) :) :)

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