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When do you say "ENOUGH"

Started by chronic4sure on 03/24/2013 8:46pm

For 28 years, Specialists have had their chances with the promise they would always be here for support and "OLD SCHOOL" help with pain. Is this much damage uncommon??I didn't drink, smoke, do drugs, etc. when I was injured in 1984. but now pain meds are what almost get me comfortable. The surgeons have had their chance, when do we stop being stigmatized and get treated without the threat of being catergorized as addicts? I have tried everything. Mike

Relevant History, Increased Back Pain Prior to surgery
History; Increased back pain, prior surgery. CT Scan of the thoracic and lumbar spine w/contrast 3/8/2013 @ 1441.
CT Scan of the thoracic spine w/contrast 3/8/2013 @ 1441.
The Vertebral body heights and alignment appear grossly well-maintained within the Thoracic spine. There is some degenerative disc desease with small anterior osteophytes at T2-T3. There is also vacuum disc phenomenon T9-T10, T10-T11, T11-T12, T12-L1. No significant annular bulges are appreciated on this exam. Small Schmorl’s nodes are seen within the superior endplates at T11 and T12. There appears to be mild central canal narrowing at T10-T11 and T11-T12 secondary to bilateral neuroforaminal narrowing at T10-T12 and T11-T12 secondary to facet joint arthropathy. There is a stimulator lead within the posterior aspect of the central canal extending from T7 inferior endplate to the T8 inferior endplate.
The paraspinal soft tissues appear unremarkable. No abnormal enhancement is seen involving the spine.
Impression:

1. THERE IS MILD CENTRAL CANAL NARROWING AT T10-T11; AND T11-T12 AS WELL AS MODERATE BILATERAL NEUROFORAMINAL NARROWING AT TT10-T11 AND T11-T12 SECONDARY TO BILATERIAL FACET JOINT ARTHROPATHY AT THIS LEVEL.
2. THERE IS MULTILEVEL DEGENERATIVE DESEASE WITH VACUUM DISC PHENOMENA EXTENDING FROM T9-T10 THROUGH T12-L1. NO SIGNIFICANT ANNULAR BULGE IS APPRECIATED IN THE THORACIC SPINE ON THIS UNENHANCED EXAM.

Page 1 signed Report (continued)

Intravenously, axial CT images were obtained through the lumber spine down to the level of the distal sacrum. Coronal and sagittal reconstructed images were created for final interpretation.

The vertebral body heights and alignment grossly well-maintained within the lumbar spine. There has been previous posterior fusion from L3 through S1 on the right and from L3 through S4 on the left with interbody fusions present at L3-L4, L4-L5, and L5-S1. Otherwise, the vertebral body heights and alignment appear well-maintained within the lumbar spine.

At L1-L2, there is facet joint arthropathy and ligamentum flavum thickening producing mild central canal narrowing. There is mild right-sided neuroforaminal narrowing at L1-L2.

At L2-L3, there has been previous discectomy and interbody fusion. No significant central canal narrowing is seen. There has been posterior decompression from laminectomies at this level. Posterior fusion hardware is also in place at this level as described above. There is facet joint arthropathy and there appears to be moderate right and mild left neuroforaminal narrowing.

At L4-L5, there has been previous discectomy and interbody fusion. Posterior decompression from laminectomies has also been performed at this level. Posterior fusion hardware is also in place as described above. There is facet joint arthropathy with what appears to be minimal bilateral neuroforaminal narrowing.

At L5-S1, there has been previous discectomy and interbody fusion. There is also posterior fusion hardware on the right as described above. There is PROMINENT FACET JOINT ARTHROPATHY with what APPEARS TO BE MILD LEFT-SIDED NEUROFORAMINAL STENOSIS.

The paraspinal soft tissues appear unremarkable. No abnormal enhancement is seen within the spine.

Page 2 signed report (continued)

Relevant history: Increased back pain prior to surgery (continued)
IMPRESSION:
1. STATUS POST SPINAL FUSION FROM L3 THROUGH S1 WITH EVIDENCE OF PREVIOUS DISCECTOMY AND INTERBODY FUSION DEVICES L3-L4,L4-L5, AND L5-S1. THERE IS POSTERIOR FUSION HARDWARE WITH PEDICLE SCREWS AND RODS EXTENDING FROM L3 THROUGH S1 ON THE RIGHT AND FROM L3 THROUGH S4 ON THE LEFT.

2. MILD CENTRAL CANAL NARROWING AT L1-L2 SECONDARY TO FACET JOINT ARTHROPATHY AND LIGAMENTUM FLAVUM THICKENING. MILD RIGHT-SIDED NEUROFORAMINAL NARROWING ALSO APPEARS TO BE PRESENT AT L1-L2.

3. FACET JOINT ARTHROPATHY PRODUCING RIGHT AND MILD LEFT NEURAL FORAMINAL NARROWING AT L3-L4, MINIMAL BILATERAL NEUROFORAMINAL NARROWING AT L4-L5 AND MILD LEFT SIDED NEUROFORAMINAL NARROWING AT L5-S1.

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8 Responses

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without even reading all the history/reports I'll just say that if you feel like you're not getting what you need from your doctor (empathy) then you need to find a different doc. After years of bouncing around doctors for different body parts and issues I'm finally seeing a pain management specialist who is willing to deal with my pain and meds and never makes me feel like an addict in any way! Good luck

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ditto on what justsomechick wrote. Good luck. I have a feeling you'll need it as all of us with chronic pain do.

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Thanks for your input Guys, it is appreciated. I know it is not easy for any of you that are here.

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chronic4sure,
I was treated as if I was a "seeker" by one Dr. whom I never met before. She didn't even take the time to look at my med. records. After one 15 minute office visit, I was so frustrated and insulted I walked outside and cried. I never went back to see her. I have since found another Dr. who treats me with respect and understanding. I understand there are good and bad everywhere and that I'll meet one every now and then, but I DON'T have to repeat the experience with another visit to the same Dr.. No-one deserves to be treated with anything less than dignity and compassion. I EXPECT to have the same quality of relationship with pain management as I do with my family Dr.. I hope you find what you need in a Dr. soon. A person should not have to put up with sub-standard care based on the fact they are in chronic pain. I believe the opposite is true, because it effects so many other areas of our lives.
Again, good luck. Let us know how you do.
:)

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Thanks for your discussion of your back. My neurosurgeon says I need a fusion from L 5 thru T 10 .
I am asking questions of this doc. Will there be 2 operations or one big one?
I need to look up VACUUM DISC phenomenon! New to me! I like your name -- chronic 4 sure!! Cool!

The Best to You! Urbanite / Marcia

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Thanks for your comment!

How are you doing now Nov. 30, 2013?

The best to you, urbanite/ Marcia

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The DEA and the Military Industrial people cut everyone back and off pain medications that allowed legitimate chronic pain patients some relief.The criminal element in this country and young people who had ZERO pain ruined our lives.
I have learned first hand that thousands of elderly chronic pain patients have committed suicide due
to doctors not being allowed to treat them.
We are not free in what is left of America.

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Speaking of "bounced around".
I am SICK of being profiled, ignored, dismissed, insulted,
and jerked around!
WE pay for healthcare and then when we need it, we get a foot up our asses.
I am ready to call my primary care doctor and tell him, I wrote my own prescription.....for a bottle of whiskey and a revolver.
All I asked for was "break through pain medication", for when I have suicidal flare-ups.
They last a good 6 weeks, and I cannot move out of a reclining chair & I beg for a bullet.
(we have no guns and in fact are anti-gun) Its the PAIN that makes you out of your mind.

Am I not allowed to have some kind of relief from constant AGONY and living on ice?
If this is the best they can offer me, then I guess they are forcing MY hand, and it is economically good for insurance to have me gone.
The customer service woman, told me over the phone: "Since you are no longer a productive member of society, you are no longer entitled to the same services as those that bring home a paycheck." MEDICARE SAID THIS TO ME! (I have a disability PENSION I earned for the 13 years + the other 2 decades in the private sector)
So, I am worthless and so they sucked back the money from the pain clinic, 3 months AFTER I had Radio Frequency.
The doctor had to file a grievance in order to get paid! Obviously, I can have NO FURTHER care of this stinking injury.
I am not even 55! Once you are out of work for 2 years, MEDICARE becomes primary and ANTHEM/BC became secondary. Mind you the DRUNK DRIVER, who caused this, & then, set free, was not injured at all. She is still working, with a brand new car.
Rewarded in fact, for maiming ME.

I got off several medications after my pain clinic doctor, retired.
I was forced to beg my primary care doctor to fill my oxycodone, and he did.
I had to promise I would TRY and wean down. I was taking 40mgs TID.
I am now at 20mgs BID. No praise for getting off the other 2, "cold turkey"
There are absolutely NO doctors that prescribe pain medication in the Hartford area of CT.

I d/c'd KADIAN ER 60mgs TID & oxycontin 40 mgs (I hated oxycontin,& I ended up throwing it into one of those "throw your drugs away day" bins - (6 FULL bottles of 120 oxycontin, because I was in that stupid PAIN contract)
He use to make us bring the receipt every month, to prove we picked it up from the pharmacy!
It did not mean I had to put it in my mouth. I hated the way it made me feel. I did not take it.
Anyway, not the sign of a drug seeker...most people would have sold it.

I had a 4 level ACDF in 2010.
Now, I have significant neural foraminal narrowing with SPURRING on C-2-C-6. (more to the left)
Everyone acts like I am a whiny baby and that this should NOT cause me any pain.
Seriously?
I endured, Radio Frequency twice and years of those stinking steroid injections.
I paid an osteopath OUT OF POCKET, because he takes NO insurance, and there is nobody like him.
I have done it all and now,
I am ready to die~
Forgot to tell you...I need an S-I joint fusion & every lumbar disc is bulging on the left.
T-1 & C-7 subluxation.
What a whiny, WORTHLESS, cry-baby~
Dogs get treated better.

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