ENDO Messages for August, 2003: Re: Laproscopy vs Colonoscopy

Re: Laproscopy vs Colonoscopy

From: Anne (anonymous@obgyn.net)
Thu Aug 14 18:32:37 2003

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Reply: Kristy: "Re: Laproscopy vs Colonoscopy"

At Thu, 14 Aug 2003, Kristy wrote: >
>Anne,
>
>I still speak highly of my dr for the most part which is why I'm
>ok with the fact that we don't agree on this one issue.
>
>Also, in relation to Pain Clinics I already know from having
>researched it that 99% of PM drs and Pain Clinics do not know
>how to treat female related chronic pain.
>
>Only 1% of the drs in this country know how and it's b/c they
>chose to take a personal interest in the subject and learn b/c
>they aren't taught about it in their fellowship programs. And
>that's just outrageous.

I'm not sure which fellowships you are referring to, but the physicians training in the Midwest HAVE seen and treated pelvic pain/endo pain during their fellowships. I've seen physicians in the two major pain clinics in my major metro area and both were very good at treating endo/pelvic pain. So this stat of 99% of PM docs and Pain Clincs do not know how to treat female related chronic pain is simply NOT accurate.

>Also, I don't have bladder issues, and the endo is the least of
>my problems right now. It's the vulvodynia and the infections
>that go with it that cause me to always be in chronic pain so I
>need to go after an unobvious cause for why I might have the
>infections so that's why I'm getting some other opinions and
>depending on how that turns out if I stay with my dr then I will
>have to have a chat with her about the reason for why I need
>narcotics for that if it turns out that I don't have anything
>unobvious going on.

Well, if there isn't anything obvious physically going on, then I can see why she might hesitate to prescribe. I am NOT saying that you are not having pain - just that I can see why she would hesitate. I think you might be better served in a pain clinic where they spend their days tracking down and documenting elusive pain.

>If I had fibro (which I'm also checking in to as a possibility)
>then I stand a better chance with PM drs. But I would need to
>find one that will work with me and the complexities I have b/c
>there's a lot of things that I can't do for treatment.

I agree that you have a really complex medical history Kristi. But I also think that you need to go in there with an open mind as to what might help you. Don't go in there saying "Only this is going to help me, nothing else." and expect to walk out a few minutes later script in hand. You need to be willing to try the exercises, treatments, new medications, and other options they have, in addition to any modalities that you prefer. That street goes both ways in Pain Management.

>I don't need a referral for ID. I can just go but I need to put
>that on hold for now. And yes, the infections are one of the
>reasons for my chronic pain which is why I need to find out if
>there's something unobvious causing all of this.

I think that is a smart move. Make sure something isn't brewing under the surface of everything else.

>Thankfully for me I'm glad that my dr and I only have this one
>issue we don't agree on. I didn't tell her that though. At
>some point I will b/c I don't agree with how she wants to treat
>my pain. I don't know why she changed from having no problems
>giving it to me to back to this.

Sometimes when patients place to much emphasis on getting a med, docs become reluctant to prescribe it. Could that be what's happening with your doc???

>We'll see but yes she's still a good dr overall. If we had more
>to disagree on then I would have been out of there a long time
>ago.
>

You mean to say that if you disagreed with her over more items you would have left long ago - but you don't, so you haven't?

Good luck in getting everything straighten out.

--
Anne

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