Guest guest Posted May 5, 2012 Report Share Posted May 5, 2012 Suzanne wrote: > > ... I have been having a sharp pain on the right side in the check > area. It is like a burning poker is going through me. ... > " Sharp pain " and " burning " pain are reason enough to call your doctor, especially if this is new or getting worse or there is also a fever. Being a weekend it may also be reason enough to visit an ER. We are all different. Some of us had little pain after the HM. Others may have had similar pain, but who can tell if that pain is for the same reasons. It is also possible to have pain that has nothing to do with your surgery and could indicate a new problem. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2012 Report Share Posted May 5, 2012 Thank you. > > ... I have been having a sharp pain on the right side in the check > area. It is like a burning poker is going through me. ... > " Sharp pain " and " burning " pain are reason enough to call your doctor, especially if this is new or getting worse or there is also a fever. Being a weekend it may also be reason enough to visit an ER. We are all different. Some of us had little pain after the HM. Others may have had similar pain, but who can tell if that pain is for the same reasons. It is also possible to have pain that has nothing to do with your surgery and could indicate a new problem. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2012 Report Share Posted May 5, 2012 Notan, If you enter reality, you'll find pain is rarely seriously addressed by a calling your GI or going to an ER, especially with achalasia. Most doctors only receive 8 hours of pain management training and have no conception of the correlation between achalasia pain and dysfunction. Presenting a " sharp, burning pain " associated has elicited the following typical physician responses - From a GI at the ineptly unprofessional and highly unethical MNGI specialists: " Here's a prescription for Nexium. I don't ever want you in this office again. " Another GI who loves to perforate the LES: " We don't do pain meds here. " And from the ER: " Achalasia is just a swallowing disorder. There's no pain associated with it. " Please feel free to add your experiences. Steve From the ER: > > > > ... I have been having a sharp pain on the right side in the check > > area. It is like a burning poker is going through me. ... > > > > " Sharp pain " and " burning " pain are reason enough to call your doctor, > especially if this is new or getting worse or there is also a fever. > Being a weekend it may also be reason enough to visit an ER. We are all > different. Some of us had little pain after the HM. Others may have had > similar pain, but who can tell if that pain is for the same reasons. It > is also possible to have pain that has nothing to do with your surgery > and could indicate a new problem. > > notan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2012 Report Share Posted May 9, 2012 To be fair, in this instance, we may not be talking about achalasia pain. This young lady is just post myotomy - I'm sure the concern here is for post-surgical complications, infection. etc. that the GI or ER would be a good choice. Of course most of us are used to getting little to no management of pain from DES, I'm just thinking that the concern here may be more acute. On Sat, May 5, 2012 at 11:05 PM, nailheader <stevenakamichi@...>wrote: > ** > > > Notan, > > If you enter reality, you'll find pain is rarely seriously addressed by a > calling your GI or going to an ER, especially with achalasia. > > Most doctors only receive 8 hours of pain management training and have no > conception of the correlation between achalasia pain and dysfunction. > > Presenting a " sharp, burning pain " associated has elicited the following > typical physician responses - > > From a GI at the ineptly unprofessional and highly unethical MNGI > specialists: > > " Here's a prescription for Nexium. I don't ever want you in this office > again. " > > Another GI who loves to perforate the LES: > > " We don't do pain meds here. " > > And from the ER: > > " Achalasia is just a swallowing disorder. There's no pain associated with > it. " > > Please feel free to add your experiences. > > Steve > > > From the ER: > > > > > > ... I have been having a sharp pain on the right side in the check > > > area. It is like a burning poker is going through me. ... > > > > > > > " Sharp pain " and " burning " pain are reason enough to call your doctor, > > especially if this is new or getting worse or there is also a fever. > > Being a weekend it may also be reason enough to visit an ER. We are all > > different. Some of us had little pain after the HM. Others may have had > > similar pain, but who can tell if that pain is for the same reasons. It > > is also possible to have pain that has nothing to do with your surgery > > and could indicate a new problem. > > > > notan > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2012 Report Share Posted May 9, 2012 Steve,  Perhaps this is a question of attitude. I have NEVER expierienced a doctor not concerned about pain. The last time I needed to go to the ER for A related issues, the ER doctors number 1 priority was to alleviate pain, then try and find out what she could do to prevent re-occurence of the issue. My GI is also very concerned about pain management - to the point that he allowed me to bring my precribed muscle relaxer - which has proven over the years to stop my NCCP's - so I would have it available after the dilitation he was performing. I also meet with my caregivers and potential caregivers with a positive attitude, and find these caregivers are then far more likely to care about my concerns. mike in WI ________________________________ From: nailheader <stevenakamichi@...> achalasia Sent: Saturday, May 5, 2012 11:05 PM Subject: Re: Sharp buring pain  Notan, If you enter reality, you'll find pain is rarely seriously addressed by a calling your GI or going to an ER, especially with achalasia. Most doctors only receive 8 hours of pain management training and have no conception of the correlation between achalasia pain and dysfunction. Presenting a " sharp, burning pain " associated has elicited the following typical physician responses - From a GI at the ineptly unprofessional and highly unethical MNGI specialists: " Here's a prescription for Nexium. I don't ever want you in this office again. " Another GI who loves to perforate the LES: " We don't do pain meds here. " And from the ER: " Achalasia is just a swallowing disorder. There's no pain associated with it. " Please feel free to add your experiences. Steve From the ER: > > > > ... I have been having a sharp pain on the right side in the check > > area. It is like a burning poker is going through me. ... > > > > " Sharp pain " and " burning " pain are reason enough to call your doctor, > especially if this is new or getting worse or there is also a fever. > Being a weekend it may also be reason enough to visit an ER. We are all > different. Some of us had little pain after the HM. Others may have had > similar pain, but who can tell if that pain is for the same reasons. It > is also possible to have pain that has nothing to do with your surgery > and could indicate a new problem. > > notan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2012 Report Share Posted May 9, 2012 Funny, the one time I went to the ER for violent NCCP + spasms, they spent over an hour trying to rule out heart attack etc. even though I told them what my problem was.  Of course by the time they were done with the EKGs and abdominal ultrasound I was three hours from onset and the pain had subsided. I've never gone to an ER since for pain.  Maybe I should give them another try. ________________________________ From: mike in WI <dtfanx@...> " achalasia " <achalasia > Sent: Wednesday, May 9, 2012 8:13 AM Subject: Re: Re: Sharp buring pain  Steve,  Perhaps this is a question of attitude. I have NEVER expierienced a doctor not concerned about pain. The last time I needed to go to the ER for A related issues, the ER doctors number 1 priority was to alleviate pain, then try and find out what she could do to prevent re-occurence of the issue. My GI is also very concerned about pain management - to the point that he allowed me to bring my precribed muscle relaxer - which has proven over the years to stop my NCCP's - so I would have it available after the dilitation he was performing. I also meet with my caregivers and potential caregivers with a positive attitude, and find these caregivers are then far more likely to care about my concerns. mike in WI ________________________________ From: nailheader <stevenakamichi@...> achalasia Sent: Saturday, May 5, 2012 11:05 PM Subject: Re: Sharp buring pain  Notan, If you enter reality, you'll find pain is rarely seriously addressed by a calling your GI or going to an ER, especially with achalasia. Most doctors only receive 8 hours of pain management training and have no conception of the correlation between achalasia pain and dysfunction. Presenting a " sharp, burning pain " associated has elicited the following typical physician responses - From a GI at the ineptly unprofessional and highly unethical MNGI specialists: " Here's a prescription for Nexium. I don't ever want you in this office again. " Another GI who loves to perforate the LES: " We don't do pain meds here. " And from the ER: " Achalasia is just a swallowing disorder. There's no pain associated with it. " Please feel free to add your experiences. Steve From the ER: > > > > ... I have been having a sharp pain on the right side in the check > > area. It is like a burning poker is going through me. ... > > > > " Sharp pain " and " burning " pain are reason enough to call your doctor, > especially if this is new or getting worse or there is also a fever. > Being a weekend it may also be reason enough to visit an ER. We are all > different. Some of us had little pain after the HM. Others may have had > similar pain, but who can tell if that pain is for the same reasons. It > is also possible to have pain that has nothing to do with your surgery > and could indicate a new problem. > > notan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 11, 2012 Report Share Posted May 11, 2012 Mike, Ironically the only doctors who were concerned about my pain were non-GIs. When I presented a well-documented history of NCCP and long gamut of A treatments, one GI of the not-so-esteemed MNGI became so flustered and simply handed me prescription for Nexium - as if acid-relux is the only cause of Achalasia-related pain. After I explained that wasn't my symptom, he dropped the phone repeatedly, and started jerking spastically, behaving erratically like he was on crack. I reported him to MNGI's management which refused to take action. Later my former pain management doc, who was also a member of the state's Board of Medical Practice, conceded he was a dick. My pain docs took my pain seriously as well as viewing A in a multi-disciplinary manner exploring many specialists' consults and treatment approaches. My PCPs also had more empathy for my A symptoms than did any of my GIs who tended to view A dispassionately as having only one prescribed text-book course and singular patient experience.(Let me insert the obligatory " We all experience A differently and express our symptoms in various manners. " I wouldn't say that to a GI for fear of being pegged as 'difficult'). And unless you have some notceable injury in the ER, they could care less about pain. I've had third degree burns and broken legs for which I refused pain meds in the ER, but was left to suffer in agony because an ER doc thought A was just a " swallowing disorder. " Part of the problem is most doctors only receive less than 8 hours of training in pain management. Regarding pain meds, they are mainly viewed in terms of personal prejudice, rather than scientific or ethical need. If your NCCP is stabilized on pain meds and and present yourself to your GI, he/she will most likely interpret you as a 'drug seeker' because of ingrained opiophobia. Anyway, I've just given up on this disease. Steve > > > > > > ... I have been having a sharp pain on the right side in the check > > > area. It is like a burning poker is going through me. ... > > > > > > > " Sharp pain " and " burning " pain are reason enough to call your doctor, > > especially if this is new or getting worse or there is also a fever. > > Being a weekend it may also be reason enough to visit an ER. We are all > > different. Some of us had little pain after the HM. Others may have had > > similar pain, but who can tell if that pain is for the same reasons. It > > is also possible to have pain that has nothing to do with your surgery > > and could indicate a new problem. > > > > notan > > > > Quote Link to comment Share on other sites More sharing options...
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