Guest guest Posted May 3, 2005 Report Share Posted May 3, 2005 Hi Debz, My goodness...I cannot believe what you are going through with this guy. I am so sorry that you are feeling so mentally and physically unwell. He seems to be very callous in the way he is communicating with you. I will try to make some sense out of what he told you but be aware that this is just speculation and I could be really off the mark. It is hard to know exactly what this guy is thinking....... But my interpretation of the morphine statement is that he does not believe that it is visceral pain...that is, pain originating from an organ. Some physicians believe that narcotics only work on visceral pain and that pain from nerves or other causes do not respond well to these types of pain relievers. However I have recently read that this supposition is coming under question - that nerve pain does respond to narcotics but just needs higher dosages (I think that was the conclusion but do not hold me to it). But........if this is what he is thinking...this does not mean that your pancreas is not the source of the nerve pain. My pain doctor explained this relationship to me very clearly when she was endorsing trigger point injections and if you would like I can go into more detail. Just ask. As far as how you are describing your worsening pain....that is very typical of biliary / pancreas pain. That is, pain after eating, drinking and especially laying down at night are all textbook symptoms of pancreas / biliary pain. The thing now is to not worry too much about what he will say but to get this pain under control in the immediate future so you can be firm and clear headed when you meet with this guy. Hopefully you can come up with some options to control this that will make life a little more easier for you. Boy.....what you have been through with this guy! Makes me want to cry for you. Laurie - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2005 Report Share Posted May 4, 2005 Hi laurie Thanks for your support I thought that by norphine equivaent may mean opoid resistant i started looking on the net for answers, the other thing he said is th eblock had ramifications. I asked him is IT THE PANCREAS he said he can tell me what it is not arghhhhhhhhhhhhh I am going to buy a vodoo doll and put needles in him eg pain man I now amd goign back next Tuesday at 8 30. I am going to have all my questions written out so if you have some goodies let me know you can email me on debdebznz@... I really appreciate your comments now you said.... > But my interpretation of the morphine statement is that he does > not believe that it is visceral pain...that is, pain originating from > an organ. Some physicians believe that narcotics only work on > visceral pain and that pain from nerves or other causes do not > respond well to these types of pain relievers. However I have > recently read that this supposition is coming under question - > that nerve pain does respond to narcotics but just needs higher > dosages (I think that was the conclusion but do not hold me to > it). But........if this is what he is thinking...this does not mean that > your pancreas is not the source of the nerve pain. I need help with that so you think hes saying..........i dont have viseral pain, but neuropathic pain?? When I was weeks in hospital they had me on PCA Fentnyal ,,,,,,,, huge doses and it helped . The most help I got was when they put an Epidural in, initally they put in in wrong place and my pain hit a 10 after a laparotomy but then when they replaced it I got better in 5 days after being there 5 weeks they also put feeding tubes both times and I recoverd both times I know that Morhine does help as when I am in sever pain It helps it sedates me and i still have pain but maybe that means it not so effective?? My pain doctor > explained this relationship to me very clearly when she was > endorsing trigger point injections and if you would like I can go > into more detail. Just ask. If you could go in more detail above would be great > > As far as how you are describing your worsening pain....that is > very typical of biliary / pancreas pain. That is, pain after eating, > drinking and especially laying down at night are all textbook > symptoms of pancreas / biliary pain. These I have always had I m gettign it under control but I need mor ehlep on what to ask him eg about the tests he did results and how he plans to help me,???? Morphine is the only thing along with clonidine and nortryptiline that helsp me and I would hate to lose that Is Fenatnyl an equivalent? maybe a pact? I have also felt he may have tried ketamine on me and maybe that helped...... I knwo that when i was in there and in severe pain, his other tests which were preumably morphine etc did nothing... but i had a pain score of 7 so that may show why my pain level only dropped one pointd from 7 to 6 > > The thing now is to not worry too much about what he will say but > to get this pain under control in the immediate future so you can > be firm and clear headed when you meet with this guy. Hopefully > you can come up with some options to control this that will make > life a little more easier for you. > > If you could email me that would be great if you want debs > > > > - Quote Link to comment Share on other sites More sharing options...
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