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Re : Digest

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Hello Anyse,

I'm sorry you are going through pain. Have you explained to your

gastro just how much pain you are in? Is it not possible to have

another referral to him? I'm asking that because a good gastro does

understand the pain of pancreatitis and should be willing to

prescribe appropriately, refer you to a pancreatologist or refer you

to a pain management centre. Sometimes the actual pancreatologist

will refer you to a pain management specialist if he or she cannot

deal with the pain with the overall level of treatment warranted by

the particular case in point.

I do think it's important, as Heidi explained, to get a referral to

good gastro or, even better, a pancreas specialist. Pancreatitis is

rare and only these specialists are really aware of the pain levels

involved (although my dentist (!!) told me not long ago that it was

known that the pain of pancreatitis is among the every worst to

suffer). I'm not sure how the system works in the US. Here, one

could easily ask for a second opinion although some GPs would no

doubt be grumpy if one did that! I'm sure you have even more choice

in the US as you have your own insurance. If you're not happy with

your gastro, can you easily have a referral to someone else?

Have you also been given a particular diet/treatment regime to

follow apart from the pain meds? Forgive me if you've already

mentioned this and I've forgotten!

Please don't despair. I know from many years of CP (54 to be

precise!) that the disease can go through different stages. Please

keep trying to get the right gastro/pancreas specialist and follow

any other dietary guidelines you've been given. I do hope things

improve very soon.

With very good wishes,

Fliss (UK)

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