Posted by yxibow on February 20, 2008, at 6:28:54
In reply to Re: ultram » Robert35, posted by Phillipa on February 8, 2008, at 12:36:35
> Docs are so reluctant to prescribe any pain meds. It's kind of sad as I know they can be addictive but so are so many other meds. Phillipa
Its not just because they have liability issues -- all psychiatrists are MDs, but it isn't their specialty.
I can sort of see the argument of my doctor like this -- Would you want your psychiatrist to perform brain surgery with a burr needle ? I mean they've been through medical school and residency but its not their -specialty-.
They haven't gone through a complete residency in that field.
Do you want an antibiotic prescribed without any testing or background on your allergic reactions? They can't but send you to the ER with their phone when penicillin V causes your throat to clamp up.I know its difficult -- I suffer through pain as a possible result from medications and through my disorder itself. I wish I could get bupenorphine or a drop of codeine now and then.
But that requires 1) a psychiatrist trained in addiction medication or 2) a not so board certified psychiatrist out there -- there are plenty, who will be willing to serve one's request, and suffer the consequence of the informed consent and uniformed result.
There are true board certified psychiatrists trained in pain and addiction, also psychiatrists trained in hypnosis (not waving a wand), which can be a pretty powerful suggestive tool for managing pain. Maybe I would seek a consult some time.
Ultimately its up to the individual of course how they trust the judgment of the relationship with their doctor and credentials and this doesn't mean or imply a character assassination on anyone's caregiver.
poster:yxibow
thread:811473
URL: http://www.dr-bob.org/babble/20080207/msgs/813716.html