Chronic Pain—Talking to Your Doctor (and Vice Versa)

Chronic Pain—Talking to Your Doctor (and Vice Versa)

radnovich

Richard Radnovich, D.O.

100 million American suffer from chronic pain. Chronic pain is defined as pain that lasts longer than six months, and of course, in many cases people suffer from it for years.

It can be mild or excruciating, episodic or continuous and can, at times, be incapacitating.

Because of the randomness of the chronic pain, often pain sufferers become frustrated with their pain and the people who treat it. Many of the people who treat chronic pain are primary care physicians and not pain specialists.

In our recent discussion with Dr. Richard Radnovich, who is an osteopath and runs the Injury Care Medical Center in Boise Idaho, we probed about the communication gap that often exists between patient and provider. Dr. Radnovich is nationally known in the pain management field and has been involved with numerous clinical studies on pharmaceutical and medical devices that treat chronic pain (he’s working on studies in lower back pain and fibromyalgia currently).

We thought a couple of his answers regarding patient/provider communication were worth sharing.

National Pain Report:  “What recommendations can you give to family practice/internist physician assistants and nurses about recognizing and treating a patient’s chronic pain?”

Dr. Radnovich: “Many non-pain specialists feel comfortable and do a great job treating chronic pain. Those providers listen to their patients and try a variety of medical and non-medical interventions. Practitioners need to trust their patients, have a legitimate medical purpose for prescribing and take steps to verify appropriate use. They should have a complete informed consent, a prescribing agreement, use functional status as a measure of success (not just pain scores), and use lab testing like urine drug screens.

The 2 biggest problems I see, actually, are the over reliance on opiates as mono-therapy and the under-treatment of pain. A ‘pain pill’, in my opinion, should rarely be the cornerstone of a treatment plan. Patients frequently have a good, partial response to treatment, but would do great if they had relatively modest increases in their opiates, or the addition of non-opioid medications for pain.”

National Pain Report: “Now, let’s ask that from the patient point of view. What should patients be sharing with their family practice/internist, p.a. and nurse about recognizing and treating their chronic pain.”

Dr. Radnovich:  “Quite simply, vote with your feet. If you are not getting adequate treatment, find another provider; get another opinion. Describe your pain in terms of loss of function, what you cannot do that you would like to be able to do again. Set reasonable, specific goals. Patients have told me they would like to be able to walk their dog again, or swing a golf club. I had one patient say she would simply like to be able to get out of the bedroom and be with her family. When I heard that, it made the impact of her pain very real to me.”

Here’s the recent story we did with Dr. Radnovich regarding the state of pain management in the U.S. As we mentioned above, Dr. Radnovich is a nationally known instructor, researcher, author and expert on soft tissue injuries, pain management and injection techniques.

We will be sharing other opinions from other providers in future articles.

Follow Us on Twitter:

@NatPainReport

@edcoghlan

@DrRadnovich

Authored by: Ed Coghlan

There are 38 comments for this article
  1. David at 2:00 pm

    Payne- i hope soon you will successfully resolve your crises and then we can work together on improving pain care.

  2. Payne Hertz at 8:59 pm

    Dave, I have been thinking a lot about how we can organize to articulate and assert our rights. I think a first step would be to create an internet forum where people in pain can present their ideas on organization and advocacy and how we can make those ideas a reality. Not only do 100 million people in pain have enormous political potential, but also intellectual potential in generating ideas and solutions.

    I am not sure how much I can contribute personally due to being in severe crisis at the moment, but I wanted to publicly acknowledge your post here and give my endorsement. I am new to this site but have appreciated your comments as well as those of Paita, Soup and others.

    I am going to send you an e-mail and hopefully we can discuss some ideas.

    Thank you.

  3. Dave at 7:58 am

    @ Paita, Payne Hert, Soup 1657. Im ready to move forward to work together on a trip to DC and direct empowerment of people in pain by bill of rights that can be given to providers, insurers, medical boards, legislators, etc. We can try to raise money via crowdsourcing and other social media or ask sponsors directly. I can be reached at bdavidbbb@hotmail.com.

  4. deb moore at 5:55 am

    Chronic pain does kill. It causes heart attacks. I’m sorry I can’t reference the studies as they wee on my computer that crashed.my normal blood pressure is 110/60. When my pain is out of control it has been as high as 197/110. I’ve had studies done on my heart and it’s fine.
    If your cholesterol is too high the doctors medicate you so it doesn’t damage your heart. Don the chronic pain patients deserve the same?

  5. paita at 7:59 pm

    Pain Patient,,,,would u care to explain that to the United Nations Human Rights Council??u r 100000% correct,,jmo,,and our government is obviously NOT listening,,sooo,,,maybe the U.N. will,,,if u care to share your thoughts w/the U.N,,as some of us have already,,their email is,,CP@ohchr.org,,,,I hope u do let the U.N know exactly how inhumane it has gotten for all of us,,,and I am telling u guys,,they pass those ,”strategy’s”,,with the statement ”non-medical”, to treat chronic physical pain,,,its gonna get worse,,,no-one will have medicines to stop their physical pain,,,no-one,,’

  6. Pain Patient at 6:19 pm

    http://www.painmed.org/advocacy/aapm-advocates-for-its-members/ Somewhere, somehow, something went terribly wrong for pain patients. Here is the actual act by congress to relieve unnecessary suffering for those in chronic pain. This is the actual bill:
    http://www.gpo.gov/fdsys/pkg/BILLS-111hr756ih/pdf/BILLS-111hr756ih.pdf
    Somehow, pill mills started, and the DEA, drug companies, and doctors got involved and saw a way to self-perpetuate themselves by making us all drug addicts. Think of the money all these entities are making!! There have been studies that these drugs are not as abused as “they” claim to be abused. Then you start researching the PhD’s, doctors, etc., in the journal articles who say they are abusive, and find out who SPONSORED these articles. Surprise!! They are sponsored either by drug companies, generally with new antidepressant medications that they want on widely marketed because they make big money on new meds, (mainly, but it is hidden). Believe me, I have been researching for hours, (but I can’t sit any longer, as I am an addict, and must need a fix), sorry for the sarcasm, but also sponsored in cooperation with PROP members, DEA etc. It seems that there is always a connection. Unfortunately, there is also connections regarding how well pain meds work, and new pain meds out by drug companies to be fair. But the overwhelming evidence, is that we are not addicts!! This drug testing, limiting medication etc., is all a money maker through and through. I have to get a drug test every time I go the the pain clinic. Do you have any idea how easy it is for me to sneak in “clean” urine? They tell me to leave my purse. Fine, but they don’t check my pockets, etc. I would never do anything like that, and neither would any other pain patient. We need the medication too much to take any chance that it would be taken away from us!! Please, someone stop this insanity and let us live lives that halfway livable without needless suffering, and jumping through all these hoops!!

  7. Paita at 5:33 am

    Miss,,I am sorry for your forced suffering,,,and we/I are trying to end this torture,,,,like many of us,,,,all you want is your physical pain stopped or lessen’d enough to have a decent life,,a life,liberty and pursuit of happiness,,I read comments like yours and I get angry,,angry becase I know there are medicines right now,that will lessen your physical pain,,and some S.O.B. is telling you,,NO,,, SUFFER!!!!!! I think there needs to be a law,,that states,”No inhumane forced endurement of physical chronic pain is allowed in any civilized country with-out infringement,,”’Which means no Doctor can force u or anyone else to use ,”non-medical” means to stop your physical pain,,it means no-more blackmailing us,,That the medicines, like opiates, legally need to be given to anyone who wishes their physical pain to be stopped/lessen with-out infringements,,simple to protect us from this torture,,,They make pain management expensive,,not us,,,With all their ,”hoops,” we have to jump thru simple to get medicine to help end our physical pain,,their just making money off us.It all needs to end.

  8. David Becker at 4:38 am

    We hold these truths to be self- evident-that all people including people in pain have been endowed by our creator with the right to life liberty and the pursuit of hapiness.
    Our government have forgotten our Framers wisdom and have long since forgotten that even people in pain have inalienable rights. Our government has empowered and enabled our institutions to commit numerous transgressions of our rights. Daily our inablienable rights are under siege by ignorant and uncaring health care providers and systems, by the DEA, by greedy uncaring insurers so that even International law against cruel and degrading treatment is no longer recognized. We are often left suffering by the siege of our rights and the thinly veiled assualt against humane treatment of people in pain. We are not heard or considered in the plans of our government to address these wrongs- we have been relegated to civil and moral vagabondage against the will of our careless tyrannical will of our institutions.
    We now call ofr our government to right these transgressions that are against our Framers wisdom, against international law and the rights of man We call for equal representation in or institutions and no longer accept that professionals or expert can represent our interests for they do not We wish to be treated as individuals with respect, we are not criminals we do not want to be burdened with providers who lack education in pain care or who lack emotional intelligence, contracts in pain care violate the social contract and the rights of man as do urine tests we dont wish to be labeled catastrphizers or menopausal or depressed jst because we have pain. We dont want to be coreerced through step therapy or biopsychosocial model or interdisciplinary teams We are not infants and dont wish to be treated as such. We dont want to be subjugated to crippling ignorance of insurers who so greedily deny us treatments just to save money and give their executives $25 million salaries. We dont want to have to go to 5 or 10 providers because our government and health care industry is unwilling to train them to provide effective care.
    We have waited and suffered long enough and now will protest to protect our rights-rights that we ad trused you to protect.
    A rally in Washington to the capital dea and nih- is just a start We will call for dhhs to have us on advisory committees- and everyone who wishes to be heard and considered with regard to pain shall be considered by all our government institutions. We will call for medical schools, psychology schools, medical boards, departments of health, insurers to recognize our rights- and when they violate those rights we will directly call for needed reforms. We will call for humane and informed treatment in pain and we will not stop until our rights are restored!

  9. paita at 4:37 am

    To Payne Hertz,,,,100000000% ditto,,,,ur comments for me,,,are very very enlightening,,,and true,jmo,,,,,The words,,,”non-medical,” needs to be deleted in any national pain strategy,,,because it is continuing to allow denial of medical relief to physical pain,,,but now they put it in written and make it the law w/the use of the words,,”non-medical treatment,””’ that’s is soooooooo terrible its beyond inhumane,,,,,jmo,,,we need a law,,a human right,,that ,”forced endurement of physical is not allowed in a civilized world with-out infringement,”’thus no doctor,no nurse,,no medical personal can ever tell us ”no”,,u can’t have any relief for your physical pain,,,nor can they blackmail us with our medicines,,either u see a shrink or no medicine,,that is what no infringements means,,,

  10. soup1657 at 9:48 pm

    Drs, hands aren’t as tied as they tell you look up the dea LAWS for prescribing controlled substance drs, add more to it

  11. Joanne kuyava at 7:51 pm

    All I want is to be able to get out of my room and wash dishes, vacuum my floors, take a bath, go shopping. But the government would rather I didn’t. I belong to a chronic pain group, you would be surprised how many want to end their life because their meds arent handling their pain. But the government has the drs hands tied. Why can’t I go shopping?? Please let me!!

  12. soup1657 at 7:18 pm

    HELL YEAH MARCH AGAINST CRONIC PAIN PATIENT INEQUALITY AND INJUSTICES SUMMER 2016 WASHINGTON D.C THREE DAYS OF PEACEFUL EDUCATION, DEMANDS,LETS SHOW THE FDA DEA AND THE MEDICAL COMMUNITY WHO THEY WORK FOR
    ITS OUR BODIES OUR LIVES OUR MONEY OUR SUFFERING TAKE BACK OUR LIFE LIBERTY AND PURSUIT OF HAPPINESS SOMETHING THAT IS NOT ABLE TO BE TAKEN FROM ANYONE BY THE LAW OF THIS LAND THESE PEOPLE NEED TO SEE WE ARE NOT DRUG ADDICTED WE ARE SICK AND NEED OUR LEAGL MEDICATIONS BY THE LAWS THAT ARE IN PLACE ALREADY DOCTORS AND PHARMACIES DONT NEED TO ADD THERE OWN MORE RESTRICTIVE SO CALLED POLICIES AND GUIDELINES WE SHOULD ALL BE TREATED AS INDIVIDUALS WITH DIFFERENT NEEDS ON A CASES BY CASE BASIS
    I PROPOSE ON JULY 2ND 2016 WE MARCH AND PROTEST ON THE FDA. JULY 3RD 2016 WE MARCH ON THE DEA HEADQUARTERS AND ALL OF US TAKE OUR LEAGL PAIN MEDICINE AND SHOW THEM WE DON’T GET HIGH
    ON JULY 4TH 2016 WE MARCH ON CAPITAL HILL AND DEMAND OUR RIGHT TO LIFE LIBERTY AND THE PURSUIT OF HAPPINESS NOT BE KEPT FROM US ANY LONGER AS IT IS A VOLITION OF OUR RIGHTS UNDER THE LAWS OF THE UNITED STATES OF AMERICA THAT WHEN UNDER MEDICAL SUPERVISION OUR RIGHTS TO HAVE OUR PAIN TREATED ADEQUATELY NOT BE DENIED OR HAVE TO BE FORCED INTO GIVING UP OUR RIGHTS PRIVACY AND SUBMIT TO HUMILIATING UNWARRENTED SEARCHES OF OUR BODIES UNLESS THERE IS CLEARLY A PROBLEM FOR US TO GET PROPER TREATMENT TO LIVE A NORMAL HAPPY COMFORTABLE LIFE

    TELL EVERYONE EMAIL EVERYONE TEXT EVERYONE POST VIDS POST ON FACEBOOK AND TWITTER YOUR HINNIES OFF GOOGLE PLUS THIS

    THIS IS ONLY THE BEGINNING

  13. Payne Hertz at 5:54 pm

    Whether or not someone is a “friend” of people in pain is open to debate. I would not consider someone a friend who pushes for urinalysis testing, pain “contracts,” the biopsychosocial/anti-social model or in any way supports prohibition. The system treats us like criminals and milks us like cows, and the only people I will consider a “friend” are those willing to fight these evils.

    The primary obstacle to timely and effective pain treatment with opiates is the American medical system and its monopoly over pain meds. Prohibition is one of the tools through which this monopoly is enforced and was set up for this purpose.

    Not everyone can be treated with these drugs, but it seems the debate is centered around them anyway so the question must be asked why so many doctors cruelly deny treatment to millions or rob of us of our right to privacy and autonomy over our own bodies by dictating what we can and can’t put into them.

    The American medical profession has proven itself to be ethically and professionally unfit to wield the kind of power it does over us.

    There is no value in giving the medical profession another hundred years to decide whether their highly profitable stranglehold over pain meds is worth the human cost. They’ve already answered that question. If we were allowed to treat our own pain without needing a permission slip from a doctor, that would be the only game changer most of us will ever see.

    Instantly, the debate over lack of treatment will die because few will lack access to treatment when there is no longer a gatekeeper in place denying it to them. When we talk of “timely access” to pain meds, we will no longer be talking about years but hours, as access will be waiting for you in your medicine cabinet, not something you will have to endure years of torture until you prove yourself “worthy.”

    We will no longer have to endure humiliation, abuse and indifference. We will no longer be exploited financially or even sexually in our efforts to get pain relief. We will not be treated as criminals, addicts or moral degenerates simply because one drug works better for us than the others. The bullying, the bullshit and the excuse-making will cease overnight.

    The most important thing we need to fight for is an end to prohibition. Once control of pain meds is back where it belongs in the hands of the people we will be in a better position to fight for what we truly need, which is a cure.

  14. soup1657 at 4:48 pm

    You we could do fundraising events put out flyers ask churches to help with transportation they ussaly got a old van put up a face book page and twitter account put some videos on YouTube do some spaghetti dinners with food we get for free from a food bank to start my uncle knows how to set up nonprofits for the money we raise so the tax man don’t mess with us don’t wanna piss off the tax man let me tell you we can do this people have done more with less look how many people bitch on this blog aalone channel all that energy into something that will make people take us seriously the article says100 million chronic pain suffers in America we only need a 1/10 of em plus it will get people out who havent been up and out in along time we might have some fun seems like we would all pretty much get along and as far as I’m concerned I got nothing to loose by at least trying the best I can to do something besides feeling sorry for my self and bitchen about it if we don’t try we might as well be part of the problem and just keep getting walked on and the snub nose from others WTF they got weed legal all we want is some respect and to have a say in what we know makes our lives manageable LETS DO THIS PEOPLE

  15. paita at 4:03 pm

    Ditto,,,,on the capital,,but most of us can’t work,,thus money is an issue,,but I am game,,,100000%,,,,,we rent a gray hound or school bus,,or a U-Haul??-the other concern,,is it the end of the Presidents term,,,,does that matter???/

  16. soup1657 at 3:08 pm

    IM READY TO MARCH OR HOBBLE AROUND THE WHITE HOUSE IM TRULY DISABLED I GOT TIME LETS DO THIS 1ST WE NEED $$$WE CAN RENT VANS AND CAR POOL PEOPLE FROM ALL OVER THE COUNTRY LETS DO SOMETHING ABOUT IT HERS MY EMAIL SHAWNSKI3439@GMAIL.COM LET’S TALK AND SET A GOAL AT LEAST WE CAN SAY WE TRIED AND DID A HELL OF A GOOD JOB

  17. paita at 2:23 pm

    Unless we could get the names and address’s of all those on pain medicine,,,I don’t know how else to get the word out to 1 million,,,but there are 1 million of us,,,it would be awesome and WORK,, !!!!!!!!!!Hmmm,,,unless we put flyers at every pharmacy?????

  18. paita at 2:11 pm

    See this just pisses me off,,I know for a fact,,there is something called a ,”tunnel catheter,” that would give u the quality of life U DESERVE!!!!!!!!! why isn’t that happening for you????,,,the hard truth is,,”they truly don’t give a rats ass about us,,or about allowing us to be torture by our physical pain,,,As david has stated many times,,,there are a lot of people making a lot of money off us,,by forcing us to do this or that or no meds,,,I see your comment,,I saw another persons comment that are truly heart breaking to me,,why don’t any darn doctors see it that way..????America chronic physical pain care sucks,,,u know what they would do in England for the other reader who is at his wits ends,and thinking of ending his physical pain by death,,they would drive out to his home,,asses his condition,,and GIVE HIM HIS DAM MEDICINE!!!!!!!!!!!!!!!!,,England,France,,,they literally have house calls,,if they had house calls here,,it would eliminate e.r visits,thus the complete disrespect towards us,,people would get thier medicine first,in the privacy of their own home,,,,There are ways to fix this,,,and why don’t they want to,,,,,,????

  19. David at 1:58 pm

    @ John Sandherr and others- so let us work on writing a petition that can be used when a doctor or medical board or the d.e.a. acts insensitively or with bias toward someone in pain. Let us recommend books, courses to correct their insensitivity. Let us tell medical boards and deans of medical schools and insurers that they need to have a quality improvement plan that includes consciousness raising of professionals and let us call on them to include people in pain on their boards and committees. Let us speak out about “medical abandonment” in all its forms- including refusing to provide needed treatment or discontinuing effective treatment. Let us speak out about pain contracts and PROMIS tests. Let us call for reducing as much as possible the burden of treatment for people in pain.And instead of just calling for a “reduction in bias” that the NPS now calls for- let us call for a zero tolerance policy toward bias in pain care. Let us equip each person in pain with the petition and let us work together to insure people in pain have a “bill of rights” they can give their providers and insurers. The Patient Advocates Foundation, the Institute for Healthcare Improvement, Informed Patient Initiative, Empowered Patient Coalition- all have some information and resources to help.
    And so I am ready to do my share to help people in pain with a bill of rights that will call for respect, sensitivity, eliminating bias, eliminating pain contracts and urine testing and documenting incompetent and careless insurers, providers, medical boards, and government officials. As Gandhi said- the difference between what people are doing and what they are capable of doing would solve the worlds problems. it is up to us to demand change.

  20. John Sandherr at 1:57 pm

    Now if you go out and seek a second opinion
    it’s called doctor shopping. There was a time when
    a 2nd opinion wad considered due dillagence. It doesn’t
    work that way for chronic pain patients.

    If I hadn’t gone to another state and hospital
    ( Cleveland Clinic ) the large disc fragment embedded
    into the nerve root might have not been found.

    Everything the article points out is valid in REAL WORLD
    situations but not for the group on this site. We are suffering
    because of Political Correctness ; in my opinion. If not then
    why is Alcohol sold OTC after all its a CNS depressant just like
    most benzodiazepines or narcotic pain meds. But alcohol brings in Millions of dollars in TAX revenue.

    Most of us DON’T ABUSE our pain meds yet MOST of us are the group
    paying the price for the new government and medical community
    stance on controlled pain meds.

    Do you all think we could get a Million Pain patients to march on Washington DC and stand in front of the big White House and be heard ?
    Until something like that is done we are all just a bunch of angry drug addicts that want their meds back. I thank God I still have a pain clinic providing me with meds that work for me. My sons both USMC Vets are handed NSAIDS and Antidepressants along with a Good Luck from the VA doctor. So for now I will remain – In the Fight.

    Thank you,

    John S

  21. John Sandherr at 12:06 pm

    Is there anyone that doesn’t have increased pain
    just from talking about if ? We get angry with these Dr’s
    because they don’t want to give us meds that help lower
    the pain. Until the day comes when they can feel what we
    feel we will remain a pain in the ass to most doctors.

    I worry about my own Dr and what would happen
    if he suddenly retired or moved – it scares the hell out
    of me.

    Years ago I went to see a new Dr. and he never
    even came into the exam room, he stood in the
    doorway and asked questions. When done he gave me
    a script for 1200 mg Motrin 4 x daily and my chart said
    I had an ulcer. When leaving I asked the nurse why I was
    given Motrin and she told me my chart had Drug Seeker written
    on it. I had been seen in the ER the night before and I was told
    to go to this Dr by the ER physician. ?

    We all suffer a horrible condition ( chronic pain ) and
    nothing will change until we – as a group – make the doctors and everyone else involved listen to us and understand what we go through every day of our life.

    My MRI last month shows my condition is worse – MRI # 39
    my pain is worse and so to is the lack of sensation in my legs. From C4 all the way down to S1 there are issues SEVERE issues.

    The pain meds don’t kill the pain but they do allow me some quality life and I can’t imagine not having the meds. I’m quite sure without them I would surely take my own life.

    There is nothing I have not tried but the meds work best for me and I don’t want a morphine pump. We all live in constant fear and we can only take it for so long. Something needs to change in this country because I know we treat Dogs better when they hurt.
    I’m not a dog so I guess I’m just screwed for now.

  22. david at 11:44 am

    Fibro What Im glad you shared your story and i hope, somehow, ED and the experts are listening. As a counselor, I have come across too many instances of providers being callous. One time a client of mine on Os Contin, needed a refill and her doctor had the audactiy to say that she doesnt do refills-and besides my client(who she knew was on Medicaid) could pay for it her self. Another time a pain specialist refused to fill this same woman’s medication- or offer hear any other pain treatment- she cried painfully- and yours truly had to argue with no less then 8 staff before they did anything to help this woman. Another time my relative just came out of surgery that removed his leg. While in the recovery room he asked the nurse for a morphine drip- her response was “Don’t bother me, i worked a double shift and am tired.”
    Perhaps because of their training too many providers simply cant or wont act in a sensitive fashion. And so I recommend complaining to their medical boards, the Commissioner of health, people in state legislatures in the health committees. By increasing their transaction costs and calling for direct change- I believe there is a greater likelihood for change then believing government or providers will do the right thing for people in pain.
    It is really up to people in pain to transform pain care- for it is clear that providers and government dont care enough to make the effort to substantially improve pain care. And as I am the one to get 26 legislators to sign on to legislation in NYS to require education in pain care- I can tell you just how little politicians care or know about pain. The other route is to sign petitions for real change.

  23. soup1657 at 10:56 am

    CAN I GET A HELL YEAH.
    “HELL YEAH”
    I HAVENT MET A THAT CARES ABOUT PAITENTS SINCE I WAS A KID THEN AROUND 2007 THEY ALL BECAME SNOTTY NOSE PRICKS THAT DONT REALAT TO THE REGULAR PEOPLE I MISS MY SMALL TOWN DOC THAT TOOK TIMETO GET TO KNOW YOU AND ACTUALLY CARED IM SICK OF BEING TREATED GUILTY BEFORE DOING ANYTHING WRONG IM SICK OF PISSING IN A CUP EVERY VISIT IM SICK OF HAVING MY PILLS COUNTED IM SICK OF BEING LIED TO IM SICK OF PHARMACY MAKING UP THERE OWN LAWS IM SICK OF BEING IN PAIN IM SICK OF NOT LIVING LIFE ON MY TERMS THIS IS NO WAY TO LIVE JUST LIKE BEING BED RIDDEN DUE TO CRONIC PAIN IS NO WAY TO LIVE I HAVE TO GIVE UP MY INTEGRITY AND BE HUMILIATED TO BE ABLE TO LIVE A NORMAL LIFE IM CLOSE TO GIVING UP JUST GOTTA MAKE SHURE MY GIRL AND DOGS ARE TAKEN CARE OF GET MY NEXT REFILLS AND FADE AWAY ON ACCIDENT OVERDOSE BUT I CAN’T I WANT TO AFTER READING THIS DOCTOR ACT LIKE IT’S JUST THAT EASY PROBALY DOESN’T HAVE TO MOW HIS LAWN CHANGE HIS OIL OR EVEN PUSH A VACUUM CLEANER SPOILED PRICK

  24. Fibro What? ( Fibromyalgia ) 24 / 7 at 9:09 am

    I’m sorry but going to another doctor other than a specialist and then even seeking another specialist open puts you in the category of being a doctor hopper and drug seeker! Finding a doctor these days in my area who handle pain management is near impossible! ! I was with the same family doctor for 30 yrs when he decided that having to jump through all the red tape and government BS was no longer worth it for him to have to worry about loosing his license!! I searched for months trying to find a doctor who could and would take over writing my perscription and work with me on my pain. I have no problem signing the Pain contract because I have never been a doctor hopper or drug seeker! So my very first appt went with new doctor treating me like a criminal and a drug addict! Without reading my chart I later found out. He tells me I shouldn’t be on all these pills and he was going to make me compliant! He proceeded to tell me that I have to come in whenever he has my number come up and drop a urine test and bring him all my pills so he can count them!! I told that jacka $$ that I was not a criminal and have never been to jail or prison and in all my years ever been made to feel like a criminal!! He then says to me as I grew angry and started to cry that I now needed antidepressants. Oh I blew up more! I said I need antidepressants because you now have upset me and made me cry? I asked if his damned antidepressants were going to take care of me dealing with him, or fix the pain I deal with daily, will it fix my fibromyalgia, Chronic Pain, Chronic Fatigue Syndrome, RLS, Bursitis, Arthritis, Sleep Apnea, 3 Failed back surgeries, Chronic Back and hip pain?! He said No! So I told him to stick his antidepressants where the sun don’t shine! I also said I didnt feel comfortable bringing ALL my pills i because what if I got into an accident and they got stolen or my car got brokeninto. I said are you going to replace them and he said no. He asked where I kept them. I said beside my bed. He said you have a better chance of tjem taken if not in a safe. I said are you accusing my family! I told him he was out of his mind if he thought my husband or sons were gonna steal my pills and the only time they touch them is in the bag when they bring them home!! He then said your blood pressure is high. No duh!! So tell me finding a doctor who will take time to at least glance through your file and NOT ASSUME your an addict or sell your pills!! I’m gonna guess none are gonna read your chart because they won’t or can’t find the time! That searching for and finding a doctor who won’t be accusing, assuming or consider you a doctor hopping abuser is not as easy as you make it sound! Finding a Pain clinic or a Doctor that will actually listen, understand and be empathetic! We who are living in chronic pain only want to feel normal and if we could feel PAIN LESS without pills or more surgery that won’t work and make us worse off we would have stopped taking them long ago!! Believe me we don’t get a high on them! After a while they barely take the edge of! I like others feel like actually speaking to the actual chronic pain sufferers and really hearing them will be more accurate and realistic than getting a fairy tale story from the doctors!!! How can someone who has never actually lived in Chronic Pain or any invisible illness daily can tell how we feel or what we deal with??! They have no idea because they don’t live in our body or live our lives!! They just collect all that money and live a fancy life off our PAIN!!

  25. fmcppopinclub@gmail.com at 7:54 am

    I went up your London to see Dr fisher
    He was a great help, when I was first diagnosed with fibromyalgia I felt so alone
    I started a club fmcppopinclub.wordpress and we have our anniversary 3rd year of running 15th July 2015b

  26. dave at 6:36 am

    Leaders in pain management- they are the ones who have let people in pain down-with no vision, and being too far removed from the experience of people in pain-they have made it harder for people in pain to get the care they need. The pain management specialists- from the AAPM, APS,etc- where on their web page is a place for people in pain to express their concerns and be heard? I rest my case.
    Pain management specialists use the big lie technique claiming they care- when in fact it is quite clear they are unwilling to listen to and consider the voice or people in pain. They dont identify with people in pain- there reference group and identity revolves around being a professional- and so they are quite removed from people in pain. The NPS is clear proof of such- as the so called experts refused to consider the voice of people in pain before promoting their occupational strategy. As Dr Biro said= there is hope for people in pain- as long as the conversation lasts- but the pain management professionals haveent even started a conversation with people in pain. They remain callously removed from the concerns of people in pain. So instead of voting with our feet- people in pain should file formal complaints about callos providers-and demand change from the President, from Congress, from medical boards-and let the callous incompetent provider- walk to another line of work instead of burden people in pain.
    Gee maybe this is why we have poor pain care- for the dried voices of people in pain remain mute and meaningless and as distant as fading stars- to the pain specialists and health care industry-which this article only serves to substanitate.

  27. paita at 5:37 am

    pss,,Amen,,David,,Pain Patient,Mara,

  28. Dave at 5:36 am

    I have to agree with the comments of pain patient. For i think its rather glib for Dr. Radnovich to say get another provider. Dr.. Radnovich should know its not that simple. There are roughly 4000 pain specialists-and most other providers, as they say, missed the hour lecture on pain. But even pain specialists- as Dr. Fishman, pointed out in his book on communication and pain, can be insensitive(maybe due to burn-out) In addition, recent studies show doctors are at or above their capacity-and so it is likely for someone in pain to have to wait weeks to see another provider and that some other provider is either uneducated in pain care or overworked. Treatment burden is typically overlooked by people in the health care industry- the NPS makes no mention of treatment brden- no mention was made of the Dutch Carousel program in the 2011 IOM report on pain- and the IPRCC has writeen of the burden of the “busy” doctor. It is unfortunate Dr Radnovich- like his colleagues doesnt appreciate the burden of treatment for people in pain- I guess it is not something he has thought about.
    So Ed your believing someone is sincere- doesnt make it so. As the saying goes- inquiry is not obligated to te words of authority. Let Dr Radnovich-and other experts provide evidence of their beliefs. And frankly, Dr. Radnovich evidence for his statements is glaringly thin.

  29. paita at 5:21 am

    To John,,,yes there are people out there like that,,,however,,so what,,,,,,,its according to our government,,4%,,,of the population,,are like that,,soo again,, so what,,they will get caught,,but,,on the other side of the coin,I was the victim of archaic male doctors for years….who all believed I was a women and this terrible physical pain under my left breast was in fact,,it was a panic attack,,every insult in the book they threw at me,,no meds,,lost 70 pounds,,it was until my lung collapsed did some-one, a pain management Doctor actually take a x-ray after 3 f-ing years of agony,,,then a m.r.i. first in 4 years,,,shows this huge tumor sitting between T-2 and T-9,,pressing against my heart,my lungs,,couldn’t even see my spinal cord anymore,,soo,, it works both ways,,,thus to protect all of us from severe pain and suffering,,,,a law,,,a humane right,,,that no-one should ever be forced to endure physical pain w/out infringement,”,,,,never,,,in a civilized society,,,,and to Ed,,,sir,,,with great respect,,,many many people here have endured physical pain soo severe w/out medicines due to this now a days farce of pain management,,,,I for one,,,as u know endure physical pain that did kill a great man,,,,,it does something to a humanbeing,,,just like war,,,wnen your soul is forced to endure great physical pain because of another humanbeing,,.,these doctors choose to be anesthiologist,,,they had and have the means to STOP HUMAN SUFFFERING of great physical pain,,and obviously many are choosing NOT to help us,,yet they are,the only ones who have the medicine to stop physical pain in its tracks,,and they aren’t,doing that,,obviously,,its like p.t.s.d. from endureing severe pain,,on us,,or me I should say,,I saw those doctors that called me a women or a panic attack,,i saw those doctors as SICKO’S,, TORTURER’S,, NO BETTER THEN SOME sicko who got there kicks from torturing animals,,i knew my pain was real,,they had the means to stop my suffering and they choosed not to,,,how would u view someone like that???like the North Vietnamese who got there kicks from tortures our men in cages over there,,When u force another humanbeing to endure physical pain,,for me,,your no-better then the lowest scum of the earth,,,that person who has the means to stop the suffering and chooses not to,,,for me,,that is not respecting the simple human right to no forced endurement of physical pain,,for me there not stopping my suffering,,for me,their not seeing me as a humanbeing that’s deserves the basic dignity to have there suffering stopped,, the basic human right that no-one can feel my physical pain,thus it is a basic humane premise to respect that fact and help,,,by stopping there physical pain,,,and when they choose not to help by stopping the physical pain,I too loose all dignity for them,,they don’t care about my suffering,,I don’t care about theirs!!!!!!!This is serious serioius sh-t,out here,,,,these are people lives,,literally!!!!!!!!!!!!!! and that is the problem,,this is why we write what we write,,,NO-ONE IS HEARING AND STOPPING THESE POOR SOULS PHSYICAL PAIN,WHO ARE LIVING IN SEVERE CHRONIC PHYSICAL PAIN,EVERYDAY OF THEIR EXISTENCE,,,NO G.D. strategy that allows for ,”non-medical treatment to stop a physical pain is ludicrous, it is continuing to allow HUMAN SUFFERING AGAIN!!!!!!!!!!!!!!!!,,,are reality obviously is not as this Doctor projects,,,and here in lies the the huge problem,,,they have become deaf to our true physical suffering again,again and again,,,,,,and it is very simple,,,,,all we want is our physical pain stopped,,thats it,,,and their our medicine’s that do that,very well,and they are choosing not to stop our physical pain., Opiates are designed to stop physical pain,,and they work,,soo what,,,Doctors are not gods,,doctors obviously make mistakes,,more then printed,and to protect anyone in physical pain,,,A BASIC HUMANE RIGHT,,,,”NO FORCED ENDUREMENT OF PHYSICAL PAIN,WITH -OUT INFRINGEMENT,”’ its that simple,,,{paita,short for,paitalona,,defined by Apache as,,”internal fire,”’}

  30. Ed Coghlan at 9:22 pm

    I’m seeing a lot of criticism about this story.I’m comfortable with criticism–even encourage it– but some of this is misplaced. This interview is with a doctor who is demonstrated friend of the chronic pain patient and a leader in pain management. Disagree with him if you want, but don’t doubt his sincerity about treating the chronic pain sufferer.
    Because someone says something you don’t agree with doesn’t make him anything but someone whose opinion you should consider.
    Thanks.
    Opinion and story ideas are always welcome at the National Pain Report.

  31. Pain Patient at 8:23 pm

    “If you are not getting adequate treatment, find another provider; get another opinion.”. Excuse my directness, but what planet are you living on? Looking for another provider, asking for a second opinion is called “DRUG SEEKING, PHYSICIAN SHOPPING, and I can think of a bunch more terms that you wouldn’t print. I respect that you know a lot about pain, and that you listen to your patients, but apparently, you haven’t been reading what is happening to chronic pain patients. Maybe the question should have been, from the patients point of view, “What if you have exhausted every treatment available, even subjecting yourself to dangerous injections and even surgery, because if you don’t jump through the hoops, you get kicked out of the pain practice? Then when you go for another opinion, if you can find another doctor who will see you, then what happens when the pharmacy refuses to fill your medications because you are doctor shopping?? When did chronic pain stop being chronic pain?? When did all these awful drugs with awful side effects become the first choice for all doctors treating pain? Because narcotics are not safe? They have been around for 2,000 years. They are the oldest known drug to man, for what reason? Because they help pain! If a doctor is careful, knows that their patient is not abusing the medication, what is wrong if the narcotics help with the living hell we go through everyday? I had to jump through the hoops, and the hoops caused WORSE pain than I ever had before. Injections are dangerous, surgery leaves scar tissue, antidepressants cause weight gain, and then you, the patient get blamed for not listening to the doctor!! Lose weight, do more exercise, and don’t worry about the softened bones you get, or the meningitis you get from the doctors and the drug companies making all this money. Or go through the surgeries, and suffer from failed back surgery syndrome and many other side effects, such as MRSA. The answer is not that simple. Sorry if I disagree with you, respectfully.

  32. mara at 6:27 pm

    How is a patient supposed to vote with their feet? In the area I live no general practitioner wanted to discuss chronic pain, even then I was forced to sign a pain contract or go to a pain clinic with a stiffer pain contract. If i left at that point I would be accused of dr shopping and looking for pills rather than relief. I’m sorry but your advice seems out of touch with what those of us with chronic illnesses are facing.

  33. Dave at 5:59 pm

    Mr. Coghlan should find people other than those that espouse the tired worn out received view of uninspired and uninspiring laboratory medicine for people in pain.
    Journalists should seek out independent and diverse views I think the readers know only too well those that would make them ripe for the designs of others with the big lie technique, mind projection fallacy and “there is no alternative” fallacy. Our medical professionals have failed to achieve critical distance or engage in reflective practice. They remain the fish who are the last to discover the water- why should the public hear more from them? They arent part of the soltion to pain care problems- on the contrary-they are part of the problem
    So let us have some who are truly inspired and inspire others- the pain professionals have proven themselves incapable of inspired thought or action. But prove me wrong, Mr Coghlan- if you can.

  34. paita at 3:55 pm

    One other quick point,to the good doctor,,,,now I have been in pain management for 22 years,,,same doctor,,for decades literally,,,there were no forced pee test,,for 10 years,,I went 1nc a year,,You and many many others act like its no big deal to now have to go 3 times a years,,pee in this cup,,even though I have proven I am very responsible w/my meds,,I am being punished,,infringed upon for no reason accept more money,,not to mention,,I can’t afford all this added expense that’s has been forced upon us,,,u guys act like no biggy,3 times a year,pee here,,,those pee test are 900 bucks,,,I am paying my deductible off which is 7,000,,I will never see that money back,,I will not be able to pay for 2 extra times,,nor the pee tests,,and many many others are in the same boat,,why do u guys NEVER EVER take the patients true needs into account???All these ,”rules” and ,”strategies MAKES chronic pain expensive,,,we don’t,,,all we want is relief for our physical pain,,thats it,,,My pain management cost me 250.00 bucks a year,,,for 13 years,,thats it,,,now,,,with al these ,”infringements,” forced upon me I can’t afford it,,,thts NOT MY FAULT,, but I am being forced to go in debt or no physical relief for my physical pain,thats not helpful 1 bit,,,,

  35. paita at 3:23 pm

    As a chronic PHYSICAL pain person,,I don’t see it as a over reliance on opiate,,I see it as they work,and if they work by themselves then why add a bunch of other stuff that doesn’t work????Also if everything was as hunky dory as this Dr…claims,,,,then why do we have chronic physical pain people using death as there only means of stopping their physical pain,,or sooooo many comments on the web of sooo many good people suffering in untreated physical pain????..I have a couple of questions for the good doctor,,Do u believe that it is impossible for anyone to feel someone else physical pain???In that light,,do you believe that all people in physical pain have a basic humane right not to be forced to endure physical pain??Also as a chronic physical pain person,,I think it should be a basic humane right,that no chronic physical pain person should ever have to be forced to endure physical pain.Since it is self evident truth that no-one can ever feel my physical pain that basic dignity towards another humane being in a civilized society should be respected ,thus a law needs to be past for all chronic physical pain people that ,”Forced endurement of physical pain is no longer legal or accepted in any civilized society without infringements,””its very simple,,,if you do or don’t agree,,,why??? Thank you for your time

  36. soup1657 at 2:23 pm

    this guy is out of touch he makes it sound so easy to just find another dr. it takes months to get into a Pain specialist and only a limited amount where I live in NY state

  37. John S at 2:10 pm

    Honesty ; between all parties involved.

    After 25 years even I can tell when a patient is
    not honest with the Dr. On the other side I’ve heard
    Dr.’s tell a patient a whopper of a tale.

    Many years ago I had an ER Dr. tell me – there
    is nothing stronger than a Tylenol #3 on the market
    for pain. I asked him what Tylenol #4 was and
    he told me / it had more Tylenol in it.

    I watched a patient walk perfectly normal into
    the pain clinic and as soon as he opened the door
    BAM he could barely walk. I said to him / pain comes
    and goes does it ? He said no it hurts all the time.

    After all the years you hear all the lies and BS
    and it’s sad because in the long run it hurts all of
    those that suffer.

    Trust is the same way and without it like the Dr. said
    let your feet do the walking and that works both ways
    to.

    Thank you,

    John S