Hi Michael,
Not all Pain Management Clinicians are like that, mine is totally useless. This is how bad he he was....
My Neurologist Consultant sent a referral to my Doctor, with instructions to remove Tramadol and Amitriptyline rfemoved from my long list of medications. The reason was simple, both of those drugs, especially Tramadol causes Seizures, I suffer from Epileptic and Functional Seizures - so it was a logical thing to do.
Anyway, I went to the Pain Clinic and seen a specialist, at the end I even asked if I had to see him again, his exact words were "That is really up to you?", I said to him surely you would want to check the progress - so he said 6 months then.
In that time, my Tramadol has not gone down, or even off it, it was increased and placed on Slow Release @ 100mg every 12 hours, so 200mg a day! When I went to that Pain Clinic I was on 150mg Fast Release, there is a big difference between both.
I have seen my Neurologist since and he said why was the Tramadol still listed and highered!! So, I told him that was the Pain Management Clinic they referred for me to be weened off Tramadol, but because of Tramadol is a Class "A" drug, they could not change it without increasing it first. Well, needless to say he contacted the Pain Management Clinic this time asking for a definite change, due to the disorders and the Tramadol side-effects had increased due to there being only one plan of action drawn up by the Pain Management Clinic, when there should have been at least 2-3 fall-backs, which in my case were missing.
My Neurologist is not a person you mess around with, so I expect there will be a nice welcome to that appointment...lol
I'm used to it, I see many Consultants, Specialists and Doctors every month, last I clocked up ten appointments, and that was having to cancel one of them. I cannot even go 3 months without seeing a Neurologist, because I have to have 6 BoTox Injections in my neck, shoulder and left arm.
I'm under a Neurophysiotherapist, who are trying to get me walking again, the day that happens I'll put the flags out!
Anyway, just thought I'd tell you not all specialists are good with patients, I know quite a few people on here who have had run-ins with numerous people that do not do their jobs properly. My OT officer actually broke 4 out 6 protocols in a single day, when I checked on the Government website.
Regards,
Les.