Today's appointment with my PCP

Discussion in 'Fibromyalgia Main Forum' started by cczub, Aug 15, 2006.

  1. cczub

    cczub New Member

    I shouldn't have expected much so I wouldn't be let down but..... Saw him this morning and again brought up FM.. He asked me how the Ambien CR worked and if he got the dose correct.. I told him he got the does wrong,6.25mg and I even tried 2 of the 6.25mg with no help with the sleep. I told him I'm seeing a doctor on my own this afternoon and he said ok but I want you to see "my" rhuemtologist.. I got the number but want to see what the doctor says tonight.

    Oh yeah, I told him I still can't sleep, am always tired and hurt like hell... He said nothing. I asked him if I should keep taking the Ambien and he said no because it hasn't worked yet. He also wants me to see a pysciatrist because he can't do anything else for me to help with my problems. He said the pysch can better prescribe meds for my sleep.

    So now I have NOTHING to tkae to help with the sleep. I even told him that this is starting to REALLY affect my job and life at home. I told him when I get home from work and on the weekends I can do nothing but lie in bed...

    ARRRGGGG... I'm so done with this guy.. They also attempted to draw blood today and missed twice. I told them no more and I left. THe only test results he would give me to take tonight was the bloodwork I had done last year....

    I'll let you know how I make out tonight....
  2. Jeanne-in-Canada

    Jeanne-in-Canada New Member


    I think your PCP actually sounds fairly good. I think you are right in not expecting too much. Docs can't do much for an illness they don't know the cause of or the cure for. Sounds like he cares and he's trying though.

    It doesn't sound like he's blowing you off or that he doesn't believe you. Those are really important things in a doc, there is so much worse out there. He's tried you w/ a few meds and is humble enough to wonder if the dose is right, many docs aren't. He's just a GP, so they tend to be very cautious about psych meds because they are out of their depth rxing them. They might w/ some, but they tend dole out very low doses. That actually isn't such a bad thing, some docs can jsut hammer you w/ doses, after all, they don't have to endure the side effects.

    And he didn't get upset when you played w/ the dose on your own, many docs would. He admits a shrink would be better qualified to rx you the kind of meds you might need, they specialize in them. My shrink is so much more knowledgeable about all meds than my GP. Your PCP is also doing blood tests and sending you to 2 specialists. All good things shwing he knows something is wrong w/ you and is willing to try and help.

    Hope I helped put some things in persceptive. I only have this post to go on, but he sounds pretty decent. Docs are very limited in what they can do for us, sometimes the best they can do is show they are trying, which shows they believe us.


    Jeanne
  3. BlueSky555

    BlueSky555 New Member

    I don't blame you for being upset with this PCP. Not to mention the "missed" bloodwork. I am such a baby when it comes to needles anyway, yulk!

    I also suggest you get another PCP. Hope things are better with the appt. tonight.

    Good Luck!

    BlueSky555
  4. cczub

    cczub New Member

    Jeanne... my PCP is good if I'm sick but last week he told me "I though was going to be quick not a 40 minute discussion". He said this after I first started telling him what's going on... Not a good sign in my book. At least he was honest with me today and said there was nothing he could do....

    Anyways... I made it to my appointment this afternoon. This was the first time I saw this doctor. We went over everything that was going on, my ENTIRE medical history and what tests I've already had. We had to be just talking for close to 15-20 minutes. He performed the exam and boy did some of those tender points hurt... My rhummy had "tested" them before but not like this and not so many of them....

    He believes I have FM and is starting me on Trazodone for the sleep. I have to start at 25mg at bedtime and we can increase from there if needed. I also have to start going for aqua-therapy to try to regain some of my stamina. We went over ALOT of stuff and I'm still trying to digest it all....

    I finally feel like I have a doctor that will listen to me and treat me like it's not all in my head. I'm really tired as it was a long drive to get there and back... Thank you to everyone for thier support. I'll let you know how I make out with the Trazodone.
  5. cczub

    cczub New Member

    I was great to have a doctor that actually listend to me.... Hopefully the trazodone will work... I started last night and nothing but don't know if it's gott build up or if the dose is low... Gotta look into it... I guess I'm looking for some miricale for some relief..
  6. Aghllw

    Aghllw New Member

    Hey there! So sorry to hear about your probs with your dr. You should talk to your PCP about being referred to a pain management dr. I live in Dallas and have been seeing one for 1 1/2 years now. He understands more about pain than the PCP. Have never seen a Rheumy...so can't tell you anything there.

    There are lots of meds out there and you shouldn't have to suffer for sleep. I take L-Triptiphan (I think that is how you spell it). You can get it at a health food store or a place like GNC. It is a natural way to get sleep and it really works! I tried melatonin in the past, but this really works!!

    Good luck w/the new dr!!

    Lisa
  7. Tude

    Tude New Member

    I am sorry that you are feeling at a loss.

    I read through some of the responses and must say that I too use some of the same therapies.

    I started seeing a psychiatrist too & was insulted at first that my doc thought I needed one. I only go every 6-8 weeks now, but it does help to be able to discuss the stresses of every day life with someone who is impartial. My psychiatrist asked me to try an "other" use of Wellbutrin. He found that it can help with mental clarity & cut some of the fibrofog. I notice some improvement after building up to 150 mg twice daily of Wellbutrin SR (I take the generic equivalent). The shrink was not just a pill pusher though & he treated me for ages with no drugs & insists that any drug is an experiment & we must monitor for ourselves if it makes an appreciable difference - if not, stop it.

    Each night I take:

    - 10 mg. of Loratadine (no-name Claritin) for allergies
    and am going to switch to Reactine soon on the advice of my pharmacist because my health plan covers it at 20 mg)
    - 6 mg of Melatonin one hour before bedtime (with my other meds)
    - a multi-vitamin
    - 500 mg of magnesium
    - 1 mg folic acid
    - 1 omega 3-6-9
    - 1 Glucosamine/Chondroitin
    - and most importantly 10 mg. Flexeril - I use the generic prescribed cyclobenzaprine. It keeps my muscles from tightening up over night & so my pain level is reduced. In a bad flare I will take one or two during the day too.
    - And I apply Flexall gel on my most painful bits & cover them with clothing. It seems as if it sends a different message to the brain or something because I have had relief from crying when I applied this. No other lotion ever helped like this. But if I applied it over too much skin (more than just back, let's say - cause once I used it on that & my arms & legs) then I would shiver. When I restrict the use to no more skin than say the size of my back, I am able to function.

    If you can't get other help from the doctor, do ask him about using a muscle relaxant at night. Getting used to a muscle relaxant may take some work. I was using it for a few days before I felt fine upon waking each day. My sister has FM too & she feels like she's been hit by a truck with the Flexeril, but she can use another muscle relaxant. Don't "operate heavy machinery", as they say, for a few days until you find out how you react.

    The melatonin helps & is available OTC.

    But do try the cream Flexall too if you can find it. It is the one OTC that I find most helpful. An application to my "most painful" area really does help me to get to sleep. Remember to cover the area with clothing though. I don't think the bottle even says to do so, but do & then you'll feel warm & happy!

    Good luck!

  8. Jeanne-in-Canada

    Jeanne-in-Canada New Member


    You could try a half tsp of baking soda near bed. Make sure you haven't eaten for at least an hour though, because it is an alkalizing remedy and it reduces acid, starting w/ your stomache. I prefer to use alkalizing mixed salts, but this works too. It will reduce pain and relax you. It actually makes me feel downright sleepy and so mellow and peaceful.

    If you have alkaSeltzer, you could try that too. Some use it and it has aspirin, which may help more w/ the pain.

    A hot lemon juice footbath is very relaxing and pain relieving too. You might be surprised. I use a soup pot that can fit a foot, waterr as hot as I can tolerate, and a third cup or so of lemon juice, bottled is fine. Lemon is a detoxer, alkalizer and the smell of lemons has aromatherapy benefits to relax you. The pores of the feet are the biggest in the body and a prime detox pathway. That's why feet sweat so much and are such a common site for pain.

    There have been many threads on these remedies and people are pleasantly surprised. Please let us know if you get any benefits.


    Jeanne
  9. cczub

    cczub New Member

    Some interesting stuff there.. I'm at the point of trying anything.... I'm trying to get some motivation to finish the last 10% of my attic as I need to move our bedroom up there... I just can't seem to push myself to do it since I'm feeling so horrible.


    Thanks for the tips... I'll try them out.
  10. Tude

    Tude New Member

    Just wondered how you were making out with the bedroom move, health & spirits.

    I wish you the best. Hugs...Susan
  11. cczub

    cczub New Member

    The bedroom move is going slow. I still have to put 2 coats of paint on the closet abd do some cleaning. I was hoping to get carpet this weekend but it's going to be raining ALL weekend so that's not going to happen.

    Haven't been doing too good. My sleep is better now that I'm on Tradozone but still not waking up with that "refreshed" feeling. I started PT last week and so far it's a killer. The day after PT I don't feel like doing anything because I hurt so bad and I'm extemely tired.

    The reason I'm doing the PT is to try to eliminate the day after strenuous activity pain and tiredness but so far no luck. Brain fog is really bad today so I'm just taking it day by day. Last night I was alseep before 8pm and feel like I could do the same again tonight!