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re: Legit chronic pain people

Posted on 4/29/17 at 10:19 pm to
Posted by Hopeful Doc
Member since Sep 2010
15056 posts
Posted on 4/29/17 at 10:19 pm to
quote:

corrective surgery has actually caused permanent and unfixable damage and serious chronic pain? In this person's case the only PT that has been advised is aquatic walking as anything more will further damage major joints.



Start with TCA or Cymbalta, add Lyrica/gabapentin. Reassure patient consistently that pain will not actually kill them. And if all else fails, potentially eventually opiates.


But only after 3g/d of Tylenol and a Max dose NSAID as well.
This post was edited on 4/29/17 at 10:30 pm
Posted by porkrind
Hog Jaw
Member since Apr 2012
950 posts
Posted on 4/29/17 at 11:41 pm to
quote:

Start with TCA or Cymbalta, add Lyrica/gabapentin. Reassure patient consistently that pain will not actually kill them. And if all else fails, potentially eventually opiates. But only after 3g/d of Tylenol and a Max dose NSAID as well.


Talk about opiates being a health risk and then recommend drugs which have terrible effects on the body. Max does of NSAID... well hello acid reflux and kidney damage.
This post was edited on 4/29/17 at 11:42 pm
Posted by bencoleman
RIP 7/19
Member since Feb 2009
37887 posts
Posted on 4/30/17 at 3:42 am to
quote:

eassure patient consistently that pain will not actually kill them


frick off you low life piece of shite.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 4/30/17 at 9:34 am to
3G/day tylenol. That's interesting. How does this affect a person who is in pain to the level that they don't eat and drink. I know you are a doctor, and I don't mean to disrespect you, but did you know about this? In the four months that I suffered with a cervical nerve root compression I went from 145 lbs to 97 lbs. My concern is dehydration and that level of Tylenol on a daily basis. Seems I heard or read somewhere that kidneys could be in trouble when dehydrated and taking tylenol. Oh and the other thing, the mindset that if 3G/day doesn't work, maybe they will try 6G/day. Why can't severe pain be treated as severe pain, without having to have a diagnosis of cancer?
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