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Re: Pain/Medication question

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Posted

Beth,

First let me say I most days can't even keep my daughter's meds straight so if

I am asking stupid questions please forgive me. What is Hannah taking for her

arthritis for meds? If her arthritis is under good control her pain should be

lessened. I personally think that they send you to pain management 'cause they

don't know what to do. They sent my daughter there aboout a year and half ago

because she was having so much pain in her spine and the rheumys couldn't figure

it out. Turned out she had a raging infection at her tailbone area that had to

be surgically removed and was a nightmare to heal. So, we told the pain guy to

jump in a lake. Amazing how when they treated the correct diagnosis her pain

lessened. I swear I will have her at our ped forever since he is the only one

who seems to make the correct diagnosis. In my opinion if they don't know what

to do with her except pass her off, I would take her to the adult rheumy for

another opinion. Narcotics in a young child

is insane if they aren't treating the underlying condition.

e, mom to joe 19 poly + lupus

Beth Yohnk <yohnkmom@...> wrote:

Hi everyone:

It has now been almost 2 weeks since Hannah saw the new rheumy. It has been 3,

almost 4 weeks since they increased her Mobic dose (currently taking 3.7ml of

7.5mg). I am supposed to check back in with the new doctor this week to let him

know how Hannah's pain has been. I have not seen any difference on the new dose

of Mobic. She still has a lot of pian in the mornings which will last anywhere

from 20 minuts to more than an hour; she gests better (not pain free) during the

day; and then has increased pain in the evening. Some times I see slight

swelling, but most times not.

Both the first rheumy and the new rheumy have suggested pain management to me

before. I am pretty confident this will come up again this week. Hannah has only

been tried on OTC Aleeve; Naproxen and now the 2 doses of Mobic. I do not feel

we have tried enough meds to warrant pain management.

I feel pain management is almost like giving up. They will either suggest

narcotics or teach her how to live with the pain. Neither option in my mind is

acceptable for an almost 10 year old child. Am I wrong in this thinking? Has

anyone used pain management? I, myself, have gone to pain management and this

has been my experience for myself.

I want to be educated before I call the doctor. Any suggestions? Do they

normally try more meds besides 2 before recommending this? I am tired of being

told how complicated she is. They are ones that went to med school and they

should be doing more find the problem. I am really concerned about this. If they

are adamant about this, I don't think I will go back to this doctor, but take

Hannah to my mom's adult rheumy who has said he would see her. He sees both my

mom & sister who have RA.

Please let me know what you all think. I will most likely call either Tuesday or

Wednesday depending on how work goes tomorrow.

Thanks!!!

Beth Yohnk

Happy Thoughts..Be Well

Posted

e:

Hannah is only on the Mobic for the arthritis. As I stated in my post she

failed aleeve & naproxen. She is on her 2nd dose of Mobic, and I see no change.

I also give her Tylenol during the day as needed. The rheumy advised against

this, but the ped and the 8 internal medicine doctors I work for said this would

not harm her.

They have not tried anything else and only have tried NSAIDS so far. So to me

pain management should be far off in Hannah's future at this point.

It sounds from the other postings I'm getting that we are not alone in this

thinking. I will let you know what happens when I call tomorrow.

Beth (Hannah, almost 10, unspecified arthritis, asthma & GERD)

bound for london <boundforlondon@...> wrote:

Beth,

First let me say I most days can't even keep my daughter's meds straight so if I

am asking stupid questions please forgive me. What is Hannah taking for her

arthritis for meds? If her arthritis is under good control her pain should be

lessened. I personally think that they send you to pain management 'cause they

don't know what to do. They sent my daughter there aboout a year and half ago

because she was having so much pain in her spine and the rheumys couldn't figure

it out. Turned out she had a raging infection at her tailbone area that had to

be surgically removed and was a nightmare to heal. So, we told the pain guy to

jump in a lake. Amazing how when they treated the correct diagnosis her pain

lessened. I swear I will have her at our ped forever since he is the only one

who seems to make the correct diagnosis. In my opinion if they don't know what

to do with her except pass her off, I would take her to the adult rheumy for

another opinion. Narcotics in a young child

is insane if they aren't treating the underlying condition.

e, mom to joe 19 poly + lupus

Beth Yohnk <yohnkmom@...> wrote:

Hi everyone:

It has now been almost 2 weeks since Hannah saw the new rheumy. It has been 3,

almost 4 weeks since they increased her Mobic dose (currently taking 3.7ml of

7.5mg). I am supposed to check back in with the new doctor this week to let him

know how Hannah's pain has been. I have not seen any difference on the new dose

of Mobic. She still has a lot of pian in the mornings which will last anywhere

from 20 minuts to more than an hour; she gests better (not pain free) during the

day; and then has increased pain in the evening. Some times I see slight

swelling, but most times not.

Both the first rheumy and the new rheumy have suggested pain management to me

before. I am pretty confident this will come up again this week. Hannah has only

been tried on OTC Aleeve; Naproxen and now the 2 doses of Mobic. I do not feel

we have tried enough meds to warrant pain management.

I feel pain management is almost like giving up. They will either suggest

narcotics or teach her how to live with the pain. Neither option in my mind is

acceptable for an almost 10 year old child. Am I wrong in this thinking? Has

anyone used pain management? I, myself, have gone to pain management and this

has been my experience for myself.

I want to be educated before I call the doctor. Any suggestions? Do they

normally try more meds besides 2 before recommending this? I am tired of being

told how complicated she is. They are ones that went to med school and they

should be doing more find the problem. I am really concerned about this. If they

are adamant about this, I don't think I will go back to this doctor, but take

Hannah to my mom's adult rheumy who has said he would see her. He sees both my

mom & sister who have RA.

Please let me know what you all think. I will most likely call either Tuesday or

Wednesday depending on how work goes tomorrow.

Thanks!!!

Beth Yohnk

Happy Thoughts..Be Well

Posted

Personally, before pain management, why not try a DMARD? I would ask the

dr if that is not a more logical step. It seems to me it would be. If

she can get under control with one of those, she can get off the NSAID's

and hopefully get pain free. I know they have not given you a direct

diagnosis, but why not try to see if the meds for the condition they

think she has might help. Just my opinion, Michele ( 19, spondy)

________________________________

From: [mailto: ] On

Behalf Of Beth Yohnk

Sent: Monday, September 25, 2006 5:54 PM

Subject: Pain/Medication question

Hi everyone:

It has now been almost 2 weeks since Hannah saw the new rheumy. It has

been 3, almost 4 weeks since they increased her Mobic dose (currently

taking 3.7ml of 7.5mg). I am supposed to check back in with the new

doctor this week to let him know how Hannah's pain has been. I have not

seen any difference on the new dose of Mobic. She still has a lot of

pian in the mornings which will last anywhere from 20 minuts to more

than an hour; she gests better (not pain free) during the day; and then

has increased pain in the evening. Some times I see slight swelling, but

most times not.

Both the first rheumy and the new rheumy have suggested pain management

to me before. I am pretty confident this will come up again this week.

Hannah has only been tried on OTC Aleeve; Naproxen and now the 2 doses

of Mobic. I do not feel we have tried enough meds to warrant pain

management.

I feel pain management is almost like giving up. They will either

suggest narcotics or teach her how to live with the pain. Neither option

in my mind is acceptable for an almost 10 year old child. Am I wrong in

this thinking? Has anyone used pain management? I, myself, have gone to

pain management and this has been my experience for myself.

I want to be educated before I call the doctor. Any suggestions? Do they

normally try more meds besides 2 before recommending this? I am tired of

being told how complicated she is. They are ones that went to med school

and they should be doing more find the problem. I am really concerned

about this. If they are adamant about this, I don't think I will go back

to this doctor, but take Hannah to my mom's adult rheumy who has said he

would see her. He sees both my mom & sister who have RA.

Please let me know what you all think. I will most likely call either

Tuesday or Wednesday depending on how work goes tomorrow.

Thanks!!!

Beth Yohnk

Happy Thoughts..Be Well

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