Pain Management/Electric pain

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QUESTION: Thank you for your thoughtful followup.  I saw my GP today and tried to explain my pain that is going up my spine, into my neck, and around stomach, ribs and heart.         He said he did not know what that would be, but it sounded like a pinched nerve or something else.  He said he really did not know.  I told him my pain dr. did not seem concerned.  I asked him about sending me to a nerologist.  He wants my pain dr. to handle it.          So, they are getting me in about 3 weeks from my scheduled appt.      I know she is going to send me for an MRI.  Should I ask for a referral to a neurologist?  If so, what kind?          Thank you again for your help.

ANSWER: Emma,
Any neurologist who treats adults can help you, hopefully. If you know any nurses or medical professionals in the area ask around and try to get a "word of mouth" referral. If not, just look in the phone book and call  a neurological practice who takes adults. Being that your symptoms are so odd, you need a good physician, so unfortunately you will have to find a good doctor. That may be hard to find. Perhaps I can help you if you really run up against a brick wall. I hate to see patients not receive help. That's why I do this job. So, for now just look for a neurologist who treats adults. If you have any nurses you know, ask them. Even ask the nurse in your GP's office. Tell her how desperate you are. She should understand. Let me know how it goes.

---------- FOLLOW-UP ----------

QUESTION: Just wanted to update my situation.  I saw my Pain Dr. today and she is setting up an MRI of my brain.  Thank you for your advice.  Actually, I know at least one nurse at church.  I will try to find a good neurologist.  Thanks again!!

Answer
Hi Emma,
An MRI is a good test, albeit expensive. Another option for you, which you can mention to the doctor, is a 'nerve conduction study'. It is much less expensive, however, since your electric pain has been a mystery so far, maybe the MRI will be best.
I  appreciate your follow-up. I enjoy receiving follow up notes from patients.

Pain Management

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Patricia M

Expertise

I welcome questions from people who may want a "nurse's perspective" on the subject of chronic pain and pain management. I am a nurse, NOT a physician (MD).I can answer questions on medications, alternative approaches, and the various organs and body systems. There are many avenues to explore with chronic pain. I am against seeing patients suffer simply because healthcare professionals might suspect they are "drug seekers". There are methods of identifying true pain, and this makes patients feel as if they are taken seriously, which they should be.

Experience

Over 25 years working experience in Internal Medicine, Adult Cardiology, Post-Surgery care, Cancer, psychiatry and some experience as a lay-counselor in addictive medicine (dependence to alcohol and/or drugs, both legal and illegal drugs).

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I am an Expert with AllExperts in several areas: Pharmacy, Internal Medicine, Medical Errors. Feel free to check my Q&A history as well as my ratings, which are very high.

Education/Credentials
Diploma from hospital-based nursing school. Additional courses in pharmacology. I keep current in continuing education. Am currently working as lay-counselor which can lead to my certification as Substance Abuse Counselor.

Awards and Honors
Dean's List while in college.

Past/Present Clients
Internal medicine patients, cardiology patients recovering from heart disease and/or open-heart surgery, cancer, as well as recently working as a lay-counselor to individuals dealing with addiction to drugs and/or alcohol. NOTE: Just because I attempt to help patients with addictive diseases, I have over 25 years in Internal Medicine, have nursed patients with great deal of pain, and I am compassionate. I never label anyone as a "drug seeker". I have seen that done for years, and am against it. All patients should be evaluated for pain in a fair and comprehensive manner. Am an Expert with AllExperts in three other medical categories; feel free to check my ratings, which are high.

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