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Pain Management/temporary or permanent injury

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Question
I have been treated by the same doctor for about 1 year now for back pain, but I have been seen by another doctor before him for rougly 2 years as well.

Just recently they he gave me a work status report where my employer has asked me if the injury was permanent or temporary.

The doctor stated in writing that he was "uncertain to say, but might be permanent injury".  However, he told me personally that since it had been so long already that I have been dealing with the same problem that he was starting to think that it was permanent.

So, what exactly is he saying without being specific?

Answer
Mark,
I want to apologize for not responding earlier. I became ill suddenly. I am so sorry.
If you want my honest opinion I think this doctor is not being direct; in other words "BS". Sorry to be so blunt, but I see this happening a lot when worker's comp or injuries are involved. Doctors don't want to take the blame for putting a patient on permanent disability. It sounds like you need some definitive tests such as CT scans, or maybe an MRI to rule out anything serious or long-term. Of course, those are expensive, so we get into a catch-22 there. You asked my opinion, so I'm giving it to you. I don't think the dr is being direct with you OR with your employer.

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).

Organizations
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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