Pain Management/followup cramps


Hello miss Nurse.

i went to the doctor finally and yesterday i got my test results. He tested lots of things, the ones i remember are cmp, cbc, hemoglobin, a1c, ths, folate.

The test results came back that everything was completely normal, except my b12 was on the low side (300) and that  was slightly anemic. He gave me b12 tabs that dissolve under my tongue. Unfortunately that was a 350 dollar visit and i don't feel satisfied.. do you have any other suggestions

Apparently you do not have insurance or either the insurance reimburses you later. Actually Kay, these charges seem about right to me. I know it doesn't seem fair because it is just a blood test, but there is a lot that goes on and analyzing our blood. You came out with the diagnosis of low B 12, and you were treated with sublingual B12 vitamins, which really is a good way of getting this into your body. An alternative would be for the doctor to bring you in weekly for the B12 injections. That would be very expensive itself. I'm not an advocate of high prices,and I think that our modern-day insurance is the reason that healthcare prices have skyrocketed, but given all of the lab test that you did have it sounds about right to me. I'm sorry my news isn't better for you. But let me say, that I low vitamin B12 level, if it is allowed to linger on, can cause a lot of different symptomatology, in many different areas of the body, not just an low energy and lethargy. So I hope I've helped, even though my news wasn't good. If you have any further questions please write back into me. And I do hope that you had the type of insurance that will reimburse you, because most of all of these tests are at least 80 to 90% reimbursable by insurance. If not, I understand. My husband has the type of insurance that does not reimburse, and I have seen his bills for blood tests to be in the $200-$300 range, So I know what you're talking about! Good luck, dear. Let me know if I can help you further.

Pain Management

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Patricia M


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.


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).

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.

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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