Jacob Teitelbaum, MD
Question directed to Dr. Teitelbaum:
Candace: Do you recommend a personal consult or for my MD to do phone consults? Mermie Dr. t. I wonder if I could ask you this one last question. I am in a lot of pain. I finally took oxycodone which was hard because of breakthrough pain (slow release) They are switching me to fentanyl patch as they understand I have tried everything I can to help myself. But I am afraid of opiods. What is your position on pain management please?
Dr_T: Pain will usually go away when you get 8 hours of solid sleep per night, treat the yeast infections and nutritional deficiencies and the hormone deficiencies. It it persists, use Celebrex, Baclofen, Neurontin, and/or Klonopin. There are over 30 other effective pain treatments as well. My last two newsletters discussed how to make your pain go away. The pain is the easiest part of FMS to treat. My newsletters are available at 410-266-6958.
Candace, I recommend a personal consult. Because this is expensive (I only have 5 days/ month to see patients and a new patient visit is 4 hours). I have developed a program on my web site which will create a complete medical record tailored to your case with treatment recommendations (also tailored to your personal situation). My web site is www.endfatigue.com. Leave your email address and we will tell you when it is ready.
You sometimes need to use narcotics for pain. But most people don't If you need it, it is better to take it instead of being in pain. Some people find narcotics help their energy as well. I am more likely to use it in that case.
For the complete chat transcript with Dr. Teitelbaum, click here.
Attorney Scott Davis, Esq.
Question directed to Scott Davis:
Kathy: Mr. Davis, what do you do about the problem of Doctor's not putting very good information. In your charts or reports as far as getting SSDI is concerned. SSA is so particular about the language used and the doctors seem to have now clue!
Atty. Davis: Kathy, after several visits with your doctor, you should get a copy of your medical records to see how well that doctor is charting your symptoms and limitations. If they are not doing a good job, you should have a conversation with the doctor about the importance of documenting pain, fatigue, cognitive problems and any other problems you have that prevent you from working. If your doctor seems unwilling to do that, you need to really evaluate whether the doctor supports you.
For the complete chat transcript with Scott Davis, Esq., click here.
Dr. Stuart Silverman, MD
Question directed to Dr. Silverman:
Mermie: Ok lets go on with the treatment please. LS oxycontin helps me with severe pain and fatigue. I was dx with fms/mps after a neck injury. I also have a herniated disc in neck but my dr said surgery could lead to more problems due to the fms/mps. What would you suggest.
stuart_silverman_md: If all methods have been tried using self management, medications should be considered which may be targeted for the central pain of FM such as ultram or neurontin. Regional barriers such as a neck injury act as a pain generator which should be reduced to help treat the FM.
For the complete chat transcript with Dr. Silverman, click here.
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