Springfield OH Doc for RA patient

[lobelsteve]

Daughter of one of my sweet 77 y/o patients has RA under care of Rheum on biologics in Ohio.
Needs pain eval.

Anyone recommended?

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[101N]

No, needs a rheumatologist.

 

[lobelsteve]

No, needs a rheumatologist.

Has rheum already. On biologics. Lives there. Mother is my patient.

Rheumatologist out there called all pain doctors drug dealers.

 

[pastafan]

Rheumatologist out there called all pain doctors drug dealers.

So did 101N.

 

[101N]

If there is a rheumatologist involved, why do you need a pain doctor? The same can be said with oncology or neurology.

What's missing?

 

[drusso]

If there is a rheumatologist involved, why do you need a pain doctor? The same can be said with oncology or neurology.

What's missing?

...because if they (rheum, neuro, and oncology) wanted to be pain physicians they should have done an ACGME-approved fellowship and learn how to do it right. They experts at biologics, treating seizures, and chemotherapy respectively.

 

[101N]

What's the secret sauce that IPM is going to offer over the rheum in this case?

 

[SSdoc33]

What's the secret sauce that IPM is going to offer over the rheum in this case?

really? rheumatoids do exceptionally well with RFs, ESIs, and joint injections in the right situations. i dont think steve is looking for someone to check a CRP and prescribe a DMARD

 

[101N]

It's not Steve's patient. It's a daughter of his patient. Why does she need an IPM for RA.

 

[Ducttape]

treatment in a multidisciplinary program that incorporates cognitive behavioral therapy, mindfulness therapy, along with maintenance of functional capacity through self-managed home exercise program and alternative mind-body exercises including yoga or tai chi.


or

whether butrans would be appropriate (requires prior auth and all).....


(steve did ask for "pain eval", not IPM)

 

[101N]

treatment in a multidisciplinary program that incorporates cognitive behavioral therapy, mindfulness therapy, along with maintenance of functional capacity through self-managed home exercise program and alternative mind-body exercises including yoga or tai chi.


or

whether butrans would be appropriate (requires prior auth and all).....


(steve did ask for "pain eval", not IPM)

Right Answer. But, more often than not she'll get this:http://forums.studentdoctor.net/threads/peer-review-part-3.1204214/

 

[lobelsteve]

101N: pain does not exist.
101N: pain is weakness.
101N: pain is addiction.
101N: pain means opiates.
101N: Pain Physicians exist solely to provide unneeded narcotics to overdose and kill.

101N: Please retire or just go to the Psychiatry forums. You have no idea what Pain Physicians do for a living.

 

[101N]

You're looking for a drug dealer for a patient's daughter and now your embarrassed

 

[lobelsteve]

You're looking for a drug dealer for a patient's daughter and now your embarrassed

Nope, but you should be.

https://projects.propublica.org/checkup/providers/1689694101

Maybe they all have cancer pain.

 

[lonelobo]

101N practices medicine?
I thought he just posts articles all day and tells us that all interventional treatments are Crap