General Pain Management

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Never_Rolled

First 10,000
Dec 17, 2018
5,798
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Hudson, NH i'm close to the MA border if i need to

My insurance is starting to use the "preexisting condition" to fight paying for any treatments related to this


LMAO, with my condition I've learned the fine art of the footjob but due to my lack of flexibility i now need a hip replacement
You told her it was 6" but it smelled like a foot.
 

B.D.

Well-Known Member
Nov 8, 2018
242
477
I will look into the tonic THANK YOU

Dr tried the viagra for me as well with decent results but at $130 for 3, 25mg pills is way more than I can afford
Like someone else already mentioned, all day chemist. Got about 40 100mg tabs for like, $25 plus shipping. Took a few weeks, but they came.
 

Rambo John J

Eats things that would make a Billy Goat Puke
First 100
Jan 17, 2015
71,541
71,465
Viagra Bros
Any side effects from those dick pills?
Haven't tried on yet
 

B.D.

Well-Known Member
Nov 8, 2018
242
477
Viagra Bros
Any side effects from those dick pills?
Haven't tried on yet
As much as I've been tempted, I haven't tried it. The only effects my wife noticed was a slight heart palpitation. She described it as really "thumping" in her chest. Minor headaches and congestion. She was born with a slight heart murmur so we have to weigh the side effects against the damage Raynaud's causes. We also have to take into consideration that I don't know what kind of studies have been done on women taking this pill.
 

Never_Rolled

First 10,000
Dec 17, 2018
5,798
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We are working on names but I have to be honest. She’s mad OP. She said quote “anyone living with this in a cold climate is like having one of my melanoma patients continue to play in the sun” She said docs get frustrated with non compliance and considers living there non compliance. Just keeping it real but we are getting you names.

She mad!
 

RaginCajun

The Reigning Undisputed Monsters Tournament Champ
Oct 25, 2015
36,970
93,839
Obviously that is Raynaud’s.


No drugs are approved by the U.S. Food and Drug Administration for the treatment of Raynaud’s phenomenon. However, many drugs that are approved for high blood pressure or chest pain caused by coronary heart disease are used by doctors to treat Raynaud’s phenomenon, and appear to be effective. The most popular are calcium channel blockers, such as nifedipine, amlodipine and felodipine. Some of these can also help heal skin ulcers on the fingers or toes. Other drugs called alpha-receptor blockers that open blood vessels may be used. To help heal skin ulcers, some doctors prescribe a nonspecific vasodilator (drug that relaxes blood vessels), which is applied to the fingers.

In severe cases that do not respond to other treatment and threaten to damage tissue, a doctor may recommend surgery. Surgical procedures that are used include cutting the nerves that control narrowing of the blood vessels or performing surgery to widen the blood vessels.

Raynaud’s Phenomenon Self Care
Taking a proactive role in your treatment, a process called self management, is important. To shorten the length of an attack once it has started, try these tips:

  • Keep dry. Sweat that cools on the skin can trigger an attack. Wear socks, gloves, long underwear and exercise gear made from fabrics that wick moisture away from the skin. Make sure that hair and skin are dry before exiting the gym.
  • Manage hand temperature. Avoid extreme shifts in temperature. Warm hands or feet in warm (not hot) water. Keep your office warm and take frequent breaks to rub hands together.
  • Reduce stress. For some people with Raynaud’s, anxiety and stress – without any drop in temperature – may provoke an attack. Meditation, yoga and deep breathing are great relaxation techniques. Cognitive behavioral therapy, Tai Chi and aerobic exercise are all great ways to reduce tension.
  • Stop smoking. Smoking narrows blood vessels and makes Raynaud’s worse.
 

Never_Rolled

First 10,000
Dec 17, 2018
5,798
6,349
About Dr. Andree Phillips, MD
Dr. Andree Phillips is a rheumatologist in Concord, New Hampshire. She received her medical degree from Tufts University School of Medicine and has been in practice for more than 20 years.
Dr. Phillips' Location & Contact
264 Pleasant St, Concord, NH, 03301

(603) 224-3368

About Dr. Douglas Marks, MD
Dr. Douglas Marks is a rheumatologist in Manchester, New Hampshire. He received his medical degree from University of Massachusetts Medical School and has been in practice between 11-20 years. Dr. Marks accepts several types of health insurance, listed below.
Ste 4100

87 Mcgregor St, Manchester, NH, 03102

(603) 695-2500

About Dr. Christopher Lynch, MD
Dr. Christopher Lynch is a rheumatologist in Manchester, New Hampshire. He received his medical degree from Weill Cornell Medical College of Cornell University and has been in practice for more than 20 years. Dr. Lynch accepts several types of health insurance, listed below.
manchester, nh

185 Queen City Ave, Manchester, NH, 03101

(603) 625-1665

About Dr. Andrea Schneebaum, MD
Dr. Andrea Schneebaum is a rheumatologist in Derry, New Hampshire. She received her medical degree from Tel Aviv University Sackler and has been in practice for more than 20 years. Dr. Schneebaum accepts several types of health insurance, listed below.
Suite 300

6 Tsienneto Rd, Derry, NH, 03038

(603) 216-0400
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
91,095
About Dr. Andrea Schneebaum, MD
Dr. Andrea Schneebaum is a rheumatologist in Derry, New Hampshire. She received her medical degree from Tel Aviv University Sackler and has been in practice for more than 20 years. Dr. Schneebaum accepts several types of health insurance, listed below.
Suite 300

6 Tsienneto Rd, Derry, NH, 03038

Go with this one

Toelocku @Toelocku will hate it
 

so long

Posting Machine
Dec 16, 2015
1,282
2,035
Search Wim Hof my friend
Yes! RussfromNH @RussfromNH please take 10mins and try 1-2rounds of the breathing exercise and see if you feel something. I sincerely hope that it helps with your pain sensations, although I cannot promise it. It has helped a lot of people with chronic pain, it is being researched by scientific studies (the effect of the the thing on e.g. adrenaline, inflammation, chronic pain).

here is a link that should lead you to the english website
Learn the Wim Hof Method | Free 3-part Mini Class

and here (no kidding, this is the best guided video, ignore that it's Joe) is the IMO best short video about the breathing exercise:


View: https://youtu.be/A9zS94x2nd8


Please let me know if you tried it and whether it helped. if you need more info feel free to write me or ask here in the thread.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
Obviously that is Raynaud’s.


No drugs are approved by the U.S. Food and Drug Administration for the treatment of Raynaud’s phenomenon. However, many drugs that are approved for high blood pressure or chest pain caused by coronary heart disease are used by doctors to treat Raynaud’s phenomenon, and appear to be effective. The most popular are calcium channel blockers, such as nifedipine, amlodipine and felodipine. Some of these can also help heal skin ulcers on the fingers or toes. Other drugs called alpha-receptor blockers that open blood vessels may be used. To help heal skin ulcers, some doctors prescribe a nonspecific vasodilator (drug that relaxes blood vessels), which is applied to the fingers.

In severe cases that do not respond to other treatment and threaten to damage tissue, a doctor may recommend surgery. Surgical procedures that are used include cutting the nerves that control narrowing of the blood vessels or performing surgery to widen the blood vessels.

Raynaud’s Phenomenon Self Care
Taking a proactive role in your treatment, a process called self management, is important. To shorten the length of an attack once it has started, try these tips:

  • Keep dry. Sweat that cools on the skin can trigger an attack. Wear socks, gloves, long underwear and exercise gear made from fabrics that wick moisture away from the skin. Make sure that hair and skin are dry before exiting the gym.
  • Manage hand temperature. Avoid extreme shifts in temperature. Warm hands or feet in warm (not hot) water. Keep your office warm and take frequent breaks to rub hands together.
  • Reduce stress. For some people with Raynaud’s, anxiety and stress – without any drop in temperature – may provoke an attack. Meditation, yoga and deep breathing are great relaxation techniques. Cognitive behavioral therapy, Tai Chi and aerobic exercise are all great ways to reduce tension.
  • Stop smoking. Smoking narrows blood vessels and makes Raynaud’s worse.

Nifedipine – back in the 90's I was told I had to be careful with when it was prescribed to me (in 1mg doses) I started with 1mg daily then i had to increase the dose by 1mg until I could feel/notice a change/effect

I made it up to 3mg then was given an ambulance ride and spent the next 24 hrs in the hospital having my heart monitored. My BP went through the roof while at work. My coworkers said I looked like a tomato. When I told the EMT what I was taking he said it didn’t matter, no humans BP should ever be that high. I was extremely sensitive to this, I had to stop taking it.

alpha-receptor blockers, nonspecific vasodilator (drug that relaxes blood vessels) – they made no noticeable difference in the frequency of the ulcers or reduce healing time.

I was also taking something that was supposed to make my bloods cell walls more pliable with the hope that it would be easier for my blood to penetrate the small veins during a spasm. This also made no noticeable difference



Keep dry/ Manage hand temperature/Reduce stress/ Stop smoking

I live by these rules except smoking, I smoke weed. No butts and I don’t drink. I live a healthy life, I work out daily, I do not eat junk food. I did move to a warmer climate but again no change in the frequency of the ulcers or reduction in the healing time. Doctors did find my body is hyper sensitive to stress. They believe this is why I continue to get ulcers living in a warmer climate or during the summer/warm weather. With a job, kids and a lunatic wife how can anyone be stress free?

Regarding surgery, I was in for it 100% when it was brought up but the doc was reluctant, he said cutting the nerves would be bad, I could be cut/burned severely and not know so he thought that option was not viable. I still believe this is my best option, it should stop the restricted blood flow and stop the pain so I can return to some level of participation in life.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
About Dr. Andree Phillips, MD
Dr. Andree Phillips is a rheumatologist in Concord, New Hampshire. She received her medical degree from Tufts University School of Medicine and has been in practice for more than 20 years.
Dr. Phillips' Location & Contact
264 Pleasant St, Concord, NH, 03301

(603) 224-3368

About Dr. Douglas Marks, MD
Dr. Douglas Marks is a rheumatologist in Manchester, New Hampshire. He received his medical degree from University of Massachusetts Medical School and has been in practice between 11-20 years. Dr. Marks accepts several types of health insurance, listed below.
Ste 4100

87 Mcgregor St, Manchester, NH, 03102

(603) 695-2500

About Dr. Christopher Lynch, MD
Dr. Christopher Lynch is a rheumatologist in Manchester, New Hampshire. He received his medical degree from Weill Cornell Medical College of Cornell University and has been in practice for more than 20 years. Dr. Lynch accepts several types of health insurance, listed below.
manchester, nh

185 Queen City Ave, Manchester, NH, 03101

(603) 625-1665

About Dr. Andrea Schneebaum, MD
Dr. Andrea Schneebaum is a rheumatologist in Derry, New Hampshire. She received her medical degree from Tel Aviv University Sackler and has been in practice for more than 20 years. Dr. Schneebaum accepts several types of health insurance, listed below.
Suite 300

6 Tsienneto Rd, Derry, NH, 03038

(603) 216-0400

Thank you and your GF very much. I will follow up and I'm going to reconsider relocating again.

To Splinty @Splinty 's delight I'm going to give the Doc from Derry a call this afternoon. Derry is just down the road a few miles from my house.

Again thank you both!!
Do you two like Maine lobster?? I can overnight 2??
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
Yes! RussfromNH @RussfromNH please take 10mins and try 1-2rounds of the breathing exercise and see if you feel something. I sincerely hope that it helps with your pain sensations, although I cannot promise it. It has helped a lot of people with chronic pain, it is being researched by scientific studies (the effect of the the thing on e.g. adrenaline, inflammation, chronic pain).

here is a link that should lead you to the english website
Learn the Wim Hof Method | Free 3-part Mini Class

and here (no kidding, this is the best guided video, ignore that it's Joe) is the IMO best short video about the breathing exercise:


View: https://youtu.be/A9zS94x2nd8


Please let me know if you tried it and whether it helped. if you need more info feel free to write me or ask here in the thread.
No, Ive never tried/heard of it. I will dig in and take a look then get back to you. I'm willing to do anything to have a little pain relief

Thank you
 

RaginCajun

The Reigning Undisputed Monsters Tournament Champ
Oct 25, 2015
36,970
93,839
Nifedipine – back in the 90's I was told I had to be careful with when it was prescribed to me (in 1mg doses) I started with 1mg daily then i had to increase the dose by 1mg until I could feel/notice a change/effect

I made it up to 3mg then was given an ambulance ride and spent the next 24 hrs in the hospital having my heart monitored. My BP went through the roof while at work. My coworkers said I looked like a tomato. When I told the EMT what I was taking he said it didn’t matter, no humans BP should ever be that high. I was extremely sensitive to this, I had to stop taking it.

alpha-receptor blockers, nonspecific vasodilator (drug that relaxes blood vessels) – they made no noticeable difference in the frequency of the ulcers or reduce healing time.

I was also taking something that was supposed to make my bloods cell walls more pliable with the hope that it would be easier for my blood to penetrate the small veins during a spasm. This also made no noticeable difference



Keep dry/ Manage hand temperature/Reduce stress/ Stop smoking

I live by these rules except smoking, I smoke weed. No butts and I don’t drink. I live a healthy life, I work out daily, I do not eat junk food. I did move to a warmer climate but again no change in the frequency of the ulcers or reduction in the healing time. Doctors did find my body is hyper sensitive to stress. They believe this is why I continue to get ulcers living in a warmer climate or during the summer/warm weather. With a job, kids and a lunatic wife how can anyone be stress free?

Regarding surgery, I was in for it 100% when it was brought up but the doc was reluctant, he said cutting the nerves would be bad, I could be cut/burned severely and not know so he thought that option was not viable. I still believe this is my best option, it should stop the restricted blood flow and stop the pain so I can return to some level of participation in life.
That seems like a bs reason the Dr. Gave you to not have surgery. So they would rather you lose your hands? A burn or cut could happen with or without the surgery just now you are living in pain.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
That seems like a bs reason the Dr. Gave you to not have surgery. So they would rather you lose your hands? A burn or cut could happen with or without the surgery just now you are living in pain.
That was my thought. He likened it to a person with diabetes/stenosis and their feet.
 

RaginCajun

The Reigning Undisputed Monsters Tournament Champ
Oct 25, 2015
36,970
93,839
That was my thought. He likened it to a person with diabetes/stenosis and their feet.
I understand that they worry that the lose of sensation could cause a worse injury but if amputation has already been discussed due to the pain and infection you currently have, it really does not add up.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
I understand that they worry that the lose of sensation could cause a worse injury but if amputation has already been discussed due to the pain and infection you currently have, it really does not add up.
and this is why I gave up. I've visited some quacks wile dealing with this for the last 27 years.
 

Never_Rolled

First 10,000
Dec 17, 2018
5,798
6,349
Thank you and your GF very much. I will follow up and I'm going to reconsider relocating again.

To Splinty @Splinty 's delight I'm going to give the Doc from Derry a call this afternoon. Derry is just down the road a few miles from my house.

Again thank you both!!
Do you two like Maine lobster?? I can overnight 2??
Thanks for the offer but my reward would be that you find someone who can offer you some type of relief. Make sure to post back and keep us updated.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
Between my primary care Dr and the Dr in Derry i've made 5 phone calls back and forth trying to set up the appointment

Dr office in derry - you need a referral, me no I have a PPO

My primary care - you don't need a referral you have a PPO

Dr office in derry - you need to have your med office send your medical records over

My primary care - All of them!! me - yes, Them - that's going to take a while we will let you know when we can get to it, maybe Monday

Dr office in derry - Give us their number we will call them and get the Dr referral and the records, we will get back to you as soon as we have them then we will evaluate to see if you are a good fit for Dr. Schneebaum before we will set up an appointment.

I'm sure this would happen no matter what Doc I called, they do need my medical records
lol, I'll keep you posted


I did get my hands on 6 percocet last night so that will give some relief for a couple of days
 

Never_Rolled

First 10,000
Dec 17, 2018
5,798
6,349
Between my primary care Dr and the Dr in Derry i've made 5 phone calls back and forth trying to set up the appointment

Dr office in derry - you need a referral, me no I have a PPO

My primary care - you don't need a referral you have a PPO

Dr office in derry - you need to have your med office send your medical records over

My primary care - All of them!! me - yes, Them - that's going to take a while we will let you know when we can get to it, maybe Monday

Dr office in derry - Give us their number we will call them and get the Dr referral and the records, we will get back to you as soon as we have them then we will evaluate to see if you are a good fit for Dr. Schneebaum before we will set up an appointment.

I'm sure this would happen no matter what Doc I called, they do need my medical records
lol, I'll keep you posted


I did get my hands on 6 percocet last night so that will give some relief for a couple of days
43% right off the top goes to just management of insurance. It’s frustrating for patients as well as providers. It’s good staff is talking to each other. Best for you. Some places just won’t send records. UofM will not send records down here. They play the run around game.

A couple tips. I know you have been through the ringer but start with a fresh new outlook.

1. Don’t complain to the doc about other docs. My GF gets this all the time. 99% of time means crazy patient with no compliance. Example of what I mean “ I’ve been to 5 other (insert specialty) and none of them know what they are doing.” Red flags go off right away.

Well maybe one tip. It’s good the doc wants to see your records in advance to see if you are a good fit for her. If she says you are that means she has some ideas. This is a good thing. If it doesn't pan out move to the next one. This is your pain and nobody is going to be as much as an advocate for your pain as you. Inject some new positive thoughts into finding someone who can give you relief. Having a positive attitude helps open doors. I know this for a fact.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
43% right off the top goes to just management of insurance. It’s frustrating for patients as well as providers. It’s good staff is talking to each other. Best for you. Some places just won’t send records. UofM will not send records down here. They play the run around game.

A couple tips. I know you have been through the ringer but start with a fresh new outlook.

1. Don’t complain to the doc about other docs. My GF gets this all the time. 99% of time means crazy patient with no compliance. Example of what I mean “ I’ve been to 5 other (insert specialty) and none of them know what they are doing.” Red flags go off right away.

Well maybe one tip. It’s good the doc wants to see your records in advance to see if you are a good fit for her. If she says you are that means she has some ideas. This is a good thing. If it doesn't pan out move to the next one. This is your pain and nobody is going to be as much as an advocate for your pain as you. Inject some new positive thoughts into finding someone who can give you relief. Having a positive attitude helps open doors. I know this for a fact.
I get it and I understand the right attitude goes a long way. I never make those types of comments to the doc in most situations.
When your in pain and frustrated over the course of 20 something years it's tough not to be blunt and speak your mind.

thanks again for everything I'll keep you posted
 

Never_Rolled

First 10,000
Dec 17, 2018
5,798
6,349
I get it and I understand the right attitude goes a long way. I never make those types of comments to the doc in most situations.
When your in pain and frustrated over the course of 20 something years it's tough not to be blunt and speak your mind.

thanks again for everything I'll keep you posted
I totally get and I'm on your side. I just want to see you get some help and feel better.
 

RussfromNH

Live Free or Die
Dec 12, 2018
2,540
4,195
Update
Well Im seeing the rheumatologist. I’ve been to her once, she is running tests bloodwork/xrays/pulmonary/organ ultrasounds trying to baseline everything. Off the antibiotics, still an uphill battle to get pain meds. Im on BP meds and using nitroglycerin as hand cream for improved circulation for now but that's about it.


Pain and the lack of sleep is driving me nuts.

I tryied to get the doc to remove the pinky nail but he refused, said I need to see surgeon. The surgeon consultation appointment isn't till the 27th of July

My fingers continue to rot away