Me & my speech.

From previous post- #05- Inaccurate Doctoral PAIN Assessments based on Guesses– As stated previously ‘with no relational corresponding pain chart there is more space for inaccuracies.’ There is also more likelihood of not doing more work based on the inaccurate assessments already made and reported on by doctors.  This in turn enhances the likelihood that a basic to care for problem is made worse, like I am having.

More Than the Basic Details For Pain Assessments- Dr. Savage

There are also the depth details of pain assessments done that do not necessarily have corresponding values for all people.

One article for assessing chronic pain states, “For a doctor to get a good sense of your chronic pain, just pointing to a single face or number isn’t enough. Your doctor will need some context, says Seddon R. Savage, MD, incoming president of the American Pain Society and an adjunct associate professor of anesthesiology at Dartmouth Medical School in Hanover, N.H. “I ask people to remember the worst pain they’ve ever experienced in their lives,’ Savage tells WebMD. ‘It might be a kidney stone or childbirth. That level of pain becomes the benchmark to which we compare the current pain.’”  I never was pregnant, and I have never had a kidney stone, so my estimate doesn’t even relate to others that way if it was ever requested.

For Patients- Describing Your Chronic Pain

As we have already seen with the information of this document, the assessments by doctors are based on the searches they have done, but “Your doctor needs to know not just how much the pain hurts, but how the pain hurts, says Savage[ in the article from WebMD entitled Using the Pain Scale: How to Talk About Pain.

The kind of pain you’re feeling can say a lot about the cause, experts say. Cohen says that pain that’s caused by tissue injury — like arthritis or a back injured while shoveling snow — tends to be like a dull ache.

But nerve pain, which could be caused by many conditions, such as diabetes and carpal tunnel syndrome, typically causes a more distinctive shooting pain. Others describe it as burning, buzzing, or electrical pain. Nerve pain is also associated with other sensations that aren’t painful in themselves, like tingling or numbness, Cohen says.

Savage says that it’s also important to discuss any variations in your pain. How does it change during the day? What makes it hurt more? What makes it hurt less?

When you see a pain expert, go in prepared. Be ready to describe your chronic pain, as specifically as you can, along with details about when the pain started. The more information you have, the easier it will be for your doctor to help treat your pain…”

The stink of this is that doctors assess a person as having chronic pain, without ever even referring the patient to a PAIN EXPERT.  In fact there may be legitimate pain issues that are totally ignored, like the fact that a broken bone happened, but there are multiple bones in the area and the assessments of
X-rays, CT scans, and MRI tests were not ever examined by a person who looked at the correct placement of the pain.

An estimated doctoral assessment of chronic pain does not mean that the pain is constant or consistently the same or in the exact same location, but without an accurate way of making assessments, doctors are likely to do what is easy instead of what is needed.  The WebMD article continues with more information of great value for people seeking to get treatment that is accurate.  But all of the wonderful advice of the article  will only work if the patient persists in working at getting accurate assessments.

How Does Your Chronic Pain Affect You?

Beyond the severity and the type of chronic pain, there’s a third factor you need to discuss. “It’s really important to talk to your doctor about how your pain affects your life,” says Savage. It’s a crucial and often overlooked detail… Savage says that you should think about the specific ways your chronic pain is affecting you.

  • Does pain wake you up at night?
  • Has chronic pain made you change your habits?
  • Do you no longer go on walks because the pain is too severe?
  • Has it affected your performance on the job — maybe even putting your ability to work in jeopardy?

Giving specifics about how your chronic pain is impinging on your life and changing your behavior is key, Savage says. ‘It helps your doctor understand how much you’re suffering and appreciate the pain as [only part of the] problem that needs treatment,’ she tells WebMD.”

Notice how I varied that doctor’s statement.  It was done because my doctors have taken it upon themselves to offer assessments based on their inaccurate work and because I had not read through this article with articulation for the types of pain to share previously.  This means there is a need for doctors to supply for patient’s corresponding information that can be related to by the doctor…

Other Connecting Posts

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

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