rolling on the floor laughing. How STUPID. Never have I heard something so dumb, stupid and out there. What idiot decided this??? Certainly was not one of the dozens of experts my daughter went to. So when the hugs knots form in her back guess Iwill tell her call someone to talk to. I would continue but this article is too stupid.
yeah when i walk into walls and faint and get lost in my town that i grw up in and hurt so bad I cant sleep for days at a time. what I will do is talk about it. no that is th last thing i would want to do. What I want is relief from the pain and some sleep and a normal meal. sometims I dont eat for days, why???? it too much work I am exhusted. just give me a Frosty or someting cold or easy to swollow.
Pine, a "Frosty" may be what is causing your problem.
I think fibromyalgia is really vascular disease brought on by poor diet. If you are in pain, try eliminating sugar and carbohydrates from your diet for 6 months. See how much your pain level will drop. Take some ibuprofen as an anti-inflammitory. Don't eat, drink or smoke anything that might cause inflammation. This could mean something as simple as laying off the Vitamin C or foods with vinegar in them. If you need recipies, Ellie Krieger has an excellent show (Healthy Appetite with Ellie Krieger) . She is a registered dietician. Her recipies are pretty simple and nutritionally balanced. She is not completely sugar or carb free but she shows you how to make delicious food with lower levels of carbs and sugars.
I have to agree talk therapy is pretty stupid, though. It reminds me of my OB/GYN who tried to get me to go to their "Pelvic Pain Center" where you pay $400 out of your pocket to be masturbated (biofeedback) by a pervert. What I really needed was a hysterectomy which I had to throw a fit to get. Then it was discovered I had adenomyosis and the "biofeedback" would have been useless. I also could have bled to death from the endometrial biopsy the greedy doctor insisted on.
This study is a very flawed study, anyone with any training in statistics will know that anything less than 2500 in a study, is not a valid study. The results are anectdotal at best. To make matters worse, a lot of physicians (me included) do not consider fibromyalgia to be a real disease, but rather a wastebasket diagnosis where symptoms are lumped together and voila a new disease entity emerges.
if you are a ' real" doctor what kind you didnt state or where you graduate from and what line in class did you grad? okay let me tell you this if you dont belive that fibro is "real disease" why? I can tell you that I cannot move in the mornings and I feel like I got the worst flu in the world and my muscles are aching so bad and it feels like poision is in all my swollen glands all over my body. I get stuck and cant mo somtimes and so many other troubles that effct me that are a pattrn not just a "just in your mind thing" I want so bd to stop urting lik I do , If you told m that if I would eat a crate of carrots and thn fl bettr I would say doc point me to those carrots. I am so sick of hurting , I cant n slp du to the horrndous pain. If you would just know what it fls like for just an houe then you would not make the statement that fibro is a mad up diseas. It maks me want to just be mad and cry and do my bst to explain to you how this fraking thing hurts and impacts every aspects of my life. Please consider reading more on this fibro and see. I just imagine you telling patients or looking at them like thy ar crazy or lying. it so hrd to evven to xplain in the first palc and so scary to see an doctor then to have a doctor not beleive fibro is a disese/ that happend to me with my PPC had to gt another onem that undrstood what I was daling with.
I'm grateful you're not my doctor. Thankfully, my FM physician referred me to a rheumatologist who diagnosed and began my physical and prescription therapy within an hour. They literally saved my life. Prior to diagnosis, I spent full days, sometimes several in a row, stuck in the bed. Really stuck, muscle spasms were so severe I couldn't roll over or sit myself up. My husband had so much patience (and still does) during the pre-diagnosis period. And exhausted doesn't begin to describe how a person with fibro feels - even with treatment my energy level seems that it will never return to normal.
I graduated from Columbia in the top 10% of the class and am fed up with the whiny people with this disease. I have been in Iraq and Afghanistan both taking care of the wounded who are more seriously in pain than you whiny people. Get real people and consider what real pain is!
GulfVet, you are not really talking about the same kind of medicine and you know it.
Yes, Fibromyalgia patients need better diets.
Yes, our American soldiers are suffering more but there are many forums for them. This one is for Fibromyalgia.
I think there are many "diseases/conditions/syndromes that mirror other conditions. I think "Fibromyalgia is really a type of vascular disease.
I want to express that I DO think Fibromyalgia is real. My sister claimed to have it and complained bitterly about the pain. She cured it with a bullet to the head. Does that sound made up to you? Granted, she was not kind to herself while she was alive and she suffered the consequences. However, I really think that doctors need to put two and two together and call it vascular disease. These types of conditions are rarely diagnosed correctly or early enough. You can have diabetic vascular conditions for years before actually being diagnosed with diabetes.
I think so many people are complaining about Fibromyalgia because of the quality of the food available to the American public and lack of education on how to make balanced meals. We also need to do more to control our population so our food supply does not have to be manipulated in order for everyone to have decent food. People are relying too much on cheap carbs and drinking way too much soda pop. That is the gist of the problem.
GulfVet, I also have to say that I hope Columbia cranks out doctors with better attitudes than yours. Bet you were born with a silver spoon lodged in your alimentary canal. Silver spoon docs are never really in touch with their patients and just sit around in righteous indignation instead of giving comprehensive, constructive information to their patients. If you are sick of giving the talk, put it on a disk or on your website.
Many patients are never diagnosed correctly and never improve due to their doctors' prejudicial attitudes.
Why did you become a doctor? You obviously hate people (except soldiers)/
I borrowed money to get through college and medical school no silver spoon here. I don't hate people as you infer. I do think a lot of people are whiny for secondary gain. I feel that your name calling is inappropriate and shows that you lack facts so you have to resort to name calling. Shame on you!
There are too many people with this condition for it to be imaginary. You offer no constructive information whatsoever.
If soldiers are the only people you have compassion for, go back to the military. Other than that, I think you need to take a good hard look at yourself and the reasons you became a doctor. I've known plenty of doctors and heard their hateful spoiled brat rhetoric. If they spent half as much energy doing their jobs as they do hating, the world would be a better place. If you want to learn how to treat people, I suggest watching Dr.Oz's manner. You can tell that the man obviously loves people (and they love him). He never talks down to them. He never comes off as better than them. You could learn a thing or two from him.
And, if you really did not come from money (which I doubt) why the snobby attitude? Does that get you into The Club?
I guess Dr Oz wasn't a good enough doctor to succeed in the real world and had to go on TV. Don't forget he is the one who created the cotroversy about arsenic in apple juice and we all know where that went. I love my patients and they love me so don't call me names or impugn my integrity.
Obviously he spends more time on TV than in the OR. What concrete suggestions have you made? There is a drug which is touted for "fibromyalgia" it is called Savella. There are you happy I have made a suggestion.
All your contentions are based on anecdotal information. There has been no significant study which really proves fibromyalgia as a separate distinct entity. If you have a peer reviewed study of at least 2500 patients I will defer to your judgement in this matter, otherwise, sorry I am not convinced.
If you had read my posts above, you would know that I think FB is really vascular disease. It makes alot of sense. It doesn't present the same way in every patient and that is why they can't diagnose it. Too many silver spoons to have any common sense.
My argument makes perfect sense. Your advice for throwing pharmeceuticals at it usually just makes it worse. Plus the meds usually can give you suicidal tendencies if you didn't already have them from the pain.
You have all these theories but no scientific information to back them up. Please give me the references so I may be on common ground with your discussion. My mind is not closed but I need definite information rather than anecdotes.
Doctors don't give any scientific reasons for Fibromyalgia and they have all the money and resources in the world. Why do I have to provide scientific information? I have a theroy and it makes alot of sense. It makes alot more sense than anything any silver spoon doctor has come up with.
Things take a long time to change in the medical world. However, you are not a civilian doctor, so how would you know?
If you don't like my theroy, why not find your own? Call it inflammation, phlebitis, vascular disease, PAD, whatever. But, do not tell people who are in pain that they are imagining it. Yes, maybe some of them deserve their condition. Maybe not but that is NOT FOR YOU TO JUDGE. Just because you are a doctor doesn't make you better than anyone else. I'm sure you do things to harm yourself too. Stop being so high and mighty and do something constructive. Or just tell your patients to watch Dr.Oz and/or go on MayoClinic's site and diagnose themselves.
Actually I am a civilian who has done several tours as part of the Army Reserve. Actually I do not tell people that they don't hurt, I just don't believe in putting all the problems in a certain disease entity that hasn't been proven. That's all I am asking for is for scientific proof of the entity.
You went to Columbia. I'm sure taxpayers paid for your education. Why don't you know?
You are talking about a disease that has not been proven but people are killing themselves over the pain. In saying that you think "putting all the problems in a certain disease is wrong" you are basically agreeing with MY view that this is probably not a new disease "fibromyalgia" but regular garden variety vascular disease and it is just manifesting itself differently in different patients, making it hard to diagnose. Go up to "Pine's" entry above and notice how he/she only wants to eat a "frosty". That should be a dead giveaway as to why these patients are in pain to begin with. Patients need to be taught that sugar is the equivalent of battery acid. A better choice for "Pine" would be a banana or some yogurt. And yet he/she is reaching for empty carbs/sugar.
Dr. Oz spends alot of time on these subjects and very little on condescension. I suggest you at least try to appreciate what he is trying to do. He presents many viewpoints, not just his own, which to me lends credibility. I could do without all the screaming women on his show but his motives are good ones.
And Army Reserve is not civillian medicine. Deal with HMO's for a few years and then get back to me.
I have had fibro for ovr sixx years and I hav done evrything to get ovr this horrndous pain 24/7. the pain is so bad tht it is I cannot believe I am liing through this. I war a fentynal patch for the pain and tak oxycodone and othr pain releivers and sleep is something I long for but the pain keeps me awake. I have aged so bad. emotionally I am in grief all the time due to LOSS, of what I think is everything I had going in my life. Gone!!!!. I have a counsler I see every three weeks for the past fivve years. and these people are saying that if I talk I will feel better. Well lt me tell you if someone said if I would at a crate of carrots for two wks and wow then fibro would go away point me to the orange carrots. I am just having a rall hard time getting my belief around this option.
Sorry Pine! understand completely what you feel. On fentanyl patch too and it still doesn't cut all the pain. Sometimes you take two steps forward and almost feel human and wham!! you get knocked 5 steps back. I know exactly how it ages you and changes your appearance so much that you don't even want to go out in public. The pain changes your life and you lose almost everything about who you used to be. You do mourn the loss of the life that you once had so you cling to those times when you feel almost human for dear life. Sometimes it seems almost too much to handle and the people around us often don't understand which can make it even worse.You can blame yourself for being a burden where once you were a bread winner. It can be hard to believe when your loved ones say it doesn't matter. My husband says he married me for better or worse and isn't going to leave cause right now I feel like the worst. you just gotta do your best and hang in.
What a scam! I can talk about my fibro all day long and not feel one bit better. In fact, dwelling on the pain, muscle spasms, lack of sleep and loss of mobility makes it worse. Desperation will cause you to do a lot of things, but throwing money away shouldn't be one of them. Staying as active as possible on "good" days, resting more than people my age normally do and taking my medications on schedule keep my fibro in control as well as possible.
Just another way the insurance companies can get rich by getting your $$$ for 50 minutes on the phone - hoping these shrinks will scoop up lots of new customers because no one has the time to go talk to anyone in person anymore (and who'd want to?). Why would talking make it better if it's a physical and not a cognitive problem. There's nothing wrong with the minds of these people. Talk all day and their fibro won't care. Maybe these people feel better because they talked - but their fibro is not better. Unless lowering anxiety (not that these people are more anxious than anyone else) decreases the PERCEPTION of pain - bogus "treatments" like this are just that.
There are pretty good books out there and I have a couple, that you can get more pain mangement techniques out of as opposed to wasting $$$ on therapists, or talking to a stranger on the phone. There are free hotlines you can call to help calm you down when the intense pain from fibro and other pain issues put you in or near crisis mode. When I was 1st diagnosed with crps they wanted me to do 4 visits with their therapists. $356.00 for the first visit where he went over the 4 page questionaire I filled out and sent prior to the visit which he was supposed to review for the appointment. He didn't and I got charged an additional $222.00 for his review of the paperwork. I saw him twice. All he did was reccomend a book I had already, (referred to me by my pcp for free) and give a few handouts from the book.
GulVet49//Of Course soldiers injured in war are in extreme pain, who in their wildest minds would doubt that, but you are the biggest of idiots to also doubt the chronic pain that people with this chronic illness live with for years after years, it is extremely painful and it never stops, never, day in day out, and how would you know, you jerk. I hope to God you come down with it and then let's hear your take on it. I have had it for 27yrs and when your muscles are spasmed all over your body in places you don't even know you have muscles, you can't even describe it. I don't care where you graduated from, you don't know S--T, A----LE.
I really think there are too many people obsessed with having a disease and they whine too much about their status. For your information Linda- I do know what pain is. I have bone on bone arthritis in my knees for the past 45 years and multiple herniated lumbar discs, but put in 12+ hour days 6-7 days a week, and don't take a lot of pain medicine because it wouldn't be fair to my patients to have my judgement clouded and not give them my best efforts. I see no reason to resort to name calling, the only reason you have done that is because you can't back up your contentions with facts.
GulfVet49 - Your arthritis and lumbar disc pain is unimaginable to me, but I do believe you when you say it's real. There are so many days I wish this fibro would show up on an x-ray or cause a rash or make my hair fall out so people could "see" my syndrome. Sadly, unless someone is confined to a wheelchair, many in our society do not accept their disabilities.
It is totallly BS to think that TALK will help this disease, this approach will do more damage to the people who don't understand this disease and don't have sympathy for the people in their lives trying so hard to live with it and trying to be as normal as they possibly can. This article is a travesty beyond words and an insult to the people doing the best they can to keep going every day in spite of this illness I don't know who can up with this incredible stupid information but they should go jump off a bridge for the harm they have done. Their information is totally laughable.
I think those of you unacquainted with CBT should read up on it before you pass judgment. It's not just talking about the disease, it's about strategies that can be used to mentally process the pain so the suffering is lessened. Westerners rely too much on pharmaceuticals for pain management when the mind can be trained easily to deal with pain. No one claims CBT will cure the illness, it makes it more manageable. I've seen it happen in many people, I'm a scientist (biologist) and am fairly skeptical but I've seen CBT used with advanced cancer patients who were able to substantially lessen their pain meds. It would seem to me that if fibromyalgia caused such severe pain, the sufferer would be willing to open his/her mind to an alternative treatment that may give relief.
Obviuosly yyou know nothing about people suffering from fibro and many other chronic pain conditions. people with these conditions are definetly encouraged by doctors to try many things other than medication. Most insurances will pay a portion of the cost of therapy. A few will pay for chiropractic and accupuncture treatments. Most don't pay for massage therapy. Many refer their patients to a host of materials in book form and from the internet. Kaiser permanente has all kinds of tapes you can purchase or some you can download from the website.relaxtion, visual imagery, exvercise and so on.. I would guess that other health care organizations offer similar things. You do what you can afford and most of us with chronic pain can't afford much. You don't have to have a terminal illness to feel incredible pain and what we suffer is no less real than te individuals with cancer and other terminal poblems. The difference ..we don't know the outcome will be death and the end of pain. Our pain goes on and on with no expiration date. If we "whine" nobody is making you listen or read the posts. There is no "IF" about fibro causing severe pain. MOst of us suffering chronic pain do everything within our budget and physical and mental limitaions to get relief. I think you can guess how much I care about how "fairly skeptical" you are about anything.
Really a talk on phone therapy ! ! ! Thats an expensive joke. I suffer from Fibro, Rheu. arthritis, osteo & Lupus, no one can tell me this type of therapy works. I have tried everything, exercise gyms, pain medications, medications such as antinflammatorys, steroids, physical therapy, tens unit, traction machines, nerve blocks, pain management you name it I have done it and nothing helps the pain. I am always open to new ideas, but somehow this one is not one I would explore.
As to the doctor who wrote that fibro patients don't really know what pain is until we are injuried in the military, I am glad you are not my doctor. You have no idea what it is like to be in pain 24 hours a day 7 days a week, for years no relief. Its painful, depressing, your quality of life is gone. You get tired of people asking you how your day is, you get really tired of telling them how much it sucks.
Obvoiusly you didn't read my own pain history, I do know what pain 24 hours a day is all about, I was trying to make the point that there are people like the troops who have significant pain from injuries,sorry but I am not convinced that fibromyalgia is a distinct disease entity.
I have seen your diagnosis I also have most of them myself, I think comes from a lot of ware and tare through the years. I have read you suggested Savella, which is not an option for me w/ two blood disorders and I take 325 mg. ASA to prevent clots, but you state you have these conditions, what would you suggest for the pain?? What do you do to help your pain?? Listen we are all here in hopes that someone has any suggestions that we have not tried yet. I personally have so may disorders I am not blaming all my pain on Fibro. I blame RA & Lupus. Which ever one it is, it all comes down to what will help the pain. Quality of life is very difficult/
I was diagnosed with fibro- but after having several sleep studies, it was was determined that my pain issues were due to central apnea (which appeared about the same time as a serious neck injury that lead to a C5-7 discectomy and fusion). I hate to agree with the good doctor who denies fibro's existence, but it seems to be a diagnosis that has gained too much momentum in recent years. I find it interesting that treatments usually reserved for depression seem to work for many fibro- patients. Maybe the diagnosis for those patients should be "depression." I also think many pts diagnosed with fibro- should look for other diagnoses instead...
Fibro is a real and lingering disorder that alot of people suffer thru. It is not short lived as some conditions and injuries are. Knee replacement will relieve pknee pain pain, shoulder replacement will relive shoulder pain, back surgery, which I had in 2003 wiil relieve pain. Yet there is nothing that eliminate or relieves fibro pain. If someone hurts all the time yes they will whine and moan. That at times is therapy. Which brings me to the talk therapy, I am a care giver for my fiance. She was diagnosed with fibro 5 years ago. I have seen her oing from a active life style to a disabillitating condition. We have researched and tried everything. Diet, therapy what ever new stuff comes along and nothing helps. Cymbalta and Lyrica is only about maybe 33% relief. There are some good days (not many) and there are bad days (plenty). Excerise is also helpfull but not what anyone without fibro would think. Until someone has walk down the path others have walked they have no right to judge.
Even though it sounds like this isn't available to the general public yet, talk therapy does sound encouraging and an option for some patients. Hopefully patients would be able to ask questions of the therapist such as generic drug options or alternative therapies for their condition. Costs do matter these days. It's good to hear options like these are being explored and studied.
You've got to be kidding? Talk about an illness and it makes you better? Talking may help a mental illness but not this! Anyone who thinks it's all in your head, including the so-called Dr. Gulf-who-probably-isn't-a-Dr.-or-at-least-never-should-be, should try calling up a therapist when they break a leg. See if that works!
I have had fibro since I was in high school. I didn't know that's what it was then but I do now. I have felt REAL pain, I know what REAL pain is and how dare anyone tell me that it's fake or all in my head. I have had rotator cuff surgery (VERY painful), I have given birth to 3 children without ANY medication, I have torn muscles, had a tooth pulled, blah blah blah and I know what REAL pain is.
I went to my PCP for fibro and he admitted that he didn't know enough about it or how to treat it so he sent me to a rheumatologist. I respect him for telling me that! A real Dr. gets more info and educates himself if he doesn't know.
I saw the rheumo. and she touched several places on my body (pressure points) and they were extremely sore. At the time, I didn't even know what some of them were sore! It was nice to finally have a diagnosis. Yes, Mr. Fake Gulf Dr., whatever you are, a diagnosis of fibromyalgia. I don't know what kind of fake Dr. you claim to be but have you heard of continuing education? Oh yeah you don't treat people for fibro so you don't know anything about it. If fibro is a fake disease, why can't I be a bone marrow donor now that I've been diagnosed? Oh yeah, they don't know what causes it yet! That doesn't mean it does not exist. How can you pass something on to someone if it is all in our heads?
For those of you who came to this forum for relief, I take Tramadol for pain and have for over ten years. If I didn't take it, I wouldn't even be able to walk the first 2 hours upon arising from bed in the morning. I have heard it is addictive so I have NEVER taken more than my prescribed dose which is 50mg up to 4x per day. I stay active. I eat well although I don't believe it's made a difference. Dieting might help if your'e overweight though. I am not overweight myself. Don't over-exercise or you'll be in more pain, although I'm sure most of you already know this! If you have seen a Dr. and they say fibro doesn't exist, see a different Dr.! Preferably a rheumatologist! Keep moving, do the things you enjoy and don't let anyone tell you it doesnt exist.
Mr. Gulf fake Dr., or whatever you are... get over yourself. Instead of arguing about whether this disease is real or not, research it and educate yourself. You make yourself look like an idiot and are a disgrace to the real Drs. out there who care about patients. Suck it up and go back to school. Unless your patients are animals. Who knows?
Whatajoke, I get over 50 hours of continuing education per year. You cite all this information but none of it is anything but anectdotal information. All I am asking is that someone cite peer reviewed case studies involving more than 2500 patients, if you have even a modicum of understanding of statistics you would realize that just because someone says something, this does not constitute scientific proof. It is a frequent ruse to cite such things as" my friend knows somebody with the disease or has taken this medication or used this therapy" Than's all well and good but doesn't prove anything except the gullibility of the populace. I guess you are like the rest of the critics if you don't have facts to back up your contentions you have to resort to name calling and inuendo SHAME SHAME SHAME
Only 50 hours Mr. Uneducated Dr.? Hmm. Ok, whatever you say. Why don't YOU do the study. I'd be happy to volunteer.
Before AIDS was diagnosed, no one knew what caused it either. Does that mean it didn't exist? MORE research needs to be done, I couldn't agree with you more. Just don't try to tell me that I don't have a disease when you dont live in my body. Have you not read about pressure points? What other disease causes that? Is it in your potpourri of gullible Drs. and patients diagnosis book?
Don't accuse me of not having a disease that there isn't enough info on and I won't accuse you of being a phony. OLD Drs. are the ones who don't believe or treat fibro. It's time to retire buddy.
That 50 hours is on top of approximately 120 hours of work per week. All I am asking for is scientific proof of the disease, because I have an inquiring mind. I wish I could retire but can't afford to.
Then how do you find the time to come on here and comment and I guess try to brag about your 120 hour work week. What a waste of the precious 48hrs left in your week. Most people would rather eat, drink, sleep and have sex in that short amount of free time. (if anybody believes you)
Ok then GulfVet49..what do we have? I was diagnosed with fibro 2 1/2 years ago after neck fusion surgery.
I do not whine or use my condition as an excuse. I try to stay as active in my life as I can.
I do agree at times, this is something more..but with the various complaints by patients, it is hard to pinpoint things. It is not the patients fault that doctors and researchers have stopped at this diagnosis of fibromyalgia. I would be willing to be part of a study to find out what this exactly entails and options for treatment.
And yes, there times I would like to whine.... I compare it to a toothache. If you have a toothache and you know you will get it fixed in 5 days, you can hang on until then. But if you don't have an appointment to get it fixed..it wears on you and becomes bigger than yourself. Some days...the pain, tenderness, stiffness, swollen joints andmuscle spasms/cramping..just plain get to you. So you have a bad day...you cry, you whine, you pray hard....you hope to pick yourself up the next day and start anew.
Your patients "whining" to you..is that kind of what patients are supposed to do with their doctors...express their concerns and tell you what is wrong? Isn't that you how you determine what the condition is and how to treat it?
Everybody is taking my whole premise wrong all I asked for is scientific proof of the disease state, which nobody can do. I sympathize with you who are in pain, but sometimes some of you will admit it, you do whine!
No we can't give you scientific proof of the disease for we are not doctors or scientists we are the patients.
Most are trusting souls and leave the diagnosis to the educated in the medical field. I have tried to research fibromyalgia but the only thing I have access to is the medical field sites.
Personally, I don't think it should be my place to have scientific proof when I pay $750 for my doctor appointments. I assume that this would be included in their fee and educational process - to learn more about pharmaceuticals, new diseases and treatments...and no whining intended.
What doctor encourages patients to come and tell them exactly what is wrong with them and treatment they are going to get? They examine and diagnose for themselves.
Whatajoke clearly has some anger management issues. No one says therapy can cure a broken leg...where did you pull that from? The maligned doctor in this post is merely stating that from a diagnostic perspective, fibromyalgia lacks the criteria to establish it as a disease. He isn't saying you aren't in pain. He understands pain. He also understands what whining is. He did not say you are a worthless piece of fecal matter because you whine. Let's listen to a doctor's perspective. As a scientist, I am interested in what he has to bring to this forum. I know you all have stories to tell, and they all involve a significant amount of untouchable pain. Would any of you consider a rational approach to manage your discomfort?
OMG what is your rational approach? I'm quite sure that for most of us with chronic pain we have had lots of appointments with various providers on dealing with our pain issues in a rational manner. Pleaset ell us something we haven't all ready heard, can read in a book, or find online.
Why the hostility? Fibromyalgia is not the only condition that causes pain. Have you ever researched CBT to see if it could help you? CBT is one rational approach. And don't say, I've tried everything because you obviously have not if you are still in pain. But really nothing works unless you keep an open mind, which seems unlikely. I don't care to argue this, it's just an opinion. And there are few people on earth as stubborn as those in constant pain.
Honestly?? Did you read any of my posts and actually comprehend what you took in?? CBT is no different from going in to see a therapist . You can only talk so much to understand it might temporarily help your frame of mind, right up to the time you have a HUGE flare up or some other set back. REading and reviewing techniques in books and cd's we aleady have is much more useless and you pay for it one time then can access it whenever for free. There are hotlines you can call and on-line forums that go into almost every cause of chronic pain you can imagine that are there for fee. I will not waste one more minute responding to either Scorpio or Gulfvet 49. They are ignorant on this subject, way to judgemental and refuse to step into others shoes fo a minute cause they don't have an open mind they just want to be right.
Just one more thing for Scorpio-you never answered my question in post #16.2. And you and gulfvet49 have been silent about my questions to him in post #17.
GULFVET49-if you want your peers to cite reviews etc.. etc.. then go talk with your peers instead of commenting here. You say you have pain issues yet work your tail off for your patients. Do you only treat patients that have injuries you can see with the naked eye, x-ray,MRI,CT, etc.?? Do your patients with chronic pain issues like fibro fire you for your crappy bedside manner? I would fire you in a heartbeat, as a patient we pay your salary and we expect you to treat us respectfully not call us whiners. Yes doctors spend years training and lots of money, but, it doesn't make you gods above the rest of us or make you infallable!! Med school doesn't spend nearly enough time educating potential doctors in dealing with patients on a personal one-to-one basis. For that docs get a D- when they act like you. I also question if you really are even a Dr. or just a former serviceman who had paramedic training and likes going on these sties and talking smack due to low self esteem??? I have CRPS, arthritis in feet, knees, hands, fingers and r shoulder, peripheral nueropathy, and suffered from plantar fascitis. Now, without leaving the site to look things up, tell me what these diagnosises mean. Then if you don't believe I have real pain talk to the department head of pain center at OHSU that gave me my diagnosises. I use lyrica and fentanyl patches. There's a good reason why for chronic pain you don't initally start on fentanyl patches, If your a Dr. you should be able to tell me why that is.
I was surprised when that's the diagnosis my doctor gave me. I told him I figured it was the "condition of the hour", because I know how 'outsiders' react when you say you have fibromyalgia. He told me that just because they haven't developed a specific test to prove it yet doesn't mean it doesn't exist.
I understand where GulfVet is coming from, as I am also in the health care field, and I understand the need for statistics, guidelines and such and that it needs to be done on a large scale to gather enough evidence. GulfVet isn't saying the condition (set of symptoms) doesn't exist. He's saying it doesn't quite qualify to be called a disease. I also have to earn continuing education hours (24) and I only work a 40 hour week. I can tell you, even with that, it is really hard sometimes to get those CE hours done.
Fatigue, "fuzzy brain" and moderate pain are my main complaints at this point, but having those things daily for 15-20 years is what wears you down. I doubt that I would participate in "talk therapy", which really involves retraining your brain to manage your pain, as another writer mentioned, but I don't see why it wouldn't work for some people. Me, I deal with people on a daily basis who have cancer and a laundry list of other terminal diseases, and find that for the most part, it's all about attitude. These people do their very best to have a good day every day, and pass on a smile to others who are far less troubled than themselves, just to try and make that person's day better too. And when their bodies give up and it's time to go, they know they've made a postive impact on another human being, even though they were the ones that were suffering. I am assuming (a bad thing to do) that that is what the talk therapy is all about: changing the way you look at and react to your own miserable existence.
This does seem to be an easy catchall when the doctor isn't certain what is causing the pain and there is no cure. It is sad to watch my wife struggle with this but when she runs out of Vicodin I lay low.
It's probably a good thing my doctor doesn't normally prescribe pain meds. People on real pain meds have a hard time going without it, and I think it actually lowers their pain tolerance. I know it affects how people react to anesthesia or acute pain, as my husband is a surgical recovery nurse. Luckily, right now I only take Cymbalta and some Naprosyn for plantar fascitis. Don't know how he'll deal with it if my pain gets a lot worse.
"Next on News At Nine: Insurance companies no longer paying for conventional therapy and pain medication for fibromyalgia. Now, for just $2.99 per minute, patients can call a Pain-Away Hotline to ease their suffering. Later in the news: Insurance companies send their CEO's on vacation Maui style! Looks like they had fun too, Chuck!"
Gulfvet49 says he has had bone-on-bone arthritis in his knees for 45 years! How old are you? Maybe that is the problem. It's been too long since you were in med school. I remember when doctors said that lupus, and MS were all in a patients head. Most of the medical community disagrees with you on fibro. I have done extensive research on it to know you are in the minority. And then you try to build yourself up with your "I'm in severe pain and work 6 or 7 days a week." Well good for you. Been there, done that! This is the only post I will make on the matter because, unlike you, I just don't seem to have the time to keep arguing the matter and put in the long hours I put in. Especially since what either of us has to say is not law to anyone suffering from fibro or any other type of serious illness.
lem 6 thank-you for expressing your opinion and acknowledging it for just that, your opinion. Gulfvet49 should take notice. Your the type of poster that I could read what you have to say, discuss it with you, and enjoy the time spent doing so. Gulfvet just thinks he knows it all and doesn't care what anybody else thinks.
This Gulvet guy rreminds me of a doc I had in the ER 2 times at the hospital. I have RA and was having an incident where my joints had swelled crushing my nerve in my left wrist. Al I can say is it was the worst pain I have ever had to deal with. I have had numerous ruptured discs and been shot so I know pain.Anyway he could not have been more rude with his well I have pain I have carpel tunnel and you do not see me making the kind of noise you are. I mean I was screaming in pain. I have refused to pay this guys bill as I went back the day after I had a four corner fusion in my left wrist because of after pain suregery and he told me the same carpal tunnel story. I feel like Gulfvet is telling stories also. Anyone with many or multiple herniated discs in his lumbar spine yet puts in 12 hour days is either asymtamatic or has bulges or something other than he is claiming. He could not do what he ways with what he says he has. I know because I have the same thng right now and while I do have good days, I have more bad.
This is just another guy that went into medicine that sees us a $ signs and looks at us as a means to an end. Basically we are a pain in his $#% as he only wants the $ for what he does and yes treating war wounds is not normal medicine. I was wounded and I know from being there.
I want to give my view of the article and I know what everyone is going to say. I have had Fibro, RA, Osteo, Sciatia... like many of you. Also the bone on bone arthritis. The hardest pain to control is the fibro and I have had it for over 10 yrs. Over the past couple of years my pain management dr has noticed the depression getting worse even while on Cymbalta. So he suggested a psychologist who's specialty is pain patients. I wasn't to sure about it but I thought I would give it a try and it was one of the best things I have ever done. It is good to talk about your pain and your family and friends get real tired of listening about it. Being in pain causes exttra stress which makes the pain worse, my words not the psychologist, so you need to talk about it.
I am going to be having surgery and will not be going for a while and I know I am going to need it. Even before this article came out I asked him if we could do phone therapy? He said he would have to look into how to document it.
So from my point of view, I know talk therapy help. Those that have tried it and said it didn't help the therapist wasn't a good fit for you, or you didn't have an open mind when you went.
This discussion reminds me of my aunt who suffered greatly from MS. She first came down with it in the days before there was a blood test for diagnosis. Every doctor told her what she had was mental problems and she was sent from psychiatrist to psychiatrist. Once they came up with a blood test, she was no longer mentally ill, but physically ill. The same can be said for Parkinson's Disease, Lupus, and many other conditions that are taken seriously nowadays. They had to go through what we Fibro people are going through now. I also had a wonderful woman Internist, who had Lupus herself, tell me that most doctors do not want to deal with us as they cannot cure us, and our conditions are too complicated and time consuming. In my opinion, Fibo and other autoimmune diseases, are an epidemic now affecting literally millions of persons across the globe. For instance, take a look on You Tube sometime to get an idea of how people in many, many other countries are suffering from Fibro, CFS, etc. They have the same problems with doctors as we have here. Such an inhumane situation and frightning as this epidemic continues to spread. If we live long enough, someday we, too, will have a test to diagnosis our disease, and then, we, too, will be taken seriously and will no longer be told either it does not exist, we are mentally ill, or to just suck it up and keep going. I hardly think they say that to a MS person anymore. By the way, I spent several days at the Mayo Clinic in Jacksonville, Florida in the mid-90's. The first day they took 27 vials of blood, and that was just the start of it. Their diagnosis in the end, in writing, is Fibro and other autoimmone conditions. So there is hope for some understanding and not all doctors are like " Dr. Prove It To Me Scientifically." After all, if scientific studies are so absolute as to what is "proven", we would not have so many FDA drugs taken back off the market because of the harm they are causing. Just my opinion......
rolling on the floor laughing. How STUPID. Never have I heard something so dumb, stupid and out there. What idiot decided this??? Certainly was not one of the dozens of experts my daughter went to. So when the hugs knots form in her back guess Iwill tell her call someone to talk to. I would continue but this article is too stupid.
yeah when i walk into walls and faint and get lost in my town that i grw up in and hurt so bad I cant sleep for days at a time. what I will do is talk about it. no that is th last thing i would want to do. What I want is relief from the pain and some sleep and a normal meal. sometims I dont eat for days, why???? it too much work I am exhusted. just give me a Frosty or someting cold or easy to swollow.
Pine, a "Frosty" may be what is causing your problem.
I think fibromyalgia is really vascular disease brought on by poor diet. If you are in pain, try eliminating sugar and carbohydrates from your diet for 6 months. See how much your pain level will drop. Take some ibuprofen as an anti-inflammitory. Don't eat, drink or smoke anything that might cause inflammation. This could mean something as simple as laying off the Vitamin C or foods with vinegar in them. If you need recipies, Ellie Krieger has an excellent show (Healthy Appetite with Ellie Krieger) . She is a registered dietician. Her recipies are pretty simple and nutritionally balanced. She is not completely sugar or carb free but she shows you how to make delicious food with lower levels of carbs and sugars.
I have to agree talk therapy is pretty stupid, though. It reminds me of my OB/GYN who tried to get me to go to their "Pelvic Pain Center" where you pay $400 out of your pocket to be masturbated (biofeedback) by a pervert. What I really needed was a hysterectomy which I had to throw a fit to get. Then it was discovered I had adenomyosis and the "biofeedback" would have been useless. I also could have bled to death from the endometrial biopsy the greedy doctor insisted on.
Also stay away from caffiene.
This study is a very flawed study, anyone with any training in statistics will know that anything less than 2500 in a study, is not a valid study. The results are anectdotal at best. To make matters worse, a lot of physicians (me included) do not consider fibromyalgia to be a real disease, but rather a wastebasket diagnosis where symptoms are lumped together and voila a new disease entity emerges.
if you are a ' real" doctor what kind you didnt state or where you graduate from and what line in class did you grad? okay let me tell you this if you dont belive that fibro is "real disease" why? I can tell you that I cannot move in the mornings and I feel like I got the worst flu in the world and my muscles are aching so bad and it feels like poision is in all my swollen glands all over my body. I get stuck and cant mo somtimes and so many other troubles that effct me that are a pattrn not just a "just in your mind thing" I want so bd to stop urting lik I do , If you told m that if I would eat a crate of carrots and thn fl bettr I would say doc point me to those carrots. I am so sick of hurting , I cant n slp du to the horrndous pain. If you would just know what it fls like for just an houe then you would not make the statement that fibro is a mad up diseas. It maks me want to just be mad and cry and do my bst to explain to you how this fraking thing hurts and impacts every aspects of my life. Please consider reading more on this fibro and see. I just imagine you telling patients or looking at them like thy ar crazy or lying. it so hrd to evven to xplain in the first palc and so scary to see an doctor then to have a doctor not beleive fibro is a disese/ that happend to me with my PPC had to gt another onem that undrstood what I was daling with.
I'm grateful you're not my doctor. Thankfully, my FM physician referred me to a rheumatologist who diagnosed and began my physical and prescription therapy within an hour. They literally saved my life. Prior to diagnosis, I spent full days, sometimes several in a row, stuck in the bed. Really stuck, muscle spasms were so severe I couldn't roll over or sit myself up. My husband had so much patience (and still does) during the pre-diagnosis period. And exhausted doesn't begin to describe how a person with fibro feels - even with treatment my energy level seems that it will never return to normal.
I graduated from Columbia in the top 10% of the class and am fed up with the whiny people with this disease. I have been in Iraq and Afghanistan both taking care of the wounded who are more seriously in pain than you whiny people. Get real people and consider what real pain is!
GulfVet, you are not really talking about the same kind of medicine and you know it.
Yes, Fibromyalgia patients need better diets.
Yes, our American soldiers are suffering more but there are many forums for them. This one is for Fibromyalgia.
I think there are many "diseases/conditions/syndromes that mirror other conditions. I think "Fibromyalgia is really a type of vascular disease.
I want to express that I DO think Fibromyalgia is real. My sister claimed to have it and complained bitterly about the pain. She cured it with a bullet to the head. Does that sound made up to you? Granted, she was not kind to herself while she was alive and she suffered the consequences. However, I really think that doctors need to put two and two together and call it vascular disease. These types of conditions are rarely diagnosed correctly or early enough. You can have diabetic vascular conditions for years before actually being diagnosed with diabetes.
I think so many people are complaining about Fibromyalgia because of the quality of the food available to the American public and lack of education on how to make balanced meals. We also need to do more to control our population so our food supply does not have to be manipulated in order for everyone to have decent food. People are relying too much on cheap carbs and drinking way too much soda pop. That is the gist of the problem.
GulfVet, I also have to say that I hope Columbia cranks out doctors with better attitudes than yours. Bet you were born with a silver spoon lodged in your alimentary canal. Silver spoon docs are never really in touch with their patients and just sit around in righteous indignation instead of giving comprehensive, constructive information to their patients. If you are sick of giving the talk, put it on a disk or on your website.
Many patients are never diagnosed correctly and never improve due to their doctors' prejudicial attitudes.
Why did you become a doctor? You obviously hate people (except soldiers)/
I borrowed money to get through college and medical school no silver spoon here. I don't hate people as you infer. I do think a lot of people are whiny for secondary gain. I feel that your name calling is inappropriate and shows that you lack facts so you have to resort to name calling. Shame on you!
Shame on you for your lack of compassion.
There are too many people with this condition for it to be imaginary. You offer no constructive information whatsoever.
If soldiers are the only people you have compassion for, go back to the military. Other than that, I think you need to take a good hard look at yourself and the reasons you became a doctor. I've known plenty of doctors and heard their hateful spoiled brat rhetoric. If they spent half as much energy doing their jobs as they do hating, the world would be a better place. If you want to learn how to treat people, I suggest watching Dr.Oz's manner. You can tell that the man obviously loves people (and they love him). He never talks down to them. He never comes off as better than them. You could learn a thing or two from him.
And, if you really did not come from money (which I doubt) why the snobby attitude? Does that get you into The Club?
I guess Dr Oz wasn't a good enough doctor to succeed in the real world and had to go on TV. Don't forget he is the one who created the cotroversy about arsenic in apple juice and we all know where that went. I love my patients and they love me so don't call me names or impugn my integrity.
Dr. Oz is a practicing heart surgeon.
You still haven't said why you haven't said anything constructive.
I have said many constructive helpful things on this site today and I'm not even a doctor. I have helped more people than you have today.
So?????
I also doubt Dr.Oz criticizes his patients for the plaque built up in their arteries. At least Dr.Oz is concerned (unlike you).
Obviously he spends more time on TV than in the OR. What concrete suggestions have you made? There is a drug which is touted for "fibromyalgia" it is called Savella. There are you happy I have made a suggestion.
Wow! What a humanitarian! But then again, you think fibromyalgia is a myth.
My sister mythically checked herself into a hotel room and blew her brains out because of a mythical condition...
Hmmmm
All your contentions are based on anecdotal information. There has been no significant study which really proves fibromyalgia as a separate distinct entity. If you have a peer reviewed study of at least 2500 patients I will defer to your judgement in this matter, otherwise, sorry I am not convinced.
If you had read my posts above, you would know that I think FB is really vascular disease. It makes alot of sense. It doesn't present the same way in every patient and that is why they can't diagnose it. Too many silver spoons to have any common sense.
My argument makes perfect sense. Your advice for throwing pharmeceuticals at it usually just makes it worse. Plus the meds usually can give you suicidal tendencies if you didn't already have them from the pain.
Later, hater.
You have all these theories but no scientific information to back them up. Please give me the references so I may be on common ground with your discussion. My mind is not closed but I need definite information rather than anecdotes.
Doctors don't give any scientific reasons for Fibromyalgia and they have all the money and resources in the world. Why do I have to provide scientific information? I have a theroy and it makes alot of sense. It makes alot more sense than anything any silver spoon doctor has come up with.
Things take a long time to change in the medical world. However, you are not a civilian doctor, so how would you know?
If you don't like my theroy, why not find your own? Call it inflammation, phlebitis, vascular disease, PAD, whatever. But, do not tell people who are in pain that they are imagining it. Yes, maybe some of them deserve their condition. Maybe not but that is NOT FOR YOU TO JUDGE. Just because you are a doctor doesn't make you better than anyone else. I'm sure you do things to harm yourself too. Stop being so high and mighty and do something constructive. Or just tell your patients to watch Dr.Oz and/or go on MayoClinic's site and diagnose themselves.
Actually I am a civilian who has done several tours as part of the Army Reserve. Actually I do not tell people that they don't hurt, I just don't believe in putting all the problems in a certain disease entity that hasn't been proven. That's all I am asking for is for scientific proof of the entity.
You don't want your integrity impugned? What right do you have to ask that when your so busy impugning the integrity of some of us other posters?
You want scientific proof of nerve pain?
You went to Columbia. I'm sure taxpayers paid for your education. Why don't you know?
You are talking about a disease that has not been proven but people are killing themselves over the pain. In saying that you think "putting all the problems in a certain disease is wrong" you are basically agreeing with MY view that this is probably not a new disease "fibromyalgia" but regular garden variety vascular disease and it is just manifesting itself differently in different patients, making it hard to diagnose. Go up to "Pine's" entry above and notice how he/she only wants to eat a "frosty". That should be a dead giveaway as to why these patients are in pain to begin with. Patients need to be taught that sugar is the equivalent of battery acid. A better choice for "Pine" would be a banana or some yogurt. And yet he/she is reaching for empty carbs/sugar.
Dr. Oz spends alot of time on these subjects and very little on condescension. I suggest you at least try to appreciate what he is trying to do. He presents many viewpoints, not just his own, which to me lends credibility. I could do without all the screaming women on his show but his motives are good ones.
And Army Reserve is not civillian medicine. Deal with HMO's for a few years and then get back to me.
I have had fibro for ovr sixx years and I hav done evrything to get ovr this horrndous pain 24/7. the pain is so bad tht it is I cannot believe I am liing through this. I war a fentynal patch for the pain and tak oxycodone and othr pain releivers and sleep is something I long for but the pain keeps me awake. I have aged so bad. emotionally I am in grief all the time due to LOSS, of what I think is everything I had going in my life. Gone!!!!. I have a counsler I see every three weeks for the past fivve years. and these people are saying that if I talk I will feel better. Well lt me tell you if someone said if I would at a crate of carrots for two wks and wow then fibro would go away point me to the orange carrots. I am just having a rall hard time getting my belief around this option.
Sorry Pine! understand completely what you feel. On fentanyl patch too and it still doesn't cut all the pain. Sometimes you take two steps forward and almost feel human and wham!! you get knocked 5 steps back. I know exactly how it ages you and changes your appearance so much that you don't even want to go out in public. The pain changes your life and you lose almost everything about who you used to be. You do mourn the loss of the life that you once had so you cling to those times when you feel almost human for dear life. Sometimes it seems almost too much to handle and the people around us often don't understand which can make it even worse.You can blame yourself for being a burden where once you were a bread winner. It can be hard to believe when your loved ones say it doesn't matter. My husband says he married me for better or worse and isn't going to leave cause right now I feel like the worst. you just gotta do your best and hang in.
What a scam! I can talk about my fibro all day long and not feel one bit better. In fact, dwelling on the pain, muscle spasms, lack of sleep and loss of mobility makes it worse. Desperation will cause you to do a lot of things, but throwing money away shouldn't be one of them. Staying as active as possible on "good" days, resting more than people my age normally do and taking my medications on schedule keep my fibro in control as well as possible.
Just another way the insurance companies can get rich by getting your $$$ for 50 minutes on the phone - hoping these shrinks will scoop up lots of new customers because no one has the time to go talk to anyone in person anymore (and who'd want to?). Why would talking make it better if it's a physical and not a cognitive problem. There's nothing wrong with the minds of these people. Talk all day and their fibro won't care. Maybe these people feel better because they talked - but their fibro is not better. Unless lowering anxiety (not that these people are more anxious than anyone else) decreases the PERCEPTION of pain - bogus "treatments" like this are just that.
There are pretty good books out there and I have a couple, that you can get more pain mangement techniques out of as opposed to wasting $$$ on therapists, or talking to a stranger on the phone. There are free hotlines you can call to help calm you down when the intense pain from fibro and other pain issues put you in or near crisis mode. When I was 1st diagnosed with crps they wanted me to do 4 visits with their therapists. $356.00 for the first visit where he went over the 4 page questionaire I filled out and sent prior to the visit which he was supposed to review for the appointment. He didn't and I got charged an additional $222.00 for his review of the paperwork. I saw him twice. All he did was reccomend a book I had already, (referred to me by my pcp for free) and give a few handouts from the book.
I hurt.
I go to you.
I talk.
Know you know I hurt.
I still hurt.
I leave.
(wonderful)
GulVet49//Of Course soldiers injured in war are in extreme pain, who in their wildest minds would doubt that, but you are the biggest of idiots to also doubt the chronic pain that people with this chronic illness live with for years after years, it is extremely painful and it never stops, never, day in day out, and how would you know, you jerk. I hope to God you come down with it and then let's hear your take on it. I have had it for 27yrs and when your muscles are spasmed all over your body in places you don't even know you have muscles, you can't even describe it. I don't care where you graduated from, you don't know S--T, A----LE.
I really think there are too many people obsessed with having a disease and they whine too much about their status. For your information Linda- I do know what pain is. I have bone on bone arthritis in my knees for the past 45 years and multiple herniated lumbar discs, but put in 12+ hour days 6-7 days a week, and don't take a lot of pain medicine because it wouldn't be fair to my patients to have my judgement clouded and not give them my best efforts. I see no reason to resort to name calling, the only reason you have done that is because you can't back up your contentions with facts.
GulfVet49 - Your arthritis and lumbar disc pain is unimaginable to me, but I do believe you when you say it's real. There are so many days I wish this fibro would show up on an x-ray or cause a rash or make my hair fall out so people could "see" my syndrome. Sadly, unless someone is confined to a wheelchair, many in our society do not accept their disabilities.
It is totallly BS to think that TALK will help this disease, this approach will do more damage to the people who don't understand this disease and don't have sympathy for the people in their lives trying so hard to live with it and trying to be as normal as they possibly can. This article is a travesty beyond words and an insult to the people doing the best they can to keep going every day in spite of this illness I don't know who can up with this incredible stupid information but they should go jump off a bridge for the harm they have done. Their information is totally laughable.
I think those of you unacquainted with CBT should read up on it before you pass judgment. It's not just talking about the disease, it's about strategies that can be used to mentally process the pain so the suffering is lessened. Westerners rely too much on pharmaceuticals for pain management when the mind can be trained easily to deal with pain. No one claims CBT will cure the illness, it makes it more manageable. I've seen it happen in many people, I'm a scientist (biologist) and am fairly skeptical but I've seen CBT used with advanced cancer patients who were able to substantially lessen their pain meds. It would seem to me that if fibromyalgia caused such severe pain, the sufferer would be willing to open his/her mind to an alternative treatment that may give relief.
Obviuosly yyou know nothing about people suffering from fibro and many other chronic pain conditions. people with these conditions are definetly encouraged by doctors to try many things other than medication. Most insurances will pay a portion of the cost of therapy. A few will pay for chiropractic and accupuncture treatments. Most don't pay for massage therapy. Many refer their patients to a host of materials in book form and from the internet. Kaiser permanente has all kinds of tapes you can purchase or some you can download from the website.relaxtion, visual imagery, exvercise and so on.. I would guess that other health care organizations offer similar things. You do what you can afford and most of us with chronic pain can't afford much. You don't have to have a terminal illness to feel incredible pain and what we suffer is no less real than te individuals with cancer and other terminal poblems. The difference ..we don't know the outcome will be death and the end of pain. Our pain goes on and on with no expiration date. If we "whine" nobody is making you listen or read the posts. There is no "IF" about fibro causing severe pain. MOst of us suffering chronic pain do everything within our budget and physical and mental limitaions to get relief. I think you can guess how much I care about how "fairly skeptical" you are about anything.
Really a talk on phone therapy ! ! ! Thats an expensive joke. I suffer from Fibro, Rheu. arthritis, osteo & Lupus, no one can tell me this type of therapy works. I have tried everything, exercise gyms, pain medications, medications such as antinflammatorys, steroids, physical therapy, tens unit, traction machines, nerve blocks, pain management you name it I have done it and nothing helps the pain. I am always open to new ideas, but somehow this one is not one I would explore.
As to the doctor who wrote that fibro patients don't really know what pain is until we are injuried in the military, I am glad you are not my doctor. You have no idea what it is like to be in pain 24 hours a day 7 days a week, for years no relief. Its painful, depressing, your quality of life is gone. You get tired of people asking you how your day is, you get really tired of telling them how much it sucks.
Obvoiusly you didn't read my own pain history, I do know what pain 24 hours a day is all about, I was trying to make the point that there are people like the troops who have significant pain from injuries,sorry but I am not convinced that fibromyalgia is a distinct disease entity.
I have seen your diagnosis I also have most of them myself, I think comes from a lot of ware and tare through the years. I have read you suggested Savella, which is not an option for me w/ two blood disorders and I take 325 mg. ASA to prevent clots, but you state you have these conditions, what would you suggest for the pain?? What do you do to help your pain?? Listen we are all here in hopes that someone has any suggestions that we have not tried yet. I personally have so may disorders I am not blaming all my pain on Fibro. I blame RA & Lupus. Which ever one it is, it all comes down to what will help the pain. Quality of life is very difficult/
I was diagnosed with fibro- but after having several sleep studies, it was was determined that my pain issues were due to central apnea (which appeared about the same time as a serious neck injury that lead to a C5-7 discectomy and fusion). I hate to agree with the good doctor who denies fibro's existence, but it seems to be a diagnosis that has gained too much momentum in recent years. I find it interesting that treatments usually reserved for depression seem to work for many fibro- patients. Maybe the diagnosis for those patients should be "depression." I also think many pts diagnosed with fibro- should look for other diagnoses instead...
Fibro is a real and lingering disorder that alot of people suffer thru. It is not short lived as some conditions and injuries are. Knee replacement will relieve pknee pain pain, shoulder replacement will relive shoulder pain, back surgery, which I had in 2003 wiil relieve pain. Yet there is nothing that eliminate or relieves fibro pain. If someone hurts all the time yes they will whine and moan. That at times is therapy. Which brings me to the talk therapy, I am a care giver for my fiance. She was diagnosed with fibro 5 years ago. I have seen her oing from a active life style to a disabillitating condition. We have researched and tried everything. Diet, therapy what ever new stuff comes along and nothing helps. Cymbalta and Lyrica is only about maybe 33% relief. There are some good days (not many) and there are bad days (plenty). Excerise is also helpfull but not what anyone without fibro would think. Until someone has walk down the path others have walked they have no right to judge.
gulfvet49-you should listen to mike and the other poster. requires pulling your head out of wherever you got it stuck!
Even though it sounds like this isn't available to the general public yet, talk therapy does sound encouraging and an option for some patients. Hopefully patients would be able to ask questions of the therapist such as generic drug options or alternative therapies for their condition. Costs do matter these days. It's good to hear options like these are being explored and studied.
http://whatstherealcost.org/video.php?post=five-questions
You've got to be kidding? Talk about an illness and it makes you better? Talking may help a mental illness but not this! Anyone who thinks it's all in your head, including the so-called Dr. Gulf-who-probably-isn't-a-Dr.-or-at-least-never-should-be, should try calling up a therapist when they break a leg. See if that works!
I have had fibro since I was in high school. I didn't know that's what it was then but I do now. I have felt REAL pain, I know what REAL pain is and how dare anyone tell me that it's fake or all in my head. I have had rotator cuff surgery (VERY painful), I have given birth to 3 children without ANY medication, I have torn muscles, had a tooth pulled, blah blah blah and I know what REAL pain is.
I went to my PCP for fibro and he admitted that he didn't know enough about it or how to treat it so he sent me to a rheumatologist. I respect him for telling me that! A real Dr. gets more info and educates himself if he doesn't know.
I saw the rheumo. and she touched several places on my body (pressure points) and they were extremely sore. At the time, I didn't even know what some of them were sore! It was nice to finally have a diagnosis. Yes, Mr. Fake Gulf Dr., whatever you are, a diagnosis of fibromyalgia. I don't know what kind of fake Dr. you claim to be but have you heard of continuing education? Oh yeah you don't treat people for fibro so you don't know anything about it. If fibro is a fake disease, why can't I be a bone marrow donor now that I've been diagnosed? Oh yeah, they don't know what causes it yet! That doesn't mean it does not exist. How can you pass something on to someone if it is all in our heads?
For those of you who came to this forum for relief, I take Tramadol for pain and have for over ten years. If I didn't take it, I wouldn't even be able to walk the first 2 hours upon arising from bed in the morning. I have heard it is addictive so I have NEVER taken more than my prescribed dose which is 50mg up to 4x per day. I stay active. I eat well although I don't believe it's made a difference. Dieting might help if your'e overweight though. I am not overweight myself. Don't over-exercise or you'll be in more pain, although I'm sure most of you already know this! If you have seen a Dr. and they say fibro doesn't exist, see a different Dr.! Preferably a rheumatologist! Keep moving, do the things you enjoy and don't let anyone tell you it doesnt exist.
Mr. Gulf fake Dr., or whatever you are... get over yourself. Instead of arguing about whether this disease is real or not, research it and educate yourself. You make yourself look like an idiot and are a disgrace to the real Drs. out there who care about patients. Suck it up and go back to school. Unless your patients are animals. Who knows?
Whatajoke, I get over 50 hours of continuing education per year. You cite all this information but none of it is anything but anectdotal information. All I am asking is that someone cite peer reviewed case studies involving more than 2500 patients, if you have even a modicum of understanding of statistics you would realize that just because someone says something, this does not constitute scientific proof. It is a frequent ruse to cite such things as" my friend knows somebody with the disease or has taken this medication or used this therapy" Than's all well and good but doesn't prove anything except the gullibility of the populace. I guess you are like the rest of the critics if you don't have facts to back up your contentions you have to resort to name calling and inuendo SHAME SHAME SHAME
Only 50 hours Mr. Uneducated Dr.? Hmm. Ok, whatever you say. Why don't YOU do the study. I'd be happy to volunteer.
Before AIDS was diagnosed, no one knew what caused it either. Does that mean it didn't exist? MORE research needs to be done, I couldn't agree with you more. Just don't try to tell me that I don't have a disease when you dont live in my body. Have you not read about pressure points? What other disease causes that? Is it in your potpourri of gullible Drs. and patients diagnosis book?
Don't accuse me of not having a disease that there isn't enough info on and I won't accuse you of being a phony. OLD Drs. are the ones who don't believe or treat fibro. It's time to retire buddy.
That 50 hours is on top of approximately 120 hours of work per week. All I am asking for is scientific proof of the disease, because I have an inquiring mind. I wish I could retire but can't afford to.
Then how do you find the time to come on here and comment and I guess try to brag about your 120 hour work week. What a waste of the precious 48hrs left in your week. Most people would rather eat, drink, sleep and have sex in that short amount of free time. (if anybody believes you)
Ok then GulfVet49..what do we have? I was diagnosed with fibro 2 1/2 years ago after neck fusion surgery.
I do not whine or use my condition as an excuse. I try to stay as active in my life as I can.
I do agree at times, this is something more..but with the various complaints by patients, it is hard to pinpoint things. It is not the patients fault that doctors and researchers have stopped at this diagnosis of fibromyalgia. I would be willing to be part of a study to find out what this exactly entails and options for treatment.
And yes, there times I would like to whine.... I compare it to a toothache. If you have a toothache and you know you will get it fixed in 5 days, you can hang on until then. But if you don't have an appointment to get it fixed..it wears on you and becomes bigger than yourself. Some days...the pain, tenderness, stiffness, swollen joints andmuscle spasms/cramping..just plain get to you. So you have a bad day...you cry, you whine, you pray hard....you hope to pick yourself up the next day and start anew.
Your patients "whining" to you..is that kind of what patients are supposed to do with their doctors...express their concerns and tell you what is wrong? Isn't that you how you determine what the condition is and how to treat it?
Everybody is taking my whole premise wrong all I asked for is scientific proof of the disease state, which nobody can do. I sympathize with you who are in pain, but sometimes some of you will admit it, you do whine!
Yeah,?? just like your whining in this forum about people in pain whining. Which is freaking worse?? It's a no-brainer, you!
No we can't give you scientific proof of the disease for we are not doctors or scientists we are the patients.
Most are trusting souls and leave the diagnosis to the educated in the medical field. I have tried to research fibromyalgia but the only thing I have access to is the medical field sites.
Personally, I don't think it should be my place to have scientific proof when I pay $750 for my doctor appointments. I assume that this would be included in their fee and educational process - to learn more about pharmaceuticals, new diseases and treatments...and no whining intended.
What doctor encourages patients to come and tell them exactly what is wrong with them and treatment they are going to get? They examine and diagnose for themselves.
Whatajoke clearly has some anger management issues. No one says therapy can cure a broken leg...where did you pull that from? The maligned doctor in this post is merely stating that from a diagnostic perspective, fibromyalgia lacks the criteria to establish it as a disease. He isn't saying you aren't in pain. He understands pain. He also understands what whining is. He did not say you are a worthless piece of fecal matter because you whine. Let's listen to a doctor's perspective. As a scientist, I am interested in what he has to bring to this forum. I know you all have stories to tell, and they all involve a significant amount of untouchable pain. Would any of you consider a rational approach to manage your discomfort?
OMG what is your rational approach? I'm quite sure that for most of us with chronic pain we have had lots of appointments with various providers on dealing with our pain issues in a rational manner. Pleaset ell us something we haven't all ready heard, can read in a book, or find online.
Why the hostility? Fibromyalgia is not the only condition that causes pain. Have you ever researched CBT to see if it could help you? CBT is one rational approach. And don't say, I've tried everything because you obviously have not if you are still in pain. But really nothing works unless you keep an open mind, which seems unlikely. I don't care to argue this, it's just an opinion. And there are few people on earth as stubborn as those in constant pain.
Honestly?? Did you read any of my posts and actually comprehend what you took in?? CBT is no different from going in to see a therapist . You can only talk so much to understand it might temporarily help your frame of mind, right up to the time you have a HUGE flare up or some other set back. REading and reviewing techniques in books and cd's we aleady have is much more useless and you pay for it one time then can access it whenever for free. There are hotlines you can call and on-line forums that go into almost every cause of chronic pain you can imagine that are there for fee. I will not waste one more minute responding to either Scorpio or Gulfvet 49. They are ignorant on this subject, way to judgemental and refuse to step into others shoes fo a minute cause they don't have an open mind they just want to be right.
Just one more thing for Scorpio-you never answered my question in post #16.2. And you and gulfvet49 have been silent about my questions to him in post #17.
GULFVET49-if you want your peers to cite reviews etc.. etc.. then go talk with your peers instead of commenting here. You say you have pain issues yet work your tail off for your patients. Do you only treat patients that have injuries you can see with the naked eye, x-ray,MRI,CT, etc.?? Do your patients with chronic pain issues like fibro fire you for your crappy bedside manner? I would fire you in a heartbeat, as a patient we pay your salary and we expect you to treat us respectfully not call us whiners. Yes doctors spend years training and lots of money, but, it doesn't make you gods above the rest of us or make you infallable!! Med school doesn't spend nearly enough time educating potential doctors in dealing with patients on a personal one-to-one basis. For that docs get a D- when they act like you. I also question if you really are even a Dr. or just a former serviceman who had paramedic training and likes going on these sties and talking smack due to low self esteem??? I have CRPS, arthritis in feet, knees, hands, fingers and r shoulder, peripheral nueropathy, and suffered from plantar fascitis. Now, without leaving the site to look things up, tell me what these diagnosises mean. Then if you don't believe I have real pain talk to the department head of pain center at OHSU that gave me my diagnosises. I use lyrica and fentanyl patches. There's a good reason why for chronic pain you don't initally start on fentanyl patches, If your a Dr. you should be able to tell me why that is.
I was surprised when that's the diagnosis my doctor gave me. I told him I figured it was the "condition of the hour", because I know how 'outsiders' react when you say you have fibromyalgia. He told me that just because they haven't developed a specific test to prove it yet doesn't mean it doesn't exist.
I understand where GulfVet is coming from, as I am also in the health care field, and I understand the need for statistics, guidelines and such and that it needs to be done on a large scale to gather enough evidence. GulfVet isn't saying the condition (set of symptoms) doesn't exist. He's saying it doesn't quite qualify to be called a disease. I also have to earn continuing education hours (24) and I only work a 40 hour week. I can tell you, even with that, it is really hard sometimes to get those CE hours done.
Fatigue, "fuzzy brain" and moderate pain are my main complaints at this point, but having those things daily for 15-20 years is what wears you down. I doubt that I would participate in "talk therapy", which really involves retraining your brain to manage your pain, as another writer mentioned, but I don't see why it wouldn't work for some people. Me, I deal with people on a daily basis who have cancer and a laundry list of other terminal diseases, and find that for the most part, it's all about attitude. These people do their very best to have a good day every day, and pass on a smile to others who are far less troubled than themselves, just to try and make that person's day better too. And when their bodies give up and it's time to go, they know they've made a postive impact on another human being, even though they were the ones that were suffering. I am assuming (a bad thing to do) that that is what the talk therapy is all about: changing the way you look at and react to your own miserable existence.
Also, I believe that's what this article was all about, not how much pain we are all in.
This does seem to be an easy catchall when the doctor isn't certain what is causing the pain and there is no cure. It is sad to watch my wife struggle with this but when she runs out of Vicodin I lay low.
It's probably a good thing my doctor doesn't normally prescribe pain meds. People on real pain meds have a hard time going without it, and I think it actually lowers their pain tolerance. I know it affects how people react to anesthesia or acute pain, as my husband is a surgical recovery nurse. Luckily, right now I only take Cymbalta and some Naprosyn for plantar fascitis. Don't know how he'll deal with it if my pain gets a lot worse.
"Next on News At Nine: Insurance companies no longer paying for conventional therapy and pain medication for fibromyalgia. Now, for just $2.99 per minute, patients can call a Pain-Away Hotline to ease their suffering. Later in the news: Insurance companies send their CEO's on vacation Maui style! Looks like they had fun too, Chuck!"
Gulfvet49 says he has had bone-on-bone arthritis in his knees for 45 years! How old are you? Maybe that is the problem. It's been too long since you were in med school. I remember when doctors said that lupus, and MS were all in a patients head. Most of the medical community disagrees with you on fibro. I have done extensive research on it to know you are in the minority. And then you try to build yourself up with your "I'm in severe pain and work 6 or 7 days a week." Well good for you. Been there, done that! This is the only post I will make on the matter because, unlike you, I just don't seem to have the time to keep arguing the matter and put in the long hours I put in. Especially since what either of us has to say is not law to anyone suffering from fibro or any other type of serious illness.
lem 6 thank-you for expressing your opinion and acknowledging it for just that, your opinion. Gulfvet49 should take notice. Your the type of poster that I could read what you have to say, discuss it with you, and enjoy the time spent doing so. Gulfvet just thinks he knows it all and doesn't care what anybody else thinks.
This Gulvet guy rreminds me of a doc I had in the ER 2 times at the hospital. I have RA and was having an incident where my joints had swelled crushing my nerve in my left wrist. Al I can say is it was the worst pain I have ever had to deal with. I have had numerous ruptured discs and been shot so I know pain.Anyway he could not have been more rude with his well I have pain I have carpel tunnel and you do not see me making the kind of noise you are. I mean I was screaming in pain. I have refused to pay this guys bill as I went back the day after I had a four corner fusion in my left wrist because of after pain suregery and he told me the same carpal tunnel story. I feel like Gulfvet is telling stories also. Anyone with many or multiple herniated discs in his lumbar spine yet puts in 12 hour days is either asymtamatic or has bulges or something other than he is claiming. He could not do what he ways with what he says he has. I know because I have the same thng right now and while I do have good days, I have more bad.
This is just another guy that went into medicine that sees us a $ signs and looks at us as a means to an end. Basically we are a pain in his $#% as he only wants the $ for what he does and yes treating war wounds is not normal medicine. I was wounded and I know from being there.
I want to give my view of the article and I know what everyone is going to say. I have had Fibro, RA, Osteo, Sciatia... like many of you. Also the bone on bone arthritis. The hardest pain to control is the fibro and I have had it for over 10 yrs. Over the past couple of years my pain management dr has noticed the depression getting worse even while on Cymbalta. So he suggested a psychologist who's specialty is pain patients. I wasn't to sure about it but I thought I would give it a try and it was one of the best things I have ever done. It is good to talk about your pain and your family and friends get real tired of listening about it. Being in pain causes exttra stress which makes the pain worse, my words not the psychologist, so you need to talk about it.
I am going to be having surgery and will not be going for a while and I know I am going to need it. Even before this article came out I asked him if we could do phone therapy? He said he would have to look into how to document it.
So from my point of view, I know talk therapy help. Those that have tried it and said it didn't help the therapist wasn't a good fit for you, or you didn't have an open mind when you went.
This discussion reminds me of my aunt who suffered greatly from MS. She first came down with it in the days before there was a blood test for diagnosis. Every doctor told her what she had was mental problems and she was sent from psychiatrist to psychiatrist. Once they came up with a blood test, she was no longer mentally ill, but physically ill. The same can be said for Parkinson's Disease, Lupus, and many other conditions that are taken seriously nowadays. They had to go through what we Fibro people are going through now. I also had a wonderful woman Internist, who had Lupus herself, tell me that most doctors do not want to deal with us as they cannot cure us, and our conditions are too complicated and time consuming. In my opinion, Fibo and other autoimmune diseases, are an epidemic now affecting literally millions of persons across the globe. For instance, take a look on You Tube sometime to get an idea of how people in many, many other countries are suffering from Fibro, CFS, etc. They have the same problems with doctors as we have here. Such an inhumane situation and frightning as this epidemic continues to spread. If we live long enough, someday we, too, will have a test to diagnosis our disease, and then, we, too, will be taken seriously and will no longer be told either it does not exist, we are mentally ill, or to just suck it up and keep going. I hardly think they say that to a MS person anymore. By the way, I spent several days at the Mayo Clinic in Jacksonville, Florida in the mid-90's. The first day they took 27 vials of blood, and that was just the start of it. Their diagnosis in the end, in writing, is Fibro and other autoimmone conditions. So there is hope for some understanding and not all doctors are like " Dr. Prove It To Me Scientifically." After all, if scientific studies are so absolute as to what is "proven", we would not have so many FDA drugs taken back off the market because of the harm they are causing. Just my opinion......