
Expert's opinion on S.I. Joint fusion
I was wondering if there are difficulties carrying a child after having an S.I. Joint...
Posted by bren_bren
I was wondering if there are difficulties carrying a child after having an S.I. Joint fusion?
I'm considering having a single fusion, then possibly another in the future.
Also, have you heard of a patient ( who has had this procedure ) returning to high impact sports, such as tennis?
Thanks for your time, BView Thread
Posted bybren_bren
I'm considering having a single fusion, then possibly another in the future.
Also, have you heard of a patient ( who has had this procedure ) returning to high impact sports, such as tennis?
Thanks for your time, BView Thread
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Reply: Expert's opinion on S.I. Joint fusion
Thanks for the info, Joy. It's an S.i. Joint fusion, which is not quite as involved....
Posted by bren_bren
Thanks for the info, Joy.
It's an S.i. Joint fusion, which is not quite as involved. Practically outpatient surgery the way the surgeon describes.
There are few articles of merit that say much about pregnancy after this type of fusion.
Talking to my OBGYN is a good idea.
The surgeon said there was an 80% success rate during the 1st visit, then 90% the 2nd. Huh? My referring PM doc he has seen several successes from this procedure but he doesn't know the long term outcome. I didn't ask if they were male or female. Apparently these two docs work closely together. I've been with my PM doc for 4 yrs. there is a certain level of trust, but for me, not at the level of cutting -just yet.
As I was leaving the surgeons office he allowed me to meet a patient who begged to have his other joint fused after the 1st one. He appeared pain free, but I didn't ask him if he was out of pain management.
Thanks for taking the time to write. Hope you're doing alright. BView Thread
Posted bybren_bren
It's an S.i. Joint fusion, which is not quite as involved. Practically outpatient surgery the way the surgeon describes.
There are few articles of merit that say much about pregnancy after this type of fusion.
Talking to my OBGYN is a good idea.
The surgeon said there was an 80% success rate during the 1st visit, then 90% the 2nd. Huh? My referring PM doc he has seen several successes from this procedure but he doesn't know the long term outcome. I didn't ask if they were male or female. Apparently these two docs work closely together. I've been with my PM doc for 4 yrs. there is a certain level of trust, but for me, not at the level of cutting -just yet.
As I was leaving the surgeons office he allowed me to meet a patient who begged to have his other joint fused after the 1st one. He appeared pain free, but I didn't ask him if he was out of pain management.
Thanks for taking the time to write. Hope you're doing alright. BView Thread
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Reply: Physicians Submitted FDA Petition to Effectively B...
FibroFran's question towards you is a good one. Judging from your statements, I would...
Posted by bren_bren
FibroFran's question towards you is a good one. Judging from your statements, I would guess that you do not suffer from chronic, debilitating pain 24/7. If you do, I would love to learn why you are advocating any alteration of opioid labeling (assuming you benefit from opioid therapy). Once labels are altered, as prop proposes, then physicians are pinned to the wall when it comes to treatment. They would have to prescribe long-term opioids to chronic non-cancer pain patients "off-label" which, in turn, could result in s significantly lowered "ceiling dose". The insurance companies would most likely alter their coverage to not include the very medications that millions rely on to function, work, care/provide for their families. Though I believe that oral med's are only one route (of many) to effectively treat chronic pain, and I rarely speak to an excess of suppositions, taking prescriptions out of the equation will not only precipitate needless suffering, but increase the amount of stress related illness and an increase of suicides. Already there are reports of Purdue's new formulation of OxyContin working to deter addicts: those addicts are electing to indulge in heroin, thus contributing to a spike in heroin overdoses. The new formulation has been reported also to not work as well for legitimate pain patients, but at least they have a myriad of alternative opioids to fall back on. In my opinion, the alteration of those long acting substances can deter addicts, and is a step in the right direction. I have trouble with PROP simply because their research is unfounded and their reasoning is ludicrous. But I'm not worried as the FDA will hardly change anything based on PROP alone. It took them 10 years to change labeling on acetaminophen labels to reflect appropriate warnings.
Overall, I am interested in who you are an advocate for and why. Maybe there is something I haven't learned yet; so please, indulge me.View Thread
Posted bybren_bren
Overall, I am interested in who you are an advocate for and why. Maybe there is something I haven't learned yet; so please, indulge me.View Thread
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Reply: Its the Moaning Thing again & again
I haven't "seen" you in a while. I hope you are well. I'm praying for Charl too. I wish...
Posted by bren_bren
I haven't "seen" you in a while. I hope you are well.
I'm praying for Charl too. I wish I could do more from where I am. But seeing others are doing the same is helpful. Prayers in numbers, right?
Take care, BView Thread
Posted bybren_bren
I'm praying for Charl too. I wish I could do more from where I am. But seeing others are doing the same is helpful. Prayers in numbers, right?
Take care, BView Thread
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Reply: Physicians Submitted FDA Petition to Effectively B...
My opinion: they are the physicians who see the end result. Overdoses, addicted patients,...
Posted by bren_bren
My opinion: they are the physicians who see the end result. Overdoses, addicted patients, etc.View Thread
Posted bybren_bren
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Reply: P.R.O.P.
By the way, the comments are submitted to the FDA but also keep in mind they will be...
Posted by bren_bren
By the way, the comments are submitted to the FDA but also keep in mind they will be posted publicly. I.E. don't put your name & address on the form. First name is up to you-same w/ initials; however none of these fields are required.
Hope this helps.View Thread
Posted bybren_bren
Hope this helps.View Thread
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Reply: P.R.O.P.
Here Dan http://www.regulations.gov/#!documentDetail;D=FDA-2012-P-0818-0001
Posted by bren_bren
Here Dan
http://www.regulations.gov/#!documentDetail;D=FDA-2012-P-0818-0001View Thread
Posted bybren_bren
http://www.regulations.gov/#!documentDetail;D=FDA-2012-P-0818-0001View Thread
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Reply: Physicians Submitted FDA Petition to Effectively B...
Ok, this is ANNOYING, but this site is adding ? Wherever I have spaces. I typed this up...
Posted by bren_bren
Ok, this is ANNOYING, but this site is adding ? Wherever I have spaces. I typed this up because I lost what I wrote 3 times in the little reply box.
THE ARTICLE BY TILLMAN:
http://updates.pain-topics.org/2012/08/group-petitions-fda-to-change-opioid.html?m=1
SORRY FOLKS!View Thread
Posted bybren_bren
THE ARTICLE BY TILLMAN:
http://updates.pain-topics.org/2012/08/group-petitions-fda-to-change-opioid.html?m=1
SORRY FOLKS!View Thread
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Reply: Physicians Submitted FDA Petition to Effectively B...
The first link I provided will allow you to leave a comment for the FDA. You have to...
Posted by bren_bren
The first link I provided will allow you to leave a comment for the FDA. You have to click on the "Comment Now" button in the right corner.View Thread
Posted bybren_bren
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Reply: Physicians Submitted FDA Petition to Effectively B...
Heres a link for pain patients to sign there own petition against PROP: ...
Posted by bren_bren
Heres a link for pain patients to sign there own petition against PROP:
http://www.regulations.gov/#!documentDetail;D=FDA-2012-P-0818-0001
Overall I wasn't too concerned since only 37 physicians signed the petition. What I do worry about is those elected officials who have the power to pass legislation. For example: Congresswoman Mary Bono Mack
WE have a say in who represents US.
Also, an article that I found comforting (on Pain Topics Updates website) includes the following statement: "The petitioners"019 proposal is a blunt instrument solution based on the faulty premise that this problem will be solved if we only restrict the supply of opioid analgesics to a sufficient degree. "
This article also has links to 3 studies cited by the PROP petitioners. They have been thoroughly critiqued in previous Pain-Topics UPDATES.
If you don't have time to read the whole article, scroll down to: "Statements of Scientific Basis for Petition". There the author, Bob Twillman PhD, addresses those specifics points PROP bring about and critiques each one.
Here's the link:
http://updates.pain-topics.org/2012/08/group-petitions-fda-to-change-opioid.html?m=1
Final thought: If there haven't been any valid double-blind studies on the long-term safety and efficacy of opioids (as the petitioners say) then it cannot be determined that long term use for chronic non-cancer pain is absolutely harmful. They negate their claim by pointing out the LACK of quality research. View Thread
Posted bybren_bren
http://www.regulations.gov/#!documentDetail;D=FDA-2012-P-0818-0001
Overall I wasn't too concerned since only 37 physicians signed the petition. What I do worry about is those elected officials who have the power to pass legislation. For example: Congresswoman Mary Bono Mack
WE have a say in who represents US.
Also, an article that I found comforting (on Pain Topics Updates website) includes the following statement: "The petitioners"019 proposal is a blunt instrument solution based on the faulty premise that this problem will be solved if we only restrict the supply of opioid analgesics to a sufficient degree. "
This article also has links to 3 studies cited by the PROP petitioners. They have been thoroughly critiqued in previous Pain-Topics UPDATES.
If you don't have time to read the whole article, scroll down to: "Statements of Scientific Basis for Petition". There the author, Bob Twillman PhD, addresses those specifics points PROP bring about and critiques each one.
Here's the link:
http://updates.pain-topics.org/2012/08/group-petitions-fda-to-change-opioid.html?m=1
Final thought: If there haven't been any valid double-blind studies on the long-term safety and efficacy of opioids (as the petitioners say) then it cannot be determined that long term use for chronic non-cancer pain is absolutely harmful. They negate their claim by pointing out the LACK of quality research. View Thread
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