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.
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
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.
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.
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.
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