Lumbar Pain Pump needed. Any Doctors for 65+?

The medication is targeted into the spine only after a successful trial test. The dosage is in micro-millio-grams, at the spine only. I have not had this done, but expect by the end of Feb. I couldn’t handle Morphine after lumbar fusions but this goes though out the blood stream. A pain pump pushed 1/3rd of one drop of Rx into the epidural sac that covers the cord. It is heavier than spinal fluid meaning in an upright position, it sinks lower down the spine. Dilaudid, Morphine sulphate, hydromorphone hcl are just some of the meds they may choose to use in the pump. This is the perfect way to mix and match, half & half, or 1/3rd, 1/3rd, 1/3rd can be mixed or tailored to your issue and how it is handled based upon your reporting back. Ultimately, very little side effects because it is small, contained within the epidural sac and can be mixed, changed completely or added to perhaps a steroid to reduce inflammation. Everyone is different but this is my last hope. It’s truly a hail-Mary into the end zone. I had epidurals that gave 100% relief but after 1 1/2 day then wore off. It is an outpatient procedure and with two sizes of pumps (20cc and 40cc) you may for 5-6 months between refills. Ok?
Thanks for your service. DK, Omaha.

Please keep me updated. I am wanting to learn every type of help that's available and where. I appreciate you letting me know this information.

My Feet Swollen, Around Ankles, Left One Has Brutal Pain,Right One
Not That Bad Yet. Can't Walk Too Far. Have Multi
Bottom Level Spinal Stenosis. What Would Help Please. Suffering

I have severe Adhesive Arachnoiditis & have an eval, by a new pain specialist, for Jan 9th. I have manageable pain, about 70% of the time. The other 30 % my pain gets so severe, i have to go to the hospital & beg for Dilaudid. I am hoping the pump can help, during these bad crises. I have been accused of drug seeking etc. Have waited on a miserable bench for over 6 hours to be seen, Hospital situation in Maricopa county ( Phoenix area) is terrible. have no desire to ever show up in a hospital here for help. Hoping i can get some relief from the pump

I am still making calls, trying to get pass the nurse gate guards who protect the doctors from folks who’s insurance is paying low for services. Contractual right-off’s they call it. Instead of making $67,800 for 3 visits that include a pain pump install and permanent attachment of the catheter to the spot found best durning trial, then many note that it requires a third visit to actually put medication in the pumps reservoir before turning it on. This may vary between doctor or even regional best practices. My spinal cord stimulator really pissed me off after a 60-70% relief during the trial, Doc placed new leads (Electrodes) in new spot to get 100%. It backfired as it went down my legs into the heels. I told my GP. I told my 84 yr old surgeon that as 5,6 or 7 YouTube videos had a Dr or patient tell they story of bring the patient awake in OR to have the device manufacture Rep turn on the Bluetooth and produce some signals. At this point they would ask “Where do you feel stimulation?” This helps locate the right spot or wrong! Otherwise to me, it guessing! It is “Russian Rue-let”! Put one bullet in, spin the cylinder and pull the trigger! Let’s see what happens… This approach is stupid because it’s guessing. My Dr woke me on the 3rd & last OR visit, and proceeded letting me feel the pain of cutting, stitching and them talking. He did understand and asked me. I explained it to him yet he look at me like I had 3 heads!
A trial for a pain pump should use the location of the highest lumbar pain, info from the Dr who did 3 epidurals. Do they talk to each other or are they above consulting with a younger less experienced Dr who is not an equal. Why would I listen to a patient? They aren’t doctors, they are stupid. Just fingerprints with a wallet. The doctor runs off to his office to do what, watch a football game or check his investments portfolio as his $8,000 a week check clears the bank.
They would take a senior on Medicare as it pays just enough to cover cost, but not enough to make a Volvo payment and golf club greens fees! So, they sit and wait for a paying customer including workers comp as they pay more than insurance on Medicare. Meanwhile I am in pain every day, all night long and can’t function. Taking a shower and standing in my closet just to pick clothes is painful and exhausting! It’s like having a 100 pound backpack full of metal led!
I want a pleasant life. I want to do physical things. I would like to jog or run around my block(s)! Not grab a cane because I need to use the restroom. What if my doctor had this happen instantly one day and couldn’t stand over a patient in OR? Then what? Would one of their doctor buddy’s help fixed them up? Most likely. In the meantime my quality of life is 2, not 10!

I'm not a able to get a stimulator bc of my spinal tumor years ago and my spine has naturally fused together. So the Dr says I'm not able to be on list for 1.

I pray you have a better day. May God bless you.

Thanks for the kinds words. I truly hope you pain problems are properly diagnosed and fixed. My injury happened in the fall of 1986. This lead to herniated disc then fusion of S1-L5-L4 with bone. Decades ago, Drs acted differently as mine came into the room to explain and tell me the future. I had pulled 5 groups of muscle (Strain) but turned it into scar tissue. I would have been better off to fall off a ladder or car accident!
The Dr told me in years when arthritis sets in, pain will return! It sure did after 2 decades of work and somewhat pain free. My GP, started with meds, then sent me to epidurals (X3) and had relief but less than 2 days. Next thing was RFA (radio frequency ablation) that didn’t last past the check clearing the bank! Then I am sent to the RFA Dr told have a SCS (spinal cord stimulator). I had 60-70% relief as a conservative report. Then an implant came and went down my legs into feet! I asked if the battery was backwards as pain is up lumbar not down legs. This I when they get stupid! They have a meeting to dream up a story tell convince the insurance company to pay them again and move electrode leads. Now nothing on left and 2” away from spine on right side! My GP told me they couldn’t remove one lead (Electrode) other drs said no reason they couldn’t remove lead, it just comes out. So 20hrs IV drip of ketamine for what I don’t know, but still paying cash to a family member for this. I have no clue but would guess it’s illegal here but not in Colorado! Now sent to Dr who was shocked no one injected sacrum - iliac joints! It worked but only bottom 1/3rd of back pain. It was actually great as I was free of 1/3rd of my pain. Now a pain pump! Great… But everyone I call, I sent history and images and they pass. The only one that will do it even with insurance wants $1,100 up front! What the hell? I found out this is for their check for 45 minutes of work on out patient and they send a bill to insurance at $60k. Where does it stop after 14 years of pursuing back pain relief? Money???

Thanks for the kinds words. I truly hope you pain problems are properly diagnosed and fixed. My injury happened in the fall of 1986. This lead to herniated disc then fusion of S1-L5-L4 with bone. Decades ago, Drs acted differently as mine came into the room to explain and tell me the future. I had pulled 5 groups of muscle (Strain) but turned it into scar tissue. I would have been better off to fall off a ladder or car accident!
The Dr told me in years when arthritis sets in, pain will return! It sure did after 2 decades of work and somewhat pain free. My GP, started with meds, then sent me to epidurals (X3) and had relief but less than 2 days. Next thing was RFA (radio frequency ablation) that didn’t last past the check clearing the bank! Then I am sent to the RFA Dr told have a SCS (spinal cord stimulator). I had 60-70% relief as a conservative report. Then an implant came and went down my legs into feet! I asked if the battery was backwards as pain is up lumbar not down legs. This I when they get stupid! They have a meeting to dream up a story tell convince the insurance company to pay them again and move electrode leads. Now nothing on left and 2” away from spine on right side! My GP told me they couldn’t remove one lead (Electrode) other drs said no reason they couldn’t remove lead, it just comes out. So 20hrs IV drip of ketamine for what I don’t know, but still paying cash to a family member for this. I have no clue but would guess it’s illegal here but not in Colorado! Now sent to Dr who was shocked no one injected sacrum - iliac joints! It worked but only bottom 1/3rd of back pain. It was actually great as I was free of 1/3rd of my pain. Now a pain pump! Great… But everyone I call, I sent history and images and they pass. The only one that will do it even with insurance wants $1,100 up front! What the hell? I found out this is for their check for 45 minutes of work on out patient and they send a bill to insurance at $60k. Where does it stop after 14 years of pursuing back pain relief? Money???