Fibromyalgia - page 10
What are your opinions, nurses? Is Fibromyalgia a justified condition or just a basket term ? I am interested in your feedback. It seems like we see a large number of patients (usually women) with... Read More
Apr 7, '04Joined: Mar '04; Posts: 3Quote from veetachBut Veetach you are forgetting one sinple factor... it is not just ONE person who is suffering here... it's a LOT of people all over the WORLD!!!!sigh... The practice of ............medicine is based on principles of diagnostics and treatment. what a chaotic world it would be if we were to accept anyones vague complaint about anything they were experiencing at any given time as a new disease.....
Last edit by canoehead on Sep 6, '04 : Reason: personal attack
Apr 7, '04Joined: Apr '02; Posts: 38,750; Likes: 16,271[QUOTE=veetach]sigh... The practice of medicine is based on principles of diagnostics and treatment. what a chaotic world it would be if we were to accept anyones vague complaint about anything they were experiencing at any given time as a new disease.....[/QUOTE
sigh...didn't know you practiced medicine. Well excuse me.
Apr 7, '04Occupation: staff development Joined: Mar '04; Posts: 538; Likes: 50"I think pain is a part of life. I am sorry that these people are having discomfort, "
You are right .... pain is a part of life. Obviously, some of us -- those who live with it-- understand that in a very real way. Many of us with FM are not merely "having discomfort" It is PAIN!!!!! Not every one experiences the same level of pain, the same frequency or the same duration..... nevertheless, for many of us it is miserable ( many of us are functioning as productive members of society and even doing such a darn good job of it that noone -- other than those who really KNOW us would be able to tell that we are in pain!!!)
Apr 7, '04Occupation: RN Specialty: 16 year(s) of experience in Emergency Room/corrections ; Joined: Feb '03; Posts: 450; Likes: 40Quote from lukezgalBut Veetach you are forgetting one sinple factor... it is not just ONE person who is suffering here... it's a LOT of people all over the WORLD!!!!
Please reread my posts. I did not EVER say I ignored a patients pain, nor did I EVER say that I thought it was "all in their head". I treat my patients with respect no matter what I think about their presenting symptoms. I simply posted a thread asking peoples opinion about Fibromyalgia. Do not even suggest that I am the only person on this board who has suspicions on the validity of this condition.
Do not attempt to tell me what to do with my career, please. And do NOT attempt to condescend to me. You have quite the attitude to label me, "cold hearted and callous". Is this just because I am questioning the validity of Fibromyalgia? No need to get defensive and start calling names here. I have a right to my opinion and I am trying to gain some insight into this problem that we are now seeing in vast multitudes coming into the ER.Last edit by canoehead on Sep 6, '04 : Reason: edited quote for personal attack
Apr 7, '04Occupation: RN, BSN-ER Joined: Apr '02; Posts: 152; Likes: 6Hey--
I was diagnosed with fibromyalgia and I told the MD, I'm sorry I don't believe in that as a diagnoses. She was great. She said how about a symptom of an underlying cause? I said okay but what?? I have been having increasing symptoms of pain in my thumb joints, and extremely stiff legs all the time but excessively after my 12 hr shifts, fatigue (sleeping 16 hrs a day on my days off) oh I only work 2-12hr shifts a week (weekend option). She asked me if i was depressed, I said I don't think soo ..I just got married and my life is better then it has been in 15 years. Other milder symptoms included bloating and craving pasta/rice and slow weight gain.
She thought maybe I had yeast overgrowth syndrome. I took a 15 question test and answered yes to most of them. She then gave me a book called the "The yeast connection" I think that was the name. It described a life style change to a Specific carbohydrate diet. A diet that ws originally made for people with Crohns, diverticulitis and similiar stomach disorders. Eight weeks on the diet and I'm not sore or stiff , losing weight, sleeping like a normal person and feel better.
So maybe fibromaylgia is a quick stopping point for mds who don't know better or for patients who don't want to work for their health. I really believe that it is a symptom not a full diagnoses. But that's just my two cents.
Apr 7, '04Occupation: RN, BSN-ER Joined: Apr '02; Posts: 152; Likes: 6Quote from SilkyboNot all people are any of those things- my drug of choice to treat my symptoms is Motrin. Who are you to judge anothers pain? Unless you suffer daily pain how would you know. Now I'm not a true believer of this diagnoses either but try to walk in anothers shoes instead of blowing them offas crazy, depressed or a drug seeker.Everyone I know with fibromyalgia is A. A hypochondriac B. Clinically depressed or C. a drug seeker. I dont believe in this diagnosis. Throwing oxycontin at aches and pains is like killing mosquitos with a sledgehammer. I am not against appropriate pain meds, especially in the terminal patient....dose 'em up, I say, but not for people who are just not facing life square on...I hurt too after lifting obese geriatrics all night, but Im not going to whine for narcs!
Apr 7, '04Occupation: Retired RN Specialty: 21+ year(s) of experience in pediatrics, geriatrics, med-surg, ccu, ; From: US ; Joined: Sep '01; Posts: 93; Likes: 138I have enjoyed reading the post regarding Fibromylagia. I have learned alot on different perspectives on this illness. But it the last few pages of this thread I have read alot of name calling and putting other nurses on the spot. While I am a avid believer in pain control and making sure my patients are not in pain, I believe that most of the nurses on this thread are just voicing their opinion. It is entirely possible that those nurses who question the diagnosis are trying to find a new way of thinking about it. I also see patients that are frequent flyers who have every diagnosis possible and are only satisfied with narcotic pain relief even when offered other methods of pain control and refuse it. I also believe in the constitution that gives us the right to free speech and the ability to think for ourselves. In defense of Vetach I did not read in any of the posts that this person said that they didn't believe in treating their patients for pain. I myself learned alot from all the people who posted. I had no idea that their were so many FM sufferers that post here. My own daughter also has FM and I have been active in trying to get the best care for her, their are alot of physicians who also don't believe it exists. I also believe they are wrong. And I will continue to try and change people's opinion regarding this illness. But in all fairness, I don't believe that this post or any other we should be down grading another nurse for his or her opinion. As nurses we should also respect our peers and give them the benefit of the doubt.
Apr 7, '04Occupation: Retired RN Specialty: 21+ year(s) of experience in pediatrics, geriatrics, med-surg, ccu, ; From: US ; Joined: Sep '01; Posts: 93; Likes: 138This is a really interesting article in which it states that a new brain scan study comfirms scientifically what fibromyalgia patients have been telling a skeptical medical community for years: They're really in pain.
The results of this study was published in the issue of ARthritis and Rheumatism, The journal of the American College of Rheumatology, may offer the proof of fibromyalgia's physical roots that many doubtful physicians have sought. It may also open doors for further research on the still unknown causes of the disease, which affects more than 2 percent of Americans, mainly women.
The researchers used a super fast form of MRI brain imaging, called functional MRI or fMRI, on 16 fibromyalgia patients and 16 people without the disease. As a result, the study offers the first objective method for corroborating what fibromyalgia patients report they feel, and what is going on in their brains at the precise moment they feel it.
The fMRI gave the unique opportunity to look at the neurobiology underlying the tnederness, which is a hallmark of fibromyalgia. "These results combined with the other work done by our group and others have convinced us that some pathologic process is making these patients more sensitive. For some reason, still unknown, theres a neurobiological amplification of their pain signals." The full article can be found at http://www.med.umich.edu/intmed/rheumatology/fmweb
Other articles that may give insight are:
"Abnormal Pain Memory Helps to Explain Fibromalgia" and "Ordinary Touches Multply into Severe Pain for Fibromalgia Patients"
Both these articles can be found at http://www.Rheumatology.org
this gives some real objective proof that fibromyalgia is a real disease for those who are skeptical and require proof.Last edit by Over-the-hill-Nurse on Apr 8, '04 : Reason: Adding new info
Apr 8, '04Joined: Mar '04; Posts: 15; Likes: 1It has also been reported that patients with Fibromyalgia have 3-4 times the amount of Substance P found in the cerebrospinal fluid as of that in healthy individuals.
Apr 8, '04Occupation: RN going back to ICU Joined: Sep '03; Posts: 135; Likes: 2Fibromyalgia since it is so vague, has taken over for the "soft tissue injury" pain med seekers as they have milked that to death. I see that but I also know fibromyalgia is a true ailment. Differentiating between the drug seekers and the depressed "I want some attention" patients and those TRULY seeking some help and not necessarily pain meds to give quick relief but those that are seeking a long term treatment that will lessen or relieve the muscle pain.
Until there is a test to determine fibromyalgia the true suffers will suffer and the seekers will get the drugs they seek.
Apr 8, '04Occupation: To learn nursing, love my husband, and mother my son. Joined: Apr '04; Posts: 19[QUOTE=SmilingBluEyes]Quote from veetachVeetach and SmilinBluEyes...I never meant this to become a free for allsigh... The practice of medicine is based on principles of diagnostics and treatment. what a chaotic world it would be if we were to accept anyones vague complaint about anything they were experiencing at any given time as a new disease.....[/QUOTE
sigh...didn't know you practiced medicine. Well excuse me.
attack and defend. GRANTED, we have different opinions, but...WE ALL Practice medicine in our own ways...just because we have different
TAGS. or designations does it make us any less the healers...doctors are the
CURANDERAS... in other words, they CURE. Nurses CARE. Some of us are still
in the Newtonian Age of Medicine...the Einsteinian age is now here, with its
attendant re-emergence of holistic, homeopathic alternative(alternative, meaning one can CHOOSE to use or ignore...here, there is no right or wrong choice...it is just INDIVIDUAL choice!) I have chosen, I admit in self-defence, the holistic way, because every person is an INDIVIDUAL. JUST as I believe that every person and make fantastic art, and believe it or not, EVERY person
can SING....how's THAT for scary thought??? Be careful; holism might make us more enlightened...SPIRITUS
PS IF, and I mean, IF y'all wanna jump down my gullet cause y'all might think
I took the wind out of certain sails, by all means go ahead...it AIN'T for me to judge, cause that is the LORD'S prerogative...I just go where He tells me
Apr 8, '04Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566Quote from SmilingBluEyesI never discuss PMSI am sure in the minds of some others here, PMS does not exist, either. Cause there is NO definitive and objective test to PROVE it does. So kinda like many things unseen, lack of faith makes it NOT so. Let one of your loved ones suffer a "non-existant" condition and see how quickly you jump on the band wagon to become a believer!Last edit by canoehead on Sep 6, '04 : Reason: edited quote
Apr 8, '04Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566What is discussed here is all that it is, discussed here.
You tell me you hurt in the ER, I will med you with whatever the doctor orders. And not even think anything about it. And I will recheck your vitals and your rsponse to it in 15 to 30 minutes and document it. Im a firm believer in keeping everything simple at work.
ER nurses are a proud and pompous lot, you have to be to work ER. But is ER the proper place for all the FFers with Chronic pain of anykind. Is ER turning into an Extended Pain Care Clinic. Isnt chronic pain, whatever the source best handled by a Primary Care Physician. Isnt that better than frequently hopping from one ER to another.
I mean no disrespect to anyone with FM, who truly has it. But there are those who abuse it as a Dx along with all the other chronic pain syndromes.
Is the ER the best place to handle these problems.