Saw my GP. I cried. Lots. He was lovely. I gave him my list. His thoughts are:
(i wrote an epic post but it's too long and you will all switch off so I have summarised, which is still not short!)
I need my inflammatory markers (or whatever they are called) checked as he did not do this with last blood test. I am having that tomorrow.
Could be something inflammatory and he will explore this depending on outcomes of blood test
Could be medication related as I have a lot of meds built up in my system, and already shown I am quite sensitive to meds.
Could be my body reacting to what he thinks is me 'coping too well'. He has said he thinks I am have always coped amazingly well with my back condition and that perhaps my body is responding. He said that any one else he has seen in this position would have stopped work by now and would have to some extent 'given up' which is not necessarily a bad thing although he knows this is not what I want to do so not suggesting that I do this yet but carrying on as normal may be taking it's toll.
However, he thinks the mostly like cause of at least the back, leg, hip pain is still mechanical in nature. The way I walk, move, stand, bend, sit, all continues to point to a very specific location of pain. He is certain that I need fusion. He has said this before, and still holds this opinion. He thinks the neurosurgeon is probably going to recommend fusion, would be very surprised if he doesn't. He doesn't really understand why it was not fused to start with given the issues with the disc and vertebra, he thinks the whole area is probably very unstable now and that is why there is so much pain and why hardly anything at all is increasing the pain, and the only solution to this is fusion.
He has said I need to tell the neuro to be completely honest with me about the options and that I need to be realistic about the fact that fusion may be the best outcome now.
He doesn't think that the other symptoms can be fully addressed, whatever their cause until/unless the mechanical issues are resolved, and that I may well see an improvement in my entire health situation once this is done (he is quite convinced they are linked). But that doesn't mean he won't explore other causes in the meantime.
He has given me a new drug to try as tramadol is making me wired. Co-drydamol. I have not had it before but I know some people here have? He said it is not weaker than tramadol, nor stronger, but is hopefully less strong in terms of keeping me awake, and he thinks it may worker better than tramadol/codiene for pain relief. Next step is morphine based meds
I said I am not ready for those yet and he agreed 'not yet'. (i don't like the 'not yet' bit as he seems to think this is going to get worse).
He told me to come back any time I needed to cry and complain about how shit it was and he was sorry I had not had the success I had hoped from surgery.