I had an appointment with Dr. Arrogant today. To say I was dreading it would be an understatement -- who likes being talked down to?
I had several surprises in store for me. First, my appointment was earlier in the afternoon than it has been, and my wait wasn't as long -- about an hour, when I've been waiting for nearly two hours in the previous appointments. Second, Dr. Arrogant...wasn't. Or at least, not as arrogant as he has been. He shook my hand, he looked at me, he spoke to me (instead of talking at me), he listened to me.... I had a strong temptation to ask who he was and what he'd done with the doctor!
I told him how much better I was doing on the higher dose of Savella (averaging a 2 - 3 1/2 on my personal scale, which was my goal). He was surprised -- apparently, in his experience, most fibromyalgia patients don't show this much improvement on only one med. He expected me to say that the pain wasn't low enough yet, and I needed narcotics. Since I'm not on narcotics, and apparently won't be needing any other med than the Savella (at least for the present -- who knows what the future holds!), he decided that he doesn't need to see me every month. I only need to go back when I need a refill -- about every six months. He actually seemed happy to tell me that!
I've been thinking about why fibro patients so frequently need narcotics as well as meds like Savella, and I have a theory. I suspect that many fibro people are trying to get back to a pain-free life, instead of accepting that they will have some level of pain every day for the rest of their life (unless, of course, there's a medical breakthrough). I, on the other hand, have known for years that I'll never be pain-free again. I just wanted the pain to be reduced to the point where I could function, at least to some degree, on most days.
Would I like to be pain-free again? Hell, yes!!!! I don't even remember what it's like to not have pain. But until medicine discovers how to turn off the over-sensitive pain sensors in my brain, it ain't happening. Denying that will just use energy I don't have to spare.