Our expert says:
Though cortisone can be helpful in several situations at a purely physical level, it often causes mood complications. More often than is recognized.
YOu may be talking at cross-purposes with your psychiatrist - he may be saying, reasonably, that if cortisone injections do potentially cause all these problemsm with mood, etc, it may be worthwhile to avoid them for the present ( depending on the opinion of the pain specialist ). You may be assuming that they are the ONLY way in which your pain can be helped, which, fortunately, is probably not true - you may have found them physically helpful in the past, and come to rely on them and to distrust other interventions, but the pain doc should be able to recommend other interventions at this stage that should at least avoid the mood and concentration and coping disruptions. I doubt that he is disbelieving the issue of chronic pain, but discussing its management.
And be sure with your psychiatrist that any depression you have is being adequately treated - depression is a potent amplifier of pain, whatver originally causes the pain.
You may also be running into a problem that can be troublesome with intelligent people with chronic problems. You may arrive to see a doctor, demanding and/or expecting a specific treatment, which is annoying for any doc, whether or not he recognizes this, rather than describing your current symptoms, and then discussing his suggestions about how best to deal with them.
I worry about comments like " I think I need a boost of Geodon now, just for 3 nights". As far as I know, Geodon just given for a couple of nights as an injection has no particular benefits at all - it may be used in that way as PART of a more complicated plan of action, involving its continued use by mouth, and maybe with other drugs. Benefits felt after nothing but 3 nights of single doses are probably due to a placebo effect.
Its not clear why any of these procedures would necessarily need more days off work, apart from the time spent on going to see the doc.
At this distance, I can't answer some of your specific questions, and you need real answers, not fakes. They have to be discussed and negotiated with the specific docs.
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