Dr. Julie Muche, NM Medical Society, and member of the New Mexico Prescription Drug Misuse and Overdose Prevention and Pain Management council
Dr. Julie A Muche is a physician based out of Albuquerque, New Mexico and her medical specialization is Physical Medicine & Rehabilitation. She practices in Albuquerque, New Mexico and has the professional credentials of MD.
ABQ Health Partners Center for Pain Management on Yelp
8/8/2013, Alan T. from Belen said:
was hopeful they would help my very sick partner and he was turned away for using legal medi pot!
They would prefer he takes very addictive narcotics obviously!
We followed a Dr who moved there from another practice who KNEW that he used medi pot and even wrote scrips. for marinol. We sat in the waiting room for an hour only to be turned away due to this NEW policy!
As usual these days its about that bottom line, NOT compassionate care!
Association of Academic Psychiatrists, Dr. Julie Muche, Profile Unavailable
Because this caselaw is behind a pay wall, I had to copy and paste this from the Google cache. Just a warning — don’t try to count the number of injections this poor pain patient had — you’ll get dizzy.
Dr. Sharp referred Plaintiff to Dr. Julie Muche, a physician specializing in physical medicine and rehabilitation at the Lovelace Medical Center. Dr. Muche saw Plaintiff on July 26, 2004, and she found that Plaintiff was experiencing coccygeal pain which radiated down into his lower right extremity and which he described as “burning, shooting, throbbing, constant pain.” ( Id. at 434-35). Dr. Muche noted that the July 2, 2004, x-rays showed “degenerative disk [sic] disease prominent at multiple level[s] and a several millimeter retrolisthesis at L3 and L4.” ( Id. at 435). She recommended certain physiotherapy techniques and she also prescribed Roxicet, Valium, and Nortriptyline to ease the pain and resulting insomnia. ( Id. at 439-40). *66
When Dr. Muche examined Plaintiff again in August of 2004, she found that the Nortriptyline was somewhat effective, but that Plaintiff continued to experience coccygeal pain and that he had a painful trigger point over the right paraspinal muscle. ( Id. at 225-26). Dr. Muche increased the dosage of Nortriptyline and prescribed a 2% lidocaine topical gel. ( Id.). Dr. Muche also administered a trigger point injection over the right paraspinal muscle in an effort to control the pain. ( Id.).
In September of 2004, Dr. Sharp referred Plaintiff to Dr. Mark Erasmus, a surgeon at the Lovelace Medical Center. (AR at 510-11). Plaintiff met with Dr. Erasmus on September 30, 2004, and Dr. Erasmus discussed the possibility of back surgery. ( Id. at 511). Plaintiff agreed to an epidural spinal injection in the hopes that it would resolve his back pain without needing surgery. ( Id. at 511).
The injection did resolve the back pain, and Plaintiff next saw Dr. Steven Bailey, a physiatrist at Lovelace Medical on October 11, 2004. ( Id. at 512-13). Plaintiff reported that the previous injections had provided relief for several weeks but that the pain then returned. ( Id. at 512). The pain worsened with prolonged sitting and Plaintiff reported tenderness over the right paraspinous muscles as well as tenderness around the coccyx. ( Id.). Dr. Bailey diagnosed Plaintiff with chronic low back pain and post fusion coccydynia.2 Dr. Bailey recommended a lumbar epidural steroid injection, which he administered that same day. (AR at 512-13).
Despite the temporary relief afforded by the trigger point and epidural injections, Plaintiff’s back pain returned every time within a few weeks. Plaintiff met again with Dr. Erasmus in October of 2004 to discuss his options. ( Id. at 510-11). Plaintiff reported to Dr. Erasmus that he had been experiencing constant, sharp, severe lumbar spinal pain over the last two months and that the pain radiated down his right leg. ( Id. at 510). He reported that the pain worsened while sitting down and that both forward and backward bending and even light touching produced pain. ( Id.). Dr. Erasmus diagnosed Plaintiff with spinal stenosis and he recommended surgery due to the spinal stenosis and persistent pain. ( Id. at 204, 510-11).3 Plaintiff agreed to the procedure and underwent an L3-4 foraminotomy on October 29, 2004. ( Id. at 509-11).4 While the pain abated following the surgery, it reemerged within several weeks. ( See, e.g., Id. at 219). During checkup appointment with Dr. Erasmus on January 27, 2005, scarring was found around the surgical site. ( Id. at 505).
On February 3, 2005, Plaintiff returned to Lovelace Medical and was seen by Dr. Malizzo. ( Id. at 503). Plaintiff continued to complain of lower back pain that radiated down into the right buttocks, which sometimes caused his right leg to ache. ( Id.). By reference to an MRI, Dr. Malizo found continuing nerve encroachment at L3-4 and L4-5. ( Id.). Dr. *88 Malizzo administered another epidural steroid injection and continued his pain prescription for Vicoprofen 4. ( Id.). Dr. Malizzo saw Plaintiff again on April 19, 2005. ( Id. at 501). Plaintiff continued to complain of pain in his lower back, right buttocks, and an aching sensation in his right leg. ( Id.). Dr. Malizzo found that Plaintiff was suffering from degenerative disc change with radicular pain and postlaminectomy syndrome. ( Id).5 Dr. Malizzo increased Plaintiff’s prescription for Vicoprofen 4. (AR at 501). A notation in Dr. Malizzo’s report indicates he told Plaintiff’s wife that he was reluctant to place Plaintiff at “total and permanent disability.” ( Id.).
Post-laminectomy syndrome, also known as failed back surgery syndrome, is used broadly to describe poor outcomes following back surgery. Symptoms typically include low back pain, stiffness, local tenderness, and pain radiating down into the legs. See, http://www.mdguidelines.com/post-laminectomy-syndrome
Plaintiff continued to see Dr. Muche repeatedly between 2005 and 2008. ( See, e.g., Id. at 400 (noting that Dr. Muche saw Plaintiff at least eight times between 2005 and 2007)). She saw Plaintiff in October of 2005 and found that Plaintiff had increased coccygeal pain, pelvic pain, continued spasms, tenderness to palpation, and that both left and right flexion and rotation of the spine produced pain. ( Id. at 484-85). She performed a L4-5 left-sided facet injection and a coccyx injection in November of 2005 to treat his back pain. ( Id. at 481). Between 2005 and 2008, Dr. Muche and a pharmacologist named Ernest Dole helped to manage his pain both by increasing medication dosages and prescribing narcotics such as morphine, oxycodone, and MS Contin. ( See, e.g., Id. at 454-63, 471-76). Dr. Muche administered another bilateral L4-5 facet injection in October of 2006 and two trigger point injections in November of 2007 in an effort to alleviate the pain. ( Id. at 453, *99 461). She then administered two more trigger point injections in March of 2008. ( Id. at 452). Plaintiff stated that, while the narcotic medications enabled him to manage his pain, they prevented him from concentrating or performing calculations. ( Id.).
Is this… torture?