RDP89
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Yeah, but it's the fault of the fucked up system, not the people abusing prescription drugs. Prohibition and the back asswards policies that go with it are to blame.
Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) v6
- Thread starter tricomb
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Yeah, but it's the fault of the fucked up system, not the people abusing prescription drugs. Prohibition and the back asswards policies that go with it are to blame.
BigG
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Yeah the backlash in the US to the "pill mill" scandal a few years back seems to be extreme....
Bearing in mind the doctors themselves caused that problem in the first place....
The result is that all the addicts turn to heroin and the genuine pain patients are the ones that suffer....it seems very unfair.
Bearing in mind the doctors themselves caused that problem in the first place....
The result is that all the addicts turn to heroin and the genuine pain patients are the ones that suffer....it seems very unfair.
MrRoot
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There are plenty of oddities in finnish vehicle laws. For example because of my condition I am not allowed to drive anything with manual transmission but I could for example drive a bus commercially if it has automatic transmission although I use oxycodone 
Few years ago when there wasn't e-prescription system every drug considered as narcotic such as oxycodone had to be prescribed to a red prescription with holograms and individual numbering. Waving that around on your way to a pharmacy was a great way to get yourself mugged after getting your drugs. Also doctors had to apply for those and only specialists and private sector doctors did that and therefore you couldn't get those drugs from general physician.
With e-prescriptions every doctor can prescribe anything now but some haven't changed their ways and won't prescribe anything that previously had to be prescribed onto that red paper. Most doctors who do prescribe now ask you to do pharmacy contract and in some counties it is even required as per their instructions.
Anyhow as there is welfare reform going on currently and after it is ready every county has to use same instructions after that but it will take some years until they get it approved.
Few years ago when there wasn't e-prescription system every drug considered as narcotic such as oxycodone had to be prescribed to a red prescription with holograms and individual numbering. Waving that around on your way to a pharmacy was a great way to get yourself mugged after getting your drugs. Also doctors had to apply for those and only specialists and private sector doctors did that and therefore you couldn't get those drugs from general physician.
With e-prescriptions every doctor can prescribe anything now but some haven't changed their ways and won't prescribe anything that previously had to be prescribed onto that red paper. Most doctors who do prescribe now ask you to do pharmacy contract and in some counties it is even required as per their instructions.
Anyhow as there is welfare reform going on currently and after it is ready every county has to use same instructions after that but it will take some years until they get it approved.
What i like to try to do is switch places with the Drs. Their just puppets too and they have somebody to andwer to and could possibly lose their license if they make a wrong decision.
Like with me. Im dam lucky i get what i get. When i was reffered to pan clinic i was recovering alcoholic, recent opiate abuse, and occasion marijuana use. But, i had serious medical conditions which required pain medication. So they decided to treat me and i try to think of that when i get pissed i have to piss everymonth and im asked if im going to meetings. I think the patients share responsibility with Drs to not aabuse their meds. Hey, i aint no saint. This more like do as i say, not as i do and perhaps im a hypocrite but i bet a high percentage of all those people i see at my pain clinic who come out with perscriptions abuse them. Its the pharmacutical companies to make medicine that kills pain but isnt so addictive. But they make a killing off theyre opiates so it aint gonna change.
Like with me. Im dam lucky i get what i get. When i was reffered to pan clinic i was recovering alcoholic, recent opiate abuse, and occasion marijuana use. But, i had serious medical conditions which required pain medication. So they decided to treat me and i try to think of that when i get pissed i have to piss everymonth and im asked if im going to meetings. I think the patients share responsibility with Drs to not aabuse their meds. Hey, i aint no saint. This more like do as i say, not as i do and perhaps im a hypocrite but i bet a high percentage of all those people i see at my pain clinic who come out with perscriptions abuse them. Its the pharmacutical companies to make medicine that kills pain but isnt so addictive. But they make a killing off theyre opiates so it aint gonna change.
Runtoparadise
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IMHO drs all over are under the pump to prescribe less opiates. It started in the states, but has now even spread to Australia.
The primary care drs especially want a specialist involved to sign off & write letters stating exactly why patients require strong pain meds & what for. No dr wants to lose their licence over a patient ODing.
It's always been a double edged sword for us pain peeps. We need opiates, drs prescribe them, turn us into drug dependant patients who can't go without their meds but as tolerance builds,- unless your dr is willing to raise the dose, you'll end up self medicating & running short each month.
Rotating opiates & finding what works & what doesn't for you. Finding a route of action that provides better pain relief.
Yes, the companies keep trying to make less abusable drugs, but just like addicts,- Cpp's are amongst the most imaginative & resourceful ppl & will take huge measures to do what they can for pain relief.
Of course the "doctor shoppers" will always have made their imprint & we will always be scrutinised & judged on whether opiates are the best choice for our type of pain. If you're on high doses the computer software will "red flag" you, god forbid your usual dr is on leave. You may or may not get your script!
Closeau, are u referring to my post of especially specialists playing us like puppets & that they pull the strings as long as we dance for them?
I'm of the same opinion of yourself. I used to say that when I was new to PM I felt as though the dr was the judge & the jury,- I was simply attending & answering yes or no to his questions.
One day, which did take a cpl of years,- I decided he was on my payroll. I was paying him Au$175 per consult, I saw him roughly every eight wks, i had (over two yrs), twenty inpatient ketamine infusions at his recommendation in a private hospital which my Health Insurance Fund paid out Au$10,000 each time, (I pay over $2000 annually for myself & sweetchildofmine to have top hospital cover). I'd also had multiple day stays at the hospital where I tried all sorts of nerve ablations, epidurals, facet joint injections etc.
It was time for me to step up & go to him with my own research, thoughts, wishes for opiate rotation, when I thought of the money I'd paid him, directly or indirectly I had a new stance & I think he liked it.
I wasn't going to let my PM dr tell me what wrkd better for my pain, as he wasn't living in my body. I'd read up for days prior to appts & he was then telling me I should study science,- that I had the head for it & could grasp concepts of different pains & their receptors & pathways. It finally felt we were equals.
That was prior to the hit & run of course, the brain injury & numb hand/ painful arm/ neck.
Had my scans today which I wouldn't wish on anyone. Very confronting being back in a neck brace, tight cushioning wedges of foam to get my neck at the correct position, a cage like plastic lock on helmet/face mask, & the big circular piece of MRI machine close enough to touch my nose, lips, boobs, belly lol. While I stood/sat on a metal six inch deep seat.
After the first angle I said " i need out for a moment". The radiographer let me move around then I had to get back in position to have more wedges stuffed around me & another six mins of scanning. Unfortunately, I did this in between each modified neck angle. Sounds wimpy, but guys,- it was so tight & I can't compare it to anything atm to give u a clearer pic. I'd also had 10mg Diaz.
The final one was with my neck flexed down, I knew this was it as I not only had pains shooting down the inside & outside of my arm (and a superior neck ache by now), but again I felt as though burning needles were being poked under my fingernails.
I was on the verge if a panic attack and so close to screaming to get me out. It took all I had to think this is how I'm gonna find out what's wrong & if I need neck surgery or not. If physio can do the job. It was excruciating and I kept thinking, one more minute, one more minute, I've waited over six mths with a numb right hand.
Finally over!!
Then I was going straight for a normal MRI. I asked for a ten min break & my friends hubby (who'd thoughtfully accompanied me was brought around to me so I could take more pain meds & Diaz.
Thank god it was just a standard MRI with dye for contrast. Not twisting & turning. Just flat on my back with the radio playing between the bumps & buzzes, drumbeat noise, drilling noise. I almost dozed off!
The husband reminded me I needed copies of the scans on disc for this friday, I was also given a snazzy USB to give to anyone who wishes to see my results. Apparently the neurosurgeon will contact me once he has reviewed the films...the trouble with hvng a neurologist & a neurosurgeon in different cities. They may have different opinions.
Ok, I'm sure this goes down in record for a longest post, & five others have posted in between. I guess I just have a lot to say tonight!
Take care all, you're in my thoughts. Welcome to the new posters,- though ur perhaps not necessarily new to BL.
Rtp
The primary care drs especially want a specialist involved to sign off & write letters stating exactly why patients require strong pain meds & what for. No dr wants to lose their licence over a patient ODing.
It's always been a double edged sword for us pain peeps. We need opiates, drs prescribe them, turn us into drug dependant patients who can't go without their meds but as tolerance builds,- unless your dr is willing to raise the dose, you'll end up self medicating & running short each month.
Rotating opiates & finding what works & what doesn't for you. Finding a route of action that provides better pain relief.
Yes, the companies keep trying to make less abusable drugs, but just like addicts,- Cpp's are amongst the most imaginative & resourceful ppl & will take huge measures to do what they can for pain relief.
Of course the "doctor shoppers" will always have made their imprint & we will always be scrutinised & judged on whether opiates are the best choice for our type of pain. If you're on high doses the computer software will "red flag" you, god forbid your usual dr is on leave. You may or may not get your script!
Closeau, are u referring to my post of especially specialists playing us like puppets & that they pull the strings as long as we dance for them?
I'm of the same opinion of yourself. I used to say that when I was new to PM I felt as though the dr was the judge & the jury,- I was simply attending & answering yes or no to his questions.
One day, which did take a cpl of years,- I decided he was on my payroll. I was paying him Au$175 per consult, I saw him roughly every eight wks, i had (over two yrs), twenty inpatient ketamine infusions at his recommendation in a private hospital which my Health Insurance Fund paid out Au$10,000 each time, (I pay over $2000 annually for myself & sweetchildofmine to have top hospital cover). I'd also had multiple day stays at the hospital where I tried all sorts of nerve ablations, epidurals, facet joint injections etc.
It was time for me to step up & go to him with my own research, thoughts, wishes for opiate rotation, when I thought of the money I'd paid him, directly or indirectly I had a new stance & I think he liked it.
I wasn't going to let my PM dr tell me what wrkd better for my pain, as he wasn't living in my body. I'd read up for days prior to appts & he was then telling me I should study science,- that I had the head for it & could grasp concepts of different pains & their receptors & pathways. It finally felt we were equals.
That was prior to the hit & run of course, the brain injury & numb hand/ painful arm/ neck.
Had my scans today which I wouldn't wish on anyone. Very confronting being back in a neck brace, tight cushioning wedges of foam to get my neck at the correct position, a cage like plastic lock on helmet/face mask, & the big circular piece of MRI machine close enough to touch my nose, lips, boobs, belly lol. While I stood/sat on a metal six inch deep seat.
After the first angle I said " i need out for a moment". The radiographer let me move around then I had to get back in position to have more wedges stuffed around me & another six mins of scanning. Unfortunately, I did this in between each modified neck angle. Sounds wimpy, but guys,- it was so tight & I can't compare it to anything atm to give u a clearer pic. I'd also had 10mg Diaz.
The final one was with my neck flexed down, I knew this was it as I not only had pains shooting down the inside & outside of my arm (and a superior neck ache by now), but again I felt as though burning needles were being poked under my fingernails.
I was on the verge if a panic attack and so close to screaming to get me out. It took all I had to think this is how I'm gonna find out what's wrong & if I need neck surgery or not. If physio can do the job. It was excruciating and I kept thinking, one more minute, one more minute, I've waited over six mths with a numb right hand.
Finally over!!
Then I was going straight for a normal MRI. I asked for a ten min break & my friends hubby (who'd thoughtfully accompanied me was brought around to me so I could take more pain meds & Diaz.
Thank god it was just a standard MRI with dye for contrast. Not twisting & turning. Just flat on my back with the radio playing between the bumps & buzzes, drumbeat noise, drilling noise. I almost dozed off!
The husband reminded me I needed copies of the scans on disc for this friday, I was also given a snazzy USB to give to anyone who wishes to see my results. Apparently the neurosurgeon will contact me once he has reviewed the films...the trouble with hvng a neurologist & a neurosurgeon in different cities. They may have different opinions.
Ok, I'm sure this goes down in record for a longest post, & five others have posted in between. I guess I just have a lot to say tonight!
Take care all, you're in my thoughts. Welcome to the new posters,- though ur perhaps not necessarily new to BL.
Rtp
DixiChik
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- Apr 27, 2015
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Hello PAIN PEEPS...
For the new arrivals, WELCOME to the club nobody "chooses" to join. Make yourselves as comfortable as possible.
Thanks to all for your emails/messages. I'm struggling, but okay.
RTP, don't apologize for "having a lot to say". It sometimes helps to purge. You're going through a tough time. I empathize with your feelings toward the tests you're enduring. Kudos for your strength and fortitude to soldier through!
I am claustrophobic to the nth degree so I self-medicate pre-MRI and FBBS. Otherwise they'd "express" me to the mental ward. I spent 8 weeks in 16 lbs. of cervical traction (medieval times--80s). I digress.
Sorry folks, my tank is empty. (((HUGS))) to all.
For the new arrivals, WELCOME to the club nobody "chooses" to join. Make yourselves as comfortable as possible.Thanks to all for your emails/messages. I'm struggling, but okay.
RTP, don't apologize for "having a lot to say". It sometimes helps to purge. You're going through a tough time. I empathize with your feelings toward the tests you're enduring. Kudos for your strength and fortitude to soldier through!
I am claustrophobic to the nth degree so I self-medicate pre-MRI and FBBS. Otherwise they'd "express" me to the mental ward. I spent 8 weeks in 16 lbs. of cervical traction (medieval times--80s). I digress.
Sorry folks, my tank is empty. (((HUGS))) to all.
BigG
Ex-Bluelighter
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- Mar 28, 2013
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Thanks [MENTION=227329]closeau[/MENTION]
An RTC is a road traffic collision (that i was called to today in my rapid response trauma ca)
Without going into too much detail the car overturned and hit a tree. The roof was crushed as was the drivers skull. There was brain matter on my uniform and a baby in a car seat in the back was dead..
I feel awful tonight and can't stop thinking about it.....I've tried having a joke around with my friends over in EADD to take my mind off it but it's hollow......
I feel like crying
An RTC is a road traffic collision (that i was called to today in my rapid response trauma ca)
Without going into too much detail the car overturned and hit a tree. The roof was crushed as was the drivers skull. There was brain matter on my uniform and a baby in a car seat in the back was dead..
I feel awful tonight and can't stop thinking about it.....I've tried having a joke around with my friends over in EADD to take my mind off it but it's hollow......
I feel like crying
MrRoot
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Ouch. Seeing dead children and especially seeing them die never does good for anyone's psyche even if he happens to work in a field in which he will probably see them once in a while.
I have been in therapy twice for seeing my share of them. First time was while I were on high school equivalent and went to a shopping mall in which a guy decided to blow himself apart and second time was in Afghanistan in where we ended up discovering an open mass grave full of people from a local orphanage.
Just cry out if it feels like it. Even the toughest bastards cry in those cases.
I have been in therapy twice for seeing my share of them. First time was while I were on high school equivalent and went to a shopping mall in which a guy decided to blow himself apart and second time was in Afghanistan in where we ended up discovering an open mass grave full of people from a local orphanage.
Just cry out if it feels like it. Even the toughest bastards cry in those cases.
Runtoparadise
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Fuck that's awful Englandgz & also mrroot!!!
Since my accident I've seen two adults get hit by vehicles,- what trauma that brings me...I simply can't imagine hvng to witness a scene with a dying or deceased infant.
Hug it out, scream it out, cry it out, take time out,-whatever helps dude.
Mrroot gosh what horror you've experienced and also seen. I don't know how or if anyone could ever get those images out of your head!
So much Sympathy to you both.I guess to some degree although
we all have pain issues we have to be grateful to be here. I hope you all find at least one thing, no matter how tiny, to be grateful for today
Rtp xx
Since my accident I've seen two adults get hit by vehicles,- what trauma that brings me...I simply can't imagine hvng to witness a scene with a dying or deceased infant.
Hug it out, scream it out, cry it out, take time out,-whatever helps dude.
Mrroot gosh what horror you've experienced and also seen. I don't know how or if anyone could ever get those images out of your head!
So much Sympathy to you both.I guess to some degree although
we all have pain issues we have to be grateful to be here. I hope you all find at least one thing, no matter how tiny, to be grateful for today
Rtp xx
Damn England, I knew exactly what you meant by RTA so I was a little scared to read anymore but you kept the details light and I appreciate it and to some degree understand. I had a mate who was in the same line of work and he used to come home some mornings with this vacant look in his eyes and wouldn't say much - you knew he'd seen dead kids or babies, he was a huge man but I'd make him accept my hugs and we'd share a few beers for breakfast and then that would lead to hard drug binges to try and kill his memory, me, I just loved to have someone accept free drugs from me on the proviso that he would do the drugs with me.....i digress. I miss the big unit - died of massive heart attack in his sleep at 43, the stress killed him. Sorry again mate and to you too MrRoots, you guys work honourable jobs. You're on the front line of human experience and that can be harrowing, take care guys.
ShroomySatori
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Hello, thought I would add a little update since it has been a while, to my fellow sentient beings who are suffering. I am doing pretty much the same. Quite well actually apart from the agony. I have been much more physically and mentally active and I think the light stretching and exercise, as well as mental distractions helps with the pain. I know there is a lot wrong with me mentally and I have to get that checked out. My tolerance to pills hasn't gone down yet but I've generally been taking less medication. It is frustrating that the pills do not affect me as well as they used to, but I am hesitant to ask about raising my dose. Figure I'll only do that if I absolutely have to, and it hasn't been all that long since I was really messing around ignorantly with that stuff. I stopped insufflation completely this year and waiting for pills to kick in has taken some getting used to. Hope everyone has a pain free day or as close to it as possible.
England and Mr Root, so sorry for what youve witnessed. That must be impossible to erase from your head. You guys are troopers for doing what you do!!
Rtp, i agree with everything in you said in your post.
Shroomy, hang in there buddy. The agony will go away. Cheers to you doin things right
Rtp, i agree with everything in you said in your post.
Shroomy, hang in there buddy. The agony will go away. Cheers to you doin things right
Big G, i like it. Yeah, Fentanyl raises your tolerance to the sky. Not saying thats something youre worried about and i know they last 72 hrs but why just one? I would be scared to put it on cause if you dont get another one youll go into wd. Thats weird. Here have one.
Me, as some of you know am going thru some personal shit. Thought about getting off bl but ive made such good friends on this thread mostly and i think it would be foolish to push that away. Its a natural reaction to what im going thru. Push people away so you dont hurt them. Well im hear to stay. Im gonna try to be a positive as i can for yall. So many of you have helped me already, my utmost thanks and gratitude. Im still a free man and becides my usual healthy so i have that. I spent 3 days last week practicing my old craft in my buddys dental lab so now its food shopping. Oh joy!!! Lol. Last time i almost broke my record of 6.5 minuts but i gotta go get ice cream so i wont beat that today. Anyway, love you guys!!!! If your prayers, please pray for me and if not just send some dood vibes this way. Thanks
Me, as some of you know am going thru some personal shit. Thought about getting off bl but ive made such good friends on this thread mostly and i think it would be foolish to push that away. Its a natural reaction to what im going thru. Push people away so you dont hurt them. Well im hear to stay. Im gonna try to be a positive as i can for yall. So many of you have helped me already, my utmost thanks and gratitude. Im still a free man and becides my usual healthy so i have that. I spent 3 days last week practicing my old craft in my buddys dental lab so now its food shopping. Oh joy!!! Lol. Last time i almost broke my record of 6.5 minuts but i gotta go get ice cream so i wont beat that today. Anyway, love you guys!!!! If your prayers, please pray for me and if not just send some dood vibes this way. Thanks
Heard that. When i had a career and wasnt disabled i hated opiates. Id ocassionally take a norco or oxy with a few beers but i just didnt like them at all. Flasforward 18 yrs and their my life. Whether im abusing or not threre all i think about. My next dose. Usually by the time my next dose time comes im hurting pretty bad. My extended release should help but its shiete. I can understand not wanting to take the fentananyk considering what you do for a living. I cut my finger one day and it was bad. Went and got stiches and got back and one of the assistants asked if they gave me anything and i said no and she went to her locker and have me a horsepill and i took it and i couldnt feel my finger or hand or anything. I had to go home cause i couldnt feel shit. Considering i cut my finger down to the bone it was cool but i asked her next day what that was and she said fentanyl. They dont make pills anymore, just patches but youre def making the right decision
So im going to the post office and theyre is a notorious pothole so i turned left to avoid it and hit it right on. It knocked off my hubcap and bent my rim. Ive called junkyards but its like dealing with children. Toyota wants 120$ just for rim then labor of putting tire on and allvthat shit. Plus its standard 2 hr wait til they start on your car. Screw it. Tire is fine just missing hubcap. Ill get my buddy to help with salvage yards. He speaks their language. When i drove that car while it was my moms i never hit shit and ive hit 3 things in past 2 weeks. Luckily no damage. Anyway, im rambling. Im out
So im going to the post office and theyre is a notorious pothole so i turned left to avoid it and hit it right on. It knocked off my hubcap and bent my rim. Ive called junkyards but its like dealing with children. Toyota wants 120$ just for rim then labor of putting tire on and allvthat shit. Plus its standard 2 hr wait til they start on your car. Screw it. Tire is fine just missing hubcap. Ill get my buddy to help with salvage yards. He speaks their language. When i drove that car while it was my moms i never hit shit and ive hit 3 things in past 2 weeks. Luckily no damage. Anyway, im rambling. Im out
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