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Harm Reduction The Pain Management Mega Thread Version 4

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Look out for those percs lol. Good luck with the surgery. Hopefully they sort your shoulder right this time. Thats alot of meds they were giving you last time. To get oc80 in hospitals here your head has to be falling off or something? I think the doctors taking them and giving us some bullshit meds. The answer to all injuries and pain here are oc10's for some reason. Meanwhile oc80s are on every street corner for 20 miles. This area is all ass backwards and good doctors are hard to find. Corrupt doctors are in high demand in Ny.
 
Well, when I did all the damage, I broke both my shoulders, tore both shoulder labrums, and shattered my knee. Even from an objective standpoint, it was probably appropriate for the situation. Doctors just hate prescribing oc. They think they are drug dealers. Sometimes I think that doctors should have to go through intense hospital care once before they become doctors. Impossible, I know. Imagine though, if your doctor has been in your shoes, everything would be different. When I was talking about my dislocated shoulder with the doc today, and he told me the pain can't last "that long." I asked him if he had every dislocated his shoulder and he said no. So how the fuck does he know? Reading it in a book just doesn't cut it.

In regards to the percs, I think I might CWE the oxycodone from them and dose it out like that. That way I can have some IR pain meds lying around that would actually work. It's not a lot of oxycodone, but it would be enough for 3 strong doses which is all I really need because my surgery is in a week. Hopefully I don't dislocate again.

Btw, I've been very selective in responding to posts on BL for most of the 4 years I've had my account. I'm glad I started getting more active, because you guys may not realize this, but its been very helpful for me to exchange messages with others who are going through similar situations. Seriously guys, thank you so much.
 
Thats interesting, my old doctor said he been thru it, surgeries this an that and never used pain meds. I like ok papi tell me another story. My friend was just shot last weekend. His whole arm is shattered. They gave him some weak morphine the first two days then cutt him off to some weird thing I never heard of. Pain is not being managed correctly in these hospitals. I really don't understand what the big deal is. Give people what they need. If they become addicted now you have a long term suboxone patient. Don't they need business? If not we can get it the old fashioned way. There's no stopping it, doctors are pretending they the only source of pain relief.

I used to do those cold water extractions of codeine, hydro, percs to get rid on the acemetophen. It worked but i think at least a few pills are wasted in the process. That stuff tastes pretty nasty to, haven't done that in a long time.
 
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Yes, people seem to get treated with no compassion whatsoever these days in certain hospitals. Went in in horrible pain and got labeled a drug seeker. Told them I wasn't there for drugs, I had a huge supply you stupid cunts! Absurd to not be treated with any respect or consideration whatsoever.
 
^Happens more often than not. I had to call my GI doc the other day for something, and told them to get reports from an ER because they think from blood work that I have ulcers. I just mentioned it was a pretty serious visit as it merited two pushes of dilaudid and zofran, and couldn't even get the sentence out of my mouth before being told they weren't going to prescribe me pain meds (I didn't ask for any dipshit! lol).

Finally got into a spine specialist and new psychiatrist. Was receiving this regimen:
30mg Norco daily, 1050mg Soma daily, 6mg Xanax daily, 100mg Elavil daily, 30mg Restoril at night, and 600mg Tegretol daily.

Am currently on all the same except my Soma got cut (goddamnit, lol) and got started on 8mg Zanaflex daily. I definitely feel a difference lol.

Not completely satisfied with my opioid or it's dosage as I have a Clydesdale-espue tolerance lmfao. Just didn't want to ask about changing up narcotics on my first visit.

Going to try a caudal lumbar epidural and a lumbar facet injection to see if those help, if they don't will try nerve "frying" procedures to see if they help, and if not, am looking at fusion surgery. :/
 
Yikes. They're going to do nerve abrasion if the nerve blocks don't work? From what I've been told, the blocks are one of the diagnostic procedures to see if they even have the right nerve targeted.

I hear you, I miss my somas as well. I'm on so much hydromorphone right now tho that they won't give me that or the temazepam back. It's probably a good thing, tbh....
 
Ya...they said they'll try that before surgery is considered.

How much dilaudid do you take and how do you take it? I never really have issues combining potent narcotics with Soma/Benzos if I'm not going crazy with it.
 
Well. I had the VERY bright idea many years ago to put the bioavailability of opioids to work for me and started using them by alternate routes. I self-administer micron-filtered shots of hydromorph at dosages between 32-56mgs every six hours or so. It does work extremely well for the pain, but I severely discourage anyone else being stupid enough to jack their tolerance up so high.
 
Goddamn. Ya, that is a lot of hydromorphone lol. Do you ever get used to the pressure you feel as it crosses the BBB? Every time I get shot up with morphine or dilaudid in the ER, I'm just like "fuck fuck fuck fuck" as it does so lol. I hate that shit.
 
No, it's like sticking your finger in a socket, every single time. lol. Then...not much of anything. Still controls the pain tho.
 
Damn lol. I never feel a "rush" in the ER as my tolerance is fucking retarded...not as retarded as yours though lol. Only other opioids I've had IV were fentanyl (very slow post-op and I was in a lot of pain, so I didn't really feel it anyway), demerol (used as an anesthetic in extremely high doses and slowly infused), and buprenorphine, which I never got the feeling from.
 
Does anyone get a taste in their mouth when pushed with morphine or dilaudid in a hospital setting? Every time I get this weird, sweet metallic taste. It's not the taste of saline or anything like that cause it only happens with opioids.
 
Dilly has no taste to speak of that I've ever noticed. I think the metallic taste is from whatever is added to the saline to keep it sterile.
 
I never taste anything but saline when pushed. Though I've never had a shot bigger than 2 or 4mg of dilaudid at a time or 10mg of morphine.

edit: not really the place for this, but I don't even taste meth and I've shot 200mg at once.
 
anyone in here dealing with Sciatica?? hope i spelled that right.

I recently have been trying to get clean from H... one night i threw my dumb ass into PW's with a bupe injection done too soon.

It instantly flared up my sciatica(i ended up in the ER that night), and ever since it seems as tho nothing touches it except for strong opiates such as H, morphine, Fent... etc.

I just this week went to a sub doctor to try and kick the H. now it seems as tho the Bupe either makes the pain worse, or it could just be the difference in the full/partial agonists.

What the heck do i say to my doctor about all of this?? there's no way i can work if my sciatica is this bad... anyone else have a failed attempt at using bupe for pain??


EDIT: a dr once told me that they are thinking of changing the way soma is prescribed/used. he told me its not all that great as a muscle relaxer. he said its being looked at more like a tranquilizer these days... idk if thats true or not, but i noticed you guys saying that your somas got cut. mine did a while ago too. they will only give me flexiril as a muscle relaxer now. just wanted to add that info for ya. :)
 
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Soma+benzo is my go to chill pills. Now I all out of soma but they mix up pretty nice as relaxing upbeat mood etc. Back when I was on all sort of opiates the soma never worked. Now I clean and can see why people like them. Can't belive you did that bup shot after a H. Heard horror stories about PWds but never experienced them really. Few times I told my girl, I not sure if I doing this right so if I get violently sick call an abulance. Glad you made it thru that and lesson learned. That was always my biggest fear when transition from opiates back to bup. Thru my surgeries had to go back and forth alot. Always had me nervous.

Sciatica is a bad one, I know few people with it. Some try battle it with meds but I think core excercise helps more. If your core is strong it takes strain off your back. Start out slow with a balance ball and can do rehab at home.
 
So I got a question that's been bothering me for the last 2 days.

I'm having surgery on wed that will be very painful and I'm worried that I will be under prescribed pain meds during my time at the hospital and after. I'm on 50mcg/hr fentanyl patches and I figured that the docs would consider the fent patch and its associated tolerance, and add on other meds to help with the new pain. I was thinking that they'd be taking into consideration that the fent patches only help for the pre-op pain. Then a friend of mine mentioned that my logic seems flawed. He suggested that the docs will assume that the fent patch is already helping considerably and wont prescribed anything new once I leave the hospital.

This has been freaking me out. I already have a ton of pain that the 50mcg/hr fent patches don't help with. To add on more pain and still use the same med at the same dose would be a nightmare of epic proportions.

Does anyone have experience with surgery while on strong pain meds? Did they add on to cover new pain or did they assume the pain meds were already strong enough?
 
It all depends on your location, hospital and surgeons involved. Some might be helpful and give you an other treatment to deal with post op. Others won't even listen to you and give ox10 like its the only med they ever heard of. Since your already in pain management they should hopefully help you out and make it comfortable. My surgeon didn't care and loved the fact I was in nonstop agony. Thats when I called in some reinforcments-rox30, ox40and 80 and benzos. At least then I didnt want to jump off the roof. Might want to bring your own arsenal or have a friend ready on call if you need it. Being stuck in the hospital sucks, hope it goes well for you.
 
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