The answer isss.... We're fucked.
Mr S:
I figured that was the short of it. Understanding and empathizing with opiate addiction, I more apt to say how bad I feel for someone in that situation than pointing and saying "you deserve it".
This probably isn't the best place to ask this question since it's completely off-topic, but I've already done so...and here are some follow ups to whoever willing to answer:
Would/have you admit your addiction and subsequent tolerance to try and obtain more adequate doses to relieve the pain from a car crash or lodged 8mm kidney stone? Would/have you expect any success from this approach?
I wonder if anyone has or would have someone bring in their own stash of dope and load it into the IV port when hospital staff isn't looking?
From some experience, a couple of kidney stones ago, I was Rx'ed 3x 15mg Opana ER/day (the generic that could still be nasal'ed), but was abusing and taking 5-6/day. I believe at this time I also was Rx'ed 4x 4mg dilaudid/day for BT pain. Usually saved those until I was out of Oxymorph, which considering the shitty half-life, never lasted that long.
At this particular time, I believe I was a week out from refill and was actually out of my oxymorph. Because I was afraid that they would ask that my wife bring in my pills for the hospital to dispense as I was inpatient for a couple of days until they could do the surgery... I didn't even tell them that I took the med. From a past experience prior to that, the hospital's pharmacy didn't even have oxymorphone/opana tablets to dispense. And it's not unheard of for a hospital to arrange for you bring your own pills in where they lock up and dispense as indicated on the bottle. Coincidently, I didn't mention the Dilaudid either. Part of me was also embarrassed to admit to these people why a 28 year old otherwise healthy young man was on so much pain medication. Granted it was for legit CP, but I felt like I was Rx'ed a huge amount, and being in health-care industry, I know the judgement passed upon folks like me.
I should have taken the risk, made up an excuse if necessary, and or just hoped that they used the info to adjust my doses of pain medication due to tolerance. It was a shitty Urologist, and Rx'ed me a shitty amount of morphine even for a naive patient. I believe my wife bitched and finally got me something like 6mg once every 3 hours.
The kidney stone pain was intensified 10x due to the withdrawal. 6mg Morphine or not, the IV route's DOA was less than 30 minutes, experienced zero euphoria, only a slight break from restless legs and extreme nausea for about those 30 minutes and 30 minutes only.
The Nausea got so bad (and at this time the hospital had already withdrawn the use of straight IV Phenergan) that I was MAXed out on nausea meds, being given the maximum allowed doses of Zofran, the shitty IV infusion bag of Phenergan, benadryl, even Ativan, and then as a last resort - Halidol. Still puking my guts up until all those meds finally allowed me to pass out for a couple hours. By the time I left the hospital post-kidney stone extraction, I had actually detoxed slightly and despite it all, felt a little better for it.
Still would never like to do that EVER again, and have been completely honest with my RX'ed pain mngmt meds ever since. And as a result, have gotten much more appropriate meds and doses, ie last kidney stone over thanksgiving: while in the ER... 4mg IV Dilaudid, 100mcg Fentanyl IV. Followed up as an inpatient, was allowed 8mg morphine per hour and was eventually sent home with an Rx of 5x 100mcg/hr fent patches (I wear 50mcg regularly, no more pills from pain doctor) and 7.5 percs.
Anyway, unfortunately -- those taking illicit opiates dont have the luxury of legitmately disclosing Rx'ed meds and being treated accordingly.
Now THAT said, the hospital did not ask to see any paperwork to verify my Rxed fent patches. I mean, I had one on... but still.
Makes me wonder if someone could say they were prescribed X amount of this or that (probably shouldnt be too extravagant with the lie), to maybe help match their illicit tolerance?