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It’s hard for me to get any real medication for pain, chronic pain. Because of so many shîtbyrds in my state (Tn) the docs are all under a microscope.

I go to a pain mgt specialist and they are with the big hospital. It more of a procedural practice vs a pharamcological dispensary.

My guy is more into electro nerve blocks/ablations instead of pills.

2 weeks ago I let them do a branch medial nerve ablation on my sacral and first few lumbar. Im in more pain now than before the procedure. Sitting here right on a TENS unit.

I got big giant polycystic kidneys jammed all up in my guts pushing on several other buttons causing me havoc. 15 years of roofing and ladders has gotten the better part of my knees and back.

Can’t get any real pain meds from real docs or even get them to try to hear me/understand. Ask for real meds like hydocodone or oxy and youre instantly accused of being a fisher, doctor shopper, smurfer, etc

Gapapentin was strange, I got zero relief and zero side effects from it. A nothing pill for my physiologically.

I have ration and parcel out a few oxys from left over procedures. Mostly just suck it and go down the road, grit your teeth.
Hot tubs, hot wraps, heating pads, braces ice, stretching. Not much help.

That’s another thing. Grinding bone to bone orthopedic issues and the first docs want to do is to send you to “physical therapy”
SMH

Sorry Slum, about you being in more pain than you were before.

God Bless Politicians, Karen Parents, and Doc’s who don’t know jack-shít.

🦫

Components of both but the physical - and changes in brain chemistry - are all too real. I personally know too many highly successful individuals who believed the latter ... until they were found cold and blue. To believe it’s all a matter of will is naive with some of the synthetic opioids available today.

While I use opioids and other meds for my herniated disc personally I think diet has as much influence on pain(inflammation) as anything. When I make myself eat and drink(alcohol) less I always feel better. As Americans we are spoiled and most of us are glutenous. I spent two months in India back in 2014 for work and the somewhat limited availability of decent alcohol and the lack of processed food was amazing for my general feeling and pain level. I felt amazing. I'm a product of grandparents that lived through the depression and was taught as a child to always clean my plate and don't take food for granted. While there intentions were great they created several generations of fat @ss's. Less is more in so many ways. Opioids, food, alcohol, etc. Back to the poster, use your meds as prescribed and don't sweat it. With pain unfortunately you must get in front of it as playing catch up is frutile at best. Good luck brother.

You aren't a doc, not asking you to be one, but...


Father-in-law had some issues and was on a vent for a week.
Last Saturday he jerked the vent out and has done well enough
On oxygen to not need it.

But, he has been as goofy as a bedbug since. In and out, sundowner
definitely. Is improving over the last 2 days.

How long until the drugs/effects are gone to the point that we know
it's not getting any better? Ironically, he got agitated Thursday night
and they sedated him. Since then, he has improved.

I can't talk to the docs, and don't want to bring this up with my wife's
family. They are already stressed.

Take a SWAG?

I guess I see this a little differently than some in this thread. I've been dealing with three bulging disks and a mass pushing on my spinal nerves for the last four months. I've never been in more pain. Thankfully I work for myself. I work for a few hours and then spend the rest of the day in bed. On average I've been spending 16 hours a day in bed.

I can't tell you how frustrated I get at the doctors. They are terrified to prescribe anything strong. We're still trying to get to the bottom of what is going on. It is generally two weeks for an MRI, another two weeks for the doctor visit, another two weeks for more MRI's . . .and on and on. During that time, I've been in horrible pain and they are so afraid to prescribe anything strong that I've been in a lot of pain. When you are in pain you will do almost anything. I'm pretty sure I would use heroin medicinally if I could get it.

Let's take care of the pain, fix the problem and worry less about getting sued. I have no problem being told the dangers of the drugs but let me decide. I'm an adult.

You shouldn't flush that schitt. Makes the turds too happy and "dependent".

Bad for fishes, etc too. .

Unless you have a septic system, vs "city sewer".

I think I had Vicodin once, for either my knee or rotator cuff surgery. Don't remember which.

I wasn't taking it and got told to take it - being in even mild pain would slow recovery. So I did. I think it was a 10 day/2x daily. Never missed it when it went away.

I do keep a supply of muscle relaxant in stock- especially when back-packing. As I age, and get less physically fit (What? me "get in shape" before season? No way!). Charlie-horses get more prevalent. I feel one coming on, pop a pill, good to go. I use maybe 3 a year....

Way above my knowledge base...You need to address this with someone who is actively participating in your FIL's care. Someone who knows exactly what he was and is currently being given... along with his immediate functional capacities..

Addition: And here is an often ugly truth...Many Pharmacists know there stuff, but damn few are as astute as a specialist that does the same thing everyday...The good Docs know their specialty and the role of the pharmacist becomes a background check when it comes to questioning the reasoning for something perhaps out of the ordinary, or as a resource for those who haven't yet had enough experience.....Sometimes we catch things and sometimes we learn things

I have a family member that got addicted to pain killing opioids.
Progressed down that ugly path for quite a while....his life is an absolute mess.
Be careful...you don't want none of that.

Opioid loading has been pointed to as an example that opioids don’t actually work. Some pain sufferers will have the meds changed to more potent opioids or seek to increase the amount of pills they take because their original prescription isn’t staying in front of their pain...

This may have played a significant role in creating the legislation against opioids, coupled with short term prescription users hitting the street for stronger drugs to get high that lead some to overdose in numbers.

People can become dependent on pain meds over time. Many, layman politicians and professionals will confuse dependency with addition.

Being dependent on meds to reduce pain levels isn’t the same as being addicted to the euphoric side effects some opioids can offer. Dependence on pain reduction through a pill isn’t addiction!

Addiction can lead a person to the street for anything to get the same *high* they felt taking pain medication. This group is still actively seeking street drugs, or is, in and out of rehab, maybe dead from an OD.

Now dependent users for pain management, based on actual, long term medical conditions seeking professional help, become despondent over being treated like a drug addict.

They are made to participate in therapeutic treatments that are more costly, less effective, and will either live a less fulfilling life due to chronic pain, lose a liver or kidney due to OTC meds, or eat a bullet from pain, frustration, and a failed medical system.

🦫

Thanks. Hadn't considered you wouldn't know exactly what
he has been given.

"Father-in-law had some issues and was on a vent for a week."

I read somewhere that if you are on a ventilator for too long you will have brain damage. I think too long was 6 days or more.

Somewhat agree on all but the J&J part. Doesn't really explain the clean reference though. It's a natural compound modified into many other drugs - hydromorphone, oxymorphone, codeine, and yes heroin. Close cousin to oxycodone and hydrocodone.

Know an individual who went thru two knee replacements that didn’t work. Now did he do the PT? Don’t know, but his knee looks like someone stuffed one of those round watermelons in there. Older, and until a couple years ago, worked regular as a carpenter. On10-12 oxycodone a day, when he can get them and is not addicted, but has asked them to take his leg off at the knee because of the constant pain.

As of last year, they wouldn’t do that either.

I've gone through a similar thing. I went to pain management in about 2013 for severe central stenosis at L3-L5 and several other spinal problems. They got me started on hydro for a few months and then once I was physically dependent they started with the you need to let us do another flouroscopy guided steroid injection, facet denervation, branch block etc or we won't refill your meds.

None of their injections worked but they charged about $5,000 each. They charged about $20,000 to do some sound wave nerve killing thing on my facets even though my problem was my central canal was supposed to be 15mm but was down to 5mm.

They had me put off surgery for over a year while they gave me pills and tried all their expensive procedures over and over that never worked.

I finally ended up with caude equina syndrome. I was driving to SLC to fly to Illinois for a business meeting. I stopped to take a leak and couldn't pee after 4 bottles of water. I couldn't feel anything below the belt. I felt like I'd just rode a bicycle 200 miles to SLC. I drove right past the airport and headed to the hospital. The neurosurgeon sent me right into an mri at 5:30 PM. It came back positive for caude equina so he did surgery at 7:00 am the next morning.

My surgeon was pissed when he read my records from pain management. He said steroid injections don't work on central stenosis and all the nerve denervation and other procedures were a waste of time and money. He said I should have had the surgery a year ago. He pretty strongly hinted that my pain manager got me dependent on pills so he could make money on all the procedures. Two weeks after surgery or so I flushed what I had left and went cold turkey after a year of everyday. It was hell, especially the first week.

Unfortunately they found out years later that I had ankylosing spondylitis and that's what closed off my spine. It also caused heel spurs and knee spurs so I've had to go back on and off pills for other surgeries and severe chronic pain. I hate the pills but also feel they saved my life when I was at a point I didn't think I could go on. They also gave me the ability to function sometimes when I wouldn't have been able to.

I know they need to watch them but it sucks how many people are left in severe pain because the Dr's worried big brother will second guess him. It's driving people to the streets where they are dying from fake fentanyl laced stuff or heroin or they drink themselves to death. You can only handle severe pain for so long without some kind of relief. The lack of sleep and depression from pain are at least as dangerous as pills.

The left screams it's my body, it's between my Dr and me, but seem ok with the government interfering with every other aspect your health care. Nothing screams not a free country like having a far away beurocrat who knows nothing about you making health care decisions for you.

Bb

This right here.

Your average pharmacist has seen many hundreds of drug seekers/addicts and deals with them on a daily basis. Those 10-25% of customers result in 75% of the daily headaches. He did you a favor but could have used better language as mentioned by battue.

I took it after shoulder surgery. I had never really taken it before, but the doc told me to take it regularly and not allow the pain to start, because it was hard to stop once it started.

I took it as prescribed for two days and nights and it made me lose my mind. My wife said I was saying stuff that made no sense and I wasn’t even aware of it. The end of that [bleep] for me came when I thought I had ants crawling all over me that 2nd night of trying to sleep in the recliner.

I will never take it again.

"doc told me to take it regularly and not allow the pain to start, because it was hard to stop once it started"

That's bad advice and the reason people get addicted to pain medications. Pain medication should be taken only when needed. After rotator cuff surgery I was told by the Doc to take one Oxycodone before I went to bed that night and then one every 6 hrs after that. I took one when I went to bed and another one about 6 hours later when the nerve block stopped working and woke me up. I took 2 of a 30 tablet prescription and could have gotten another 30 tablet refill. I still had pain but it was just an aching pain that was easy to tolerate and that pain was gone by 7:00 ppm that night.. The aching pain was was nothing like the sharp pain of a herniated disc. With a herniated disc I only took one Oxycodone at bedtime hoping to would help me go to sleep and it did help (for about 30 minutes). The rest of the night I had to depend on endorfins for pain relief and a little sleep.

For the people who believe that opioids aren't addictive Brett Favre was taking 60 tablets a day before he asked for help. I know that some people have to take opioids for constant pain. These people tell me they get much more long lasting pain relief from pot, can sleep through the night and wake up feeling great.

Since it was during the season and in his playing days....
Wonder we’re he got them? Surly not from inside the organization. Well maybe....however odd since it is confession time he didn't mention being out on the street buying from the dealer.


“I was basically taking, in two days, a month’s prescription, which is crazy,” Favre said. “During the ’95 season I had a seizure the night before a game.”

Given.🙂