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First, let me say, as someone who went through a diskectomy/laminectomy about 5 years ago, you have certainly gotten about every rotten break it's possible to get. I hurt just reading your post! As far as pain relief goes, there are others on the forum that can contribute at least as much as I can, but I'll give you my perspective as someone who had to rely on the same drugs for pretty much the same reason. To be completely honest, however, I must tell you I was an rx narcotic addict for twenty years before I ever developed back trouble. So take that for what it's worth.
From the sound of it, the only way you're going to live a life free enough from pain to make it worth living is to freely avail yourself of the morphine your doctor is offering. There are those who think anti-inflammatories are god's gift to pain relief, but they're also all pretty much neophytes who have never experienced a fraction of what you describe.
In my experience, based on the mechanism by which morphine provides pain relief, it is not possible for a human being to use high, frequent doses of morphine or other opiates without becoming habituated mentally and physically. But let's look at that statement for a moment. Our society automatically considers addiction of this kind to be evil, to be a symptom of low moral character, when all it is simple human physiology. There is no morality involved whatsoever.
Yes, if you ever can get to a point where you don't need such strong pain relief, you're going to have to go through a clean, honest, intelligent rehab process. But so what? You didn't ask for this to happen to you. You're no criminal. You're just a human being in unspeakable pain. It is a doctor's obligation to relieve that pain just as it is his obligation to help his patient off of the drugs currently necessary for achieving that pain relief.
Yes, yawning is an early symptom of narcotic withdrawal (or forced viewing of chick flicks). Just don't buy into this idea that becoming habituated to opiates is evil. What else can you do in your situation? Besides, there are new drugs, some of them opiates like buprenorphine, that provide pain relief without incurring as much dependence. Ask your doctor about them.
But above all, Tom, hold your head up high. You've done nothing to be ashamed of. Anyone of us would do the same thing in your place and face the same consequences of having to rely on morphine for as long as you have.
Peace.
You said: "Yes, if you ever can get to a point where you don't need such strong pain relief, you're going to have to go through a clean, honest, intelligent rehab process."
Is there such a thing as you describe? I'm in the same boat with oxycontin. Don't know if I'll ever be in a position where I'm free enough of pain to contemplate getting off that med. But it would be very comforting to know I can get off if that time comes, and do so as you describe above. I'm particularly vulnerable to depression and so I'm, well, terrified of coming off.
Can you advise?
Francoise
chill and worry about what's in front of ya' - trust me "this is the voice of experience" :) you can kick the dope and they get better at making it tolerable every year.
David
If your pain is in any way interfering with the quality of your life, then you must take whatever drugs are necessary to relieve it.
My doctors have so often left me hanging. They don't think narcotics are an acceptable treatment for chronic pain-only acute.
Well, how would they like to experience the severity of an acute pain attack every day of thier lives? I gaurantee they would do whatever they had to do-even steal and lie to get the medicine that worked.
Consider yourself lucky that you have someone who will aggressivly treat your condition-who isn't "gun-shy" so to speak.
Don't worry about addiction right now-you probably are addicted already anyway. You are not a lesser person because of this. You are not weak. You can worry about breaking the addiction when your more immediate issue(being pain) is righted. You have the right to feel good and to function. You have the right to be happy.
Be well. Don't worry. And good luck with your back.
Pixie
If you were in my shoes, you'd take the medication and run. I'd say we were in the same boat, but we're not. Don't take your compassionate doctor for granted. You have bonafide medical necessity requiring pain medication. Tom, I came to this site out of curiosity, thinking maybe I had a problem wanting relief.
How could I have a problem??? I wasn't getting adequate amounts of anything to be an addict. lol
Tom, Cindi, Francios, Silicon, Pixie......What more can I say. You guys, have done a fantastic job.
Silicon,
Where is Dr. Dean now? I used to live in the same city as he did. I used to watch him on the local news.
Annie
I'd also like to believe, Francoise, that detox and rehab techniques themselves have evolved. I know from some research that at least some of them have evolved for the better.
I must tell you that, as one experienced using every narcotic but heroin, powdered and snorted oxycontin produced the most obsessionally addictive reaction of any drug I have ever used, including IV demerol, morphine and Dillaudid. I liken the psychological compulsion to use more and more oxy to my thankfully brief brushes with cocaine in the mid-eighties. And I consider cocaine to be the worst drug in the history of mankind.
Here?s a central source for addiction-related issues not run by fascists but actual doctors. You may find some answers there.
http://www.asam.org/Frames.htm
Of course, even if you never get off of oxycontin, again, so what? If you use it responsibly to maintain an acceptable quality of life and you don?t harm others, than what business is it of anyone?s how you cope with your pain? One other thought: Morphine is considered to provide equal to superior pain relief to oxycontin but is significantly easier to get off of. You might ask your doctor to let you try MS-contin. Just an idea. Good luck to you, Francoise.
Endorphins are the brain?s natural painkillers and sometime pleasure inducers. Produced naturally at times of stress, they trigger the brain's pain fighting/reducing capabilities.
Opiates like oxycontin or morphine or vicodin or dillaudid resemble on a molecular level naturally produced endorphins. The brain mistakes opiates for endorphins. And since part of what the brain does is try to maintain a chemical balance at all times, it reflexively stops or reduces its own production of endorphins. Therefore, when the opiates run out, then patient is left with a serious endorphin deficit that is responsible for what we call narcotic withdrawal.
Where is the human guilt in that? Where is the moral failing in being burdened with this condition after a serious injury and long, painful recovery? IT'S NOT OUR FAULT, GUYS! IT'S NATURE AND MAN TAMPERING WITH NATURE FOR THE NOBLE PURPOSE OF RELIEVING SUFFERING. I SAY PARTY ON!
50 Million chronic pain sufferers nation wide, most undertreated.
50% of cancer patients die in agony. American Society of Oncology
Financial $100 Billion/year due to lost work days and other expenses.
16,500 deaths annually from anti-inflammatory drugs, while safe treatments exist.
Best
Thank you,....Tom G. I look forward to talking to you all soon....
Same sentiments about all the deaths caused by doctors trying to placate their pain patients with what amounts to a spectrum of virtually useless **** known as anti-inflammatories. I know many will disagree, but if a doctor feeds patients these stomach-destroying substances when they could be easily relieving their pain with, usually, low-level narcotics medications, that's criminal in my book -- criminal as in prosecutable in a court of law.
We have no problem with the Nuremberg trials after WWII, which were basically the principals of the Nazi regime being tried for unspeakable cruelty toward their fellow man. What's different about a doctor feeding a passive, elderly pain patient some poison like ibuprofen or orudis or voltarin or daypro, knowing full well that:
1) those meds won't relieve the patient's pain one bit
2) those meds will work away on their stomach linings until they hemorrhage to death.
Like the Nuremberg defendants, doctors unsuccessfully try to claim ignorance. But we all know it's not ignorance. Just as it was murder at Nuremberg, it's murder on a daily basis in our nation's doctor's offices. I think it's time for a medical version of Nuremberg, how about you?
siliconboy: thanks for the details on the buprenorphine. I'm afraid I know next to nothing about bup dosages. I think the key to its success lies in your comments about how bup helps "strip" opiates from the body by binding to the receptors.
Peace.
I have some information for you about tolerance, dependance, and
"addiction."
"This is what distinguishes the pain patient who is tolerant to and physically dependent on morphine, from the addict who is also tolerant to and physically dependent on heroin. Both are self-administering an addictive drug several times a day. But while the addict takes his drug to get high, "mellow out," and largely avoid life, the pain patient takes his drug to get on with life.
"Pain patients, by contrast, couldn't be more different. Being on an opioid allows them to interact with their families, to get out of hospitals, and to go back to work. Indeed, their efforts to maintain their health are in marked contradiction to the utter disregard addicts show for their health. If we wish to equate addicts with pain patients, the more appropriate comparison is with the under treated pain patient."
"He is in the hospital or inactive at home, he is a major drain on his family's emotional and financial resources, and he does not contribute productively to society."
Best Wishes,
Annie
spook,please jump in here and give them the lowdown on how BUP works (again:)...
.http://www.na.org/bull14.htm
David
Doing So leaving your brain on a nice alert Speedy(Dopamine) type of high,not at all typical of Opioids or like Opioids AT ALL(but has the essence of the HIGH).But then again it is only a Week Agonist,I feel it is the ultimate stepping stone to an Opioid free life ,but in the meantime provides a dramatic Neurologally chemical sustrate /ligand HomioEqualibrium conduscient to re-adjust-ment and possibly along with Psychotherapy a prerequsuisite paradigm in total or partial or temporary STRAUGHTNESS.(how boring?!).Well not really boring, just that I love my Highs.And Bupnenorphine is a Rater.
How dare anybody Judge your soul,on the pretence of an extention of your bodies animate programmed actions.
Confusion and deceit dominate the powers that rule those are the very qualities those archaic systems rely upon.
Your future looks bright.
Welcome to the Kingdom of LOve and eNlightenment......
L8R
Thanks,
Frank
This email address is working: ***@****
This email address is working: ***@****
Active ingredient:Buprenorphine, an opioid (mixed agonist-antagonist), is a potent "analgesic" that appears to be effective for the treatment of opiate abuse.
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MACROBID
Active ingredient:Nitrofurantoin, an antibacterial drug,is prescribed for the treatment of urinary tract infections caused by certain strains of bacteria.
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MOGADON
Active ingredient:Nitrazepam,a benzodizepine,It is used for the treatment of insomnia.
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I have been using some herbal stuff that seems to help so here is a list: Kava Kava, Ginko Biloba, melatonin, L-Tyrosine and vitamin B6. I also take milkthistle, folic acid and thiamine. This works for me! J.B.
But seriously their are some very good herbs that can help detox liver and clean kidneys,they can tone the thyroid and breath new life into old lungs,they can put a flutter into a lagging heart and cleanse the Colon and sooth the stomach and quell a tense mind,its just that I will have to go and study it all now.
Without inflaming my addiction to knowledge.
Thanks for sharing it. You are a STRONG woman!!!! Don't ever let anyone tell you any different. You've come out of THAT w/ all your marbles intact. Man you are something else....I'd be committed years now, if that happend to me. How did you ever get through it. I'll never understand. YOUR tough! YOU GIVE ME HOPE!!
lOVE YA!
ANNIE
on my way to bed...bad day..fridge broke what a mess...talk to yall soon love cin
I will ring my Internet service Povider and ask what is going on,they can check their log files.I have recieved email even today from usa and Aus,so I am not sure,I will fix it.I am not playing around with Computer security systems(hotmail) again,well for a while,it stareted this whole problem,they know a lot more about computers than me by far!.
I am just going back to my original ISP with email address of ***@****
You will find time cures this pain and as I said before DYING IS NATURAL.
The type of Love that he feels for you is very immature type of Symbiotic Romantic Love,this type of love is illusionary,in that it has not more reason to exist than for sake of the desire it perpetuates and attempts to satiate.
If he is as emotionally immature as I suspect,then he probably is sociopathic,meaning anti-social behavour and a type of self hate.He will blame everybody but himself for any problems that arise.This type of person typically must hit rock bottom before starting to enter the world of "self" realization,he is far from resecting himself and will take decades to repair if ever.
If you can survive without him,wash your hands NOW and say goodbye PERMANENTLY,then put it down to experience.
If you are trapped in the same Symbiotic Romantic Love Addiction that he is,you will not do this and will suffer much pain unnecessarily on his behalf with no reward.
It is time to move on from this person,his mother will look after him and you need to create a stable environment for your children.
I have always said it is harder to give up Romantic Love than any Drug of Abuse,if you can get off this crazy type of love,I think you will be happier,it is difficult,but remember to really LOVE him you must leave him PERMANENTLY and move on and put it all behind you.
You are doing very well,from what I can decipher from written word and I am sure in your heart you think you love him,maybe you do,but he cannot and probably not within a decade be able to return that love ,so please move on in life,I know how much it hurts,but pain is one thing,this relationship is doing "damage".
Some men take a long time to grow up and one must experience much pain to learn,he is running from pain,give him back to his mother,you are already mother to your OWN children.
Maybe when he is 58 he will have his act together,I am not writing him off,its just that it takes time,a lot of time to wear your life with pride and not stumble on your ego.
I want to Thank each and every one of you who responded to Tom's posting about his back pain and use of MS Contin. I wish I could do it in person, but.....
He HATES being chained to the MS CONTIN more than anything. He HATES not being able to do the things he used to be able to do less than 2 years ago, and you guys and gals gave him the support, understanding and compassion he needed. And you told him the same thing I told him...."take your meds and don't suffer unneedlessly". He's lucky to have a doctor that believes he is in chronic pain and is willing to prescribe the RX's he needs instead of making him suffer on a daily basis. And he still does, trying to stay at a minimum of a daily dosage.
Yes, he is probably addicted to the MS Contin. But being the strong man that he is, he will one day he kick the pills, should his back "ever" become somewhat normal. I have reassurred him that there is help out there once he can start to wean himself off the drug. He's more physically addicted than mentally. Even though, mentally he tears himself up when he has to take more than usual. He absoulty hates the stuff! He never takes more than he has to (and if he does, he is bed ridden) and that's a minimum amount as it is. I have seen him in pain, but refusing to dose himself to relieve it and try to continue on with life.
He's more of a lurker here, but does pretty much read your postings on a daily basis (if he can get on the computer:) and listens to what YOU say.
One day, hopefully, he won't be in so much pain. Then "WE" can use the info we have found on this site to work our way back to a somewhat normal life again without his usage of MS Contin. But for right now and in the near future, our lives revolve around him taking the RX to give him a somewhat "normal and decent" quality of life. Luckily, the Pharmacist is a friend of mine and knows what is going on, so we don't have to deal with people looking down their noses at him. Our family and close friends also know what is going on, and don't judge him. He is more harder on himself than anything and he shouldn't be. He didn't ask for the infection and osteomylitis, which has partially disabled him. It was just bad luck that the Neuro Surgeon poo pooed his pain off as post-op pain, even four months after the 1st surgery.
One day technology will advance to where his problems can be take care of, at least somewhat, to where the lesser drugs can relieve the extreme pain he is in. Hopefully that day will come soon.
Again, Thank You from the bottom of my heart, in the support and understanding that you have shown him. He's a Good Man who drew the short straw when it came to back surgery.
"Toms Wife".............Lynda
I know why he is scared also. He is worried about being a slave to this medication, and what if its abruptly cut off for some reason. There is much that goes through a painers mind. If his doctor is one the highly "informed" ones, than he will titrate the meds down when necessary. There are ways to take care of the physical dependance....there are meds for this too.
Best wishes, and God bless you for being so caring. I know how lonely it can be when you feel that everyones abandoned you, and doesn't understand.
Love,
Annie
I once manipulated a script and the Pharmacy told me what I had done and said I cannot process this you bad boy,here I will let you out(they had auto locking doors)and thought I was busted,but some people actually understand the extremes an Opioid Addict in pain and withdrawal will go to, to get relief.
Sad the the DEA`s do not have more compassion.Or is that a generalization?.I think so.
I think I will email Thomas/Patrick......just to let him know we are thinking of him.
Annie