it's called "addictive behaviour" and "justification".
the continued abuse of opiates muck with the neuro transmitters of the brain...making it hard to "distinguish" what is real pain and/or the level of pain that ones body can handle.
here's where the "addictive behaviour" comes to play. an addict will almost automatically reach for the pain pills to control their pain...never even considering trying an otc product first.
"but my pain is soooooooo damned bad and i cannot bear it"...this is the justification of the addictive behaviour.
is there a difference between being clean and being sober? sure there is! being clean is being free of drugs...being sober is a way of life.
I have to say this is one good thing about being on Suboxone. It's just not an option for me to take pain pills. Yesterday when I got home from work I was in such awful pain. I could barely walk. I took 3 Advil, put my heat pack on and layed down for an hour. Got up feeling much better. Still hurting but it was bearable.
I am required to carry a card in my wallet that says I'm on Suboxone and that I can't have pain meds. I incase I am in an accident or something.
The Sub is giving me time to retrain my brain not to run for pain pills all the time. I do still run for the bottle of Advil though.lol
It's amazing what you can tolerate, when the pain pills are just not an option.
I see many patient who are able to have a lumbar fusion and stay on very light meds..perhaps a narcotic post op then they go home on darvacet or something of that nature..My grandfather took naporsyn for his fusion and was walking the next day..my x-husband who had a dadwho was an alcoholic will not take pills..he had an infected gall bladder removed a couple of weeks ago and managed without narcotics...just saying there are ways to make it...I am going to have a hysterectomy in a few months and talked about it with the md...she said the first day while I am still in the hospital they will give me something IV, the next day I should be ok without narcotics...I have had an abdominal exploratory laparoscopy and did not need pain pills after that..I was just getting scared that reasons may come up that i would have to have them as I have alot of medical issues...I think most all of it can be avoided
agree with that i have had 2 back surgeries tht did not take I have OH and scar tissue comressing 1/3rd of my spinal cord and also compressing the L3-L4, L4-L5and L5-S1 nerve roots I say all of this becouse I take Naprosin for this pain now that I am off the meds and it is not everyday that I have to take that.. also in my job I am doing max assist transfers of patients ranging from 100lbs to 250lbs and I have had them try and sit down or there knees buckle on me and I am stuck there holding that weight this hurts but I use the naprosin for the pain. I want to never have to use that stuff agian that is why I am putting off my spinal fussion until I am sure I am completely off this stuff so I don't go give me give me give me.
I have also seen patients with RSD ( chornic pain syndrome ) that don't use narcs everyday try heat try ice try everything you can before asking for narcs and remember pain is the way your body tells you to stop but there is also a level of pain that everybody can still be functional it is defferant for everyone but thereis a level that can be and should be handled becouse it limits you in that area so not to reinjury our self. just my opinion .... lol
funny, i can smoke an ounce of cocaine, but wont take an advil for a headache. i got shot, refused all pain meds, except wut they gave me to knock me out for surgeries. but no morphine or ne thing in ambulance or er. i think pain is an emotion, and i like to try to think my way past it, sometimes i even relish it like joy or happiness. i use it to my advantage, an my wife says im cukoo!! i just feel for the most part that pain is a feeling, and i am the master of my feelings. some will totally disagree, and i know that most dont feel this way,im just different like that. as for using too hard of pills for certain thing, i have noticed that too. like where you are, docs dont prescribe that hard of meds for lil stuff. 800 mg iboprofen, tylenol 3s and stuff like that are more the rule around here. i try not to hand out advice on pills, but i think that some of these issues can be resolved without the heavy narcotics. just ramblin , guess i betta go to bed.... LOL
WHEN, not IF I get off this stuff completely, I will never go back to this! It's already destroyed enough of my life, and I went through a couple of surgeries before without this stuff. Even if I have to see a Shaman Healer, I'm not doing this again! I think the painful memory of all this will be vivid enough to keep me from going back. I actually was classified as an alcoholic for years by my psych at the time, although I argue that point, because I finally got sick enough from it to just stop! And I can have an occasional drink now and then, so I'm not even sure I was an alcoholic...but I do know I'm an addict and always will be... that never goes away... I'll always have to be careful now...
This is a good thought provoking post. I have never looked at it that way before.