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Question about Pain Management

I've been giving this a lot of thought.  Because opiate withdrawal is not life threatening, doctors are handing these things out like candy.  Yes, you get that little pamphlet advising you that these drugs can be addictive.  The truth is that these drugs were never intended for long term use.  I think it would only take a few minutes out of a doctors time to show you a short video of what these drugs can do over prolong use.........addiction and dependence is a very fine line and showing a short video of what one will suffer as a result of prolonged use (watching someone suffer withdrawal) as a possibility may make the patient make alternative choices.

There is no reason that I can see for doctors to be prescribing medications that at one time were strictly for patients on their death beds.........virtually nobody reads those pamphlets anyway, so where does the responsibility lie?.......If you are informed correctly, then your doctor can accept no blame.

Nauty
56 Responses
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441382 tn?1452810569
Thanks.  You're made some pretty awesome contributions yourself.  :)

Ghilly
Helpful - 1
710547 tn?1295446030
May I suggest that those of us who have a legitimate need to take narcotics due to a real medical condition or diagnosis hold our heads high with dignity and grace?  I am not offended by naughty's remarks.  I am saddened by them.  It is usually the case that when a person lashes out at others with accusatory words and condemnation, they are feeling less than confident themselves.  Those of you who know you've tried every method possible to control your pain, but who have failed to get relief; you know that your drug use is necessary and appropriate at this point in your life.  You do NOT need the approval of anyone on this forum, in your family, or anywhere else.  It is unfortunate that the public is, for the most part, ignorant about narcotics and their use.  If someone wants to argue semantics with you, saying you're addicted - I for one, say, yes, I'm addicted - but it's due to having developed a dependence to a medication that I need to control pain from my MS, Sys Sclerosis, Osteoporosis, Degenerative Disc Disease, Interstitial Cystitis, Peripheral Neuritis, Pulmonary Hypertension, and Arthritis.  (that's not the complete list, buy by then, whoever I'm with isn't listening anymore lol)  I would have to go through withdrawal to stop, but, I would have to restart, as my medical condition hasn't gone away, but continues to progress.  

Those who can manage their pain without narcotics, by using biofeedback, or tens units, etc., should do so.  I'm glad naughty finally found out that she was on a drug she didn't need, which wasn't in her best interest.  It's a shame she didn't choose to read the drug information that comes with every prescription  That  is something every patient should take the responsibility to do.  Doctors are humans too.  There are good ones and bad ones, and no one has any guarantee that they're going to have a doctor who always makes the right choices for THEM.  They might make that same choice for someone else and it would be right.  That's why we have to be informed and be our own advocate.  Perhaps she feels self anger for not having researched the drug she was prescribed, and for too easily going on a drug for a condition that hadn't been diagnosed (?) and that didn't need such a powerful drug as a solution.  Perhaps she is once again not taking the time to consider that the people on this forum are not her; don't have her same condition; don't have her same level of pain; and have already tried all those other things first that she is just now utilizing.  And why she thinks the 80's didn't have doctors giving narcotics, and now, they're given out like candy, I'm not sure.  I got narcotics in the 80's - but then, I had real conditions that needed that type of treatment.  There was a review of the practice of narcotic prescribing a decade ago or so, because too many people were being denied with chronic conditions due to the fear of addition.  What they discovered was that this was largely the elderly, who didn't have the addiction threat due to their reduced longevity, and that those who take narcotics for pain were found to react different physiologically from those taking them for a high.  As I said in another post - amount, frequency, reason for dosing etc. - these things actually effect how the drug becomes addictive.  THIS DOESN'T MEAN THAT IF YOU TAKE AS PRESCRIBED - YOU WON'T BECOME DEPENDENT/ ADDICTED - OVER TIME - YOU WILL.  It's a problem those with severe chronic pain accept in order to live a life with some semblance of quality and grace.  Anyway, more pain management drs showed up to help manage those with this need.  It's a form of medical abuse to not treat chronic severe pain.  But it is still very highly regulated.  Some doctors are just more cautious than others.

I would suggest that if there are posters out there who have discovered alternative methods of dealing with pain - share them with us - inform the community of the different things that work for you.  But don't chastise the methods of others whom you don't know and whose conditions you don't know anything about.  That way, we can all learn from each other in an atmosphere of acceptance and support.  Isn't this supposed to be a forum for support and information dissemination?  There's no doubt an anger management forum somewhere if your goal is to put others down. I don't think anyone should have to defend their treatment plan, decided on with their doctor, to a stranger online.  But hearing all the options that others have tried?  Of course - I want to hear about everybody's experiences.  I might learn something useful.

I wish everyone a day of pain distractions and a moment of true joy!  Blessings, Jan
Helpful - 1
Avatar universal
Wow!  some I come back to the States and what an a$$ whippin given.

First of all. I think my posts were poorly written, and read.  I am not trying to say that their are not people who need narcotic meds. to have quality of life.  There are a lot of fakers out there that make it hard for people in "real situations" to get the meds they need. As far as my statement about doctors "handing them out like candy"  I speak from my own personal experience.  I have 3 friends who have injuries, surgeries ...bla bla...that no longer really need them, but run to the doctor buckled over in fake pain and are getting drugs like Morphine w/percocet for breakthrough pain and are now at their limit, and it willl eventually happen to anyone who takes these kinds of drugs.  

I guess what I am really trying to say is .......Not all, but most of the time you WILL reach that tolerance level and then you will be pulled off the meds. and the a lot of doctors are not sypathetic to a patient who is going to suffer the reprocussions of the meds He/She put them on.  

Some people are very lucky and can maintain on a level of narcotics without having this problem arise, but SO MANY pain management patients eventually end up in the "addiction" fourm and I feel awful about it.  I am not trying to slam anyone.  I am not the most gifted with words and certainly can't speak for all, but to the person who went to the ER buckled over in pain.  You were rejected or referred to "Pain Management"  because they thought you were a drug seeker.  I am not talking out of my A$$  I get this information from a VERY reliable source.  1. a Nurse Practioner.....2.  a Doctor himself and 3. an ER nurse.......

I realized quickly that using narcotic meds. for my chronic pain would eventually reach the point that if I continued I would need stronger & stronger meds. which eventually would lead to be cut-off because thats it !  It will happen to many pain management patients and it makes me sad.  It was not my intent to offend anyone, but I stand firm on the use of narcotic meds.  I think they are just a vicious circle.

I am in constant pain and have felt the same feelings that some of you have felt.  To the point of ending it all because of the lack of quality of life.  It took years of depression and adjustment and I accept that there are just some things that i can't do anymore.  

Don't think I don't understand about Chronic Pain.  My heart goes out to anyone who has to suffer as I do.  What I have done is made a person choice and life adjustments.  Non-narcotic meds. which barely get me by, but I never want to suffer through that circle again.

I apologize If I offended anyone.  It was not my intent.  but, I stand by what I say.

luv,
Nauty.........
Helpful - 0
Avatar universal
Quote:

" I am not the most gifted with words and certainly can't speak for all, but to the person who went to the ER buckled over in pain.  You were rejected or referred to "Pain Management"  because they thought you were a drug seeker.  I am not talking out of my A$$  I get this information from a VERY reliable source.  1. a Nurse Practioner.....2.  a Doctor himself and 3. an ER nurse.......  "

- That was me you are talking about.

You obviously don't have the slightest idea what I've been through(and continue to go through), nor do you understand a great deal. There's just no point trying to explain it to a brick wall. It's about time you understand that humans need to take responsibility for thier own actions. You were not responsible. I am. I don't want to take this ****, but you loved it didn't you? That's why you're an addict and I'm not.
Just like your 3 friends are addicts, they choose to keep going to dr's faking it to get drugs. Here's the difference - I'm not faking it. Do you understand that?
It ain't rocket science.

Nick.
Helpful - 0
495284 tn?1333894042
Well nick here i am!!!!!   LOL

I have read each and every post on this one and i have even posted on the pain management forum before.  Here is where i stand......I am a recovering addict.  I have noone to blame but myself for my addiction.  I looked for that high and i did everything i could possibly do to make sure i got that high including lying and using doctors or whoever else i could.  I didnt care who i took out along the way as it was all about me.   Here i am today......just celebrated my 1 yr clean date.  I have met some really great people on this forum and a couple of them are from the pain management.....i read about their struggles with getting their meds and the pain they live with day to day.....it saddened me to know that i was a part of the reason why the medical professionals are so uptight about handing out pills.  It is becuz of people like me who used and abused them for so long.  My pain was not always fake but it sure wasnt as bad as i made it out to be.  I never planned on being an addict but i am.  The pain meds are there for a reason.......pain.  Where i am from they are making it harder and harder for the addict......not the person who is taking them responsibly.   I wish you all well..........sara
Helpful - 0
Avatar universal
Yes, I do understand.  when I made that statement I was speaking for the way that the doctors think.  They have seen it all, and when you went to the ER in serious pain this is the way they think because of all the drug seekers, and I have seen what people do.  I will never forget a post I read over a year ago that someone posted on the addiction side.  He stated that he took a brick and smashed it onto his own foot so he could go to the ER and get meds......

I do believe that people can take their meds. responsibly.  But, like a bad movie, it will have to come to an end.  That's the way I feel about these meds.  I have a strong opinion about this and I mean no disrespect to anyone.  I speak only from the heart and concern for any chronic pain patient.   I AM ONE  I am in pain EVERYDAY of my life.  I just see what these drugs do to many people over a prolonged time.  They are not meant to be taken long periods of time.  They destroy you!!   Don't you get it?  I am sorry you have such anger against me for how I fee, but guess what?.....I am saying this because I care............that's it.

luv,
Nauty...........
Helpful - 0

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