Fibromyalgia - page 12

What are your opinions, nurses? Is Fibromyalgia a justified condition or just a basket term ? I am interested in your feedback. It seems like we see a large number of patients (usually women) with... Read More

  1. by   Mazzi
    If you know anything about Fibromyalgia----Oxycontin does not help. So why do you all feel that that is why people go to the ED to get. Good ol' Ibuprofin is the best. I have had Fibro (dx) four years ago. Yes I am on an antidepressant but for the pain so I can sleep, NOT for depression. Yes by the time I was dx and went to SEVEN doc before I myself found what it was. I was depressed. Also sleep deprived. After two nights of taking amitriptyline I slept for the first time in six years a full eight hours. My husband came to check on me thinking I was dead. Fibro has gotten a bad name d/t MD's using it as a catch all when they don't know what else to tell patients. So I understand were most of you are getting the idea about ALL fibro dx persons. I just ask you to keep an open mind that in some people ALL their muscle groups hurt some of the time. It is caused by work, stress,(good and bad),diet, and exercise. But it can be controlled when you learn to do all the things needed to keep it controlled.
  2. by   veetach
    Quote from Mazzi
    If you know anything about Fibromyalgia----Oxycontin does not help. So why do you all feel that that is why people go to the ED to get. Good ol' Ibuprofin is the best. I have had Fibro (dx) four years ago. Yes I am on an antidepressant but for the pain so I can sleep, NOT for depression. Yes by the time I was dx and went to SEVEN doc before I myself found what it was. I was depressed. Also sleep deprived. After two nights of taking amitriptyline I slept for the first time in six years a full eight hours. My husband came to check on me thinking I was dead. Fibro has gotten a bad name d/t MD's using it as a catch all when they don't know what else to tell patients. So I understand were most of you are getting the idea about ALL fibro dx persons. I just ask you to keep an open mind that in some people ALL their muscle groups hurt some of the time. It is caused by work, stress,(good and bad),diet, and exercise. But it can be controlled when you learn to do all the things needed to keep it controlled.

    Thank you so much for an educated, civil reply, Mazzi. I have gained much insight into FM from reading posts to this thread, and I hope I have opened my eyes a little.

    I totally agree that some MD's are using FM as a catchall, and by doing so, they are causing their patients to become narcotic dependant, unfortunately.
    Last edit by veetach on Apr 10, '04
  3. by   jelrtLPN
    :angryfire I'm so mad at these posts i could spit, i too have FM, as well as spinal stenosis,3 herniated disks, 2 mild disk bulges, thats at c 3-4,c 4-5,c 5-6 small herniation, this is all compounded by the FM, a back spasm can lay me out for 2 days straight, but i have to work. How sad for other- wise intelligent ,successful nurses, to just blow off a condition they havent reaserched, i take percocet and flexaril to ease those spasms that could land me in the ED, just to make it through the day some times, i have 3 children a husband and more stress in my life than i'd like to admit, so when some one comes to my snf and thier dx is one of many including FM, im particularly aware of the pain and suffering that can and does go on. A day with spasms and pain is a day from H*ll, Please take a look at the patient and the sorounding circumstsances before you pass any judgement. Untill you walk a day in my shoes, or thier shoes, thank GOD, you are blessed by not having too!!
  4. by   RNin92
    I thought the original poster was asking for input?!!
    That doesn't sound judgmental...

    Many of these posts talk about the behavior of people...not the diagnosis.

    Everyone needs to step back a little...
  5. by   nursesherry
    I have several family members who say they have been diagnosed with FM. It seems they were diagnosed after the docs couldn't find anything else medically wrong with them. As a nurse I have seen an increasing number of FM patients also diagnosed with Lupus. Has anyone else seen this?:uhoh21:

    Quote from veetach
    What are your opinions, nurses? Is Fibromyalgia a justified condition or just a basket term ? I am interested in your feedback. It seems like we see a large number of patients (usually women) with "fibromyalgia" and the numbers are getting larger and larger.

    I even had a patient tell me that fibromyalgia patients were predisposed to trigeminal neuralgia.
  6. by   nursesherry

    Quote from spiritus
    i could go on and on...but who cares....not many of the er nurses on this thread.
    nicki, *i* care!! i'm a niurse to be, eithe rin community or a&e which is er
    to my fellow americans!! the economy is crap, the government is crap,
    the president is a real piece of work and i want bill back!!! but since some ]
    irate republican may damn well tar and feather me, i'll shut up now, me, the wide mouthed frog!! i have 'fm. had cfs, also diagnosed as me...and every morning is a struggle, but i am blessed...for i'm that rare idiot(and this is no
    slur on rare people or idjits so puh-leeze don't hit me)that the rest of you would call an optimist...why, i''ll never know...how? i was never a really
    happy or sunny kid, until i died at the age of thirteen....then things got, and i mean, really got, my attention... i realised that it was my choice that i got up in the morning, and i won't go on here, cause you all have heard the "i can do it, so you can too!" speech...for me, getting up in the morning has never had the clarity and resolution that my mother's death has brought, until now...i am more peaceful(although i dread the funeral!), serene, and commonsensical, than i have ever been in my entire life...but my fight with
    fms( i **hate**, as both a nurse, and a patient, the word, "syndrome"!)
    centers on one thing...getting up in the morning and choosing to make a difference in somebody's life...that day. yeah, sure, there are days i really hurt, somedays so badly that i cannot bear to have my believed touch my skin, and he has the most tender touch of any man i have ever know, biblically or otherwise!!!

    nicki, don't give up crying, screaming,k shouting, and getting pissed off about this disease...the people who call you a frequent flier and a wastebasket diagnosis don't deserve the chance to lick your slippers, kid!!!

    vehemently, spiritus[/quote]
  7. by   teeituptom
    Quote from nursesherry

    Nicki, *I* CARE!! I'm a niurse to be, eithe rin community or A&E Which is ER
    to my fellow Americans!! The economy is crap, the government is crap,
    the president is a real piece of work and I WANT BILL BACK!!! But since some ]
    irate Republican may damn well tar and feather me, I'll shut up now, Me, the wide mouthed Frog!! I HAVE 'FM. HAD CFS, also diagnosed as ME...And EVERY morning is a struggle, but I am blessed...for I'm that rare idiot(And this is no
    slur on rare people or idjits so PUh-LEEZE don't hit me)that the rest of you would call an OPTIMIST...WHY, I''ll never know...HOW? I was never a really
    happy or sunny kid, until I died at the age of thirteen....then things got, and I mean, REALLY got, my attention... I realised that it was my choice that I got up in the morning, and I won't go on here, cause you ALL have heard the "I can do it, so YOU can too!" speech...for me, getting up in the morning has NEVER had the clarity and resolution that my mother's death has brought, until now...I am more peaceful(although I dread the funeral!), serene, and commonsensical, than I have EVER been in my entire life...but my fight with
    FMS( I **HATE**, as both a nurse, and a patient, the word, "SYNDROME"!)
    centers on one thing...getting up in the morning and choosing to make a difference in SOMEBODY's LIFE...THAT DAY. Yeah, sure, there are days I REALLY hurt, somedays so badly that I cannot bear to have my believed touch my skin, and he has the MOST tender touch of ANY man I have ever know, biblically or otherwise!!!

    Nicki, don't give up crying, screaming,k shouting, and getting PISSED off about this disease...the people who call you a frequent flier and a wastebasket diagnosis don't deserve the chance to LICK your slippers, Kid!!!

    Vehemently, Spiritus
    [/QUOTE]


    I will give this a 9.5 on the WOWSA pains scale

    I dont understand the "I died at 13" thing
  8. by   veetach
    I couldnt figure that out either, Tom.
  9. by   BabyChainus
    Fibromyalgia a.k.a. muscle fibre pain as the term denotes is a symptom. If accompanied by other associated clinical complaints or symptoms, it becomes a syndrome with unkown origin(which might perhaps explain why at present it is becoming a diagnosis by itself).

    Unfortunately, some doctors are basically abusing and misusing the term. If a patient comes in with vague or actual symptoms(similar to fibromyalgia, of course) but doesn't points out a definitive diagnosis, the easiest thing to do is find a scape goat and basically diagnose it as such. This then makes fibromyalgia a "term basket". It saves them time to do loads of investigations and the term, as it sounds, is basically "posh" and passes our medical lingo.

    However, I do not totally agree that we are all suffering from fibromyalgia due to stress, lack of rest/ sleep and hard work:imbar (???!!??). Pain, being a subjective complaint, is exclusively felt by patients and as healthcare giver our main role is to ackowledge it as such and treat it accordingly. Having said that, most patients who come in because of such clinical sypmtoms usually carry an underlying root cause. If we have an indepth investigation of the root cause, fibromyalgia will not exist at all as a common diagnosis.

    Fibromyalgia is fibromyalgia until all diagnostics has been done and only points out to it. Unless, we go back to basics and do a full assessment of patients (history plus a wholistic approach), it won't be long before everyone is out of work because of it. Social services will go bankrupt, by then. (Tough!!!) The focus however is that patients will be misdiagnosed and will be treated by symptoms (palliative care, anyone????!!!???).

    It is like giving an injection to your head because you have a headache. :imbar Pfffft!!!

    NOTE: This is just a product of my little brain cells working overtime. No offense meant.
    Happy Easter, everyone!!!!!:hatparty:
    Last edit by BabyChainus on Apr 11, '04
  10. by   sbic56
    [/QUOTE]
    I will give this a 9.5 on the WOWSA pains scale[/QUOTE]


    You crack me up.
  11. by   nurseunderwater
    WOWSA pain scale??? Like......WOWSA!
  12. by   veetach
    Quote from nurseunderwater
    WOWSA pain scale??? Like......WOWSA!

    I think it like the idea of having a WOWSA scale... I am sure we could use it in our ER. LOL
  13. by   teeituptom
    Quote from veetach
    I think it like the idea of having a WOWSA scale... I am sure we could use it in our ER. LOL

    Dont give them any Ideas

    ask pt How did your Dilaudid work

    "WOWSA WOWSA WOWSA WOWSA WOWSA WOWSA WOWSA WOWSA"

    tHAT WOULD BE AN 8 ON A 10 FOR THE WOWSA SCALE

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