WillowBrook 1,277 Views
Joined: Aug 25, '06;
Posts: 32 (28% Liked)
; Likes: 12
I would like to try and give at least a little bit of insight into this situation from a chronic pain patients point of view...and one who is also extremely sensitive to all NSAIDS, cannot take any Aspirin based medications to due reactions with Asthma and has a past HX of Heroin addiction.
As a chronic pain patient, who also has the above mentioned added conditions, there are still times when I need relief from acute pain (for example after falling through a ceiling and injuring my back). As a Chronic Pain patient as well I am very familiar with what does and does not work for me, how much of any drug I will probably need and what I can't take or what is going to be a complete waste of time. So when I present to the ER needing relief from acute pain and I say something like "Tramadol is going to be a waste of time, I believe Fentanyl is more appropriate for me", I am not "drug seeking" just to get a Narcotic I am trying to save the ER staff a lot of wasted time and effort. Instead of just not saying anything and then having the staff only end up having to reassess and change medications and so on if I haven't received what I need for pain relief, thus ending up spending more time in the ER taking up a valuable bed that another patient could be using, I figure it is in everyone's best interests for me to try and make it easier by just stating straight out what is and isn't going to work for me.
I will always try and be as polite and cordial as possible to all ER staff as well; however, if I can sense (usually because their muttering under the breath, rolling their eyes and generally looking at me like I'm the worst kind of scum they've ever seen) that any staff member is being judgemental towards me then I can get a little defensive. I will still try not to be rude but I will try and advocate for myself and be very assertive in letting the person know that their assumptions are very wrong. Unfortunately I know that as soon as I open my mouth and say that I can't take NSAIDS or Aspirin based medicines and they also see the trackmark scar on my arm (I am always upfront and honest about my past history of heroin addiction and I will offer to take a urine or blood test if they want to check what drugs I have in my system) I am likely to be labelled a Drug seeker and that can tend to make me a little defensive and more likely to react negatively to even the slightest hint of not being believed, although like I said I do still try to be nice and polite with everyone.
Willow, you need to ignore the idiocy of some of the posts. It seems like most are truely responding in a caring and interested way. A couple of these posts just prove why you are concerned to begin with. My husband is a chronic pain sufferer and has been treated badly too. I pray that those standing in judgement never have to endure what you and he have.
The nurse that didn't have time to talk to you or your husband about your "pain" was probably doing the documentation and paperwork from her last 10-15 patients that was required by JCAHO. This paperwork had also probably prevented her from getting a meal break or a bathroom break for the last six hours. I'd like to see if you are of the same opinion after you have been a nurse for several years and you see how in the real world doing all that REDUNDANT paperwork prevents you from giving the quality of patient care that you would like to be able to give.
I agree that only someone who is seeking would worry about how not to look like she is seeking. If you are truly in pain, you are not going to care what others think of you or how you apepar.
Thank you for your post's. Have you ever thought about doing public speaking? Your story seems very powerful, you could help people who have lost their way.
Do you find talking about your experience is a form of therapy?
Have a blessed day
LuvmyGamecocks - I was just wondering how much of a difference in attitudes would honesty as opposed to trying to scam produce, but I do agree with what you said. I may not have chosen to be an addict but then again neither did anyone hold me down and force a needle in my arm. My problem, my responsibility to deal with and that responsibility doesn't include wasting an ER's time and resources.
And yes you're right that the physical withdrawal for a Heroin addict is only the first part of "getting clean". The physical side (although it is very painful) is actually the easy part, it's the psychological addiction that is harder to overcome. It is easy to get clean but it's certainly not easy to stay clean.
HA HA HA HA! You are describing so many of my pain management patients. I see this crap all the time, they'll even come in with a police report stating someone robbed them and took that meds! I just write them a script for a clonidine taper and tell them this will keep them out of withdrawal until they can get another refill. I just discharged someone today because I suspected she was abusing her meds...turned out I was right on the money...she tested positive for benzo's and oxycodone, but she was only being prescribed methadone. When she told me that she was getting the other meds from another doc, I showed her the contract she signed stating that WE were the only ones allowed to prescribe a controlled substance!!! She has 45 days to find another physician. I LOVE busting the losers!
Sometimes people truly have untreated or undertreated pain.
Sometimes people are trying to get the meds for someone else.
Sometimes people are addicted and need the meds to avoid the sickness of withdrawal.
Sometimes people just want to get stoned.
And sometimes, the people haunting the ER ARE the ones selling drugs.
Oh and last but not least, the dealer doesn't take medicaid.
One more thing if you notice signs of depression or other mental illness in a friend or family member, don't ignore it or hope it will sort itself out...make sure you encourage the person to seek professional help. A lot of people who take Meth and other drugs are suffering from some form of undiagnosed or untreated mental illness and the drug use is their way of self medicating.
Can you please comment on how one gets approached on these drugs? What may be the reason for someone to try these drugs, knowing the effects that it has on a persons life? Party? Losing weight? self esteem? Sense of family with other users?
I have a son, and I have friends that have children. I want to know what are the signs of someone that is using.
As a former user, what is your thought on knowing if your child is heading down this path?
I totally agree. It sounds like this person wants all of their ducks in a row for the next ER visit.
Thanks so much, I will check out that site
A few thoughts:
* Addiction is more than just "craving for a hit".
* No one becomes a raging alcoholic after their first drink. The same is true for any drug - legal or illegal.
* There are plenty of people who take recreational drugs but don't let it control their lives. There is a world of a difference between "use" and "abuse".
I believe that a good chunk of addiction lies with psychological desire. The physiological dependence makes quitting harder - certainly. But if the psychological desire lesses, the physiological dependence can be overcome.
I'd also like to thank WillowBrook for his/her posts.
TraumarUs - I'm very sorry to hear about your son's situation. It's good that you spoke out about it though because so many people just don't think it can happen to "people from a good home". One of my best friends is battling an addiction to Heroin, he comes from an upper middleclass home, his father is a very well respected member of the community, he was sent to Private School for his education, was involved in Tennis and other sporting + community group, just to give you an idea of the sort of background he has. The stereotype of the typical drug user leads a lot of people to believe that it couldn't possibly happen "in our family". Look around you, your co-workers, friends, family, people on the street etc, anyone of them could be a Drug addict. Drugs don't discriminate.
Perhaps you can enlighten some of us as to the thought processes of meth users. Especially those that manufacture the meth in their homes. As they are making this concoction do they not look at the ingredients that are going into it and think, "Hmmm.....I don't know if this is such a good thing for me to be putting in my body." Or is the need for a high so great that it completely overcomes all rational thought a person might have? Also, do you believe it's more of a physical addiction or a mental addiction, or a combination of both?
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