I have finally had it-I'm giving up - page 2

I'm giving up on ever being painful or even close to it. I spent a whole year in and out of the hospital with kidney stones, bladder infections, etc. Finally found someone who would actually listen... Read More

  1. Visit  sandey37 profile page
    0
    please dont give up, you can still find some help
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  3. Visit  Tenesma profile page
    0
    there are many treatments for interstitial cystitis - including some cheap medications - some bladder treatments by urology, and then finally sacral root stimulation implants.

    go online and read up about it...
  4. Visit  CaseManager1947 profile page
    0
    I know I'm probably late to post on this forum, but as a chronic pain sufferer, I want to put in my 2 cents. I have been a nurse 36 years, and for the past 6 of those years I have been in constant pain. I was diagnoses with 3 level disc disease (disc degeneration) + osteoarthritis of the spine. I'm still working, I have to use a scooter to get around. IO'm lucky that I'm in a position to do that. otherwise, I'd be unemployable. I have a PCP who finally prescribed some opioids for me, but has been trying to taper me down for the past 4months. I cannot stand to cook a meal, doing laundry is very difficult, as I can't carry it up and down stairs. I have had PT/OT out the wazoo, plus back injections --no help. Surgery is not an option. My reason for posting here, is physician's do not listen to their patients in pain -- if we don't hear you, then we don't have to do anything. I am considering changing PCP, knowing I will be branded a "doctor shopper" and a "drug seeker", but hey, all I want to do is try to keep working and maybe be able to cook a meal once in awhile. This does get so depressing, and when I brought up patient rights and what was his alternate "treatment plan" he started rattling off meds we'd already tried, or are currently using to supplement. Is it just me, or does medicine not get it????? I have a right to pain relief, so I can have some sort of a life.


    discouraged and depressed
    morghan:angryfire :angryfire
  5. Visit  amygooch profile page
    0
    I realize that your original post is a year old, however I wanted to give you some info, in case you are still suffering, or someone else reads this who has IC and is suffering.

    I also have IC (Interstitial Cystitis). It can definately be debilitating, however, there are lots of treatments. First of all, I recommend that you visit www.ic-network.com It is THE site for information about IC.

    There are many treatments that you havent tried yet, so please dont give up! The standard treatments are Elmiron, ( a med to coat the bladder), Antihistimines (such as Atarax, to inhibit mast cell production in the bladder), Elavil, (an anti-depressant that also seems to help some with Neuropathic pain..which some believe some forms ofIC to be), Vesicare (or similar meds which help with urgency and frequency and also help with bladder spasms), Urimar-T or similar meds, (these also help with urgency frequency, and help with the burning upon urination), Neurontin or other drugs in the anticonvulsant family (if yours is thought to be from Neuropathic pain.) There are many more, but these are a good starting place.

    Also, of tremendous importance is following the IC diet. There is a link for this at www.ic-network.com This single steps helps some of the milder cases so much that many are able to control their symptoms with diet only! However, it usually takes a few months to see a noticable difference. Some examples of trigger foods for most: Caffine, spicy foods, alchol, cigarettes, citris foods, acidic foods and beverages, and many more. PLease check out the link I gave you. You will be so glad you did!! OH, one more thing!! NEVER drink cranberry juice, no matter what your well meaning friends and family may tell you!! It is EXTEMELY acidic and will cause you SEVERE pain!!

    As for pain relief, most ICers cannot take NSAIDS, including Motrin. If you are taking it, that alone could cause you to go into a flare!! Several patients do well with meds instilled directly into their bladders via small caths (5 French, aka Infant feeding tubes). These are called Rescue INstills, and can be done at a home. They contain Marcaine or Lidocaine (To numb the bladder), Heparin, (to thin the walls and help the Marcaine absorb), and Sodium Bicarb (to neutralize the acidity that may be increasing your pain.) I do these at home now, daily, as needed.

    Also, there are good pain clinics out there who can help you if pain is a big factor. However, many Uros will only send you there as a last resort, after everything else has been tried. (Not, all, but a great deal of them). I currently utilize the services of a pain clinic. I am on all of the above, in addition to 30 mg Kadian (24 hour extended release Morphine), and Lortab 10mg for breakthru pain. However, it was NOT easy to get referred there and was a long time coming. I also have Lupus, Endo (that had grown thru my bladder), Fibro, Vulvar Vestibulitis, and a few other things. It STILL took a long time to get pain mgmt, which I find inexcusable. Even then, at my first appt at the pain clinic, the pain Dr. asked me, (in a very demeaning manner), "Is IC honestly that bad? I mean, I dont have any other IC patients under my care! If it were REALLY that bad, wouldnt I have other patients being sent to me with this?" To which I replied, "Yes it is honestly "that bad", and obviously my URo thinks so, or he wouldnt have referred me here. And obviously my Gyno and PCP agree with him, since they wrote letters for me to disablity stating that they agreed with him that my pain is incapacitating and agreed with him that I should be declared legally disabled! And since the SSD Drs agreed, and a judge, I am now medically and legally disabled b/c of it. However, if the word of 3 of my Drs, 2 of SSD's Drs, and a judge for the federal govt arent good enough for you, then I seriously doubt anything I say will make much difference to you!" (It had taken me YEARS to get the pain relief I deserved, after suffering all day every day, and then to have this jerk act like I was just some drug-seeker was more than I could bear!) After I said all that, I got up to walk out, and he apologized for offending me. It took a while, but I am finally on the right dose for me. You will get there too. But whatever you do, do NOT give up!

    If you ever need me, or want to talk to someone who understands, feel free to pm me. I will be glad to help you anyway I can. I truly feel for you....literally. I hope that you have relief by now, but if you dont, then I hope this helps. Sincerely, Amy G.
  6. Visit  BSNtobe2009 profile page
    0
    Call back the insurance company and ask for an emergency review on those meds...if your pain is unmanageable, and over the counter meds are not working it's illegal for the insurance company to refuse to cover the meds and not offer an alternative when there is unmanageable pain involved.

    They have nurses and doctors that review this information. I would also talk to your employer benefits department and explain to them what is going on, and the can help you with the appeal as you need to be focused on your job and not your pain.

    I'll be praying for you.
  7. Visit  Mayberry61 profile page
    0
    Hi,

    I too was finally diagnosed with interstitial cystitis Dec "05 after bouts of kidney stones and bladder infections. I went to a urologist and he is wonderful. He started me on Elmiron and Ditropan XL along with urogesic blue and was given Mobic for pain. I know what you are going through it is not in your head. My mom has it also---it can be hereditary. I'm pain free now and just on Elmiron and Ditropan XL--still have kidney stones that are being watched but never have the pain in my abd and burning. Hope this helps.
  8. Visit  Comanche_1 profile page
    0
    DO NOT GIVE UP.
    Let me tell you this. I am now 21 yo, had a bad wrist/upper arm fracture 8 years ago. Lived in chronic pain for about 4 years after seeing my GP multiple times. Went to a different doc who finally said enough is enough and sent me to a plastic surgeon, had surgery but still had pain afterwards. He said there was nothing else he could do for me and sent me to an orthopedic surgeon who tried 2 seperate procedures. Still had a lot of pain even then! He then sent me to another surgeon who ended up partially fusing my wrist BUT after trying and trying I finally got the right treatment for me. All this happend for 6 years! I had given up on becoming a paramedic, I had given up on horseback riding, I had given up on everything.
    Once I finally recovered from the fused wrist I started to have a wicked set of plans for my future but then came along a hip problem. Same story again, had to get tests done but came accross some wonderful doctors and surgeon. Had surgery 2 months ago but not feeling much better. I have finally given up on paramedicine. I am a registered EMT tho.

    BUT

    I refuse to give up now! I did it, you can do it! It will take the next 2 or so years of more surgeries on my hips before I think im going to be able to go back to school (thats where the nursing comes in) because I can no longer do EMS, but I have not given up.

    TRUST ME, where there is a will, there is a way. GO for it!

    You are welcome to pm me if you need a chit chat
  9. Visit  SarahRNBSN profile page
    0
    ER-RN2, I feel your pain, I was diagnosed with IC about 1.5 years ago after 1.5 years of being misdiagnosed from various doctors. Its so frustrating when nobody understands the extent of the pain, and the detriment to your quality of life. My urologist referred me to someone who specializes in treating IC, and my life has been much better as a result. Have you looked into any providers who specialize in treating IC? PM if you have any questions.
  10. Visit  ProfRN4 profile page
    0
    I have to say, reading these 'pain' threads are a bit discouraging to me, both as a nurse, and as a family member of somoene who is in pain.

    I came into this forum looking for some insight. Sorry if this is a bit of a hijack. My bf had spinal surgery 2.5 weeks ago, after years of back pain. His L5 disk was pretty much gone, they replaced it with a cadaver and fused it. He is up and about, going to his second outpt PT session today. IMO, he is doing very well, but still says he is in pain. He is on oxycontin, and still c/o a tingling next to the incision (when he is standing, walking, or exercising). I asked him about a million questions related to his pain. Then I asked him if anyone has asked him this many questions about his pain... his answer was 'no'. He sis tall the PT about it, and his answer was 'we have to stop PT if there is tingling'. I told him he needs to be more proactive in this, and we need to find out what is causing this, because the answer is not more drugs. I am already not happy that his surgeon gave him a scrpit for 60 pills and said 'see you in September'.

    I used to work in Peds Oncology, where we gave out narcs like it was candy, so that's not my issue. My issue is that he is not being properly assessed and reevaluated. And yes, call me crazy, but I am very afraid of dependence, so I don't believe more drugs are the answer. In school, we teach our students that there are other alternatives, nonpharmacological methods. Should the PT office (who is affiliated with the surgeon) be evaluating his pain? Should there be some kind of pain management team there?
  11. Visit  chewchabuckala profile page
    0
    First let me say, I understand all about chronic pain, and you truely do have my sympathy.
    I have had chronic pain syndrome for about 5 years now. I suffer daily.
    It wakes me from my sleep, so, of coarse my sleep is broken up, my self asteem has really taken a hit, and I keep getting told, learn what your limitations are and work with-in them. OK!
    Knowone can feel your pain. It effects everything I do. I had to quit nursing 4 years ago. I fought hard! Had splints on my hands, bedroom slippers on my feet, and knee braces. All I could do was, eat, shower, work and sleep. I had no time for my child or my husband.
    My conditions can not be "fixed". I take alot of medications, and that is what worries me. If I don't take them I am flat on my back, breaks the pain cycle and I end up having to go for an IM injections to the doc's office. I will tell you to hang in their. Is it that you have to much calcium in your blood? Is it or something your ingesting causing these stones? You probubly can tell through your education and some research just what's up. Do you take IM B12? Have you tried eldeberry extract? Who sent you to a pain clinic? Neuro?
    You hang in their. I believe in pain management. Some nurses don't like to give pain meds or suggest to the pts doc they need something.
    What's your take on that? I know when I get admitted (to often to suit me) it's the same senerio, "Look at the meds she takes". Well, I would gladly give my handicapped sticker, all my meds, and my meager
    SSD to whomever wants it if they would trade that to me for their good health. Many of my problems began when I had radiation to my thyroid and the rest I was lucky enough to inherit.
    I've been thinking about a pain clinic. Could you share your experience with me through private EM?
    Good luck to you. I'll keep you in my prayers!
    Chewchy
  12. Visit  deeDawntee profile page
    0
    Please don't give up ER RN2!!
    I am soooo sorry that you are having to go through all of this, it is so absurd, I can't even tell you how much I feel for you. Do you have anyone who can help you make calls and write letters? It can be sooo hard to do that stuff alone. There has to be answers for you. Don't give up, keep fighting!

    Do you believe in a higher power? I do believe in the power of prayer.
    Might help?

    icon_hug:
  13. Visit  Medicine Eagle profile page
    0
    I know what you are going through. I am an ER nurse and I have had multiple injuries to my back at work(due to understaffing/no help lifting), and car wrecks. So I had severe back pain I lived on 1200mg of ibuprofen every 6 hours with 1500mg tylenol and 880mg of Alieve every6 hours. I am fortunate that I don't have liver and kidney damage, but I am the single parent of a very sick daughter and 13 mo son. The day my son was born a resident anesthesiologist spent 15 min. digging into my SPINAL CORD, before the attending stepped in and got my spinal block in 2 sticks. My c-section incision wasn't bad but my back pain was so severe that I could not sit, stand, or lay down without severe pain. I kept telling the nurses and docs.
    Finally one of the Anesthesiologist came in and flat out told me that there was possibly permenant damage to my spinal cord nerve roots. He said the only treatment was narcotics and with any luck it might go away in 6 mo to a year. They still were not treating my pain, so I kept complaining. So they said they were putting me on Neurontin. I was breast feeding so I asked the Doc. up front is it safe while breast feeding. Without even checking she said "of course". After looking it up, you are never supposed to give Neurontin to a breast feeding Mother. It is one of the few drugs that goes into breast milk in the same strength as the mom. I took 300mg and next breast feeding my son got 300mgs. They put me on Neurontin and my son started loosing weight and his bili levels going up. I refused to allow them to give him formula while under lights, I pumped milk and they gave him that. Then strange things happened to me. I stopped bleeding completely, and started falling asleep without warning. I fell asleep while holding him and the nurse that found us sleeping(with rails up) didn't say much to me but documented out the wazu. It ended up with them accusing me of Munchausen By Proxy disorder. They said that I was deliberately making my son sick to get attention. Long story short. I was escorted out of the hospital by armed security officers and had court the next morning. I was notified at 6pm, so I had to defend myself. Fortunately the Judge didn't completely buy it. They were demanding that my son be placed in foster care for a 60 day eval.!! He ruled that I could take my son home with me if we lived with my Mother until court. I went back to get my son, and his BP was double what a normal babie's BP should have been. He was stroke level! I finally figured out that it was the Neurontin and threw that crap in the trash. He got better , after 3 weeks the Neurontin finally left my system and I could resume breast feeding. The judge ruled in my favor thank God. However, my back pain is keeping me up day and night.
    I go home to my PCP he put me on oxycontin which helped a lot but hen weaned me off to Vicodin 10/650 Q4 hours. Sounds like a lot to most but I have to take it every 4 hours or I can't even pick up my baby. Now he is trying to wean me off that. I can't take it. I also have other pain issues,but the spinal cord damage is the worst. I don't know what I am going to do. I have to work to take care of my kids. Also my daughter is very sick and no one will treat her pain. We are planning a trip now. She is being granted a dream from the Dream Factory b/c she is terminal if she does not have an extreme neurosurgery. She has already had 43 brain surgeries in the last 10 years. She will be 16 this Nov. and her pain has never been treated well. Once she was given dilaudid in the PICU and she thanked the nurse over and over b/c that was the first time her head had not hurt. JACO standards says that we have to treat pts pain. I can't tell you how many heroin addicts I have had to get high in the Er, b/c of JACO regs. But, my daughter and myself can not get pain management. And as far as Elavil goes been there done that. Topamax been there done that. I like another poster here would gladly give up the pills and lack of sleep and pain, and I am sure my daughter would. Anyone that wants it can have it. I don't want Narcs for fun. I don't get high off them. When you really have pain you don't get off on narcs. Nor do you get addicted. I was abruptly taken off narcs at one point and guess what I did not go into DTs. I just had pain bad enough to leave me unable to get out of bed. People who take narcs for fun are the ones who go into withdrawl, not those who really need them. I apologize this has turned into a rant, but there are so many myths about narcs it isn't funny. I am tired of giving narcs to make people happy in the ER, while my back is screaming with pain, and I am throwing up blood from the ulcers caused by the NSAIDs.:angryfire If anyone has any ideas that would help, please let me know b/c let me warn you being the squeeky wheel sometimes gets ou hosed not greased.

    Tired Brave Heart
    Last edit by Medicine Eagle on Aug 14, '07
  14. Visit  morte profile page
    0
    Quote from nurse educate
    I have to say, reading these 'pain' threads are a bit discouraging to me, both as a nurse, and as a family member of somoene who is in pain.

    I came into this forum looking for some insight. Sorry if this is a bit of a hijack. My bf had spinal surgery 2.5 weeks ago, after years of back pain. His L5 disk was pretty much gone, they replaced it with a cadaver and fused it. He is up and about, going to his second outpt PT session today. IMO, he is doing very well, but still says he is in pain. He is on oxycontin, and still c/o a tingling next to the incision (when he is standing, walking, or exercising). I asked him about a million questions related to his pain. Then I asked him if anyone has asked him this many questions about his pain... his answer was 'no'. He sis tall the PT about it, and his answer was 'we have to stop PT if there is tingling'. I told him he needs to be more proactive in this, and we need to find out what is causing this, because the answer is not more drugs. I am already not happy that his surgeon gave him a scrpit for 60 pills and said 'see you in September'.

    I used to work in Peds Oncology, where we gave out narcs like it was candy, so that's not my issue. My issue is that he is not being properly assessed and reevaluated. And yes, call me crazy, but I am very afraid of dependence, so I don't believe more drugs are the answer. In school, we teach our students that there are other alternatives, nonpharmacological methods. Should the PT office (who is affiliated with the surgeon) be evaluating his pain? Should there be some kind of pain management team there?
    back surgery is done for instability, if the surgeon said he would be pain free, he (surgeon) was not acting in an ethical manner. drugs may be the only answer for chronic pain..espicially if he has developed "central pain" syndrome.....good luck


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