CDC and Chronic Pain

“I invite chronic pain patients who rely on medications & are still alive, to offer their expertise to the public conversation.”
Terri A. Lewis, PhD

This statement just rubbed me the wrong way. In fact, it infuriated me because there are so many people taking their lives because they DO NOT get medications due to the opioid policies some doctors have. The CDC is proposing that primary care doctors PCP’s no longer prescribe narcotics for their patients. I haven’t read the report but it was stopped only because a lawsuit was threatened if it was published. The guidelines were written by people that had NOTHING to do with chronic pain. Therefore, it didn’t make sense for them to have these guidelines. I would write to them but I fear that if I do, I will be prosecuted for my actions down the line. Call me paranoid. I only take 4-6 pills a day and if that were cut, so would my life.

The statement also implies that taking these medications is a death sentence waiting to happen. This isn’t true. There are plenty of people who SAFELY take these medications daily and are still alive. Yes, there are some that do NOT because they go to different doctors and the combination of other opioids makes them sick. My ex’s neighbor died from an overdose because of this. Had one doctor been prescribing, her friend might have lived a little longer. She was terminally ill with something other than cancer. Obviously, she is the one that is “not alive” to come forward about these supposed guidelines.

If Primary care docs can no longer prescribe these medications, where are chronic pain patients supposed to go? “Pain clinics” only want to experiment and give injections, usually because it’s more money than writing a script. I have seen two pain doctors and they both didn’t want to take over the pain management I was under. They just offered invasive procedures and when I refused, I no longer was a part of their care. I’m sorry but there is no research to support that the injections would benefit me. I wish I kept the report that contradicted the injections. There was an article a few years ago that said that it was more dangerous to have them than not. I am not going to risk have something called arachnoiditis for the sake of a pain clinic writing a script for my pain meds, when the pain meds already work for me.

I need to have my primary care doctor continuing to prescribe me these medications. It’s safer and easier than seeing a specialist. The meds help me to function better, though I rarely take them when I am outside the house. They make me too drowsy to get on the bus and train. So I suffer through my pain to get to where I need to go. Taking my four tablets a day is not killing me. It’s keeping me alive enough to see another day. Because without them, I would seriously end my life. And I don’t think the CDC wants that.

Hot Chocolate and other Thoughts

Hot Chocolate and Other Thoughts

A blogger friend made a comment on my Dark Hot Chocolate post and I thought I would have a cup. I have been up since 0445. I plan on taking some nerve pain meds to get back to sleep. I want to finish my cup of cocoa first.

My mood is still down and I cannot seem to fix my TiVo. I am very, very sad about this. There are shows on there that I haven’t seen, like Rizzoli and Isles and definitely, Bones. Part of me doesn’t care and part of me is extremely pissed off that I didn’t watch the shows when I could have. I am going to play around with it sometime today to see if it will boot up.

I’m still having suicidal thoughts. My therapist called me after I sent her a distressing text. We talk for a bit and she made me promise that I wouldn’t do anything this weekend. She really wants to see me on my birthday. Now I have to get a Zipcar. My only worry is that I won’t be able to get one at a place that I know. I really want to get the same car I got last time. It drove really well. I think next time I am going to take the highway home rather than go through the back roads. It seemed to take forever to get home through the back roads and I was getting really aggravated because I wanted to go home. It depends on how I feel. I was going to take the other highway home but there was traffic due to construction and I didn’t want to sit in traffic. There was no traffic on the back roads but I was just impatient to get home.

My suicidal plans are put off, again. I am not sure how I feel about this. I feel discouraged and angry. I shouldn’t have told my therapist about this. I don’t know why I seem to do things like this. I just feel so hopeless about every thing that is going on in my life. I can’t seem to do a damn thing. The only thing I can do is watch my niece when my sister needs me to, though I can no longer pick her up from school. The distance is just too much for me. There are too many hills for me to climb. It saddens me because I was once able to do those hills without a problem. And it kills me that I am disabled. I fucking hate being disabled where I can no longer do the things I was did. I can’t walk, which was my major stress reliever. I had my game, which was also my stress reliever but it shut down and I haven’t been able to find something similar. I could play Farmville but there is no challenge to that. You just plant your crops and collect “money” when you harvest then plant your crops again. It’s lost its appeal. I just have no other activities to keep me occupied so I think about suicide most of the time.

The reason I think about suicide is not only because I am disgruntled that I am disabled, but also because I don’t have anything else to occupy my time. Sure I go out to Starbucks and have my drink and write in my journal. But then I get anxious and need to come home. I only stay for about an hour, sometimes less. And then my mother calls me to see what I am doing. She also calls to let me know what we are having for supper. I try to have enough funds to last me through the month but sometimes it doesn’t work out that way. This month I bought coffee so my funds were lower than they should be. I meant to add more funds to the Starbucks card but I never did. So now I have the entire weekend to ponder about my upcoming appointment with my neurosurgeon.

Saturday, I am going out with my sisters for Chinese food. It’s my birthday celebration with them. I wanted to go to another place but I have been deprived of Lo Mein for a while and I want it dammit! I also want General Gao. So I already know what I want. That will be a distraction for a little while. I am sure I will continue to write my Saturday Blogs. I know I have been writing more blogs. It helps to write my thoughts down.

Random 234

Random 234

I haven’t been able to nap all day. It’s probably going to be a long day if I don’t get some sleep. My back has been bothering me most of the day more than my thigh or foot/ankle. I guess it didn’t like it when I emptied my trash can in my room. So my plans for going out today got smashed to smithereens. I think I am getting a cold anyways so resting is probably the best thing I can do for now. I also increased my vitamin D. I really don’t want to get a chest thing. I hate having a cold. It’s evil. And there is nothing you can do about it until it passes. But my sleep being off and not really drinking enough has really brought my defenses down. Maybe I will make some chamomile tea in a little bit.

I was reading Twitter and the Menninger Clinic published some data that proved some data decreased depression. I read the article and the inpatient length of stay was 45 days. I had to fricken laugh because you are lucky to be inpatient for at least 48 hours around here. If I was hospitalized for 45 days or so, I think my depression might decrease as well. Even if you have the best insurance, you are not going to be hospitalized or receive “treatment” on an inpatient unit for 45 days and you are definitely not going to get any follow up care. There just aren’t enough psych units or beds to hold someone for 45 days. There are enough backups in the psych ED and other hospital ERs that are looking for beds. There is a real crisis and I don’t think these outcomes this particular clinic has is representative of the system. And if they think they are, they are just fooling themselves.

I didn’t receive a call from my doctor’s office like I was supposed to. I didn’t call either. I will wait till I see my PCP on Wednesday. It’s going to be a lot to cram in as it’s my last visit with him. I might call on Monday and see what the hold up is. I knew getting seen within a week was a fallacy, especially when I didn’t see my doctor to begin with. I’m too depressed to care.

I’m tired of fighting pain all the time. I don’t know when my back pain is going to get resolved. I will have a conniption if I am sent back to physical therapy for it. I can do the exercises at home, I know them by heart. It won’t help at all and might even harm me. I think I just need a good massage, especially in the back of my hip.

I still want to go ahead with my plan to end my life. I just don’t see the point of going on when I am either facing increased pain and misery or going under the knife again and facing permanent disability again. I just can’t face it.

Hurting Really Bad

Hurting really bad

I went out to have dinner with my friend. I am paying the price because I was standing/walking too long while waiting for him. I was early and I was hot as I got stuck on a warm train so I didn’t go into the restaurant to sit and wait for him. I was at my boiling point and really wanted to take off not only my jacket but also my sweater and be just in a t-shirt. I felt funny going to that level and didn’t go there. But the pain that I am feeling right now, I don’t want to go out the rest of the week. Unfortunately I have to and that is killing me. I don’t have to go out tomorrow so I am having a rest day. I am doing two, possibly three things tomorrow: having therapy, calling my father to remind him of his appointment, and possibly call the dentist if I remember. I need a cleaning as it’s been almost two years. I hate the dentist.

Like I thought, my therapy appointment went by so fast and we talked a lot about everything that went on between last Wednesday and today. She does think I had some kind of withdrawal thing going on, though it isn’t too clear because I also didn’t eat and it could have been hypoglycemia as well. We talked about the SSD review that I am under. If she doesn’t think I should add something more to what I already wrote, then I will mail it Thursday when I am out and about again. I am not looking forward to it. I hope that my father doesn’t need a damn wheelchair because I might just run him over with it. I also need to go to his house after his medical appointment to do his fucking meds. I had a hard time filling my meds this week. I just was too depressed to fill it for the week. So I played hodgepodge. I just took what I felt like taking but I filled it before I left the house to have dinner with my friend.

I had a nice time out. It’s a shame that it ended with my ankle flaring up. Right now the pain is at an 8/9 on a scale of 1-10, 10 being the worst pain. If it goes up a notch or two, I am going to have to take the strong pain pill again. If I do, I can kiss having a BM this week goodbye. I just will be too constipated. Hate this side effect of my pain meds. Having a BM is so painful, sometimes I just want to die because it hurts so bad. Add in being constipated and hard stools and I really want to kill myself.