My Dr said that she wants to physically see me each month to get my script. I don’t have insurance and can’t afford to do that each month. Our free clinic won’t write for them either… Our health care system sucks! Not sure what I can do though.
I couldn’t function without them. My GP prescribes them. My old rheum would drug test if you wanted him to prescribe. Well, I also smoke marijuana and that would have me booted from the practice altogether. I get them where I can bypass that.
If I didn’t have spousal support/alimony, I wouldn’t be able to afford seeing a pain specialist. It’s so freaking expensive!
A patient in the New York area:
I have only ever been prescribed opiods in the ER or by a GP in a flare. I love my rheum but he doesn’t do pain management of controlled substances because of the current laws and how much more difficult it will make his practice and how many fewer patients he would have because of the increased visit frequency required.
I’m on Diluadid 2mg twice a day. It managed my chronic arthritic pain extremely well at first, but all it does now is make me sleepy. Does it manage my pain? Yes and no. When I’m flaring there is NOTHING that makes my pain go away. Not even high dose pain meds given by IV in the hospital. Nothing. That’s the way my arthritis is. Intractable. So every thirty days I pick up my prescription for a 30-day supply and muddle through another month of trying to manage my pain without really managing my pain!
Since there is no way to know who will become addicted, shouldn’t the focus be on supporting social services that help to check on people living with chronic pain who are on these medications? Shouldn’t we be embracing conversation starters like the recent Super Bowl commercial about Opioid-Induced Constipation instead of making poop jokes & assuming everyone on pain medications is an addict? Should health activists be taking over important areas in other healthcare issues to try to make a point to the Bill Mahers of the world? (Hint: no).
Approximately less than 9% of people who have a substance abuse problem abuse opioids. Some of them are even physicians. What about them? Do they not also deserve pain relief? Our respect, love, and help instead of being vilified?
So many good points in this post. It seems to be a universal problem for people in pain, that we can't get the right treatment for fear we may be addicts. Yet somehow the addicts still get what they need, and its the sick people who suffer.
As a recovering heroin addict and an arthritis sufferer I can honestly relate to all of the points that you are trying to show here.
I would certainly never say that people should never take opiate based painkillers, they help so many. But personally for me, they are something I struggle with
Yes I've suffered almost all my life with pain and was not taken seriously until age 40. I'm finally get some real treatment. Sad that I had to live most of my life in pain before someone took it seriously.
I am sorry to hear about your struggle. It cannot be an easy thing to deal with both of those at the same time.
It is incredibly sad. I have been in a similar boat, though it only took me into my mid-20's to find some relief. None of us should have to wait for relief. I am so glad that you are getting treatment *hugs*
It is such a difficult balance to achieve. I think the real thing that's needed instead of criminalizing patients seeking pain relief is to increase the amount of support people receive for their illness, whether those are physical or mental. With the right support and pain relief, people are less likely to turn to more dangerous options.
Great and timely post. I just returned from the Canadian Rheumatology Association Annual Conference and they had an interesting debate on the use of medical cannabis and chronic pain. If the side-effects are within the same levels as opioids why are they so reluctant to prescribe it? This is also a hot topic, so it was refreshing reading your blog.