chronic back pain and palexia

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4 years 1 month ago #23848 by grappers
Replied by grappers on topic chronic back pain and palexia
Hi Country dave,
They put you through detox mostly when you are on multiple medications, some of which do nothing and others produce side effects, and it is hard to single out which ones are problems, so they put you through a detox to clean out your system and start from scratch, this can be done by a slow withdrawal which takes time or through a ketamine infusion, some use it to get people of pain meds altogether.

Don

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4 years 1 month ago #23849 by Marley
Replied by Marley on topic chronic back pain and palexia
Hi Blurob

What I don't understand is if I abused my medication (oops drugs) there is detox units, counselling and therapy available. I might sound harsh, but people who abuse drugs are behaving illegally, whether they are prescribed or not, it is illegal behaviour and to some extent considered "recreational" or alterntively on some level 'choice.'

We behave legally, we are responsible with our medications and often feel like a criminal because you want your prescription a day or two before entitlement. Compare drug and alohol services to pain management services and see the financial difference and availability. I just don't understand it.

I also have a pain management physician (private $$$) who is focused on reducing opiate use but not replacement/alternative. His solution to withdrawals was "other patients get through them" and pain management was "go have a massage." (I am in a wheelchair... ?massage!!@%#)

I wonder if pain management doctors study common sense skills or just skip those lectures. I'm sure there must be some good ones out there somewhere.

Marley

Once I could laugh with everyone
Once I could see the good to me
Holding the world inside
Now the world is grey to me
Nobody can see you gotta believe it
Oh oh the night comes down
And I get afraid of losing my way
Oh oh the night comes down
And it’s dark again
“The Night Comes Down” Queen

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4 years 1 month ago #23862 by bluerob
Replied by bluerob on topic chronic back pain and palexia

Marley wrote: Hi Blurob

What I don't understand is if I abused my medication (oops drugs) there is detox units, counselling and therapy available. I might sound harsh, but people who abuse drugs are behaving illegally, whether they are prescribed or not, it is illegal behaviour and to some extent considered "recreational" or alterntively on some level 'choice.'

We behave legally, we are responsible with our medications and often feel like a criminal because you want your prescription a day or two before entitlement. Compare drug and alohol services to pain management services and see the financial difference and availability. I just don't understand it.

I also have a pain management physician (private $$$) who is focused on reducing opiate use but not replacement/alternative. His solution to withdrawals was "other patients get through them" and pain management was "go have a massage." (I am in a wheelchair... ?massage!!@%#)

I wonder if pain management doctors study common sense skills or just skip those lectures. I'm sure there must be some good ones out there somewhere.

Marley


Marley

I have only ever met 1 doctor who was working towards PM specialist who was a great PM type doctor. She spent many years working as a anesthetist, but hadn't moved into that field as yet. That lady was an "old school" doctor. Remember the one's that spent 30 mins with you and not 5?

I had one PM dude suggest that I could resume scuba diving. Cut a long diving medicine story short, I would be dead if I tried. Red line through that moron and move onto the new one that's fixated with opiate reduction when I am getting worse (according to my neurosurgeon; I am just always bloody sore as blazes). Thankfully, I no longer have to see him.

As for abusing drugs, well, I am sure that it happens. I have spent the last 5 years reading as much as I can concerning spinal surgery, processes, rehab, etc etc. There's some who suggest that back pain is a manifestation of emotional turmoil. Yep, after riding a dirt bike all day (enduro racing), I am emotional? Well, that was prior to surgery number 1. Sadly, opiates can be addictive and some will be abusing it. The other sad thing is that drug addiction is treated as a crime, but, you can get blind rotten drunk and cause all merry hell?

I really think that those who want to write themselves off, need help, not jail. You go in busted for growing hydro weed say and you come out qualified in how to do things that you probably wouldn't, all because you grew a plant that's currently deemed illegal in Australia, yet, I am taking a version of heroin. Its just manufactured and packaged differently. When I say "manufactured," I mean in a factory, not via a criminal gang. Same horse, different jockey. Weird.

I am not advocating that "recreational drugs" be decriminalized. You can write pages about this and I don't want to draw the ire of Peter. Just 1 point. No drugs for anyone under 21. You get caught using, you get 50 hours of community service (cleaning toilets at the park). You get caught making ice, minimum of 30 years jail. Then, the reasons why you want to get wasted need to be addressed.

There's a lot that is simply not known about pain and our brain. This isn't my opinion, but was expressed to me by my neurosurgeon. I have read similar comments in the books that I have read and there's some stuff on Google medicine pages that you can access.

Why do you think there's a term referred to as "medical practice." Think about those words....

I'm really sorry to read that an idiot suggested you undertake a massage as treatment. That's a prime example as to (a) where I say a lot don't care (b) find a new doctor (c) report this jerk to the heath commission. That will do bugger all, but, at least its on record this idiot said what was said.

Australia's health system is obtuse and I have Private Health Insurance (The Top Hospital plus all extra's. I'm a single guy that has pregnancy covered :dry: ).

I think Pain Management is a relatively new area of medicine that has become a handy vehicle for the reduction of opiates. Doctors must think that patients don't talk in waiting rooms and other places where we discuss what's happening. The amount of people who I have spoken with who have had spinal surgery and other issues have all said that opiate reduction has been raised when they've seen doctors. Its amazing.

I hope that today hasn't been too hard on you and that you have a good night (that's to all people too).

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4 years 1 month ago #23870 by illeatyu
Replied by illeatyu on topic chronic back pain and palexia
Guys,

I'm sorry that Palexia doesn't work for you but for me it's fantastic.

Illeatyu

“All the elements in your body were forged many, many millions of years ago, in the heart of a far away star that exploded and died. That explosion scattered those elements across the desolations of deep space. And came together to form you, you are unique in the universe.

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4 years 1 month ago #23929 by Country dave
Replied by Country dave on topic chronic back pain and palexia
Thanks Don
i have only been on the one drug for a long time so i would assume no need for detox
i did notice some nasty effects when they tried to lower the doses of Tramal but i cant see me getting of those any time soon

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4 years 1 month ago #23943 by grappers
Replied by grappers on topic chronic back pain and palexia
Country Dave,
There has been a knee jerk reaction to a study into long term use of opiates, and had doctors rushing to get long time users either changed over or stopped altogether, the study found that lots of long term users had an increase of pain from staying on one form of opiates, the problem being not all have this problem, I myself don't, every time they have tried to change my meds, pain increased and lots of terrible side effects on top, it proved to them I am not one of those affected by the study, and they have made the decision why change when nothing is broken, there is no need to increase the dose, but saying that decreasing increases pain, so status quo, my pain specialist calls me a sensitive bunny, jokingly of course as he has seen the side effects first hand and the 180 degree mood swing associated with some medications, (violent mood swings)
Anyway detox is the wrong terminology to deal with people in chronic pain, tapering or modification is what we go through, addiction is also a term that should not be used for those with chronic pain, we are dependant on medication, it is not a choice we make light heartedly, most of if we had the choice would not take medication, but do for a valid reason, detox and addiction are terms associated with drug abuse, we are controled in Australia by strict rules and guidelines when strong pain medication is issued, we should not be classified in the same bracket as drug abusers, sadly we are, adding to the stigmatisation we all cop.

Don
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