All posts filed under: addiction

Pain News Network: Media Hysteria and the Opioid Crisis

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Hello, my darlings! Check out my latest column for the Pain News Network! _________________________________________________________________ I recently received this email from a family member: Hi Jen, I was listening to a thing on pain medication and why prescription meds are so dangerous. They turn the receptors off in the brain and the person forgets to breathe.  That part is a totally separate thing from the pain. Dr. Sanjay Gupta was on talking about it. I think that is a very valid argument about overuse of pain meds. For example, Prince had very valid issues to use the meds and also lived a very clean life style. If he overused, it goes to follow that someone who doesn’t lead a clean lifestyle is in more danger. It’s not the meds as much as the brain receptors. The breathing part is scary. So I’m not such an advocate anymore…..unless you can tell me this isn’t true and why he would say that. I love you and don’t want anything to happen to you. Xoxoxox I got mad after …

Anterior Cervical Discectomy & Fusion… and Phlegmy, Phlegmy Mucus

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That’s an ominous title, isn’t it? BUCKLE UP, BUCKAROOS! FIRST OFF: I HAD SPINAL SURGERY, AND IT WAS TOTALLY WORTH IT. My first surgery wasn’t quite the success for which I’d hoped. I tried not to hope for this one, because I didn’t want to get my feelings hurt. Well, boys and girls, this one worked. It’s like the first time they dug around in my neck, they only pulled out half a rotting tooth before stitching me back up. The second surgery removed the rest of that festering, pulsating monstrosity and cleaned it out entirely. So, was it worth it? Heck yes.  HEY HEY, I HAD SURGERY I am now a bit more than one week post-anterior cervical discectomy and fusion. I had the same procedure as I did two years ago (ACDF, levels C4-C5 as opposed to the earlier C5-C6). It was the same hospital, even the same surgeon, and yet so many things were different. Round I was March 27, 2014. I remember four things vividly: the feeling of funny juice speeding through my body right …

Inflammatory Foods and Chronic Pain, Part II

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Sorry for my lengthy absence; it’s been another one of those flares. Back to business as usual! I have discussed before how food can have a direct effect on what happens in the body. Use any cliched vehicle for this idea that you like — our bodies are temples, our bodies have engines that need pure fuel, our bodies don’t like toxins that gunk up the system. Basically, we are what we eat. Those suffering from chronic pain and illness already got the short stick, but 99 times out of 100, we are also told by doctors that we should follow some form of an “anti-inflammatory diet.” Now, I was tested for inflammation by a rheumatologist, and while it was higher than normal, it wasn’t stratospheric. That was how he ruled out arthritis (well, duh). So while my joints aren’t inflamed in a rheumatoid arthritis sort of way, I can definitely tell the days when my body as a whole is just… blegh. Like this morning, for instance! I spent last night pigging out. I’d had …

Do You Want to Get Better?

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Do you want to get better? It’s a simple question, but many patients find it almost impossible to answer. It is part of the reason why a great number of doctors are hesitant to prescribe medication that patients need. They don’t want to enable irresponsible behavior. They are worried about what psychiatrists call “secondary gains.” And what are secondary gains? Well, it’s not fun being a chronic pain patient. All of us know that. But you know what? You deserve to stay home from work. You feel disgusting, like a nuclear wasteland. Why should you have to go to work? In fact, why should you be required to have a job at all when you feel like death all the time? If anyone deserves disability payments, it’s you. And you know what else? Sometimes you really need an excuse to get out of social obligations. “Oh, sorry, I’m not feeling well. Maybe next time.” Except “next time” turns into ice cream and binge-watching Netflix. The worst part is that you might not even realize you’re doing it. So much of pain is …

IV Lidocaine: Injecting Pain Medication Directly into Your Bloodstream

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It’s been a heck of a week, friends. Friday was a trip to the pain management clinic, which — per usual — was wholeheartedly depressing. I find that I feel even worse whenever I come out of those appointments because I realize how useless they are. Pain management clinics, that is. Massachusetts as a whole is now attempting to curb prescription drug addiction. That’s great. That’s dandy. But now my clinic’s stance is that they will not prescribe opioid pain medication to anyone except for cancer patients. We’re talking even something like Tylenol 3, which my pediatrician used to prescribe to me after the First Accident. Patients who’ve (responsibly) used Percocet or Vicodin for years are now finding themselves wanting and in withdrawal. Actual pain patients are being treated as addicts. So I get my nerve medication and antidepressants, but then the big gaping black hole they don’t cover is alive and writhing and screaming in my head all day, every day. When I asked how to handle that hole, the nurse practitioner, oblivious to the fact …

Let’s Talk About The TENS Unit

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I’m a huge advocate of clothing camouflage. Loose shirts and cardigans are great to hide a flabby stomach or that back-fat area around a tight bra strap; however, I’m wearing them to hide both a back brace and a TENS unit. (And the bra fat. Let’s be real.) Here’s me in my extremely stylish office bathroom: I usually only wear the TENS on occasions when my back pain is truly escalating and refuses to level off. This week has been particularly bad. The TENS is keeping me at a functioning level, considering I am backing off the Lyrica. The electrodes irritate my skin after more than one use, which is unfortunate, but the only cost-efficient way to use the device is to reuse the pads until the gel wears down and the pads electrocute you. Tiny shocks to be sure, but electrocutions nonetheless. Side note on the electrodes: Don’t go through the supplier from which you acquired the actual unit. My insurance company holds the very ridiculous philosophy that while they will cover the device, they will not cover the electrodes. Tufts, you silly company, …

I Make Pain Look Good.

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Take a look at this person. Take a real good look. Then ask yourself: Is this person in pain? She looks fine, you think. She doesn’t have a handicap placard on her car. She doesn’t walk with a cane. She isn’t wearing a brace.  You furrow your eyebrows, and then you think: She looks totally normal.  The thing is that when this picture was taken, she was in a world of pain. She had three sort-of healed spinal fractures and a calcified nerve cluster. Even though she was smiling under the artful disguise of Microsoft Paint, she was hurting. She was wearing a back brace under that dress. She changed into flats as soon as that picture was taken. She found a place to sit down and close her eyes, trying to match her inhales and exhales to the thud-thud-thudding of her spasming muscles. She had her special dichroic glass pill case in her handbag filled with Tramadol, Nabumetone, and Vicodin. She had already calculated how long she could stand being upright and the time it would take to get back to …

Word War Won: “Victim” vs. “Survivor” vs. “Thriver”

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I was going to talk about different words during this edition, but Alexis got me thinking. We had a very uncomfortable session the other day during which she asked me how things are going now that I’ve cut out sugar and alcohol. It started last week when we had a Skype session and she saw my face. She said I needed to do a detox. Immediately. I felt slow and inflamed, my brain was foggy, and even my face looked puffy. I’d gone to a small law school reunion/memorial for my friend Andy and saw surprise on my classmates’ faces; the last time they saw me was thirty pounds ago. (Granted, some of that weight gain was necessary at the time since I was an anthropomorphic coat hanger, but do you know how hard it was just now to type “thirty pounds ago”?) My pain was worsening. I’d been gaining weight despite exercising every day, thanks to my medication increasing my appetite to that of a starving boat wreck survivor. I’d binge in the evenings after work, thinking I deserve this as I snatched …

Let’s Talk About Wabi Sabi, Kintsugi, and Invisible Illness

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I finally caught up with a couple fragments of thought for this edition of Wear, Tear, & Care. For weeks now I’ve been pondering two Japanese concepts: Wabi-Sabi and Kintsugi. Wabi-Sabi: “the Japanese art of finding beauty in imperfection“. Kintsugi: the art of repairing broken pottery with gold. These two Japanese practices can easily parallel the difficulties that arise when discussing self-acceptance of invisible illness. More often than not, I find myself saying that because I am not perfect — because I am not a fully-functioning human being, much less a movie-star-like specimen — that I am not worthy or deserving of… what, love? Life? Half the time I don’t even know. The most constant sense I have is that if I am a less-than-able person, then I am undeserving of happiness. That I won’t be happy unless I am whole. Then I started really thinking about these Japanese practices. With Wabi-Sabi, in terms of how something imperfect can still be beautiful — this is something that I feel like every child is taught in grade school. Even though we’re all …

Bedtime Reflection

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So Husband and I were getting ready for bed last night (sorry to disappoint you, but this story is thoroughly unsexy). He watched me shrug out of my clothes like an old woman in a locker room. Craning my head to the right and to the left, I tried to ease the fingers of pressure gripping the back of my skull. I rolled my shoulders, contorted, tried to get away from myself. Husband was silent as I took my evening pills: Lyrica (nerve pain medication), notryptiline (antidepressant used for pain control), Cymbalta (antidepressant used for pain control), tizanidine (muscle relaxer). As I finally got into under the covers, he said, “Sometimes I just don’t get how someone can still be hurting from an accident so many years later.” That’s the kicker, isn’t it? Those of us with invisible problems, we look fine. Those who know me can see when I’m hurting, but to the vast majority of the human race, I look like a normal person. Even Husband doesn’t realize it sometimes when my spine has exploded and fireworks are …