Let's cut right to the chase: if you are unwilling to accept some risk of a positive drug test, then you should not use any CBD oil product. That may sound extreme . Some days he seems better than others, clearer, looks us in the eyes. We are loving him as he is right now. He is thinking about his future, but not ready for a lot. Your only job right now is to be a parent to your son. A parent If not, take him for a physical exam and let a doctor do a drug test. Most times.
chase: a drug right to unwilling positive risk you if Let’s the accept cut to of some then are test,
Leila, a patient, shares: I had been left on the backboard for five hours, and I [previously] had major back surgery.
I was in so much back pain that I was crying. I was only treated for whiplash. Lots of Leilas receive inadequate pain therapy. While lots of scam artists make a living off prescription painkillers.
She believes patients and physicians need to get real with each other. The interesting point is that narcotic pain meds are not so good for chronic pain, better used in an acute setting, and yet so many people are using them for long-term pain management. Side effects can lead to severe GI problems over the long-term. Alternatives include 1 finding the source of the pain first.
Does it have a psychiatric component? What are the stressors? Does it have an inflammatory component? Why are we so quick to dole out opiates? I love the response by Doc. My daughter would like to become a physician — I surely hope she sees every person as a whole and reacts the way Doc did, above. In fact, the steroids used a specifically state not intended for ESI… lol at your Kenalog.
I live in pain daily. With that being said…. If one wants narcotics one can get them with or without a doctor, remember heroin is a huge epidemic. Guidelines are just guidelines. Always best to treat the individual patient like an individual.
Doctors need time to care. I am helping doctors open ideal clinic so they can truly be doctors again. Melanie, I agree with everything you said. Everything you said was me, my life and thoughts exactly. Your not alone and I pray things are better for you. I could not agree with you more. I have had rsd, since march of and have tried everything from physical therapy to non-opiate medications.
The first two years I was misdiagnosed and in so much pain I would not sleep for two to three days at a time and when I went to the emergency room I was treated like a drug-seeking idiot. The doctor I have been with for the last 10 yrs treats me like a patient, not a drug seeker. We have tried every non-opiate therapy known to the medical profession,,,with no luck! I was put on a long lasting opiate and then hydrocodone for the break-thru pain and I was able to work, go to the grocery store with my wife and watch my kids have fun.
I am not saying that addiction is not a serious issue, what I am saying is …There are chronic pain patients out there that need long-term opiate therapy. They gave me back some of my life that pain had taken away.
I suffer this everyday of my life. I cry from the pain n pray out to God to please stop my pain I have arthritis n migraines n severe cronic neck spinal n hip pain from two prior serious car crashes I wake up in pain n end the day even worst. PS Im sorry to judge but those r the facts n its not rite for innoscent to pay for others who do wrong!!!
I feel so badly for you because I AM in a similar situation. I cost the system too much to bother to help. They knew what was wrong. I wonder how many of them could have become particle physicists?
That is why these nicely pampered mostly upper middle class jerk-offs decided they would be doctors and learn how to have a sense of entitlement that doctors in China are being murdered for. With help of relatives I got a little help. Not intelligent enough to learn to stop the cycle of high school drama and learn to be a reasonable adult.
I have to side with something a person pointed out to me in the Bible. It was not directed at me thankfully, but still it was worth noting; for people who like to play god with other peoples lives, instead of striving for symbiosis. At this point I can clearly see why the biblical account of God hated lies and liars. The damage they do reaches too far to be worth any benefit.
I feel I should say this. You have just made more judgments about so many people than anyone I have read about on the web. Negative karma just produces more negative Karma. Leave this hospital and start again. Change your attitude and how you view other humans. I can tell by the sentence structure that it is difficult for you to get your point across and have had troubles for a while. Just keep good faith. Also, for all of the pain sufferers please know that your pain is not your fault nor do you deserve it.
I say this having a year ago lost my mother to lung cancer and as an LPN I had to cut back the hours I worked to ensure she was cared for. She never smoked or drank and to watch her over many months go through a great deal of fear and pain where she was always a strong woman made me angry and sad. My mom snapped at me as I tried to care for her and later, in tears, she apologized and wanted me to know she loved me. I found this site looking for hope that the doctors who DO have a lot of power in America have some heart and courage and kindness.
I also wish the pain sufferers all the best. Remember, you are important and for every bad egg their is someone else trying to right that wrong.
Peace to each of you. I am sick of ppl with no REAL pain having meds thrown at them while ppl with true pain are forced to suffer. I had most of 2 vertebra removed. It never would have happened if the dr. Now I have pain the is excusiating. I am expected to deal with it on 2 10mg methadone a day. Drug addict are good liars. I am in pain. I feel the dr. What is wrong with Dr. There has got to be an answer to this problem. You say the Dr assumed you were a liar.
Did you ask him if that is what he thought? Part of the problem is with you. Change how you view the world and be clear about what you want and things will change. Jake Awake, just shut up and go to bed. Hmm… do you need a better attitude?
A good friend of mine help lost her son to suicide because of his chronic, unrelenting pain from of serious spinal injury. He had several surgeries, each one less successful than the last, until he could no longer bear the pain. He was barely I lost a cousin several years ago who chose a shotgun over daily back pain. Chronic pain is demoralizing, depressing, and saps the will to live right out of you.
People have always abused drugs and always will. Instead of punishing those who legitimately need them, maybe we should come up with a better system to treat those who abuse them. There was a well known doctor who has since died who was an oncologist. He treated their pain appropriately. I have that plus a bunch of other medical problems. I also developed severe fibromyalgia. I have been on same dose of meds for 2 yrs. I am very careful. No more trips,eating out, etc. Do MDs realky think this is how I choose to live?
Have you tried a sacral nerve stimulator or intrathecal pump? What about heparin instillations? What are you doing to treat more than the pain? My wife has dealt with it since her first pregnancy 15 years ago. She was on disability for many of that. You need to be proactive with the doctors. Start with a urologist that does the interstim by medtronic. You also need to watch your diet. Acidic foods and beverages, and alcohol are hard on your bladder when your lining is inflamed or absent.
You also should find a pain doctor. She used to be on 4 different narcotics every day, now she just takes norco percocet was changed because of the drug seekers when needed. With her interstim and intrathecal medication pump, she came off disability and has worked the last 5 years. They already KNOW they are murdering us. They do not care, and they pretend a mistake was made when any complaint arises. False sympathy and then they keep doing evil to others deliberately for their own benefit.
The higher the chain of command you hit the less godlike they are. Talking will get you nothing but false sympathy and a knife in your back as soon as you turn it. Alternatively, learning to block, lure and break them, is just as effective, if not more so. Begin creating restated laws releasing control back to the general public in terms of drug purchase, production, education and use, social stigma on a massive scale to abusive docs and Gov.
When was it that Pharaoh was so disheartened he let go his slaves? And another person mind reading. How do you know what they know? You need to ask people what it is they are thinking. You need to ask people what it is they do and do not know. We can only guess what people are thinking. Way to go Betty! Obama care cut my insurance down to where I cannot get my infusions anymore for either issue. I have Rheumatoid Arthritis, lupus, Behcets disease and multiple other arthritis in my spine etc.
I am going through severe withdrawal symptoms because of the DEA and people who abuse medications that I need but they are investigating my doctor trumping up charges, I pray anyways, he had a sheriff working at the front desk. I had a stroke at 16 and went downhill from there, before that was female problems that a Gym actually told my mom I was making it up, imagining it because of child hood trauma.
Come to fine out I had polycystic ovarian disease, endometriosis, and a cyst that ruptured at 14 and almost killed me. Those are the worse of my many problems, the problems that introduced me to opiates.
Had I had any idea whatsoever that I was walking straight into hell, I would have declined each and every prescription. Prescriptions were now only another source, out of many sources I had found along the way. My fear of withdrawals drove me to all those moral compromises, and withdrawal itself lead to the most desperate and pathetic of times, many many times over.
My life no belonged to me, I had no control. I literally had no choice, as the withdrawals are so unbearable that I would rather die then to ever go through them again. I escaped, and now I am free. This is way longer than I had intended!
I have been through Hell due to this system. Mark my words that I will make a difference for others that are suffering at the hands of this System.
Even in the judicial system you are innicent until proven guilty. Something has Got to Give here. Pls advice as to how I can fight this and stay strong while I do it. This is my life right now. My doc prescribes me nothing at all. I shake and moan all day and especially all night. I sound and feel like I am insane.
You obviously have never suffered from chronic pain……I have exhausted ALL of the repetitive stuff you wrote! After four years opiates are the only thing that works in acquiring some quality of life! These pills work for me also. I have tried to change them but the pain comes back. I mix the patches with two other meds. I can understand why some doctors are hesitant to trust me, but to completely write me off, before even seeing me, is what really bothers me. I have over 10 years of medical records and drug tests to monitor my system levels of whatever opiate they have me on, that prove I am NOT an addict and take my meds responsibly.
We really need to find some middle ground in all this! There is no difference between people with pain and street addicts. It is sad that the healthcare system in this country is incomplete. Everyone is quick to hand out pills verses treating or teaching pain management. Pill addiction is different because its a brain disease. Talk to your pharmasist read the info in your script. In some cases pill addition leads to heroin addiction.
Take responsibility quit acting like a middle schooler smoking pot for first time. You obviously know nothing about those who need meds foe pain etc. All medications have risks and side effects. They want people off addictive drugs and give them meds that work like taking candy. I dont drink by the way. There has got to be balance and not a knee jerk reaction to everyone who asks or requests meds for pain. Dear God I pray that I one day am in a position to knock people like this ignorant, clueless person spouting obvious nonsense about taking responsibility and stop acting like pot smoking middle school off their smug pedestals.
Diagnosed with Avascular Necrosis both hips at age 34 as a perfectly healthy person with no history of trauma, issues or history related to the disease. Left hip replaced healed fine. Ten years later right hip replaced after signs of symptoms. From onset of pain to now, three full years after replacement, pain is worse. Too much to write but the way I have been treated???? I have had one replaced already so been through the whole procedure, pain meds, physical therapy, etc.
Not an addictive person here. Chronic pain does ore than demoralize and depress you…it kills your strength, your will, your being a human, and you then understand drug addicts have it BETTER than you in the United States of America.
I was suicidal and before I took my life I got on the web and found an Avascular Necrosis support group which saved my life that night. Stick your finger on a flame and keep it there. I wanted to know why I was still in pain. But I was treated like I wanted drugs and no doctor ever so much as gave me any type of nerve test, test for infection, absolutely ZERO just co-pays and monthly bills. My story is a mild case compared to many out there and I am one determined sister heated and on fire to do something about this starting in my home town of Los Angeles.
Nothing ever gets done with things like this until it hits a celebrity like Michael J. I was 10 minutes from taking my life over this and no way is this ok for as many go through it.
Screw the ignorant pathetic commenters who all change their tune when they go through what we have if they survive. You are so right. Addicts recieve often times repeated, free, treatment and even housing. Along if course with drugs to help them through pain and agony of detox, and relapse. I would not abolish the system,even with its flaws because better something than nothing Yet we, as you said so elequently, get no respite ever, ever, ever, ever…..
Your comments are inspiring. Chronic pain truly tests your soul to its core.. I believe that there is always a silver lining. Chronic pain has made me a strong, compassionate and patient individual.
I truly know myself inside and out; like you said the mind has no choice but to transcend the body to survive, and when you reach for the light in those darkest of places you know you have the strength to deal with whatever life can throw at you. I pity people who make such comments, ignorance and arrogance are worse vices than any drug known to humans. Yes, this group is very informative and supportive.
Comments like yours have no place here. You speak of middle schoolers and then leave an uneducated and childish response. You speak of studies yet list no references, I suspect because you are just regurgitating general knowledge to people who already know about addiction. We know because the only way we can live our lives to any degree of comfort are with drugs that are highly addictive and we have to be so careful.
If you truly know anything about what you are talking about, I should not have to tell you that there is a difference between drug dependence and drug abuse. Clearly the people here do not fall in to the latter category, we are dependnet on the drug because we are using it for what it is intended. None of us would choose to pay that much money long term, or endure the side effects of taking such meds long term if the other options we had tried had worked. However Idk why I even try to explain; I would never wish such a thing on anyone, but statistically you or someone you love will be affected in some way by chronic pain due to illness, and or injury.
I have a feeling your ideals will not hold up so well then. Excuse me, a pain patient who never smoked pot as a teen, nor did drugs. Why not say, Whatever and get it very with. Do you also preach taking your meds on time as prescribed or no? I note you said: This is stupid behaviour. It is not working out! Why are you suffering like this?
Complain or find another Dr. Hi Doc, your long glib suggestions of a variety of treatment modalities to try, is an insult to patients suffering from severe, chronic daily pain. I am a medical doctor; I am no longer able to work; I have among other conditions severe spinal stenosis, prolapses in the cervical spine, lumbar spine, two subdural-bleeding in the brain from falling ; I am wheelchair bound; stay awake at night with severe pain; been shot in the chest and leg; have accelerated osteo-arthritis, brittle bone disease and pituitary infarct; what infuriates me is when I ask my Physician for pain prescription and he says: Doctors are morons if they treat genuine pain sufferers with the same paint brush as recreational drug abusers.
I am not a recreational drug abuser: I am in PAIN. For those Doctors who do not have the compassion regarding pain, let me remind you about the Oath that we both took: I curse every medical practitioner who makes a joke out of a patients suffering and insults a person in genuine pain; I hope your kids suffer from non-ending pain and you look on in misery knowing that you cannot do anything for them.
Dr Ahmed Adam, South Africa. I am very sorry for your pain. I have no children by choice So unlikely that my children will suffer non-ending pain I chose not to have children so I could care for others. Keep up the good work and may all that is good for you come to you in great abundance, best regards, Dr Adam, South Africa. I completely agree with every single statement you made.
I feel as though that ought to be emblazoned in bold on every single text book, chanted as an incantation at least daily all throughout medical school, and stamped on every official piece of documentation from all medical boards because it is just that important. You come across as an astute, compassionate physician, which unfortunately seems to be a minority these days.
Every time a statistic is quoted which states that there have been so many prescription related drug overdose deaths, the second half of the equation is never publicized.
There is never any information shared on how many patients take their own lives because they have had their medications reduced or withheld. And the stories like Leila happen very often all across the country and have been happening for many years. First I agree with Ahmed Adam exactly and thanks Dr. Wible for the contact and support here. If taken appropriately opioids work in the long term for me over 18 years while working full-time and make life tolerable.
The data posted to sites such as the CDC and a current negative Consumer Reports article are complete nonsense and easy to rebut — too easy actually. The data is seriously flawed, easily refuted, and totally biased toward a negative outcome. Needless to say things in our area are getting worse not better and I really empathize with anyone in this situation. Hopefully more to say later. Adam First Id like to say that I never post on these forums at all but I felt compelled to after reading your post.
I have multiple Sclerosis, multi-level ddd, spinal stenosis, fibromyalgia, carpal tunnel syndrome, bulging and herniated discs with tears, tibial tendonitis in both legs, have went paralyzed 3 times, once from the neck down for about 24 hours in January or , then in June of my left arm for 5 months and when that got better in February of my right arm went paralyzed for about 6 weeks.
I went into the ER one night back in April of in excruciating pain and it was a pain I had never had before. He did not care and sent me out of there knowing how painful shingles is, I was in a fetal position crying in pain like I have not done since giving natural birth.
Sorry for the long post and the. Is a new phone. And I am so sorry for you. And what you are going through. Also my husband reminded me that he also sent me home with a blood pressure of over Trika, I too have been mistreated too many times to count. Endometriosis, ovarian cysts, bad gallbladder, unknown internal bleeding where I would vomit blood and need transfusions..
I was put in pain management after about 10 er visits and no one could find out what was wrong with me. Well after trying surgery after surgery things got worse in a few cases.
After a lapor I had worse pain than when u went in. Wound up in the er over and over and the drs would not treat my pain.. Turned out the surgeon while closing me up entrapped a major nerve.
So finally had that removed with another surgery. The Dr still discharged new after not going to the bathroom once in 2 days. I went right down to the er after I was discharged.
That er Dr just said I wanted iv pain meds and nothing was wrong with me. So as they were shoving me out the doors my labs came back showing my kidneys were shutting down.. Yup I had a perpherated bladder.
And no one believed me till it was almost too late. Than the same with my gallbladder. Than finally after 6 months if dealing with the bad gallbladder my husband convinced a Dr to take it out. By that time it was grey and infected..
Than shortly aft er that surgery I started vomiting blood everyday…no answers for a year. I was hospitalized for 4 months needing blood transfusions weekly, unknown number of endoscopies, transferred to 3 hospitals with no answers.
So I had a sitter for a week. Finally I was down to 80lbs and had gotten 3 staf infections from the picc lines so my husband was going take me out bc no one was doing anything for me. Best day of my life. It was the most severe rare case of HHT he had ever seen. So I was put on the correct meds and got better.
But to this day the HHT caused most of my organs to bleed so I had a full hysterectomy too. But there are a few who still just refuse to control my pain.. Seratonin syndrone, throat closed and more bleeding. And still those few drs knowing everything I have been thru is legit still believe I am just addicted to them. So I now take my struggles and experiences and help others. Your life should be lived to the fullest!
It took me traveling all around the states to find my drs. I probably saw plus drs. And to be honest not even a quarter of them truly listened to me. So keep searching friends. Good luck and many prayers!
Oh and I did try every possible thing before pain meds. But now having a great Dr he explained everything so much more clearly for me to understand the meds. Pretty much every pain doctor in this country requires their patients to sign a contract that they will not get meds from any other doctor. Did you call your doctor? I am so sorry Doctor for you. I agree with you about the other diseases and the other issue is the cost.
Why does it cost 2. I love my country. We have some issues I would like to see dealt with before I check out of here to make what I have gone through mean something more to me than meaningless, mind-numbing agony, depression and torture. I feel for you!! Every adult has pain and you have trust sometime the patient just knows what will work in his own body. I have Fibromyalgia along with thousands of others who struggle every day for a pain free day.
All the thing you suggested ,we are doing to get a hours worth of freedom from our pain. There is a big problem with pain clinics making addicts of people because they give too much and want it taken every few hours every day. I have been seeing a pain doctor for 7 years and we have an honor system. He gives me 10 hydromophone 2mg a month and I show him 2 or 3 of them when I got back.
I take it when I need it most. I know this method will not work with every one , but it will with some. Most people with fibromyalgia die by their own hand because the pain becomes too much. I believe the medical field needs to do more to understand the mind set of the patient.
We are not all looking for a pill, we just want relief. Turmeric work good for me with the every day pain. I have Chronic Primary Erythromelalgia on b other hands, both feet. Tha t s a start of a list. Severed tendons, scar tissue. Was in 3 fires, hit by 4 cars, went o very a bridge in one. Have, because of the irresponsible Doctors I meet monthly.
Any thoughts other than statistics and things that do not apply to me? Geuss especially at my habits, shame perhaps. Tool so often used to treat pain…. I read your ideas. Mine are Long Acting Opiates are good medication. Like a gun is good at killing. You have nine cats in your home. You and your husband smoke and you notice the cats are developing breathing problems and then one is diagnosed with and dies of lung cancer. What would you do now to make your home a healthier place?
The other day I read an article in USA Today discussing the fact that married couples lived longer healthier lives than single individuals their age. What led me to write this is not any problem or disagreement with the results of marriage but the conclusion the doctor reporting it came up with: They are healthier because they have someone who cares about them telling them what to do. Yes, my wife tells me to drive carefully and I do because I love her but once I walk out the door how I drive, what I eat, exercise and more are not because she is watching me and instructing me.
Married men also have a lower incidence of lung cancer than single men who smoke the same amount. Women with malignant melanomas of same site and stage as a comparable male group had better survival statistics than the men.
The conclusion by the doctor blew my mind. Estrogen and progesterone must be protecting the women. What do we conclude now based upon all these closed minded medical conclusions that do not relate to people but attempt to be scientific? Our conclusion based upon their wisdom: If estrogen and progesterone was the reason women with melanomas had a better survival rate than men then sleeping with estrogen and progesterone must be what is protecting men who smoke from lung cancer and heart attacks.
And the reason living with dogs increased survival statistics must be related to the fact that when their owners did unhealthy things like eating fatty foods and not exercising they growled and threatened to bite them. I hope you are smiling because I am kidding and it is not because of mechanical causes that these statistics are revealed.
When the instructions to take care of yourself come from someone you know loves you it can and does make a difference, because they are not criticizing you they are educating you, but first we need to feel loved and cared for and about before we take their words seriously.
Relationships are what it is about. Men are human doings while women are human beings. I am constantly trying to get the men to become aware of the importance of relationships with pets and people and life and women to see that they need to relate to themselves also and not just live a role, such as Momma, which leads to their demise when the kids leave home. So develop a relationship with yourself and work with your new self and love and care for that new self as if you were your own child too.
So when the kids leave home there will still be reasons to survive for the wage earner and mother. In a sense it is about hormones because our internal chemistry is altered by our relationships. Growing up with love is a major factor in health. Not because your parents are telling you what to do every day but because their words are hypnotic and they remain within you and when they are therapeutic also you are constantly hearing them in your subconscious, as well as, conscious mind and making healthy choices.
Self-love coming from being loved leads to self-care and a healthy life. The effect of a lack of relationships is not understood by many doctors but is by the poets and song writers.
I have mentioned W. Childless women get it and men when they retire. Now to get to the question I began this column with. What do you think the woman who wrote about her experience and her husband did? And what would you and your husband do when you realize you are killing your cats due to your smoking in the house?
This story comes from a full page letter to Cat Fancy Magazine, written several years ago, detailing the emotional impact the death of her cat had on the couple. Here is their solution: We love our cats more than the convenience of smoking indoors. We are not killing our cats anymore. We hope you are not killing yours. So the relationship is therapeutic but how about getting to know yourself and having a relationship you can enjoy with yourself.
When you do you will find you are never lonely, even when alone. Not to mention that there is also another level of relationship that is always there to support you when it is a healthy relationship and not about guilt but related in a therapeutic way to your spiritual connections and faith.
What I have learned and what all health care practitioners and people in general need to know is what Jung had to say and psychology knows. There is an unconscious psychic reality which demonstrably influences consciousness and its contents. All this is known, but no practical conclusions have been drawn from it. As we have become more empowered over nature the mind has become more prominent and the head dominates.
But we must remember there is a unity of psyche and soma within us and they must both be paid attention to. So we and our health care practitioners must treat both our intellect and our experience; our psyche and soma. Our duplex must be accepted and acknowledged as part of what we are living. The seat of faith is not consciousness but spontaneous religious experience. When you have a relationship with God it keeps you from dissolving away in the crowd.
What struck me is how few men and doctors are aware of this and make it part of their lives and professions. When you ask men to draw a picture of themselves many just draw their head. Yes, some women are thinkers and draw a large head too attached to their body. When medical students are asked to draw themselves working as doctors the majority draw themselves sitting behind a desk with a diploma on the wall behind them.
That is why I started to write this article. So folks wake up to your multiple personalities and that your mind, body and spirit are all within the unified creation which you are. In a sense you are like the planet earth with many components, residents and environmental factors which all have an effect on the health and wellness of the entire planet. Just like global warming cannot be treated in a simplistic one solution way because every part of the body earth is showing symptoms of the change so our bodies manifest what changes are going on within our duplex make up and unconscious mind.
Pay attention to what lies within you and respond to it so you live your healthiest life and develop relationships which enhance your life and give it meaning. Happiness is not in strength, or wealth, or power, or all three.
It lies within ourselves. If your main issue driving the smoking habit is anxiety then treat that first. A good therapist or even a meditation program can help. Vipassana centers often offer a free 7-day silent retreat. Pamela, I know of far too many people who have experienced pain and have been receiving inadequate treatment for it.
This is a tiny minority. Only once have I ever had drugs stolen from me, decades ago, and very few pills were taken. I have learned to take precautions since then. Even those in dire poverty with kids to feed understand that to sell drugs to someone means that stranger could be harmed by those drugs. Most people are morally together enough not to go the drug dealer route. In this way, people are brushed aside.
Do these doctors have any conscience at all? I had no idea so many patients were diverting prescription drugs. I try to err on the side of trusting what patients say — even though I have been lied to, manipulated, and even had prescriptions forged.
Still I want to wake up every day and believe that I am sitting next to a patient who really does want a long-term relationship with a family doctor built on trust and respect. I do have priorities. Prescribing chronic opioids to patients with difficult-to-verify diagnoses increases my risk of all of those problems I hope to avoid. Do you really think that there is so much more pain today than there was 30 years ago when opioid prescribing rates were very low?
I do think that many doctors hand out opioids like candy, and this is contributing to the addiction, diversion and overdose deaths. I realize that doctors have a broad range of opinions regarding opioids from chronic, non-malignant pain. I happen to be one who feels that opioids are rarely appropriate in this situation, despite the aggressive lobbying by Purdue Pharma and others during the 90s.
This is a very good point made by Dr. I, as a pharmacy professional, can completely sympathize with everything this doctor is saying. I can also see things from the perspective of a Chronic, Non-Cancer Pain patient, too. I promise you, this is not the case, and we are not all addicts! I used to take Neurontin gabapentin and Zanaflex tizanadine and the combination of these, helped for a few years. However, I was switched to Lyrica pregabalin when it first came out, and had to switch back to Neurontin when I had lost insurance and could no longer afford the Lyrica.
The following years resulted in doctors swapping back and forth between Neurontin and Lyrica, based on preference and my ability to afford the medications, but for the last 4 years, I have not been able to take either, due to me becoming chemically sensitive to this class of medications, to include having an extremely severe reaction to Topamax topiramate. The ER doc wrote me off as a drug addict before ever meeting me, and discharged me with only a referral to a drug treatment program.
This was one of the biggest insults the medical community has ever given me. This is not the only medication that I have grown sensitive to. I have become sensitive to almost everything I am given, and in most cases, the side effect are far worse or I have some of the worst, rare or almost unheard of side effects of the given medication. I have also had the problem of running into doctors that see the medications I take, and automatically reserve themselves to not wanting to actually give me a diagnosis.
I have had rhuematologists say I have textbook presentations of either Rheumatoid or Psoriatic Arthritis, or Systemic Lupus. Yet with all the documentation of these, I can get no doctor to take me seriously or give me a confirmation.
My point is, if anything else worked for me, I would gladly NOT take the opiates! I wish there was a magic drug that would work that was not an opiate. Opiates are all the work for me. NSAID make me vomit blood, steriods make me hurt worse in the long run. I can still fell where the needle went in me with the steriods and that was 10 yrs ago. Until then give me pain meds please!
WTF Nothing is said that we could not get our prescriptions filled that we have been taking for some time while at the same time doing random urine testing! Over the bridge i go. I found a good doctor but have often found that doctors would trivialize my physical problems. They would give me a medication for depression or anxiety and basically leave me to deal with the physical problem. It is not only opiates that patients get dependent on. In my many many years living with traumatic brain injury I have seen many many other patients and many doctors who readily prescribe or take psychiatric meds for symptoms of brain injuries.
We are often treated as if we are mentally ill, which in fact we can become when our needs are ignored and we are not able to care for ourselves. Advocacy is difficult to find and there is not enough rehabilitation for us. Bottomline, people know 4 types of answers to there pain problems: I use clinical reasoning and acumen to assess every pain encounter.
I even rx some kumbayh methods. I hear you Leslie. And TBI like many other issues is impossible to handle in a minute office visit. My doctor friend says it is worse than drive-through medicine.
Sometimes it feels like vending-machine medicine. I have not worked in an emergency room and I can only imagine what happens there. No happy dancing bunnies. They come to my office. I do think that good patients who follow the rules are clueless about the real problems in the ED. I do not doubt you for a minute Renaldo. Sorry, Doctor, but you just made my head explode! They ask me how long I have taken morphine but no one ever asks me about the 10 years in which my doctor and I tried every conceivable drug and treatment OTHER than morphine.
Dependence does not equal addiction. I face ugly discrimination and bias on a daily basis because of a drug I need. What no one considers is that morphine is just one part in my daily routine to control my pain. They do not see that morphine was my absolute last resort. Prior to introducing morphine into my regimen, I could not walk unassisted and I frequently needed a wheelchair.
Yet, because I take this one drug, I am branded a threat, a nuisance, a time-waster, etc. I was a highly paid, well-respected intelligence analyst and top cybersecurity advisor for our government. I always dress nicely. I always address the medical professionals with respect.
All these doctors and nurses would have to do is call my doctor or pharmacist. I have overheard medical staff whispering about my doctor and they further spread their nastiness by implying that my doctor must be a Candy Man.
Every guideline says I must be treated with respect and that my request for help should be given all consideration. Perform a complete pain assessment and review the recent analgesic history. Pseudoaddiction improves with the provision of adequate analgesia, including opioids. In contrast, associated with a substance abuse disorder will not change.
I am so sorry this has happened to you Sonder. If doctors had more time and energy to truly care for their patients, we could avert these misunderstandings.
We all absolutely need a trusted doctor who can oversee our treatments and make certain patients are not suffering needlessly. Unfortunately, as my next blog indicates, many doctors are at a breaking point with despair, depression, and suicide: For many, it is hard not to become jaded. The good news is many physicians are breaking away from abusive employers, contracts, working conditions and choosing to start ideal medical clinics so they can really be doctors again.
You do know all we ever wanted to do was help people. You have gone above and beyond what most people do and the fact that you are educating yourself is impressive. Maybe the professionals, doctors and pharmacists, who disrespect you should walk in your shoes to see what your quality of life is without that medication. I see that this post was written several months ago — but am hoping you might see this anyway. I want to say a million thanks to you for this. I am having a really bad week dealing with my chronic pain issues — — I am 48 years old and have been dealing with chronic pain issues since I was 17, at which time I was diagnosed with Chronic Interstitial Cystitis.
I have been very depressed lately as I have felt like I am also treated like an addict much of the time when I do seek pain medication. I have 30 years worth of stories to tell — detailing every treatment I have tried -and feel my history is completely dismissed and that I am disrespected so often — and especially by pharmacists , ER physicians and nurses. I have never abused any of my pain medication in any way yet feel as if that is how I am viewed as doing.
To be honest, the treatment I have received by these so called professionals has caused my depression to worsen much more than the actual disease and pain itself. These last few weeks in particular have been hard as I have had to make several ER visits due to kidney stones — I have passed one, had one surgically removed and am getting ready to have a third surgery next week. Anyway — as I am being treated by a pain clinic for my IC — each time I have gone to the er for kidney stone pain I was sent home.
No diagnostics were done to determine what was going on. They just assumed I was drug seeking after hearing my history and sent me home on three different occasions … I finally went to a different ER — they diagnosed the stones — referred me to a urologist who did my surgery and is getting ready to do another as I said , one stone I passed on my own.
Anyway — this was just one in a very long line of stories- same song different verse. It has affected my self esteem and made me feel so worthless. At one time during the last few weeks — I had taken a prescription for an opiate to the pharmacy — it was stronger and the frequency increased above what I normally take as it was temporary and was going to be used until I could get my stone surgically removed.
I just drove away and took it elsewhere — and cried for hours. And I am not a crier normally. Anyway — I will stop my blubbering now.
I feel so bad for you and for all the others on this thread who suffer from any type of chronic pain — and who have to deal with being treated with such a lack of respect. I am sending out prayers , positive thoughts and much love to everyone. And thank you Sonder Twyful for sharing your story … And for all others on this thread who have taken time to share their stories. Oh, and PS … those of us who truly experience chronic pain know that we will never, ever, ever be free of pain.
I was told this was to protect the patient in case a new physician attempted to change things. While marijuana is legal,chronic pain pts are being treated less than dogs. I had part of my nose and lip cut out and soft tissue in between removed. I was sent home without any pain killers. I jammed my arm into my rotator cuff, and I was sent home without any pain-killer, etc.
I ask for one 10 mg codeine to get me through the first night, and they call me a dope addict. I miss the s, where they gave me codeine.
I have to sit up slowly. I have to turn my head slowly. Hang onto a wall or person when I try to walk. And not be able to suck anything from a straw, because part of that muscle was cut out? Pain management is an area where the collapse of personal medicine becomes most evident.
I would expect that it would be hard to fool a long-term physician, and most patients would be ashamed of themselves. Today, in most practices, 3 years is a lifer. Chronic pain, like depression, often causes a systemic impediment of many routine activities, and impairs the patient in ways that are not always obvious. I find that drug-seekers talk about drugs, and people with chronic pain talk about pain.
We set goals not measured in degree of pain alleviation, but restoration of function. Those with chronic pain KNOW that it cannot be taken away, but it can be minimized in significance. As medicine becomes dehumanized, the type of suffering which is most exquisitely felt by humans becomes trivialized.
If you are not human, you do not have a right to claim human problems. Suck it up, says the system. Sufferers are merely discards waiting to be processed. Are we proud of this? I like the way you ask for a solution. Now to clarify, the risk in most cases is low. Not everyone tests positive. In fact, most successfully pass a drug screen even after prolonged use.
But just as you accept some risk every time that you get behind the wheel of a car, there is always going to be some risk of a positive drug test with every CBD oil product. We run the largest CBD oil group on Facebook so we hear from thousands of users every day. But if someone tells you there is no risk, they are either uninformed or being dishonest.
Drug tests are typically looking to detect the presence of THC, the psychoactive ingredient in marijuana, in addition to other controlled substances. CBD oil products available online and in local stores are derived from industrial hemp and by law must have less than 0.
Product type — Full spectrum products will carry the most risk because they contain the trace amounts of THC. Metabolism — Body chemistry will affect how long any THC and other cannabinoids remain in your system. Those who metabolize the CBD oil quicker than others will have a lower risk of testing positive. Dosage — Those taking an average daily dose of milligrams of CBD per day will have a lower risk than those taking high doses.
Duration of use — Those who just recently started using CBD oil will have a lower risk than those who have been taking it for a prolonged period.
Depending on your metabolism, THC levels can build up over time. Different testing methods show positives at different rates, including as low as 15 nanograms per milliliter. A product that shows a THC level of 0. For example, a product with 0. Not probable when taking average doses but possible. Broad spectrum and isolate products are the best choices for those concerned about drug testing who are willing to accept a small risk of testing positive. People metabolize CBD differently.
Other variables such as dosage, duration of use and type of drug test also vary. If a company or salesperson makes you this guarantee, ask them to put that in a legally-binding document that will make them liable for damages if you fail.
Do-it-yourself drug test kits are available at many drug stores and discount stores. Taking a home drug screen may give you some indications.
Additionally, all of the factors mentioned above come into play every time that you are tested. Incorrect interpretations of positive drug tests are not uncommon. Poppy seed pastries can trigger a positive test for opium in a person that has never used opiates.
If you test positive after using CBD oil, you can request a retest.
Will CBD Oil Make You Fail a Drug Test?
I would advise any parent of teens, if you are beginning to suspect a Telling your child you love them unconditionally is always right. Always let them know you believe they have the ability to recover. They drug test us and after a few years the juice he would use to hide the She's just not ready. If you are the mother of an adult child who is making poor choices, this can be a heavier burden than any of the earlier ones you carried when your child was younger. Other parents fall into a trap of accepting the blame that some misbehaving Interventions can be effective when you let your child know that their bad. If the pain is still a problem, then selected patients may consider a trial of Some doctors are acting out of fear that they could face disciplinary action daniel, you are absolutely right, i am with you on this, lets get I have never failed a monthly drug screen and I have never missed another pill count.