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  Strongest narcotic painkiller for severe chronic pain (Page 1)

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Author Topic:   Strongest narcotic painkiller for severe chronic pain | Page views:
SFangel
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posted 09-06-2003 05:14 AM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi,

I would like to know what you think is the strongest narcotic painkiller in the U.S. or in the world for control of severe chronic pain.

Thanks.

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grizzk62
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posted 09-06-2003 08:51 AM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
SFangel,

Reading the other post of yours that follow this one has me a little worried. I am wondering why you want to know what the strongest pain med is out there. you are on duragesic and that is fentyl which compared to other narcotics it is considered the one of the strongest because it is measured in mcg not mg.
Then in another post you asked what secondary gain is. I would bet that he "the doc" is thinking that you are not taking it for pain but for its ohter euphoric affects that you get from it and for its calming effects that narcotics have.
Then you asked in another post if you crushed a vicoden would it make it work faster or harder. It won't do either because vicodin is a short acting pain med. Crushing them will do nothing. If you crush or chew the long acting meds like Oxycontin or mscontin then you over come the longacting effects of the med and get all of the dose in a short time instead of a long time.
SFangel I am worried that you have other problems. Asking this questions make me tend to think that you are taking the meds for other reasons as well. I believe that you need to get honest with yourself and maybe talk to your doc about this as well..

Matt

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EmtShirl
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posted 09-06-2003 09:55 AM     Click Here to See the Profile for EmtShirl     Edit/Delete Message   Reply w/Quote

Matt~

I DITTO everything you have just said!!!!!! I also read the other threads and was thinking about the same thing you are as to why all the questions about the narcotics (strongest, crushing and so on.....)

Well said again Matt!!!!!!

Shirl :Heart:

------------------
Love,
Shirl
History:

1980- Transaxillary resection of 1st rib and division of band (left side)
1982- Diagnostic Laparoscopy
1985- Transaxillary excision of cervical rib (right side)
1991- Laser stapedectomy (right side)
1992- Fractional D&C
1992- Diagnostic Laparoscopy
1996- Lumbar hemilaminectomy
1999- Left knee arthoscopic surgery
2001- Laparoscopic assisted vaginal hysterectomy
2002- L5-S1 Microdiscectomy
2002- L4-L5, L5-S1 Anterior inter-body lumbar fusion with cages and my own bone from left hip for bone graft
2002- Neck problems Surgery??????
2002 DEC 21- C4-5, C5-C6 Anterior Cervical Corpectomy with Fusion and Internal Fixation (Bone from the bone bank)

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avogadro
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posted 09-06-2003 10:36 AM     Click Here to See the Profile for avogadro     Edit/Delete Message   Reply w/Quote
Matt,

I was thinking the EXACT same thing as I was reading the various posts from Angel.

I crush my Vicodin because of my Gastric Bypass Surgery, it absorbs better for me that way and swallowing large pills is difficult. This is done under doctors orders after using the liquid Vicodin which became to difficult to find. It woulddonothing for the effectiveness for a person with a normal stomach.

Angel,

Please do not get angry, we are just concerned about you. Please talk to your doctor and listen to his advice.

AV

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twisten
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posted 09-06-2003 02:39 PM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
I haven't been on here recently and haven't had a chance to catch up but I have been reading messages from the last few days and my thoughts are the same.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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SFangel
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posted 09-06-2003 04:47 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, everybody

I was asking which narcotic painkiller is the strongest just because I am curious. I am also worried that if I become tolerant to Duragesic and it stops working because of this, I will not find another stronger narcotic painkiller to control my severe chronic pain. I know the dose of Duragesic can be increased but the dose I am on, 50 mcg, causes me to have severe nausea with sometimes severe vomiting (controlled with anti-nauseant and anti-emetic meds).

You may know that some doctors think narcotic painkillers are not effective for RSD pain, which is what I have. Some doctors also do not like that narcotic painkillers be prescribed for control of severe non-malignant chronic pain. They think these meds should be used for control of cancer pain only.

The doctor who accused me of “having secondary gain issues as well as emotional ones” is a neurologist. Neurologists are NOT qualified to diagnose secondary gain; only mental health professionals can do this. A psychiatrist told me I know better than anyone else if I have secondary gain issues because I know what I get out of having pain. The answer is: nothing good, I would rather have my pain-free life back than take Duragesic. I do not get any euphoria or calming effects from Duragesic or from any other narcotic painkiller.

I asked if crushing Vicodin would make it work because this med does not work for me when swallowed whole. I was thinking that my gastro-intestinal system might absorb Vicodin better if it was in powder form. I would never crush intentionally a long acting narcotic med like MS Contin or Oxycontin.

No, I am not a drug addict. I have demonstrated severe chronic pain from RSD. Duragesic has saved my life by controlling this severe pain.

Avogadro, I might not have the same problems as you but I do not have a normal stomach: I have a history of Peptic Ulcer Disease and Gastritis.

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HERMIT
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posted 09-06-2003 05:13 PM     Click Here to See the Profile for HERMIT     Edit/Delete Message   Reply w/Quote
At least you know that people here care about you--and your state of mind.
Fentanyl is number one. I wore up to 3 150 microgram patches at a time. I now take hydromorph contin--works better for me and much less nausea. I take 72mgs 3 times a day with 8mgs for breakthrough. You have a long way to go--don't worry so much.

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twisten
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posted 09-06-2003 05:45 PM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
SFangel, everyone on here is just trying to help you not judge you. The context in some of your messages was a bit alarming. What is RSD? This is something I am not familiar with. It really doesn't matter what different types of pain we are all dealing with. No matter how you look at it pain is pain and it sucks.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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avogadro
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posted 09-06-2003 08:43 PM     Click Here to See the Profile for avogadro     Edit/Delete Message   Reply w/Quote
What is "secondary gain"? I am not familiar with the term.

OK - I went and looked it up on Yahoo. In case anyone else is wondering, here is the definition that I found:

"Secondary gain is the term used by Freud to describe the advantage which patients gain by their symptoms eg: sympathy, avoidance of a difficult situation. It is a feature that is said to characterise hysteria."

AV

[This message has been edited by avogadro (edited 09-06-2003).]

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twisten
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posted 09-06-2003 08:46 PM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
Av, I think it means when you are using them for reason other than pain control.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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avogadro
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posted 09-06-2003 09:16 PM     Click Here to See the Profile for avogadro     Edit/Delete Message   Reply w/Quote
SFAngel,

I know a little bit about RSD. I found the following information:

"Reflex Sympathetic Dystrophy Syndrome, also known as RSDS, is a progressive disease of the Autonomic Nervous System that can follow a simple trauma (fall or sprain) a break or fracture (especially wrist and ankle) a sharp force injury (such as a knife or bullet wound), heart problems, infections, surgery, RSI/CTS, spinal injuries/disorders, or major trauma. It is a multi-symptom condition affecting one, two, or sometimes even all four of the extremities. It can also be in the face, shoulders, back, eyes, and other areas as well. It may spread from one part of the body to another regardless of where the original injury occurred; and RSD can spread in up to 70% of the cases. In a small number of cases it can become Systemic or body-wide. RSDS is an involvement of nerves, skin, muscles, blood vessels (causing constriction and pain) as well as bones. ANYONE can get RSDS. There are millions of Women, Men, and Children across the United States with this disease. It affects women many more times than men, as high as four or five to one; and affects all age groups from 3 to 103."

Do you know what caused it in you?

AV

[This message has been edited by avogadro (edited 09-06-2003).]

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SFangel
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posted 09-06-2003 11:32 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, everybody

Hermit, I know people on this board care about me. I did not get angry at anyone; it was just a misunderstanding because I did not express myself very well.

Thanks for telling me fentanyl is number 1 in strength. I did not know fentanyl patches existed in strength of 150 mcg. I thought 100 mcg was the maximum strength for a single patch. Did you get 150 mcg fentanyl patch strength from the U.S.? If not, where did you get them?

Duragesic also causes me to have severe nausea with sometimes severe vomiting. I take various anti-nauseant/anti-emetic meds to control nausea and vomiting: Antivert, Compazine, Phenergan, Reglan, Marinol, and medical cannabis. Marinol is the best med for me. How long did you use Duragesic?

Twisten, I know people on this board were not trying to judge me. Like I said, I sometimes do not express myself very well.

RSD ranks number 1 on the McGill Pain Scale, which means RSD is considered to be the most painful chronic pain disease that exists.

Avogadro, I do not get any advantage by having pain. I would rather have my pain free life back rather than being in pain. The psychiatrist and psychiatric nurse I saw never said I had secondary gain issues as well as emotional ones. They said I had Post Traumatic Stress Disorder because of my accident. My psychiatrist and my primary care physician prefer that I am on Duragesic than on any other narcotic painkiller.

In August 2001, I was a pedestrian struck and injured by a car while crossing the street on a crosswalk. I suffered multiple injuries, especially to my left knee. One of these knee injuries is a tibia plateau fracture; this fracture caused me to develop RSD in my left knee/leg. I also believe that my walking on this fracture for 2 months because it was not detected by ER physicians also caused me to develop RSD.

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avogadro
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posted 09-07-2003 11:14 AM     Click Here to See the Profile for avogadro     Edit/Delete Message   Reply w/Quote
SFAngel,

I hope you did not take my post the wrong way. I wasn't trying to say that you had secondary gain, I was just posting the definition I found in case there were others (like me) who were not familiar with the term!

I am very sorry about your accident. I hope you at least received some compensation from the persons insurance company. Pedestrians always have the right-of-way.

I have not developed RSD but I am sure you feel the same way I do about my car accident. I am only 31 years old and now feel like I am 80! It can be hard to deal with emotionally - that I feel like my life was ruined by this accident which was not my fault. I was fine before and now I have gone through hell by something that I could not control and was just in the wrong place at the wrong time. It has been recommended that I go to a counselor, and I have an appointment for next week. I just need to deal with the anger I have and the fact that I might live with this for the rest of my life.

Is there any hope of a cure for RSD? Does anyone ever recover from this disease?

AV

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SFangel
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posted 09-07-2003 06:07 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, avogadro

No, I did not take your post the wrong way. I know you were not accusing me of having secondary gain issues.

The person who injured me has an automobile insurance policy limit of $50000, which is not enough, because my bills are close to $100000. There are going to be more bills because I need ongoing and expensive medical care for the permanent and disabling injuries I sustained. I had to spend $22000 of my own money to pay for a surgery that did not even work. I also need more surgery, which I might have to get in Costa Rica because U.S. orthopedists refuse to help me. The person who injured me is trying to commit fraud by hiding her assets.

"Pedestrians always have the right-of-way." I wish car drivers would respect this right-of-way.

I am 28 years old but I feel like and sometimes look like I am 100 years old.

The person who injured me destroyed my life. I hate her sooo much! I do not want vengeance against her; oh no! I think it is not good enough for her to be hit by a car! I want her to have a horrible and painful disease like cancer and I want her to have a horrible and painful death so she can understand what she did to me. I am REALLY looking forward to the day when I can kick her gravestone and spit on her grave.

Unfortunately, there is no cure for RSD even though research is being done. RSD can go into remission but can come back easily and quickly with the slightest injury. RSD also spreads easily.

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grizzk62
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posted 09-07-2003 06:49 PM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
SFangel,

I can certainly relate to your anger. I had alot of anger following my accident that broke my back19yrs ago. I can't tell you that it will ever go away because I still have times where I get mad. I will tell that eventually you wiil gain some acceptance. I'm sorry if you missed understood my intentions in the first post to this thread. I was only worried about some of the things you said and how you came across. Know that I will always be there for you and I will always be on your side the person that suffers dailey from chronic pain like me will always be before any doc or crack pot that has intentions of taking away even more of our dignity and self worth. The one thing I will say that in allow the person that hit you to keep hurting you is only letting her and the system win. Take good care and may you have some peace in the coming days....

Matt

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twisten
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posted 09-07-2003 06:58 PM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
I honestly can't imagine how you guys who have been hurt by someone else's carelessness feel. Its bad enough dealing with diseases that just appear. I know I sure wouldn't want to be responsible for someone else's suffering by some action of mine. As hard as it may be to let go though angel, grizz is right, you're only hurting yourself more. RSD sounds similar to one of mine, myofascial pain, but looks like it is a bit more involved. This one is bad enough, I wouldn't want one any worse. Angel, you say she is trying to hide her assets, that is just wrong. She should stand up to what she has done to you. But I know, get real, like its every going to happen. Only in our dreams maybe.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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SFangel
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posted 09-07-2003 11:15 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, everybody

Matt, I know that many people who were hurt because of the carelessness of others often feel anger toward the person that injured them. I know I will always be angry at and hate the woman who hurt me.

I am not mad at you, Matt. I know you and the other people on this board care about me and are trying to help me. The problem is that I sometimes have trouble expressing my thoughts into words.

You are right, if I allow the person that struck and injured me with her car to keep on hurting me is only letting her and the system win. I will not give her that satisfaction. However, there is no way I can ever stop hating her. I just want to get her out of my mind and out of my life. I want to make her life miserable like she made my life miserable.

Twisten, I know that if someone got hurt because of my carelessness, I would take responsibility for it.

I do not know if I also have myofascial pain in addition to the nerve, bone, ligament, muscle, etc. pain of RSD.

Thanks, everybody, for your support. It means a lot to me. You all feel like friends to me. Thanks!

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deered
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posted 09-08-2003 12:39 PM     Click Here to See the Profile for deered     Edit/Delete Message   Reply w/Quote
SFAngel

I know exactly how you feel. I have RSD and it is not easy to live with the pain. I understand your anger and recentment to the person that hit you I feel the same way against the 16 year old punk that ran a stop sign and hit me and I fell off the motorcyle and rolled 266 ft barefooted. The dr said if I had worn shoes it would have ripped my foot completely off. He was a state Troopers son so needless to say I didn't get one red penny not one. I have had over 15 surgeries my leg and foot is disfigured I have 2 kids that want to play with their mom but sometimes it hurts so bad I can't and it is not my kids fault. My dr just switched my meds from oxycotin to avinza and I don't like it. It gives me headaches stomach cramps and I can't sleep. Good luck to you sweetie let me know if you ever need to talk. I am hear for you..

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SFangel
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posted 09-08-2003 01:31 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, deered

Thank you so much for your support. I am kind of depressed right now. I am so sick of the multiple problems (especially pain and falls) caused by my left knee/leg's RSD and torn ligament. I feel like just sitting in front of the computer and cry and cry.

I am sorry that you also had to go through the trauma (physical and emotional) of being injured by someone else's carelessness.

Some people do not know what it is like to be injured by someone else. They say I should not hate the person who injured me because it was only an accident. This does not excuse the woman's hurting me and not taking responsibility for it. They say it is not normal for me to hate that person. I know it is normal! I know it!

The old woman that hurt me and the state trooper's son that hurt you do not want to pay for what they did to us. I hope it all comes back to them in some way or another and I hope they will suffer like we are so they can understand what they did to us and how we feel on a daily basis.

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CoreyP
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posted 09-09-2003 01:56 PM     Click Here to See the Profile for CoreyP     Edit/Delete Message   Reply w/Quote
I know how you feel. I was in a car accident where I was the passenger. The driver was an old friend of mine, he was driving like an idiot, while I was pinned in the car waiting to be rescued for my life long fight with pain, he walked away without a bruise. I feel some hate too.

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lostsoul15204
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posted 09-09-2003 06:50 PM     Click Here to See the Profile for lostsoul15204     Edit/Delete Message   Reply w/Quote
Hello fellow cper, From my experience methadone works better that the fentyl patch and the strongest drug I have been on for breakthru pain is dilaudid(hydromorphone). In Canada there is a form of long acting hydromorphone but you can't get it in the USA I hope this answers your inquiry. Good luck and God BLESS

------------------
Rick

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SFangel
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posted 09-10-2003 04:20 AM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, CoreyP and Rick

CoreyP, thanks for your support. I do not meet many people who understand why I hate the person who injured me. I am glad you understand how I feel.

Rick, thanks for your information. I am happy methadone works for you. I wonder if it is harder to get a doctor to prescribe methadone rather than Duragesic (fentanyl patches).

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grizzk62
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posted 09-10-2003 09:03 AM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
SFangel,

Methadone can be alot harder to get from some Docs. The reason is that this is a med that is hard to titrate up to the right dose being that methadone is a true long acting med and that it build up in your systom. For this reason alot of docs will only consider this med as a last resort. It is however a very potent pain reliever. And I have had great pain relief from it. I hope that this has anserwed your questions...


Matt

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SFangel
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posted 09-10-2003 10:54 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Thanks, Matt, you have answered my questions very well. I believe my doctor would never prescribe methadone for me if Duragesic stopped working for me. So I pray Duragesic will keep on working for a very very long time.

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avogadro
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posted 09-10-2003 11:52 PM     Click Here to See the Profile for avogadro     Edit/Delete Message   Reply w/Quote
You know, I have heard several times now that most doctors do not prescribe Methadone. I'm getting a little concerned about taking this medication. Plus, it did not even work for me at 5mg, 3 times a day. He has now moved me to 10mg, 2 times a day. Maybe I will be able to tell that it does some good at that dose. When we determined that the MS Contin would not work (due to the Gastric Bypass Surgery), he immeduatley went to Methadone, which surprised me since previously he had mentioned the patch. Do you think this is unusual? Is the patch medication as strong/not as strong or stronger than Methadone? Do you think he should have tried the patch before going straight to the Methadone? Just curious.

Thanks,
AV

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savysac
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posted 09-12-2003 09:50 AM     Click Here to See the Profile for savysac     Edit/Delete Message   Reply w/Quote
I suffer from RSD as well. I was injured by the carelessnes of another person as well. Although I share alot of the same feelings with you as far as pain and discomfort, I do not share the same anger towards the person who was unfortunate enough to be at the other end of my accident.

I hope, that for your sake and for the sake of your baby, that you learn to give up the anger towards the other person involved in this accident.

I was injured in 93, working for a railroad as a track laborer. We were picking up scrap rail from the side of the tracks with a huge boom/crane truck. I was told by my foreman to go into the box of the truck and get a certain tool, while doing so, the assistant foreman, who was the boom/crane operator, started to move the crane, it got caught on one of the peices of rail and that rail, which was 20 ft long and 2-3000 pounds, lifted up out of its rack and headed straight towards me. In an attempt to get out of the way, I tripped over tools in the box and my head ended up in the path of the rail's movement, if the truck driver had not run to the scene fast enough and ducked me down, I would have been decapitated, instead the rail caught my lower left leg and pulverized the bone. The only thing keeping my lower leg/foot attched to my body was torn skin and ligaments.

I often thought, why me? And why didnt I die? I never thought anything bad about the person who caused the accident. I mean it was an accident. He did not malisciously move the crane to cause me injury or death. I am sure he felt bad about it. When I was in the hospital, he came and visited me and told me he was sorry for what happened, he even cried. Now this guy is a big, strapping boy, and to see him cry is way out of the usual. I told him he didnt need to appologize as I held no hard feelings, it was an accident. I told him that the accident involved 2 people that day, it is just that I got the raw end of the deal. I also told him I was sorry he had to go through all of that.

Anger and resentment can be such a barrier in your quest for health. It throws so many obstacles in the way on your road to recovery. I cannot tell you how to feel, but I can speak from experience in telling you to try to let go, whats done is done.

At the end of the day, no matter how badly the lady who caused your accident treats you, she still has to live with the guilt. She may not admit it to anyone else, but there is a part of her that feels terrible for what has happened, I know there is, she is only human.

I wish you all the best, and completely understand that you are going through the worst time in your life. In order for you to heal, you need to heal your emotional self as well as the physical. I hope you can find a way to let go of your anger, and that you find the pain relief you deserve.

peace

terry

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SFangel
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posted 09-13-2003 05:49 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, avogadro and terry

Avogadro, I guess some doctors do not like to prescribe methadone because it is used for heroin addicts who want to stop using heroin. I hope methadone will work for you at the current dose.

I know that for some people with gastro-intestinal problems, immediate release and controlled release meds do not work well, if at all. I would have thought your doctor would put you on Duragesic. Maybe he wants to give you an adequate trial with methadone before switching to something stronger like Duragesic.

Terry, I want to let go of my anger toward the woman who injured me. There are differences between the person who injured you and the person who injured me.

The person who injured me lied about me by saying I was not on the crosswalk. Did the person who injured you ever put the blame on you? No!

The person who injured me is not paying for what she did. She is trying to commit fraud by hiding her assets. Is the person who injured you trying to do the same? Not that I know of!

The person who injured me never visited me at the hospital to tell me she was sorry and never cried in front of me.

I know that the woman's hurting me was an accident. However, an accident is not an excuse for her not to take responsibility, financially and otherwise, for what she did to me.

I do not believe I was in any way responsible for the accident. I was on a crosswalk and I had a green walk sign. The woman who injured me is 100% responsible.

I want to forget about that woman, but not before she pays, financially and otherwise, for what she did to me. I want to ruin her life like she ruined mine.

It is more than just about anger, it is about fairness and justice.

I do not know if the woman who hurt me feels any guilt. For all I know, she might wish I were dead so I would not sue her and so she would not have to pay for what she did to me. Like my teacher said: "She must have a hard rock in place of a human heart."

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savysac
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From:Pierre, SD USA
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posted 09-14-2003 12:02 AM     Click Here to See the Profile for savysac     Edit/Delete Message   Reply w/Quote
I quess you just dont get it.

I wish you luck on your quest for vengance.

peace

terry

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SFangel
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From:san francisco, california, USA
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posted 09-14-2003 02:48 AM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Terry, I wish I could forgive her. I guess once the trial is over and IF she pays me the money she owes me, then I can forget about her. It is only fair she pays for the pain and suffering she caused me as well as the medical care I need because of the injuries she caused me.

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callie3
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From:charlotte,nc
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posted 09-14-2003 12:30 PM     Click Here to See the Profile for callie3     Edit/Delete Message   Reply w/Quote
SFangel,

How much money will it take to make your situation better? You seem so obsessed with hatred toward this woman and seem to think that winning a lawsuit will make things ok. I'm not trying to be mean here but no amount of money will ever make a permanent disability better. Her insurance will pay the bill and she will go on as before with maybe higher rates. You in the meantime have a lifetime of pain to live with. I was injured 11 years ago in a hit and run accident. Now I have just been diagnosed with Spondylolysis and spondylolisthesis after being in pain for 11 years. All these years of pain have taught me that life is too damn short to hate the person that hit me. It was a young drunk kid and his friends and they were never caught. They probably never thought about me again. Why waste precious minutes of my life hating someone who never cared? You need to let the hate go. Any money you receive will help with the bills but it will never give you back your health and she will never regret her actions. Why give up another second of your life to her? Have you seen a therapist to discuss your anger issues? You are letting her ruin more than your physical body,she is also ruining your mental health and its not worth it. Learn to live each day as pain free as possible and celebrate those days that are more comfortable than others painwise. This is your life now. Money won't make the pain go away or bring back your health. Each thought you give her takes away from you and your goals. Your new fight is with your chronic pain and it deserves every bit of energy and strength you have just to get thru another day. I know this is long but I have been in the same place as you. My insurance paid and after the check cleared,I was left to pick up the pieces. No one really pays after an accident but the one injured and sweetie, you and I both got life sentences with little or no chance of parole unless they find away to make the pain stop. Good luck to you and may you find peace.

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twisten
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From:Saskatchewan Canada
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posted 09-14-2003 12:36 PM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
Sfangel, I feel so bad for all that you are going through but everyone is right, you have to let go.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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SFangel
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From:san francisco, california, USA
Registered: Aug 2003

posted 09-14-2003 05:33 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, everybody

I think you are right I should not give the woman who injured me any more time from my life by hating her. She is not worth it. Thanks again for the advice.

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whaleylaker
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posted 09-15-2003 01:15 PM     Click Here to See the Profile for whaleylaker     Edit/Delete Message   Reply w/Quote
Hi Actiq ( a form of fentytal?) from what I understand is the strongest. It has a short span though.I admit I didn't get through all the replies but it goes to show the genuine concern alot of peolple have. I personally feel very lucky being surrounded with such good folks.Lake

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SFangel
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From:san francisco, california, USA
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posted 09-15-2003 08:19 PM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi, whaleylaker

Thanks for your information. I will talk with my doctor and ask her about Actiq the next time I see her.

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savysac
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From:Pierre, SD USA
Registered: Aug 2003

posted 09-15-2003 10:04 PM     Click Here to See the Profile for savysac     Edit/Delete Message   Reply w/Quote
Isn't Actiq the brand name of the med that comes in lollypop form? I think it is. It is supposed to be an almost immediately acting med.

My sister had some of those lollypops for her migranes and after 2 seconds of sucking on one, the pain was gone.

Maybe I am thinking of something else.

peace

terry

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Unzzz2003
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From:Highland,N.Y. U. S.A.
Registered: Aug 2003

posted 09-16-2003 12:24 AM     Click Here to See the Profile for Unzzz2003     Edit/Delete Message   Reply w/Quote
Hi: Yes, Actiq, made by Abbott is a flavored lozenge
with a handle on it for easy removal from mouth.
[oral transmucosal fentanyl citrate]. It is really only
indicated for Cancer Breakthru Pain, and for People
already taking a certain amt. of Opiad Medication.
I think You could say it's very POTENT. Alrighty then, Igy, All, have a wonderful evening.....Unzzz!..Peace!

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SFangel
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From:san francisco, california, USA
Registered: Aug 2003

posted 09-16-2003 01:07 AM     Click Here to See the Profile for SFangel     Edit/Delete Message   Reply w/Quote
Hi,

I was wondering if I could get a prescription for a few fentanyl lollipops because I want to make sure they would work for me. Do I have to buy the whole box of fentanyl lollipops or can I buy just a few?

Do you know if there is a Patient Assistance Program for Actiq? I have no income and no medical insurance, so I cannot afford to buy these fentanyl lollipops.

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Unzzz2003
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From:Highland,N.Y. U. S.A.
Registered: Aug 2003

posted 09-16-2003 02:25 AM     Click Here to See the Profile for Unzzz2003     Edit/Delete Message   Reply w/Quote
SFAngel, from what I have read about Actiq, as I said
it is only for Cancer Breakthrough Pain. I thought You said You had a torn ligament issue with Your knee. Do you also have cancer b/t pain??. If so, sorry to hear that, if not I don't think You can get that medication.I think Abbott does have a PAP, whether or not for that Medication, you would have to check.
Later, Regards......Unzzz!

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Jiggy
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From:USA
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posted 09-16-2003 12:30 PM     Click Here to See the Profile for Jiggy     Edit/Delete Message   Reply w/Quote
Wow..Fentytal comes in the form of a lollypop.
What will they come up with nexted. God Speed Jiggy

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savysac
Senior Member
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From:Pierre, SD USA
Registered: Aug 2003

posted 09-16-2003 03:10 PM     Click Here to See the Profile for savysac     Edit/Delete Message   Reply w/Quote
Did a little research on actiq,

It is indicated for cancer pain, but there is no limitation on what type of pain it can be prescribed for, since pain is relative to the sufferer, and as we all know, there are other forms of pain that are much worse than cancer pain, namely the Causaglia(sp) associated with RSD.

In Holland, patients were given actiq for acute rsd breakthrough pain, and it was met with mixed results, the drug did reduce the pain considerably, but the effect lasted for a short duration.

I doubt you will see Dr's prescribing Actiq in the states anytime soon for RSD breakthrough, but that is just my opinion.

Wouldnt it be great everytime you got a bad flare up to just pop a sucker in your mouth and in seconds the pain was gone?

peace

terry

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