Showing posts with label injection. Show all posts
Showing posts with label injection. Show all posts

11 February, 2008

THE NO-LOGIC ZONE!



[Fox News doesn't have the copyright to the above for some reason...]

This should be short because I am damn tired today.

Why?

Because I went in to my doctor's today determined to make him deal with my body and limb pain. I wouldn't even say a word having to do with my head or headaches.

I also was determined not to get kicked out of another practice, so I knew I had to keep myself from yelling, and that meant a few tears would show up in my eyes as I described my pain and how nothing had been done about it and nothing at all seemed to be in the offing... Except physical therapy, which makes my pain a lot worse.

Lately I can't eat and it hurts to digest even water because it feel like I spend every day doing nothing but crunches. My stomach is all Alien-acid-infused muscle that surrounds a stomach full of thousands, millions of microscopic, circular razor blades.

Anyway, the doc knows all about my body pain. I've told him enough times. The fact that I no longer can eat or drink fluids should have had him worried, however.

And maybe it did. Because finally I was put on an IV (They wanted to do this last week). The nurse and doc wouldn't tell me what was in it because they wanted to see if it helped my pain, and by how much. As I was asking if the sauce was supposed to feel like lava in my bloodstream, I passed out.

When I woke up, it was easy to gather that the nurse and doctor were a little too self-satisfied -- I had come in saying I needed painkillers to be able to eat and drink (water) in large enough amounts to keep me alive. But I was proven wrong. Obviously, their IV had worked on my pain, or how else could I sleep?

Because the fuckers gave me a drip of fucking Benadryl, that's how. And you only give you or anyone else an antihistamine if they're having an allergic reaction and/or if you want them to stop annoying you (if it isn't given for pain, it's given to put people to sleep). I don't know why parents don't make use of copious amounts of antihistamine on long car rides...

So I woke up, came home, went back to sleep, woke up and am writing this instead of having dinner.

And, of course, my pain is right where it was before the Benadryl. (Point conceded: I needed the sleep. More important point: I need 24/7 pain relief you (Dr) scrotum toupee (toupees made with 100 percent all-natural human hair)!

The doc is off tomorrow, and I'm fine with not seeing him then. Hopefully it will give my psychologist's materials time to get to Dr 9. After he gets the psych's opinion, if I'm not put on painkillers it would be wise for me to quit the practice altogether and just order pills online or score smack on the street.

But I live with my parents, so none of that will be happening.

Fuck. Stay tuned to see how I get out of this corner...

[Pain: Intolerable.

Anxiety: Intolerable.

Hell: other people.]

PS: I can't say enough that everyone with fibro has a duty to make their doctors' lives as close to their own hell as possible until the docs finally gets to the point that, to make their own lives better, they have to improve yours. It's the only way fibromyalgians are going to get the meds we need.

We have to fight and scrape and claw to be the ones who define how fibro is treated while fibro is just coming into mainstream consciousness.

At the doctor's office, keep being an asshole. And if you aren't one, start now. No matter how nice your doc is -- Dr 9 is nice as hell, as far as his demeanor, all the while keeping me in a prison he could write a few words on his script-pad and set me free of (a malevolent fuckwit with a smile is still a malevolent fuckwit) -- if he or she hasn't gotten you as close to 100 percent pain-free as possible, he or she is an impediment, may as well be the one causing you the harm by not taking it away, and he or she doesn't deserve an ounce of respect or deference. Give none but what is required to keep you in the practice, receiving the best treatment you can until you can get better and better and better treatment. (Ask everyone and their double-secret cousin about doctors who are good with fibro or just plain loose with narc scripts.)

And nothing really works for horrible pain but narcs. Don't settle. Never settle, and never give in. Fuck what's convenient for your doctor, for the medical community -- when your every waking minute is agony, you deserve to be a little selfish.

And I know writing "I need narcs" a million times makes it look like I want narcs for their own sake. Well, maybe to those of you who took a nasty fall a while ago and didn't come back 100 percent from the concussion. I refer you, Concussion Charlies of the world, to the above description of my abdominal pain. And to all my other posts which, in some way, I'm sure, refer to my pain. The sad thing is these descriptions aren't exaggerations.

And Charlie, I wonder if a scrotum toupee wouldn't cover up your scar(s) nicely, while making you irresistable to women!

PPS: If anyone has experienced near-100 percent fibro relief from anything but narcs -- and if anyone writes me about the guafenesin protocol it goes right in the goddam trash unless it comes with a double-blind, controlled study proving its efficacy -- tell me about it.

If there were such a thing, I think all fibromyalgians would be on it though, don't you?

When what is, essentially, a cure, is found, the news can't be guarded by grizzly bears that protect the thing as though it was their own cubs.

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06 February, 2008

THOUGHTCRIME!



.
Since doctors are loathe to prescribe narcotic medications to fibromyalgians, I'd like to know if anyone gets theirs from overseas, or from Canada, Mexico, American Samoa, so forth through the mail.

As followers of this blog (all the best to you, you beautiful bastards) know, I believe the treatment for fibro should be simple: trigger-point injections performed by a very skilled and knowledgeable doctor, plus continuous opioid analgesic therapy. That's it.

I came to the last deduction (that COAT should be about 50 percent of the treatment) by reasoning that pain should be treated with painkillers (see "I HATE THE WORLD SLIGHTLY LESS!").

Did I just blow your mind? If so, you must be a doctor.

If someone theoretically knows a theoretical Web site that theoretically may be super-reliable and hopefully super-cheap and hopefully has a good supply of oxycodone in various (theoretical) permutations, please post it in Comments. Why oxycodone? Because it's, theoretically, the best pain reliever for at least one person's fibro pain.

So, for the good of all, please write about any theoretical research you've done or theoretical experience you've theoretically had. This could be done both anonymously and theoretically. But for the comment to actually appear, I suppose the comment itself would have to be more than theoretical. Theoretically.

Theoretical love and kittens to all of you

PS: I can't do any theoretical research myself because I have (unfortunately, not theoretically at all) spent every one of my pennies waiting for the Social Security Administration to act on my disability claim. (I leech off my parents, who wouldn't pay for any of these theoretical mailings. Which is strange... I would finally stop being such an asshole, completely theoretically, if my fibro was treated adequately...)

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I'M GONNA TRY FOR THE KINGDOM IF I CAN!



.
This post is going to be short because I'm on 100mg Demerol IM and want to enjoy it with frivolity.

[Pain right now: 2/10

Anxiety right now: 2/10

Tomorrow: Fuck tomorrow.]

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05 February, 2008

WHAT GOES ON!



.
1) Patient has pain that curtails his sleep.

2) His sleep is shortened because he cannot bear to be on his back or sides for more than four to five hours.

Action: Prescribe tizanidine for headaches.

3) Patient continues to have pain that curtails his sleep for same reason as above.

Action: Increase dose of tizanidine for headaches.

EVEN MORE ACTION!:

1) Patient experiences headache-pain relief from trigger-point injections given during the week, plus GI cocktails given for nausea, plus Maxalt 20mg.

2) Patient given prescription for 20 Vicodin tablets to help him w/ pain control over the weekend, when patient is unable to get TP injections, GI cocktails, limited Maxalt.

3) Patient takes Vicodin tablets every hour for pain relief.

4) Patient does not achieve adequate pain relief from Vicodin.

Action: Patient is prescribed Ultram, a weaker painkiller, for pain control on the weekend.

WHAT HAVE WE LEARNED?

The first little tale shows us that all pain but patient's headache pain is being ignored at the cost of patient's sleep quality and possible sanity.

The second tale shows us that the fucking gods must be fucking crazy.

Vicodin, at very high doses, does not give patient adequate pain relief (not even close, while endangering his liver w/ all the APAP aka Tylenol).

So patient is prescribed Ultram, a WEAKER pain reliever.

How is patient to achieve sufficient pain relief with a medicine that is weaker than Vicodin which is, itself, insufficient?

AND NOW FOR A NICE RANT!:

Why is the treatment of fibro for patients to tough it out and to grin and bear it?

Why isn't the treatment for pain painkillers?

Jesus... A retarded chimp could come up with the solution to this one...

Are fibromyalgians denied painkillers simply because they need narcotics, while others can get by on Aleve, Advil, Tylenol, etc.?

(Hint: The answer is yes.)

Programming note: Today I go to my new shrink, who I wager will make it his job to "cure" me of the above way of thinking.

He's welcome to try.

[Pain and anxiety: IT'S PEOPLE! PAIN AND ANXIETY IS PEOPLE!]



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31 January, 2008

DRUGS DRUGS DRUGS DRUGS DRUGS!



swallowed, morning
-2mg Klonopin
-300mg Lyrica
-40mg Prozac
-18.7mg Effexor
-50mg Topamax

At the doctor's office!:
swallowed
anti-emetic cocktail

dissolved on tongue, swished around mouth and then swallowed
Maxalt, 10mg
Maxalt, 10mg, headache relieved to 4/10

trigger points injected
-back, right side spine, marcaine (~2" above yesterday's)
-back, left side spine, marcaine (~2" above yesterday's)

swallowed, mid-day
-2mg Klonopin
-Vicodin (7.5mg hydrocodone/750mg APAP) X2

going to be swallowed, night
-2mg Klonopin
-300mg Lyrica
-40mg Prozac
-18.7mg Effexor
-50mg Topamax
-3mg Zanaflex
-10mg Abilify

I don't know what Abilify is. And I hate that, because I pride myself on being a walking pharmaceutical encyclopedia (Google after this). Here is all I know:

I walked into my shrink's office yesterday.

"How are you Mr Macklin."

"Well, I've felt like I've been having a constant heart attack since you both took me off Effexor and lowered my Klonopin dose from six to four milligrams."

"Do you feel anxious right now?" Barely a question, but more than a weird statement (like the above how-do-you-do). "Like you are having a heart attack?" (I don't write stilted dialogue. Guy just didn't use contractions. He spoke in a not-unpleasant, clipped, second-generation American Indian dialect. Which I'm trying to represent. Bonus: I speak just as though I am horribly pretentious.)

"Yes. I always feel that way now." But my detached attitude and learned-helplessness-colorless voice wasn't selling it. Flat affect.

"How is your sleep?"

"I only get four hours a night. Four and a half if I'm lucky. The pain and whole feeling-like-you-re-going-to-die-thing is a sweet alarm clock."

"I'll write you a script for Abilify. It should help you sleep. If it knocks you out the first night and you feel groggy when you wake up, just break the pill in half the second night."

He was writing his scripts, his mind was set, the session was over.

So I grabbed the paper entitling me to a month's supply of what Dr. 9 described today as an anti-psychotic of sorts, 4mg Klonopin per day, and 40mg Prozac per day.

There goes the shrink. I won't see that small man, not even for three minutes, again. Not if I play my cards right.

***
I hate that I can be prescribed what could be, for all I know, Super-Thorazine, in a three-minute session. Based on the fact I haven't been sleeping much? Maybe I was just on a meth binge. Or was it my flat affect?

[Pain, head: 4/10; thorax, 8/10; limbs, 6/10.Anxiety: Mind your own business on this one thing this one time, would you?]

PS: Vicodin X3 now.
.

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30 January, 2008

DRUGS TAKEN VARIOUS WAYS!:



.

swallowed, morning
-2mg Klonopin
-300mg Lyrica
-40mg Prozac
-18.7mg Effexor
-50mg Topamax

At the doctor's office!:
swallowed
anti-emitic cocktail (no alcohol. How can something be called a cocktail if there is no booze in it? Especially if it tastes like charcoal, then leaves your tongue, mouth and throat numb?)

dissolved on tongue, swished around mouth and then swallowed
Maxalt, unknown dosage
Maxalt, unknown dosage (second time, charm -- headache mostly gone -- 4/10)

injected, trigger points
-back, right side spine, marcaine
-back, left side spine, marcaine

injected, intramuscularly
-depo-medrol, right "hip" (ass-cheek)

swallowed, mid-day
-2mg Klonopin

going to be swallowed, night
-.5mg Mirapex
-18.7mg Effexor
-50mg Topamax

(I'm sure I'm leaving something out... I just don't feel up to checking my night-time med-sched. [sorry for the rhyme.] It's been a long day... Blowing snow, ice everywhere,... Driving -- being driven about 100 miles from clinic to shrink to psychologist... I hate Wednesdays... But I love my psychologist. He has a bumper sticker on his Jeep: "When the going gets weird the weird turn pro." HST)

[Pain: I have that.

Anxiety: I have that too.]
.

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22 January, 2008

CHOKE ON MY ABRASIVE COMMENTARY!



.
The following is what I wrote in response to another blogger's post that referred readers to a book that boasted a "natural cure" for fibromyalgia. Goddam it I cannot fucking
stand books that claim they have the cure.

Um... usually we know what causes something before we know how to fix it. And to date we do not know what causes fibro.

And, regardless, we simply do not have a cure for fibro!

Anyway, enjoy the below. With any luck I've pissed off more than a few people with it.:

I just scanned the site you pointed people to, and it looks like a total croc.

By definition, fibromyalgia has no cure. It's lifelong, debilitating, and INcurable. So there certainly is no "natural cure" for it.

I'm sick of books saying they have cures for fibro. It gives people false hope, when they should be bugging the crap out of their doctors for effective treatments to MANAGE their pain.

My doctor does trigger-point injections (and my head is so much better), 300 of Lyrica, .5 of Mirapex for my jimmy legs (aka RLS), 4 mg Klonopin for anxiety and muscle spasms, working up to 60 mg Cymbalta for depression and possible pain relief, 40 mg Prozac for same, and steroid and pain-relieving intramuscular injections whenever I see him (daily to every other day).

So, you see, fibro is complex, and requires complex treatment.

And if your fibro can or has been cured, baby, you didn't freaking have it and you're harming those of us who really do. You're the people with relatively minor aches and pains that call what you have fibro, then find a cure in a book.

If you have been cured, and genuinely had fibro, you must have found the fountain of youth. I'm sure it wasn't in Florida, as many have thought it would be, since that's where Americans go to die...

Please tell the rest of us where it is!

[Pain: 5/10, head. Today my doctor and I made the breakthrough that my temporomandibular joints are causing the lion's share of my head pain. He only injected the right TMJ -- or, rather, the knotted muscle surrounding it -- because I already had had my 24 hours' worth of marcaine injected into my shoulders' trigger points. So he used lidocaine and depo-medrol on the right side of my face and my jaw relaxed and my headache (mostly) dissipated like London fog on a hot afternoon.

I'm going in tomorrow, too. My doc is injecting both sides, and I could not be more excited to get stabbed in the face repeatedly. It is going to be the best thing to happen to me in years. How fucking odd!

But it is going to be just fucking fantastic...

Pain, body: 8/10.

Anxiety: 7/10. (The shots helped my anxiety, too! And made my dick bigger!)]

.

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