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Chronic Pain members - Welcome, please introduce yourself

Chronic Pain | Last Active: 4 hours ago | Replies (7051)

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@jimhd

@sunnyflower

It's criminal that your terrible pain went ignored for so long in the ER. I remember the pain I was having in 1996 after breaking ribs and puncturing a lung. I was home after being in the hospital for 4 days, and the pain wouldn't stop. This was long before neuropathy. I called a friend who was a doctor and told him what was happening (he might have called me) and his words were "There's no reason anyone should suffer with pain." A little while later he knocked on my door with medication that stopped the pain, and a really nice CD of instrumental hymns. Anytime I'm in the ER, I ask for dilaudid. I can't take IV morphine, but dilaudid does the job - at least it has in the past. It's on the list of things to discuss with the neurologist tomorrow.

Jim

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Replies to "@sunnyflower It's criminal that your terrible pain went ignored for so long in the ER. I..."

Hi Jim, what would you say the differences are between Dilaudid AKA Hydromorphone and morphine? Dilaudid is stronger I know but why can't you take IV morphine? Just wondering if you have some sort of reaction to it? Or, if it just doesn't do the trick. Usually, when a patient asks for a medication by name, that is a red flag to the staff doctor patient is drug seeking.

Just an FYI, it was when I was in post-op recovery from surgery that I suffered so. So far I 've been treated well in the ERs.

Are you familiar with cross-tolerance? When one opiate won't let another have the effect that it should? They block each other's receptor sites. That happens a lot in medicine and unfortunately, there are a great deal of providers to do not understand that. When a patient has been taking an opiate for a long time and they have tolerance to it, the doctor will add a different opiate for the pain such as in post-op recovery, but one opiate blocks the other's receptor sites so the different opiate is essentially ineffective or not optimally effective.

Good luck at your appointment and be sure to let us know how it goes. I am worthy of being vascular surgery today for my greater than 50% stenosis brachial artery which is considered rare as less than 5% of people have it. My concern is the cause of it and I'm praying it is not peripheral artery disease which is the most common cause.

Take Good Care, Sunnyflower

@jimhd. Please let us know how your appt goes