Chronic Pain members - Welcome, please introduce yourself

@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

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

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

Thanks for your kind support always, Last night was the first time I couldn’t sleep off and on all night because of the sciatica pain in my feet. No amount of anything stopped it. I cannot imagine how you all deal with that. It’s awful.

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

You can tell the potency of the opioids by looking at MME chart. It’s what we (pharmacists) use to calculate equivalencies between the drugs when figuring out equal doses when advising doctors about changing from one drug to another.

Hello, you two night owls. Hope you are comfy this late. Maybe this will help. I have been on Cymbalta, (duloxetine) for a couple of years now. It is one of those newer combo medications. Helps you fight off anxiety and depression which cause pain and other unwanted symptoms like cognitive decline. Hope it works well for you.

May you be content and at peace.
Chris

Very quickly.......... @bustrbrwn22, ice and P and B Releaf balm, and more ice. I also still believe that MFR can help unrestrict those nerves. What is funny......at least to me........is that sometimes, it feels like my frozen feet begin to melt and the icy water just runs up my legs to my knees. Hmmmmmm.....wonder what else I was using? Seriously......they do melt.

May you find some joy today.
Chris

Hi Chrus, @artscaping and @jimhd, Jim, I tried Cymbalta but didn't like it. Very long time ago. Sry, I didn't think of it last post. Many do very well on it. All the best, Sunnyflower