I just saw the article “When Prosecution Replaces Prescription” in Pain Medicine News (http://www.painmedicinenews.com//ViewArticle.aspx?d=Web%2bExclusives&d_id=244&i=June+2014&i_id=1066&a_id=27622&tab=MostRead) & I (momentarily) felt hopeful. It certainly starts out promising, mentioning the shame and stigma associated with chronic pain and how that leads patients to (among other things) try to conceal their chronic pain…though I do note with a weary sigh that in selecting the pronoun for the hypothetical pain patient, they just had to use “she.”*
At any rate. The article goes on to suggest that though opioids are evil, vile things that for the most part shouldn’t be given to anyone ever (I’m paraphrasing), there really is a subpopulation of cp sufferers for whom evil opioids are the only option for relief, and therefore those evil opioids (EOs) need to remain available to that population (I’m paraphrasing a lot; henceforth unless you see quotation marks, that’s what’s happening).
However, of course, and naturally, the article has to then leap up & shout about how horrible the abuse of evil opioids is, how tragic, etc. It mentions another tactic in our wildly successful ‘War on Drugs’ (insert large sarcastic sneer here) now being tried is to prosecute doctors for prescribing the EOs. This tactic is in addition to prosecuting & persecuting patients, also blackballing them, treating them like criminals or malingerers or lazy whiners who just wanna get high, as well as all those other massively successful tactics tried thus far.
I know it’s tragic that people do awful and criminal things to get their high, and sometimes kill themselves with it, but I gotta confess that my sympathy for those types is limited. I earned a graduate degree in dealing with an addict long before I ever even started high school, and one of the many lessons I learned about them is, they are gonna get high no matter what you do, no matter how you punish them, and even no matter how much you punish and make life miserable for legitimate pain patients. Let me repeat the crux there so it stands out:
They. Are. Gonna. Get. High.
I learned this direct from the horse’s mouth as well as from observation. I watched my decent, intelligent, wonderful parents and then my mother battle my vile, four-years- older sister (henceforth known as “The Spawn of Satan”, or TSOS) for years. That fight destroyed my parents’ marriage, their health, and nearly their minds. When TSOS was in her mid-to-late teens my mother and stepfather forcibly (in all senses of the word) put her in rehab, multiple times. Every time they did it, she told them with impressive firmness that it would do no good, they were wasting their money, because the moment she got out she was going straight to her connections and get high. No matter what they did or how much money they spent, that’s what was going to happen. And it did. Repeatedly. When she finally was out of the house –a bizarre, tornadic combo of her leaving voluntarily and being forced out (with stops along the way for her to physically attack my mother, among other charming events), she ran out of people to give her money and got bored with trying to steal it, and became that staple of old TV shows, the hooker on the street who turns tricks to support her habit…she had a pimp who beat her up and everything. Because she wanted to get high (and no, I’m not going to touch upon the argument of ‘want vs need’ here; that’s endless, unresolvable, and basically irrelevant).
Trying to deal with an addict destroyed my family, nearly destroyed me physically and probably did (at the very least) screw me up mentally. Instead of following in TSOS’s footsteps, I tried to go as far in the other direction as possible to ‘make up for her.’ No matter how perfect her grades are, how quiet & good & well-behaved she may be, how helpful or kind or teacher’s pet-ish or anything else, one sibling cannot be “good enough” to balance out bottomless evil. Can’t be done. Also, no matter how wonderful parents are, if they’ve got one Tasmanian Devil and one studious, house-trained mouse, the mouse is going to be left alone a LOT.
Anyhow, I digress. I know from addicts, all too well.** No matter how much you torture and threaten and harass and generally make cp patients’ lives miserable, you’re not going to keep those high-addicts from getting high. Stop manufacturing pain medicines entirely, establish a perfect ban at the borders so that not one single molecule of actual pain medicine reaches the US, those folks are going to get high on SOMETHING. Heroin, shrooms, sterno, glue, paint, gas, there’s a zillion things that people have found or made over the centuries to get high with/on. It’s been around since before humans, when birds and animals flock to fermenting fruit and stagger around drunkenly, dolphins sucking pufferfish toxins, lemurs on centipedes, etc…as the song says, ‘Birds do it…even educated fleas do it,’ though I ain’t talking about falling in love; I’m talking about getting stoned out of their gourds.
I’m not saying all these folks (or critters) are hopeless and should just be locked up or euthanized or something, just that it does not do them any good to make life impossible for legitimate pain patients. The current tactics in the ‘War on Drugs’ isn’t accomplishing much of anything except punishing folks who’ve committed the unforgivable sin of getting injured, of being born crooked or with syndromes or screwed up physiologies. We are not trying to get high, unless you consider that term to mean reducing daily, constant, grinding agony to tolerable levels so you can actually do something than other than pray for relief or death is “getting high.” It does feel good to go from every breath an agony to feeling okay enough to stand up and walk the dog or plant a flower, I am forced to confess. I don’t get stoned or giddy, but sometimes I do actually feel almost happy when the overall pain level decreases to the point where I feel somewhat human, like a relatively functional being who could actually enjoy life somewhat for a few hours.***
And as we all know, somewhere deep in this psychotic, quasi-Puritanical, extremely judgmental society, a considerable number of people are profoundly convinced that it’s wrong to feel good if that state is achieved by anything other than say, making money (especially if you do it by grinding little people under your spiked soles –that’s cheered!). Pain builds character. Everyone feels pain at times, what makes ours any worse? Other people deal with pain without opioids. Other people also treat it with things other than opioids –why don’t you?!?! (Soon I’ll attach a list of the non-EO things I have tried…it’s a long list & I’ve been typing way too long).
And so forth. It’s even better with migraines; non-visible, non-testable, mostly non-provable. Surely they can’t really be so bad that you have to stay in a pitch-dark room for days on end, not even sipping water due to the violent nausea, at times literally beating your head against a wall because it does feel better between slams. After all, everyone gets headaches now ‘n’ then, why am I such a wimp? Just stop whining & faking & get up!! Besides, everyone knows that opioids are not the ideal treatment for migraines; try some of the recommended treatments, for heavens sake! (another, even longer list).
Yeah, I’m a pain suffer. Debilitating, excruciating, multi-faceted pain. Pain that rules and suffocates my entire life, my complete soul. Opioids are the only things that help, and I’ve tried every single freaking remedy that anyone has ever thought of for several types of pain. Well okay, there is one I didn’t try, a sure-fire headache remedy told to me by a sweet, older Chinese woman on a plane; get fresh cow’s brain, boil overnight, discard the water & boil another night. Discard that water, boil a third night, then drink that water all at once. This was at the height of the mad cow disease hysteria, and even now I find I look askance at cow brains, even thoroughly boiled ones. I haven’t that much faith in the USDA. I’ve tried everything else including chiropractic (& we’ve seen elsewhere some of what I think of it), but on that one, yes, I remain a cowardly wimp.
I’m a pain sufferer. I don’t want it, sure as hell didn’t ask for it. I hate it. Hate, detest, loathe it. My two greatest joys in life used to be reading and athletics –I love movement, competition, sweating, being strong, being fit. Don’t get to do any of that much any more; they ended in 2001 when I had thoracic surgery. I am not a vile, lazy malingerer. But I am a pain patient, and I am so insanely tired of being vilified and blocked at every turn because some people do naughty things with the drugs that can make my life tolerable. I am sick of people looking down at me –especially judgmental doctors who KNOW I’m nothing but a drug seeker because of the migraine plus opioid combo. Never mind the fact that one of the best neurologist/pain doctors in the country worked on me for decades and tried literally everything before finally admitting that opioids really were the best thing for me overall. Then they decide he’s a loser, which really, really ticks me off; he’s a brilliant, patient, freaking saint who tried for years to help one of the most (unintentionally!) frustrating patients who ever lived. Those bozos won’t even attempt to try or think.
I digress again. There’s just so much to rant about, so little time.
My heart goes out to anyone who really understands what I’m talking about, because that means that you’re dealing with grinding misery and massive frustration and anger (and let’s not forget our ole pal depression!). To toss out one of the great understatements of all time, this sucks, don’t it?
(I seem to’ve wandered far afield from the article. It was a pretty decent article, all in all. It’s just the subjects of pain or opioids or the ever-lovin’ War On Drugs are so snarled & charged & immediate, that it’s mighty tough for me to stay on a straight & narrow path.
*I’m well aware that statistically, women are the vast majority of chronic pain sufferers…which of course is because we all know that broads are weak, whiney, have no pain threshold, pill-poppers on the hoof. I is one, btw –a woman, that is, not the other stuff. I’m merely translating the blaring attitude of many of the people I’ve run across in my decades of cp (chronic pain; I’m tired of typing that term) –many of whom have been doctors.
**I am all too dreadfully aware that the instant anyone learns that not only has their been ‘addictive persoalities’ in my family, but my full sibling was a drug addict, I am forever labelled as another addict who is trying to rationalize her own criminality by pretending to have “legitimate” “needs” for pain medicine. If anything, TSOS is the better person for at least being honest about wanting to get high, right? I’m such a cowardly weasel that I use the underhanded ploy of “but I’m really hurting!” Riiiiiight.
***someday I’d like to get high, I think, just once. I’ve never gotten high from my pain relieving Evil Opioids, though I did feel pretty loopy when they gave me Versed for an endoscopy. Oh, and twice I went to a Doc-In-A-Box in Texas with migraines so severe that I would’ve begged in the street for one of those Texas cowboy types to shoot me, if I coud’ve gotten to the street. At the clinic, I was given a nubain shot; it made me feel a little as if the inside of my skull had been filled with helium. Since before the shot, my skull had been filled with exploding atomic bombs, barbed wire, rabid mongooses, white-hot daggers, all being crushed from without by a giant vise, that helium felt pretty freaking good. I don’t know if that was high or ‘merely’ indescribable, incredible relief from intolerable pain. Don’t really care, either.