IV Fentanyl will provide near-instant pain relief. Good luck obtaining it. Then you'll need to start an IV on yourself. Careful about respiratory depression.
The above, of course, was in jest. Almost nothing works instantly. However there are some new delivery options that are faster than IM injections, medication that you digest or use transdermally. I'm talking about transbuccal delivery (ex. Fentora). Takes about one or two minutes to start working.
Yes... on each of your questions. Yes, they will know. Yes, they will tell your employer that you failed. Yes, they will tell your employer which drug is in your system. No, you do not automatically "pass" since you have an Rx.
But, many employers will not hold it against you if you can display the Rx and the condition requiring it. As is the case with most of life, honesty is the best policy.View Thread
So... you can risk your life for your country, but your country won't help you with chronic pain when powerful medications are available to manage it? That should be a crime. But how do you put the DOD behind bars?View Thread
If you have a spinal condition that might include a herniated disc, spinal fractures, osteoporosis or spondilothesis, then undergoing chiropractic manipulation is THE MOST DANGEROUS option. Chiropractors are not medical doctors. They do not attend medical school. They do not participate in a residency. They do not participate in a fellowship. Compared to a lawyer, they are a legal secretary.
Fortunately, 80% of all humans have an experience with severe back pain and almost all of them get better on their own. Many such people praise their chiropractor when doing nothing would have the same result.
However, after 43 years of sitting in the waiting rooms of neurologists, neurosurgeons, osteopaths, orthopedic surgeons and other medical doctors, I've seen the terrifying results of chiropractic manipulation. The medical doctors and surgeons have all told me that the most common symptom of new patients is for damage done by chiropractors.
If you have a muscle, tendon or ligament problem, and it has been verified by a medical doctor with a CAT-scan, MRI or X-ray, then have at it with a chiro.
But chiropractors, not being medical doctors, have few or no hospital privileges. Chiropractors cannot order and are not trained to interpret the most definitive diagnostic instruments, including radiological imaging. They only use X-ray. But soft tissue, like tumors and extruded disc material do not visualize on an X-ray. So a chiro is operating in the dark. You could go to a chiro with a spinal tumor for years and never discover it until it has metastasized into a fatal condition.
Nothing is more important than your health. SO why treat it with someone who never went to medical school?View Thread
You must remain perfectly still whenever having any invasive spinal intervention, including the IT Pump, the SCS and injections. I've had more than my share of spinal interventions, including injections, a facet rhyzotomy and surgeries. The amount of time required to remain perfectly still is not that long. It's doable for everyone but the most anxious, or for those with tremors or convulsions
If it's implantation of a surgical device, like the SCS or IT Pump, you will be sedated or under general anesthesia.View Thread
First, take "cbeth"s" advice. Both the SCS and the IT pump have a trial unit worn outside the body for a couple of days. If, and only if, that trial machine seems to help, then you can consider surgical implantation of the real device.
However, we all respond to the Placebo Effect. If we think that a medication or treatment will help, sure enough, it seems to help. A month later, when you're in horrible pain, you realize that you are a victim of the Placebo Effect. So the real problem is that we cannot use the trial unit for a few weeks, to rule out Placebo. The infection chance rules this out.
Next, the REAL reason to use or not use one of these devices depends entirely upon your source of pain. If your most disabling pain is referent (the pain sharply moves down an arm, a leg or through your hip or groin), then the SCS might be a better choice because it can block or confuse the spinal cord pain signals going to the brain.
But if your pain is a deep, intense ache in your neck, back or hip resulting from too much sitting or standing, if you have bone grinding into bone from vertebral collapse or fractures in your spine; if your pain does not radiate but remains in one specific area, then the IT Pump is a better choice.
If you have one type of pain but have the wrong machine surgically implanted, you will have made an enormous, possibly life-changing mistake. All surgery entails morbidity. Some people who have a machine implanted to help with back or neck pain develop infection at the surgical site. Sometimes the infection is MRSA (methicillin-resistant). People die from this type of infection because most antibiotics are useless and the patient might be allergic to the only other choices.
Implanting a surgical device with a success rate of about 60% is a huge risk. If it doesn't help, you'll have to have it surgically removed. You can then only hope to avoid infection. And if you do, your pain will be at least as bad as it was before, if not worse.
Here is the latest comprehensive research on all spinal interventions: http://www.painphysicianjournal.com/2009/july/2009;12;699-802.pdf . The long-term success rate for either the Intrathecal Infusion Pump or the Spinal Cord Stimulator (SCS) is not good. But neither is surgery. I've had four failed spine surgeries and I wish that I had known then what I know now.
It is also useful to never accept the odds for success from your surgeon. In realty, the success rate is about 60-70% (less with fusion).
And remember that all surgery creates fibrosis (scar tissue), which can and does impinge upon spinal nerve roots. So even when the surgery is successful, the scarring can make your lifelong pain even worse.
Surgery also increases osteoarthritis. Damaged joints or bone will activate your immune system's antibodies to further damage the area. All spine surgery damages bone.
And if someone makes a slight mistake (a resident in one of my operations accidentally gouged out a slice of my right S1 nerve root) you've got even more chronic pain and disability forever. When I woke up after my third spine surgery, my right Achilles reflex was gone forever and... well, I'm reticent to describe the additional problems from the rookie's mistakes. This happens to hundreds of thousands of others who have spine surgery.
Meanwhile, just one medication wiped out 80% of my spinal pain and added 9 years to my university career. Plus, I learned how to reduce my pain by about 20% with biofeedback. Medication and pain management programs can help. As long as there are alternatives to surgery (and surgery is required to implant and to remove the IT Pump and the SCS), seek them. Leave surgery, the IT Pump and the SCS as last resort options only.View Thread
Suboxone is an opioid antagonist. Designed to treat drug abusers, it will negate the effects of any opioid in your system. The jury is still out on research for long-term chronic pain relief with an opioid antagonist (Naloxone is another one). From what I've seen so far, I would not wish to depend upon it in a pinch.View Thread
I'm sorry about your pain. But I'm also a little confused. Migraines and Fibro often do not respond well to opioids. I'm wondering why you were given Dilaudid (not used very often these days) or Vicoden (Hydrocodone, a mild pain reliever). Phenergan I can somewhat comprehend because it has anti-nausea properties.
Many of us with chronic moderate and severe pain benefit from having our GP, family doctor or internist prescribe all of our medications.
First, most of us have a trusting relationship with our family doctor. In many cases, they have known your for years or decades.
Second, having one person prescribe every medication is a good way to avoid adverse drug interactions.
Third, such physicians are often easily reached and they are more responsive to the chronic pain needs of their patients. The ER doc or a surgeon represent the worst place to go. You might l receive one dose of the proper drug, or only a lesser-potent drug. Surgeons are notorious for refusing Schedule II requests. Good luck.View Thread