I had metastatic prostate cancer with extreme hip pain. I took 1/2 7.5-500 Hydrocodone just about every two hours. I traveled like this. When the tumors cleared up I had both hips replaced. After the surgery I just quit taking the stuff, no problem.
@TalkingWithDocs
2 жыл бұрын
Wow Jose that is great. Glad you are ok. Thanks for watching and subscribing
@smc130
Жыл бұрын
Jose, you are a perfect example of using opioids appropriately for real pain. I am the same way. I have a prescription for my lupus pain, which saved me from suffering when I fell on the stairs and tore my meniscus and my quad tendon. The pain was horrific and my prescription helped me with the pain and maintain my dignity until I could get treated 2 weeks later! That is using my meds wisely.
@jamesec1949
2 жыл бұрын
Unfortunately, those with chronic pain don’t have a choice. The amount of nsaids needed can be even more dangerous to stomach, liver and kidneys. Sadly, our society has labeled all opioid users as junkies. And that’s just not the case.
@TalkingWithDocs
2 жыл бұрын
It is complicated for sure James. Thanks for watching and subscribing
@KatWrangler
2 жыл бұрын
I’ve had Gastric bypass. I can’t take NSAIDS.
@heatherp444
Жыл бұрын
Also James I wanted to add for chronic pain sufferers sometimes due to the current opioid epidemic, pain patients are under treated resulting in them at times taking more medication. Doctors are scared to go to far on the dosage which I understand; however, chronic pain patients end up suffering unnecessarily.
@jamesec1949
Жыл бұрын
@@heatherp444 Thank you for your comment.
@3cardmonty602
2 жыл бұрын
My late Father lived to 82 years of age and he took 10mg Oxycodone daily for his last 12 years due to osteoarthritis all over his body. He was never “high” or “dopey”. He also had osteoporosis that caused his right femur to snap in two when reaching out to gather the mail one day. He also had Colon Cancer and he had a colon resection surgery. So, there are therapeutic uses for opioids.
@TalkingWithDocs
2 жыл бұрын
For sure 3 Card. Thanks for watching and subscribing
@douglasrandall6737
2 жыл бұрын
A valuable talk! To someone who has been clean for 32 years I can testify that in my case and many that I know, there is a huge mental pain that the drugs are trying to alleviate. Thank you
@TalkingWithDocs
2 жыл бұрын
Very welcome Douglas. And congrats. Thanks for watching and subscribing
@marnasorensen988
Жыл бұрын
And it would be great if more research, funding, and time were devoted to examining underlying causes of self medicating.
@lindamartin6860
2 жыл бұрын
I had my ankle put back together with a metal plate and screws. I was given a prescription for 50 opiate pills when I left the hospital. I didn’t take any and found that 2 extra strength Advil dulled the pain to a bearable level. I was afraid to take opiates with so many horror stories about addiction. Great video. Thanks.
@TalkingWithDocs
2 жыл бұрын
Thanks for sharing Linda. Thanks for watching and subscribing
@jamesec1949
Жыл бұрын
You were lucky. Sounds like your system can tolerate pain above a normal level. And I hope you were only taking those 2 Advil every day. Taking more is dangerous to go our innards.
@ShopStylebyme
2 жыл бұрын
It is barbaric too make someone suffer in pain. There is a difference between a physical dependence between a psychological dependence. When this opioid crisis just happened , my father’s pain was not managed. He died of cancer and in pain.
@TalkingWithDocs
2 жыл бұрын
Yes it is complicated for sure. Sorry about your father. Thanks for watching and subscribing
@Alsatiagent
2 жыл бұрын
OUD should not be a consideration for end of life pain control. Your father should not have had to suffer. It's not like he was going start using street fentanyl when he recovered. They know when a patient is never going to leave their bed.
@ShopStylebyme
2 жыл бұрын
@@Alsatiagent I know it was so sad. I will never forgive the doctors. He was 74 years old with terminal bone cancer. He was tortured with the pain. This is when all the news coverage about over prescribing was on the news so the Doctors went from Overprescribing to under-prescribing in order to look good on paper.
@ShopStylebyme
2 жыл бұрын
@@TalkingWithDocs Thank you. I do love your channel.
@jamesec1949
Жыл бұрын
@@ShopStylebyme Yes, they threw the baby out with the bath water. So sorry for your father and what you had to endure.
@mariewoodward9713
2 жыл бұрын
Hi Docs. When I was first diagnosed with Multiple Sclerosis the doctor put a Fentanyl patch on me and sent me home. I slept for 3 days and it was very scary. My next doctor gave Vicoden #10 and the directions on the bottle said take 2 tablets every 3 hours. The quantity was 180 tablets. I believe that doctors sometimes over medicate patients. I'm not saying that this is the cause for the addiction. It must be very hard trying to come up with a drug that everyone can take that is non-habit forming. Needless to say I stopped taking any opiates and just take Tylenol if I have any pain. Thank you for all that you do. Thank you for sharing this amazing video
@TalkingWithDocs
2 жыл бұрын
Hi Marie. Thanks for sharing your story. Historically doctors may have prescribed too many. There is much better awareness now. Thanks for watching and subscribing
@phartsky
2 жыл бұрын
When I was in Hospital for my broken Femer, and enjoying my Morphine injections, my Doctor visited me and said: "We need to ease you off of this, cause you won't be able to afford this once you leave Hospital..." He was a good guy...
@TalkingWithDocs
2 жыл бұрын
Glad you made it out ok Pete. Thanks for watching and subscribing
@barbaraebner5889
2 жыл бұрын
This was an excellent presentation. What is very hard is getting the person to recognize the problem.
@TalkingWithDocs
2 жыл бұрын
For sure Barbara. Thanks for watching and subscribing
@larkendelvie
2 жыл бұрын
Thank you for this - it will help many people. One thing I will stress is to not try to detox yourself - my sis tried that and ended up in the hospital with heart problems. The other thing I would point out is that everyone should make sure they are only taking over the counter stuff occasionally without doctor oversight. From personal experience the more ibuprofen you take the less effective it is. If you are having constant pain you should go to the doctor.
@TalkingWithDocs
2 жыл бұрын
Good advice Delvie. Thanks for watching and subscribing
@kubotajordan9502
2 жыл бұрын
Thank you for this video . I'am sure there is folks out there that need to this . After my rotator cuff surgeries on the third day I quit taking the pain pills. That was on the left & right side a several years apart the biggest thing is do what the docs tell you to do.
@TalkingWithDocs
2 жыл бұрын
Yes Kubota. Thanks for watching and subscribing
@shanehickman9204
2 жыл бұрын
Dr. Badalato presented this information really well. One of the simplest and best ways I have seen. I've been a nurse for a long time and worked in palliative care and general surgery and have deal with this everyday. The seemingly drug seeking patients can be particularly difficult as you know. Pain medicine is one of my favorite areas to work in and try to provide relief and alternatives to my patients. I've been looking into virtual reality as a project.
@TalkingWithDocs
2 жыл бұрын
Hi Shane. Thanks for sharing. Thanks for watching and subscribing
@alidavalentinagosgnach700
2 жыл бұрын
Very interesting video and thanks to Dr. Heather for explaining this topic on opioid addiction and also you guys are super! It’s good to know about opioid.
@TalkingWithDocs
2 жыл бұрын
She is great for sure Alida. Thanks for watching and subscribing
@seaglassjpl1467
2 жыл бұрын
So my son had his wisdom teeth pulled / dr gave him oxycodone for pain/ at 20 years old my son got addicted to oxycodone/ he said he liked the way it made him feel / the next 2 years consisted of him being in addiction centers/ halfway houses / relapses/ etc / at this time he is free of his addiction to oxycodone / and is doing amazing / / doctors - do not prescribe oxycodone to young men or women who can get by with advil.
@joseenoel8093
2 жыл бұрын
I had my wisdom teeth removed, it was done by a student, they simply wheeled me out into the hallway afterwards on a bed where I sat on my head until the calvary arrived!
@TalkingWithDocs
2 жыл бұрын
Hi Seaglass. It has to be done very carefully for sure. Thanks for watching and subscribing
@besame5504
2 жыл бұрын
I took Percodan, which they used to give 50+ yrs ago for pain, for an issue in my neck for several months at age 19, some were perscribed, others were given to me by a family member who did not use them any more and had filled a few scripts after she didn't need them. Eventually my neck pain subsided and I stopped taking the percs, no issue at all. The next time was 3.5 months ago after a TKR. Specialist gave me 40, 10 mg oxycodone, then 30 more. I ran out, dealt with it with tylenols only. Took codeines for tooth pain a few times also. No issues with pain meds. In my experience if you are going to be an abuser, you'll abuse be it drugs, alchohol, etc because you simply like that good, relaxed feeling you get. Thankfully, I have never been in the abuser catagory however, I have had plenty of friends/family members that are/were. And yeah, after my first TKR, I sure would of taken more oxy for the wicked pain so I could get good nights sleep for about 2 week- a month more. You Docs are great and of course so necessary but stop tossing all of us patients in the same basket as far as treatment with pain killers. We are NOT all the same :)
@TalkingWithDocs
2 жыл бұрын
Hi Besame. We know everyone is not the same for sure. Thanks for sharing. Thanks for watching and subscribing
@besame5504
2 жыл бұрын
@@TalkingWithDocs Thanks Talking with Docs. It was meant figuratively not literally, many medical people treat patients the same when it comes to some things :).
@pursedelighted
14 күн бұрын
I have several conditions with my joints that require more surgery i already had quite a few.i wil not suffer in pain if i don't have to.but everyone has a choice.take care
@pjk1714
2 жыл бұрын
Excellent presentation. Opioid is death wish for me frustrating my surgeons attempting to find pain management. The pharmaceutical app should be on any Doctors phone to assure they know what has codeine to avoid flat line. The more recent physician don't seem to have that information in my area. I actually got told they weren't a pharmacist. I showed them how to set allergies to flag medications in their provincial patient program networked between physicians during referrals and my visits. There are other medications that can become addictive like some relaxers. Being proactive as a patient is key to avoid problems. Thanks for sharing.
@TalkingWithDocs
2 жыл бұрын
Thanks for sharing Pj. Thanks for watching and subscribing
@carla2016
2 жыл бұрын
Thank you for this video. I am working now to stop, it's not easy.
@TalkingWithDocs
2 жыл бұрын
Hi Carla. It can be brutal for sure. Best of luck. We are behind you! Thanks for watching and subscribing
@carla2016
2 жыл бұрын
@@TalkingWithDocs Thank you! My doctor increased my levothyroxine and the pain I was taking the pain meds for is gone. In the meantime, I have become dependent on them. Just as said in the video, I am at the point of taking them just to feel normal. I tried going cold turkey. Nope.
@barbarasidelko1682
2 жыл бұрын
My brother just recently completed a very intense rehab for opioid addiction and PTSD (served as a fire fighter). As a first responder he experienced unbearable situations. He’ll tell you there are 100 good stories to every 1 horrible one. He was prescribed OxyContin for a back injury. Beginning of the end. He remembers how much easier it was to deal with fatal accidents or fatal domestic abuse incidents. He spent 2 months in “rehab”. His PTSD is currently his biggest challenge. He is relieved that he doesn’t have to fib an injury to source more pills. For him he thought he was actually in pain. Now he thinks that it was his brain that was playing tricks on him to get more of those little white pills. For me I didn’t realize how many police officers and firefighters battle with PTSD.
@TalkingWithDocs
2 жыл бұрын
Hi Barbara. So sorry to hear this. It can be a brutal task for firefighters. Please thank him for his service and wish him our best. Thanks for watching and subscribing
@goththicus
2 жыл бұрын
Thanks Docs. Good info to know. Wasn’t aware detox is not a good option - who would have thought. Hopefully, some watching this video will get help or know of someone who needs help.
@TalkingWithDocs
2 жыл бұрын
That is our thought Goth. Thanks for watching and subscribing
@dianeschwalm3855
2 жыл бұрын
After my first TKR in February, I was scared to death to take the pain drug. Scared to death! The pain was entirely too much for me to take, so my husband made a chart, and actually administered my meds to me. After the staples came out at 2 weeks, the last pain narcotic I took was that night. From then on I took Tylenol & Motrin every 2 hours apart for the next few days. Gradually increasing time between. Worked well for me. Facing my next TKR in two weeks. Here we go again….
@TalkingWithDocs
2 жыл бұрын
Good luck Diane! Thanks for sharing. Thanks for watching and subscribing
@kristinreynolds577
2 жыл бұрын
Thank you for making this video! I have been successfully off of opioids for 13 years now, and it blows my mind how people still treat me! I am on a very small dose of Suboxone, which saved my life, and it has helped with things like pain and anxiety. I have had both of my knees replaced and yes I took pain meds, but it was very closely monitored, and I was off of them by week 3. After that I was able to handle it with ibuprofen and lots of ice. I wish more doctors thought like y’all do because I still get awful comments even when the situation had nothing to do with pain or pain meds. I have myasthenia Gravis and every time I’ve been in the hospital, it’s been a nightmare when I have to explain the Suboxone. I also want to mention that I have asked for notes to be put on all of my medical records that I do not want any opioids! I have always wanted for people to know about options of getting of the opioids in a safe manner like Suboxone, I just didn’t know how to go about that!! So thank you again for making this video, and sounds like there may be more coming! If you want a patients perspective, I’m here for you! Much love from Oklahoma! 💗💗💗
@TalkingWithDocs
2 жыл бұрын
Hi Kristin. Congrats and you should be proud. Thanks for sharing your journey. All the best. Thanks for watching and subscribing
@Straightdeal
2 жыл бұрын
Dr Badalato has the hands of a surgeon...large hands.
@TalkingWithDocs
2 жыл бұрын
Thanks for watching and subscribing
@torgervedeler6949
Жыл бұрын
I have heard the the Hemingway family (Ernest, the Nobel prize writer) has a strong genetic disposition towards alcoholism. For me, I was given opioids after my back surgery, and then my dental surgery. I realized then that is was enjoying them WAY too much, and I quit. But there are things I’ve had, like transient osteoporosis, where the pain was so great that I was tempted to do anything to make it stop. So I have great sympathy for those who need relief. Kindness and crude humor can help.
@TalkingWithDocs
Жыл бұрын
For sure
@mosey4650
2 жыл бұрын
it's a real shame, people that suffer chronic pain daily cannot get opiates to try and cope because of all of the abuse of opiates and the politicization of it that has gone along the abuse and consequences. Personal experience with this. Really, really sucks, as modern medicine doesn't really have any alternatives for chronic pain releif.
@TalkingWithDocs
2 жыл бұрын
It is difficult for sure Andrew. Thanks for watching and subscribing
@gordbarr3118
2 жыл бұрын
Great topic with important information, looking forward to part 2.
@TalkingWithDocs
2 жыл бұрын
Glad you liked it Gord. Thanks for watching and subscribing
@m93mak
Жыл бұрын
I became addicted to OxyCodone after several spine surgeries, spine fusion in the lower back to be precise. But the problem was that I needed some kind of analgetic because the surgery wasn't successfull. I had ended up with cronic pain in my back and NSAIDS was not at all an option. Finally I came to an clinic called "LARO". LARO is (in my language) short for Drug-assisted Rehabilitation in Opioid Addiction. The LARO clinic has the speciality to treat patient that are adicted to opiods, thats is their focus area. They replaced the OxyCodone with Buprenorfine. It has made a huge difference for me. Buprenorfine is also a opioid but it is so much better than OxyCodone. I don't get high, I don't need higher and higher doses. So I have no trouble with cravings, consequenses or control anymore. Buprenorefine is also under very strict control - actually more strict control than OxyCodone. But now my life works and it works fine. Thanks for a good video!
@TalkingWithDocs
Жыл бұрын
Glad you are ok now thanks for sharing. Thanks for watching and subscribing
@halfabee
2 жыл бұрын
It would be worth mentioning that with excessive use opioides lose their effectiveness. In a clinic I went to for a TKR a review was left by a person complaining that the very strong opioids given had very little effect. He then went on to state he had been taking opioids regularly for a six months prior due to hip or knee pain.
@TalkingWithDocs
2 жыл бұрын
Yes Paul. We certainly develop tolerance. Thanks for watching and subscribing
@larrygronland9262
2 жыл бұрын
You guys are terrific! Keep up the good work!
@TalkingWithDocs
2 жыл бұрын
Thanks Larry. Thanks for watching and subscribing
@1p6t1gms
2 жыл бұрын
I found out quickly that if you are injured at work and need immediate medical attention, (probably does not matter if you work in a hospital) wait for an ambulance... as they seem to go directly to the hospital. This instead of a coworker in a company vehicle running you on a traffic jammed freeway system to a urgent care facility, (not very urgent this way) which in the U.S. or at least the city has limitations on the strength of the drugs that can be prescribed. Even though these are the same Doctors you would visit at their practice or at the hospital system... that was a bad day with three more days until the first surgery was performed. On another note, I've also been to Seattle on the underground tour where part of the tour is about opioids and how unsuspecting drunkards and opiate users were “Shanghaied” to work on ships that moved across the ocean, under forced labor... I guess they dropped them through trap doors that seats were bolted down to at various establishments and then whisked them away from underneath the structure to ships waiting while they where stoned out of their gourds.
@TalkingWithDocs
2 жыл бұрын
Wow that is a crazy story. Thanks for watching and subscribing
@1p6t1gms
2 жыл бұрын
@@TalkingWithDocs The first story gets even crazier Doc. My arm was broke at the wrist area and the shoulder was damaged, but wasn't known at that time. However what was crazy was when I went to pick up the prescription, (not nearly strong enough) I sat down in a mobile electric cart while waiting for it some four hours after the accident. Well some guy ran his shopping cart into my injured arm, not a glance either and just keep going. I was talking to a store employee I was familiar with when this happened and wincing from pain, I said to him as he was walking away, excuse me condescendingly. He turned to me and told me not to take up the whole isle, which was about twenty feet wide... I lost my temper and jumped out of the cart usually available for disabled people and told him I was going to put my foot where the sun didn't shine and he panicked, as I am built like a lineman in football. The store employee speaking out, me and him in chaos as he started to fumble through his front pocket, I thought he was reaching for a gun. But then he started whimpering he needed the manager or the police out loud and it was his phone... I started to feel sorry for him and this guy had to be close to 55 or 60, so I was a little younger perhaps. It was a bad day... now I have a plate in my arm too, apologizes if you read this whole diatribe here Doc or whoever is responding.
@Ahmedkhan8802
2 жыл бұрын
Another first rate presentation of a very difficult subject. I'm going to resort to vulgarity here but feel it's appropriate: addiction is a "bitch" I wouldn't wish on my worst enemy. I had a mild (by comparison) case of it when I was a teenager - codeine cough medicine - and the only positive from the experience was that after overcoming it I have avoided alcohol and any addictive substances for the past 60+ years.
@TalkingWithDocs
2 жыл бұрын
Yes laureen it is. Thanks for your support. Thanks for watching and subscribing
@cherylturgeon6237
2 жыл бұрын
Very good information! Thank you💓
@TalkingWithDocs
2 жыл бұрын
Very welcome Cheryl. Thanks for watching and subscribing
@miketrebert7788
2 жыл бұрын
Many thanks. Dr Badalato is a gem. Our two regular docs are impressively skilled communicators who encourage the best from the guest doctors. Fascinating as always. And just goofy enough to balance the intelligence which could become intimidating if allowed to run wild into nerdland.
@TalkingWithDocs
2 жыл бұрын
Thanks for the kind words Mike. Thanks for watching and subscribing
@davidwegner9690
Жыл бұрын
Excellent video, thanks! May I also suggest Mental health professionals as your guests? Specifically topics like depression and anxiety considering what a widespread problem it is. Great KZitem channel!
@TalkingWithDocs
Жыл бұрын
Agree David we are trying to coordinate with them. Thanks for watching and subscribing
@marciaborg77
2 жыл бұрын
Thanks for sharing
@TalkingWithDocs
2 жыл бұрын
Very welcome Marcia. Thanks for watching and subscribing
@libbyannstew8775
2 жыл бұрын
The thoughts of having to take an opioid pain killer scares me more than having surgery. This is a very informative video - thanks doctors.
@besame5504
2 жыл бұрын
Opoids are not scary, they are a valuable tool to help ease pain so you can function and HEAL effectively. If you are in constant distracting pain, you will not eat, sleep or move the way your body needs to for optimal healing. Just follow the directions, track them, take them on time before your pain is really bad and never double up :)
@libbyannstew8775
2 жыл бұрын
@@besame5504 Point taken however you can’t tell someone what is and isn’t scary to them; I have family members who have been prescribed opioids following surgeries and the nurses and dispensing pharmacists were very direct about avoiding the use if possible. They recommended a regimen of Advil and Tylenol first and fortunately, In both cases, the opioids were not needed. I understand that in many instances Advil and Tylenol wouldn’t be enough, but that doesn’t make the thoughts of being on an opioid pain killer any less frightening to me.
@besame5504
2 жыл бұрын
@@libbyannstew8775 Only concern and things to watch are opiates in the elderly due to possible breathing isues. I am 73, I took them for pretty bad lingering pain after TKR not helped by simple Tylenol. mainly the week after surgery and then to sleep, otherwise I didn't get any sleep hehe. People need to be mindful but being scared is due to all the outside useful idiot info that they will turn you into a raging addict. I pooh-pooh that and use as directed after surgery to make my life a little easier. Trust your Doc, they won't give you something that is bad for you.
@TalkingWithDocs
2 жыл бұрын
Very welcome Libbyann. Thanks for watching and subscribing
@libbyannstew8775
2 жыл бұрын
@@besame5504 I’m glad you had a good outcome. I wish you continued good health.
@loveydovey4u
2 жыл бұрын
My opiate addiction caused me to become a diabetic. Crushed my pancreas. Addiction also comes from childhood trauma. Usually sexual or physical abuse according to Dr Drew Pinsky
@TalkingWithDocs
2 жыл бұрын
Hi Chuck. There are many factors for sure. Everyone is a bit different. Thanks for watching and subscribing
@yvesf5355
2 жыл бұрын
very informative video ,thank you ..
@TalkingWithDocs
2 жыл бұрын
Very welcome Yves. Thanks for watching and subscribing
@angierobinson5570
2 жыл бұрын
My husband is taking tramadol tablets and has been for a while now he is on the waiting list to have 2 knee replacements ! They leave him very tired & wiped out most of the day but if he doesn’t take them he can’t hardly walk and is in constant pain 😖 I am worried he won’t be able to come of these easily as he has been taking them for a while now. Thanks docs very useful information 😊
@TalkingWithDocs
2 жыл бұрын
Hi Angela. It will be a slow and intentional process after his surgery is done. Best of luck. Thanks for watching and subscribing
@russgoodly5708
2 жыл бұрын
Really appreciate all the videos you guys have done. How about a video on doing CPR? I tried searching your channel and didn't see one.
@TalkingWithDocs
2 жыл бұрын
Hi Russ. Great idea! We can add it to the list. Thanks for watching and subscribing
@GreggBB
2 жыл бұрын
Really good information. It sounds like Dr. Badalato has a lot of experience in this topic as well as experience in all aspects within the topic. Loved hearing Dr. Zalzal in directly involved in the research other drugs to use for pain management for various procedures where opioids are currently used. Looking forward to the next instalment of this series!! Dr. Zalzal, are you able to discuss, as a separate video, anything that has been discussed as possible options form opioids? Is development of new drugs that are not opioids yet designed for strong pain something going on? Or on hold because of vaccine work for Covid? Has hypnotism been considered as a viable option, or not a good one? Just being nosey with this one-----once filming is over, have you ever had the guest doctor ever give you guys a bad time for what might be described as your "orthopedic surgeon" humor? Or do they all know that It's part of working with the two of you? Loved the "addictive personality" humor. It is clear you do it not to make light of the subject, instead, bringing levity to a serious subject. I am a person that always appreciates this side of both of you.
@TalkingWithDocs
2 жыл бұрын
Hi Gregg. Lots in the works for pain for sure but nothing quite ready yet. All of our guests know exactly what they are getting into. 😀. Thanks for watching and subscribing
@wordswordswords8203
Жыл бұрын
After my surgery, the nurses kept pushing pain meds that I didn't want or feel I needed and telling me I had to "stay ahead of the pain". I found that odd. Kind of like that scene in Dopesick when the guy didn't want the Oxy. Cravings, Consequences and Control. I kind of have that with food. Another excellent video! 🍔🍟Whoops! I mean 🍉🍏
@TalkingWithDocs
Жыл бұрын
Glad you are ok Words. Thanks for watching and subscribing
@aug.jam.1
2 жыл бұрын
I final y am off Tramadol max dosis for two years. It can be really difficult. Slow tapering is key
@TalkingWithDocs
2 жыл бұрын
For sure August. Thanks for watching and subscribing
@macha1617
2 жыл бұрын
So what is out there for chronic pain. 2 hip replacements and 1 partial replacement. Total lumbar fusion. Pain is real. What am I as a chronic pain pt to do. I go to a pain clinic and follow all their rules.
@TalkingWithDocs
2 жыл бұрын
Hi Karen. It is tricky. Often a combination of acetaminophen and NSAID if safe. Thanks for watching and subscribing
@macha1617
2 жыл бұрын
@@TalkingWithDocs I wished that helped but it doesn’t.
@clbm562
2 жыл бұрын
I love these videos!
@TalkingWithDocs
2 жыл бұрын
That is great to hear! Thanks for watching and subscribing
@polarskye
2 жыл бұрын
I’ve been on these since 2009. My pain taken over my life completely. Nobody listens and I feel suicidal a lot.
@TalkingWithDocs
2 жыл бұрын
Hi Marcia. You should tak to a therapist about strategies. So sorry to Hear this. Best of luck.
@jonm4501
2 жыл бұрын
Why is she wearing scrubs? Does she have a surgical assignment? Is it normal in Canada for Clinical MDs to be wearing scrubs? What's on her head?
@TalkingWithDocs
2 жыл бұрын
Hi Jon. We are filming in the OR. No jeans allowed. Thanks for watching and subscribing
@test40323
2 жыл бұрын
Would you elaborate on opioid receptors, dopamine and noradrenaline role in addiction? i.e. Even though there is often a psychological component, the chemical process can hijack the behaviours. Am I wrong?
@TalkingWithDocs
2 жыл бұрын
You are correct test. They are similarities between drugs and naturally occurring hormones that lead to pleasure and positive reinforcement. There is definitely a connection. Thanks for watching and subscribing
@MarioDallaRiva
2 жыл бұрын
Sounds like a terrifying state to be in. ?: Was this not as common in the past? The numbers presented in the media the past few years, especially the fatalities is hard to believe.
@TalkingWithDocs
2 жыл бұрын
It is getting worse Mario. Thanks for watching and subscribing
@jaytibbles2223
2 жыл бұрын
This is a serious problem in my life. There has been a "factory recall" on both my knees. I have ZERO cartilage on my right knee. I have a sliver of cartilage on the left. My gerontology md took one look at the x-rays. He completed the form for handicapped parking AND wrote a prescription for Tramadol. I have first stage diabetic renal disease. Therefore I cannot use NSAIDs without my creatinine rising over 1.5. I adopted a regimen of acetaminophen regularly with an OCCASIONAL Tramadol when I have been active with the ADLs. If I am ONE DAY LATE asking for a refill, the goon squad at the pharmacy cancels my prescription for Tramadol. I have to "stockpile" the Tramadol in order to be sure I have some in reserve. The pharmacy personnel treat me as if I was selling the drugs on the street. They delight in accusing me of "distributing". When REAL ADDICTS watch me walk they approach me to try to "buy " some. I deny using anything other than enough Tylenol "to destroy my liver". Before I can "qualify" for the knee replacements I have to weigh 200# or less. While it is true that when I ballooned to 450# I did my knees no good I also had played American football which resulted in some of the damage. I have successfully reduced my weight to 300#. While this has ameliorate the Pain a bit, I still need an occasional Tramadol when I have consumed 3 grams of paracetamol (Tylenol) (I was a medical missionary for a time so had to learn every name for common medications) I detested the assumption that since I am "CHRONICALLY SEEKING" Tramadol it means that I am an addict, pusher or both. The pharmacists love rubbing that in my face. At one time, I was assigned to a family practice physician. Despite the clear documentation in my chart, she thought it was "funny" to cancel my prescription. She did this over her shoulder as she exited the exam room. Please be aware that some of us have legitimate reasons for long term "opiod" use. As a result of the assumption of automatic misuse, the quality of my life is terribly affected. I do "crave" to be pain free enough to actually participate in life. I have to submit urine tests prior to getting a refill. If I had a beer with dinner the night before, no tefill. If no Tramadol is detected, no refill. SO, I have to "play the system ". No wine or beer for 3 days prior PLUS take a Tramadol the night before whether I need it or not.
@TalkingWithDocs
2 жыл бұрын
Hi DR JAY. So sorry to hear this. Of course there are many people who need opioids. Doctors need to find a balance with their prescribing. Thanks for watching and subscribing
@Bum_Hip
2 жыл бұрын
Does tramadol fall into the category of opioids? Should be treated with the same precautions?
@TalkingWithDocs
2 жыл бұрын
It is similar to an opioid. Thanks for watching and subscribing
@pijnto
2 жыл бұрын
There is also the "kneejerk" syndrome that Governments are guilty of, restricting what your GP can supply e.g. some individuals my need two doses where another only needs one, I am one of those who needs two this has caused me problems all my life with local anesthetic etc, GP"s should be given more freedom as they know their patient ( From an Australian point of view)
@TalkingWithDocs
2 жыл бұрын
Yes pijnto. It needs to be assessed patient to patient. Thanks for watching and subscribing
@MichaelSmith-ly6wx
2 жыл бұрын
Excellent video docs, thanks for sharing. I'm scheduled for a TKR in September and was told I'd have a pain killer prescribed post-op. Wondering which is more addictive, Vicodin or Oxycodone?
@TalkingWithDocs
2 жыл бұрын
Hi Michael. They are probably comparable. Best of luck in September. Thanks for watching and subscribing
@theflamboyantgrandma1890
2 жыл бұрын
First do no harm! I'm wondering how you Docs approach patients when prescribing pain meds? Do you ever try to discern the risk for that patient? I personally tell doctors after my many surgeries don't even bother to prescribe it for me I won't take it. I'm open to what they give me in the hospital but never take it home with me. The only reason why I never became an addict or alcoholic like many many in my family is because of a hypervigilance to not allow it to happen. I see short-term suffering as being the optimal choice over the long-term suffering and pain of addiction. But I have actually had doctors argue with me about the need for it which was shocking to me on some level. LOL at my follow-up they were always surprised to see that I was steadfast in my denial of the meds...supportive but somewhat shocked. I have a very high threshold for pain due to the constant abuse and trauma of my childhood. This is yet another reason why I reject the pain meds. I'll be 60 next year ...I'm a high functioning college educated woman who on the outside can be very deceiving presenting as a well put together individual... Leading to the perspective that I'd be the last one to develop a drug problem... When nothing could be further from the truth....I am the exact person who would be. Again THANK YOU DOCS for this info... It is much needed and appreciated. Side note: as someone earlier said, a couple of Aleve or Tylenol has always taken care of any pain I've had afterwards and it's also good to note... I never listen to doctor's orders about taking it easy afterwards LOL (And have had issues with ulcers due to taking to many over the counters for pain)
@TalkingWithDocs
2 жыл бұрын
Hi Michele. We certainly have a discussion. Some surgeries are so painful that Advil and Tylenol will not be adequate and if pain is not controlled it will compromise the outcome. It is a fine balance for sure. Thanks for watching and subscribing
@donnamariebrown2478
2 жыл бұрын
I think that if you take something when you DON'T have pain, there is a problem. I had family members who thought that with an opioid if you took it once, you would be addicted.
@TalkingWithDocs
2 жыл бұрын
Agreed Donna. Thanks for watching and subscribing
@watchtellyinuk
2 жыл бұрын
Ouch! At 45 seconds in, MD Weening says "a very unique" ... something either IS or is NOT unique. Meaning only one of its kind. Almost like humans. I respect the ***l out of you Drs. and I expect perfection from you! :) :) :)
@TalkingWithDocs
2 жыл бұрын
Wow that’s tough Robert. Thanks for the feedback. Thanks for watching and subscribing
@watchtellyinuk
2 жыл бұрын
@@TalkingWithDocs I suffer from being pedantic!? Is there a cure? :)
@annelanders2462
2 жыл бұрын
I just had traumatic femur fracture repair. I was given 12 Oxycodone 5 MG. And I'm on my own now. I was doing great but can't get motivated enough to endure the pain to do my walking and exercises. The step-down made me extremely ill and I wasn't able to have enough balance to do any exercise.
@TalkingWithDocs
2 жыл бұрын
Sorry to hear that Anne. Lots of ice and exercise. Best of luck. Thanks for watching and subscribing
@willardbuchanan9122
2 жыл бұрын
I’m home from recovering from a painful surgery surgery went well your username a.m. Evec system on my leg kind of weird
@TalkingWithDocs
2 жыл бұрын
Good luck during your recovery willard. Thanks for watching and subscribing
@chafouaube985
2 жыл бұрын
I still want knowing why some have an addict and others no. But no evident answers.
@TalkingWithDocs
2 жыл бұрын
It is multi factorial Chafou. Thanks for watching and subscribing
@chafouaube985
2 жыл бұрын
@@TalkingWithDocs because my case is strange, at least. I can have to take morphin for a long term and stop when i have my treatment. But when i stop my body react and i give him a half dose and it's done. My prosecutor said , in court, i have a horrible past. Maybe because i work really hard to make my born, my spirit and i, don't want to give up my life. I may have 52, 53 in few days but it's only 12 years i really LIVE my life. And just this fact, it's enough for me to be able to resist at addiction .
@joseenoel8093
2 жыл бұрын
I had an moulder implant but just took Advil to bear the pain, man having something grind into your 💀 skull is not for the faint of heart but I worried, I guess, the painkillers were overkill!
@TalkingWithDocs
2 жыл бұрын
Glad it worked out Josee. Thanks for watching and subscribing
@joseenoel8093
2 жыл бұрын
Yes student did amazing job, but I awoke to vomiting, W.I.'s nurse not impressed, called me messy, said no to my painkiller request fearing an addiction and out into the hall I went! Geez didn't know I looked of royal descent, I shouldn't have spoken English to her! So morning after pill finally available in Qc (last province to do so with a simple prescription) thanks to docs' here requests, everyone calling it a step forward! I didn't know an ultra sound was required pre.... How mean, believe me the women are, have been tormented enough!
@Birddog4843
2 жыл бұрын
It takes your pain away,is that how some people get addicted?...or it gives you a high....only time I took Percocet when I had wisdom teeth removed...I hated the way it made me feel..hard to believe people like that feeling..I was given oxycodone after my hip replacement...I never picked it up from the pharmacy...maybe I could have sold it on the street??......... interesting episode!
@TalkingWithDocs
2 жыл бұрын
Hi Robin. There are many ways. Sometimes to relieve the pain. Sometimes to get high. It is multi factorial. Thanks for watching and subscribing
@susanmcmichael5607
2 жыл бұрын
My 45 year old daughter died from an overdose of pain meds 4 years ago. She was a beautiful woman, the mother of 3 children. Addiction runs in her father’s family…
@TalkingWithDocs
2 жыл бұрын
So very sorry to hear this Susan. That’s just awful.
@alphacentauri8083
2 жыл бұрын
But there's a difference between dependence, tolerance, and addiction, right? Taking opioids or benzos as prescribed can unwittingly make you dependent on a drug because you're building up tolerance over time. Addiction is more of an innate predisposition for impulsively abusing substances. Look at what's going on in the heroin/opioid scene in the streets of Kensington - addicts are shooting up opioids laced with xylazine (veterinary paralytic anesthetic) to give the opioid "legs" (longer half life) Nuts!
@TalkingWithDocs
2 жыл бұрын
Yes Alpha. All different but related. It’s scary for sure. Thanks for watching and subscribing
@dawnhansen7226
2 жыл бұрын
Yes Im opioid dependent and I hate being labeled as an addict. No way for me to survive without hydrocodone10/325 every 4hrs due to fractures from cancer of an unknown primary, metastasized to the bones. Both my fractured femurs already have rods, I now have numerous fractures in pelvis, both hips several fractures and bottom 3 vertebrates. Not to mention some minor blockage in artery to hip. Frustrating that Im in a rural town with my only care being a primary doctor. But after a year of just having pain medication, plus stool softners from opioid side effects, surely there are OTHER options? Live alone, in wheelchair, cant even lift legs into a car or even up onto my hospital bed. I get twice a week bathing, twice a week nurse, but I guess the pain and suffering at home beats being in a nursing facility.. Just hard for me to understand how my needing more pain relief could be addiction related.
@TalkingWithDocs
2 жыл бұрын
Hi Dawn. So sorry to hear this. With so many fractures and cancer pain your dependence is an entirely different situation. We hope it gets better for you. Thanks for watching and subscribing
@LynnSuthers
2 жыл бұрын
If this is at an all time global crisis it seems to me to say this earth that is trying to keep up with and house billions of people in the most healthy way is not able to do it anymore. This is a broad global take on the problem and there is no easy solution which is why the world is here. I don’t know- just had to get that out. I know I’m not saying anything that most have already said.
@TalkingWithDocs
2 жыл бұрын
We agree for sure Lynn. Thanks for watching and subscribing
@dianareintges4117
2 жыл бұрын
I have severe osteoarthritis from my neck to my ankles. I have had a hip replacement and did not need long term opioid post surgery. But, I have had two g I bleeds due to nsaid use. I am afraid of Tylenol,s affect on my kidneys and liver, so I suffer. WHEN will some one come up with something to alleviate this pain without the risk of addiction. I spend my days in bed or in a chair. It’s sad.
@TalkingWithDocs
2 жыл бұрын
Hi Diana. Lots of smart people are working on that as we speak. Hang in there. Thanks for watching and subscribing
@WhitneyAbrina
2 жыл бұрын
Pretty sure I have an alcohol addiction but I don't reach out for help to quit bc I don't know how to cope with life without it so it's kinda necessary to stay alive and not commit suicide.
@TalkingWithDocs
2 жыл бұрын
Hi Heidi. So sorry to hear this. Definitely worth talking to someone about strategies to deal with the stress in your life. There are lots of people and strategies to help. Best of luck. Thanks for watching and subscribing
@user-vj6sh5kk5s
Жыл бұрын
لا نحب ألأدويه لكن مجبورين ناخذة عندة أالالم
@TalkingWithDocs
Жыл бұрын
Yes sometimes it is necessary
@geo555
2 жыл бұрын
Does T3 have opioid? or is it ok.
@TalkingWithDocs
2 жыл бұрын
Hi George. It has codeine so still has addictive potential and side effects. Thanks for watching and subscribing
@Ritesh-uj7cb
2 жыл бұрын
🙏
@TalkingWithDocs
2 жыл бұрын
Thanks for watching and subscribing
@chrism880
2 жыл бұрын
Yeah the law treats all as drug addicts we all not nor do we lie about how much pain we are in. Some have legitimate testing showing what is wrong and i have multiple different reasons wrong and recurring. Have pvns finally had knee replacement which caused blood clots in legs and lungs. Still have hamstring tear. Had two l4-l5 spinal fusion last year still have l5 nerve root damage caused after second fusion now toes curled in. in February my spine and right si joint excruciating pain. Had xrays another mri have huge l5 s1 disc herniation and all vertebraes under are collapsed. Was supposed to have another back surgery may 19th they cancelled for stupid reason so finding different surgeon other one doesn't want to do until i take osteoporosis medicine for two months but cant since blood work is elevated i cant wait 5 months for this surgery so have a neurosurgeon im going to see. But second surgeon will do if he puts screws in pelvis and spine. I cant work u cant mow cant take care of dogs very high kennel bill. Have kidney cancer and Tylenol or ibuprofen doesn't work anyway. I cant take any pain meds the ones that maje you feel loopy i wont take. Ive had 85 surgeries and wean myself off everytime wont take if have to drive. I finally got some pain meds they help but since these issues going on 28 months i need to be in a drug induced coma. But i have to force myself to mow do laundry dishes etc. Im doing more damage until all this gets fixed. Plus my new knee replacement has a recall i cant win.
@TalkingWithDocs
2 жыл бұрын
Hi CHRIS. Wow that is a lot of surgery. Wishing you the best going forward. Thanks for watching and subscribing
@MustangSally7259
2 жыл бұрын
❤❤👍
@TalkingWithDocs
2 жыл бұрын
Thanks for watching and subscribing Mustang.
@TheNewsJenorator
2 жыл бұрын
I’m afflicted I mean addicted to watching you guys… lol 😂 Can genetic disorders or addictions get fixed or change❓ for lady doctor…? Kinda like nNuroplasticity ?? They used to think that brain damage was irreversible, now they understand differently. What if genes could do the same!! 💃💃🤗
@TalkingWithDocs
2 жыл бұрын
Hi Jennifer. They are some thoughts that certain types of therapy can help change these behaviours but hard to measure the actual brain change. Great thought! Thanks for watching and subscribing
@chrism880
2 жыл бұрын
Plus you cant get any help prior to surgery even with multiple tests indicated you have severe issues and need surgery if i didn't have pain i wouldn't need surgery i know you shouldn't take right up until so it works better after. When drs were able to prescribe them my prescription lasted twice as long as the numbers of days prescribed. Except once pain was so bad lasted two weeks longer. I only new one person who was addicted and when i was at pharmacy a guy kept bugging for his pain meds every two seconds while they were filling it. If you are in legitimate pain you dont feel high i want to be alert when i use them i have to many responsibilities to take care of. Otc meds destroy your kidneys liver and stomach and dont work. Some people have addicting tendencies alcohol gambling smoking but not all. I had no issues quitting smoking cold turkey and i dont drink anymore for 38 years. I will have a cigarette once every six years.
@TalkingWithDocs
2 жыл бұрын
Sorry to hear this CHRIS. All the best. Thanks for watching and subscribing
@Ritesh-uj7cb
2 жыл бұрын
I suffer with hip bursitis at 4 yrs pls help me.....
@TalkingWithDocs
2 жыл бұрын
Hi Ritesh. The mainstay of treatment is medication and physio. Sometimes injections. Last resort surgery. Thanks for watching and subscribing
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