Find the least invasive common denominator, and develop it's capabilities. Simple is better.
by Sally June Odland
(Henderson, Nv., 89011, USA)
Age 69. While I still had a pain management system that worked.
If I only had to deal with the problems created by a burst fracture of L1 life would be easy. It would still hurt, but, as the "only game in town", it could be controlled.
So many different maladies require either unique or simple approaches to managing pain.
I have MEN1 that has given me osteoporosis. It has also given me gynecomastia, extremely low T, chronic fatigue, and pancreatitis.
Then there is the string of problems caused by osteoarthritis. A string of joint failures, spinal stenosis, spinal osteophytes, and impaired motion issues.
Add to this my gastrointestinal problems, from GERD, gallbladder removal surgery, extremely large multiple simple renal cysts, NASH non alcoholic steato hepatitis, several occurrences of PE's and DVT's, two episodes of pancreatitis, chronic headaches, vision problems, extremely high arches and hammer toes, nerve signal issues, a heart attack, and teeth problems including mandibular joint disease.
I won't say these are all of my problems that cause pain on a regular basis, just the ones I experienced frequently enough to bring to my doctor's attention.
Point two is finding an internist. They are few and far between. Why, because it is a constant educational regimen to stay current for them, and maintain their certification. Mine does!
My internist has researched and examined every issue that I have brought to his attention. He has managed my pain for 16 years, the last 12 with a steady protocol of medication. The first four years were spent analyzing the reasons for my diverse sorts of pain, and finding a common denominator for controlling them. He did, and the last 12 years my pain has been controlled, I have very few excursions into uncontrolled pain, and life has been on an even keel.
Here's what no one wants to hear. It requires a minimal dosage of multiple narcotic medications from Tramadol, to Oxycodone, to timed release Fentanyl. And muscle relaxers to manage what my body takes on that has made my form and physique distort. None are perfect, but overall, it works.
Now comes the real brain twister. Now the state of Nevada, and the ill informed, knee jerk, legislators in Carson City, have concocted a politically correct scheme to do what they feel my doctor can't, or won't do. Force me off my medications. And they have! To my detriment, and increased medical expense. I now have no management as none of the approved pain clinics will prescribe what worked so well for more than a decade.
I now lie in bed, without sleep, in extreme pain, constantly. I don't move around much, can't maintain my home or any part of my life. The degradation of my quality of life will, no doubt, be terminal. Many signals have already started showing up. My CBC has issues, I don't eat regular meals, and my motor skills have faded into inability to control my home existence. If I last 5 years they will be the most unproductive of my entire life.
All brought upon my existence by people that can't write coherent laws, nor allow true medical professionals to manage their patients needs.
I have been in transition. Yes, I am MtF transgender. I was doing splendidly until the witch hunt started after the last general election, and the beginning of 2018. I don't know if I will make it to my goal because I can't focus on what matters to me, but am required to spend my days in agony. Agony that is completely unnecessary. All because a group of fools assumes they know more about my body that my doctor.
Return sanity to medical practice. Allow doctors to control who, what, and why they prescribe medical intervention for pain. Put societies phobias in the closet where they belong. Allow me to continue my productive, tax paying life.
And the reason my doctor managed my pain the way he did? It was the least invasive, simplest form of dealing with all my variously induced pains. I am not a criminal, at least I wasn't while he was providing management for my care.
I guess now I may become exactly what they want. A criminal, and then dead. It will solve their problem. Genocide is in vogue, from Washington DC to Carson City, Nv.
The lunatics have taken over the asylum! I hope those of you that bought into their fairy tale never have to deal with constant uncontrolled pain. If you do, welcome to my world. You caused it, you will have the fun chore of having every quack tell you that they can fix your problem with one more surgery, that insurance won't cover. Or a maintenance plan you can't afford. You too will get to be a criminal. Finding what will work by what ever method you can Every year it will get worse. Legislation will limit the coverage for you, a non preferred part of the population, until you have no coverage. Then everyone will get to pay an even higher price for running government or, have government implement a cost benefit analysis for every individual. When it becomes uneconomic to continue to fund your existence, you will cease to exist.
Just like in the Charlton Heston movie "Soylent Green".
Is that what you want for your children?
When you next vote, think about their future, not yours. Yours is already sealed.