Of Pills and Pals
By WitchletsMom On August 19th, 2010I don’t have a lot of friends at work – not because everyone I work with is intolerable but because I seem to lack what you would consider normal regulation when it comes to sharing. Don’t believe me? Read my blog. IRL, I tend to be the same open book I am here – I just put it all out there. You can see where that would make work a bit uncomfortable, can’t you?
In any event, I do have a couple of friends at work with whom I share some common skeletons (or at least closet space for bones of various sorts). One of these friends, Marty, is someone that I have a lot more in common with than either of us would ever admit publicly. Marty is a great source of support for me particularly in the area of drugs. You heard me. Drugs. Marty is one of the few people I can talk to about drug use and be completely understood – he gets it. And when he stopped by for a quick chat and a hug today, I was reminded how much that means to me.
So here goes. I’m going to try to explain to the rest of you what it’s like to be more-or-less regularly reliant on narcotics.
First, notice that I didn’t say “addicted” to narcotics. I do not consider myself an addict and, luckily for me, neither does my doc. I’ll go days/weeks without even thinking about narcotics until I need them. If I don’t need them, I don’t take them. It’s really that simple. Where I behave like an addict, however, is that I *always* know where my drugs are and can get to them quickly. Even when I haven’t taken any in weeks, I still know where the bottle is. Why? Because I do.not.like.pain.
Pain is the driver here. Chronic, unrelenting pain. You know that scale of 1-10 that docs are always asking about (“Where 10 is the worst pain you can imagine”)? Our agreement is that I don’t even try to aim for a 1. In fact, 3 or 4 is the threshold for taking pain meds for me. So even when I’m NOT taking drugs but know exactly where they are, I’m still walking around in pain most of the time. I’m just waiting for the pain to be “bad enough” to do something.
When you talk to most people about narcotics, they think about being stoned or loopy or just plain passing out. This is because narcotics make you sleepy. They’re used as part of the drug protocol for conscious sedation for everything from dental work to outpatient surgery. That makes it hard to talk to people about narcotic use for those of us who rely on them to get through the day. I can’t tell you how many times I’ve had someone ask if I was okay to drive after taking narcotics. Truth be told, I’m often better off with the narcotics than I was without. It’s easier to concentrate with 5mg of oxycodone in my system than it is with a Scale 6 headache. And that doesn’t even take into account that pulling my hair can obstruct my vision!
But there’s more to it than the difference between pain and narcosis. Anyone who has chronic pain can tell you, pain makes you tired. This week I slept 12 hours one night only to fall asleep on my desk the next day. I don’t know why, but pain wears you out.
If you’ve followed me so far, this is where it gets interesting.
Marty dropped in just in time to catch me mid-dilemma: What to do about the pain/fatigue issue. I’m in pain and I’m flat out exhausted. If I take drugs, the pain will get better. This generally would wake me up but if I’ve waited too long then all it will do is take the pain away enough that my body will collapse into the sleep it wants so badly. But if I don’t take something then I deal with pain-induced fatigue and brain fog. And I can take a half dose which might not do anything but might contribute to either of the above and if I get more tired/sleepy after half dose is that because I didn’t take enough or I took too much? Really, at that point is pulling one’s hair easier?
Marty didn’t tell me what to do. He just gave me a hug and told me he understood. And really? That was just what the doctor ordered.
So for my friends out there who suffer with me – and you know who you are – consider yourselves hugged. I understand this is a bitch. We’ll all get through it.
