30 Jun Feel Good Friday: The Opioid Epidemic
This week on Feel Good Friday, we give you some words of hope and recovery!
Below are some quotes and a story from those who have suffered from addiction to opioids and gotten the help they needed.
There is help out there and we hope these words offer some hope.
First, we would like to share some quotes from those who are in recovery, or work with those in treatment that were featured on PBS – Frontline:
“The first thing I remember from treatment was a sign that said, ‘We are not bad people trying to be good. We are sick people trying to get well.”‘
“The best advice I can give to people that do not understand this disease is every person in the throes of addiction is someone’s child, mother, brother, sister, father. They were not always the drug addict you see before you. They are lost and need to be found. So before casting any judgement try encouragement. You never know what someone is battling.”
“That the people that use it ain’t bad people, it’s just the drug itself is bad. It’ll grab you and never let go.”
“Kicking the habit is very hard and painful. Then, to relearn how to live can be just as taxing. Find support wherever you can get it, as well as taking a lot of ownership for your own success and failure during recovery, and be sure to pat yourself on the back each day for successful days. Staying clean is an every day/life-long challenge but worth it.”
“If I had the same experiences of trauma, hurt, pain, emptiness, neglect, hunger and poverty that people who live with addiction had — I hope that I could cope half as well as they do. I hope I would have the same strength and resiliency that they do. But I can’t say for sure that I would. Despite what life has given people who live with addiction, they have prevailed to the best of their abilities. If YOU were to have the same life experiences as people who live with addiction — I hope that you would have the strength to prevail too.”
Source: “HEROIN & OPIOID ADDICTION In Your Own Words.” Frontline, PBS.org, apps.frontline.org/heroin-stories/index.html. Accessed 28 June 2017.
Second is a doctor’s story who was addicted to pain killers and faced the challenge of medically needing them again after being clean.
As a primary care physician at Massachusetts General Hospital (MGH), I am profoundly grateful for my 10 years in recovery from opiate addiction. As detailed in my memoir Free Refills, I fell into an all too common trap for physicians, succumbing to stress and ready access to medications, and became utterly and completely addicted to the painkillers Percocet and Vicodin. After an unspeakably stressful visit in my office by the State Police and the DEA, three felony charges, being fingerprinted, two years of probation, 90 days in rehab, and losing my medical license for three years, I finally clawed my way back into the land of the living. I was also able to return, humbled, to a life of caring for patients.
There is one question that I invariably get asked, by my doctors, colleagues, friends, family members, and at lectures and book talks: now that you are in recovery from opiates, what are you going to do when you are in a situation such as an accident or surgery, when you might need to take opiates again? I have blithely answered this question with platitudes about how strong my recovery is these days, and how I will thoughtfully cross that bridge when I come to it. In other words, I punted consideration of this difficult issue into some unknown future time.
Unfortunately, that future is now, and that bridge is awaiting my passage.
Last week I slipped on my top outside step, which was covered in ice, went into free fall, and managed to completely tear my left quadriceps tendon. This required a surgical repair in which doctors drilled three holes into my kneecap and then tethered what was left of my quadriceps muscle to the kneecap. Taking Tylenol or Motrin for this kind of pain is kind of like going after Godzilla with a Nerf gun. I was sent home with a prescription for one of my previous drugs of choice: oxycodone.
My leg was hurting beyond belief. I literally felt as if it were burning off. But, I had spent the last 13 years of my life conditioning myself, almost in a Clockwork Orange kind of way, to be aversive to taking any and all opiates.
What is a person who used to suffer from a substance use disorder (SUD) to do? There are millions of us in this country who may eventually face this choice.
Fortunately, I am not the first person who has confronted this issue. There exist safeguards one can put in place. It is important that all of your doctors know about your history of SUD. It is also helpful if you have a significant other or partner at home who can manage the pills for you, and dole out two of them every four to six hours as directed, to avoid the temptation to take more than prescribed in order to get high. (Old habits die hard.) Finally, the key to all addiction treatment is being open and honest. It is critical to check in with one’s support network about medications, cravings, and fears, and to use all of the recovery tools that are available to you, such as asking for help if you need to, and not trying to control things that can’t be controlled.
In the end, my level of pain was so great that there really wasn’t any choice but to take the oxy. My nerve receptors made the decision for me. I’m sure there are Shaolin monks somewhere who can block out high levels of pain, but that just isn’t me.
I am reassured, and even pleasantly surprised, by several aspects of having taken the oxycodone. First, it worked well for the pain. Second, I did not get high from the pills. I guess that taking two pills is different from taking (or snorting) 10 or 20, as we tend to do when we are addicted. Finally, it was very easy to stop taking them, and I have had absolutely no cravings or dreams about using since stopping.
This is a critical issue. It would be cruel and inhumane to not sufficiently treat any patient’s pain, especially after surgery, and it is important not to discriminate against people with SUDs. There are millions of people in recovery from opiates in the United States alone, and they are as deserving of pain control as anyone else.
Finally, I am grateful beyond belief to have survived my opiate addiction, and to not have become one of those all too common overdose stories we all read about in the newspapers. I am also grateful to my excellent doctors at MGH for fixing my wounded knee, and for providing me adequate pain control. Fortunately, my recovery and my pain control do not seem to have been mutually exclusive.
Source: Grinspoon, Peter, Contributing editor. “Treating pain after opioid addiction: A personal story.” Harvard Health Publications, 7 Apr. 2017, www.health.harvard.edu/blog/treating-pain-opioid-addiction-personal-story-2017040711345. Accessed 28 June 2017.
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