Sunday, July 30, 2017

Painkillers: Breaking the Stigma

Painkillers: Breaking the Stigma
Let’s talk about painkillers.  I’m sure you’ve seen similar sentences before, followed by a lecture about the dangers of narcotics.  That’s not what I’m here to talk about.  Anytime anyone talks about narcotics or opioids today, it’s all about the evils of the drugs.  I understand why this happens.  They are abused a lot, they are dangerous, they can ruin your life or even end it.  That isn’t ALL they do.  This December, I will be finishing my bachelor’s degree.  Last year, I went to my sister’s wedding and I danced, and I didn’t spend the following day in bed, or next to a toilet puking because the pain was so unbearable.  I maintain a fairly clean house and a job.  All if this is because of narcotics.  When taken properly and carefully, prescribed by a good doctor with a fair deal of monitoring, these drugs are changing some of our lives for the better.  There are a lot of people out there taking opioid medication for pain, and they do come with negative side effects, but if they help enough to increase our quality of life even WITH the side effects, and all other options have been exhausted, then most pain management specialists will determine them worth taking. 
With this decision comes a lot of harsh judgement, though.  People hear so much of the negative and basically zero of the positive, so when they find out you take serious painkillers, they immediately start making assumptions.  I’ve heard people say they would be uncomfortable with someone taking those medications being around their children.  I’ve also nannied in the past, and have always been straight forward about my situation, and there have never been any issues.  I function on painkillers like you function without them.  If anything, people who know me and have seen me with and without them would probably feel more comfortable with me TAKING them and watching their kids.  It’s really hard to keep a clear head when your consumed with pain.  You can’t move very quickly, which I’ve learned is actually a pretty important skill in watching multiple little ones, and it’s hard to pick them up.  Another assumption people make is that everyone who takes them regularly is an addict.  That’s not how it works.  This is where being careful and having a good doctor comes in.  Those of us who do take them regularly, and properly, usually worry about this a lot, actually.  I recently tried a new doctor in an attempt to save money, and he looked at my medical history, saw that I have been taking narcotics for pain, and immediately decided I was an addict and needed counseling.  I’ve been to many doctors due to moving, and I have heard of people experiencing this, but until that day, I had not experienced it myself.  I’ve been in pain for a decade and a half that has gradually gotten worse throughout the years. I was hardly able to do anything a few years ago and it was terrifying, I had tried everything except for serious pain medication.  I had been avoiding it because it is scary, it does come with a stigma attached and I didn’t want to be a drug addict.  I had a doctor explain to me that it might be my best option, we would be careful and pay close attention to everything, no secrets, just give it a try.  It changed everything.  Every doctor I’ve been to since then has examined me themselves, looked at my history and everything I’ve tried, and determined that yes, that is in fact my best option until something better is discovered.  This new doctor was a terrible doctor in very many ways, but the way he treated me because I take narcotics was the most horrible thing.  I cried all the way home.  I’m still crying, and that was a month ago.  I went back to my previous doctor after that, who was also shocked and horrified that I had been treated that way.  That is a very ignorant way of thinking, especially for a doctor.  I’ve told everyone about all of the other reasons he was a terrible doctor (like telling me that all of my pain, which is worst in my knees and ankles, is actually being caused by neck degeneration which requires expensive injections?) but I kept this part quiet, because I’m scared that people will find out and start thinking that I am just another drug addict, lying about pain to get drugs.  I wasn’t lying when I was twelve years old and had to end my dance career.  I wasn’t lying all the times I had to sit out fun events because of the pain growing up, without decent medication because I was too young.  I’m not lying now.  I’d rather be living a normal, physically active life than taking painkillers to live a normal-ish life, mostly sitting down.

What I’m trying to say is that opioids, when taken carefully and properly, as prescribed by a good doctor, can be a good thing.  When abused, they can kill you.  If you aren’t careful and mindful, you can become addicted and end up in serious trouble.  They are also bettering peoples’ lives.  They aren’t only bad.  They aren’t only addictive.  They aren’t only dangerous.  When you find out someone takes them, don’t start judging them, or throwing out facts about how bad and dangerous they are to them.  They most likely know.  If you know they are abusing them, or getting them illegally, or you knew them before they took the medication and there is definitely something wrong now, you should say something, absolutely, but just being on pain medication does not mean someone needs a lecture or your judgement.  Break the stigma.


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