I am in position to excerpts from my experiences recently and as I have experienced the pain and self-interested party as a member.
While the stat. Pain from 19 to 29. March 2012 – Initially, my pain was next and later Tlidin Oxycodoneamong the Group of opioids, which are applied as pain relievers for severe pain. Compared to morphine, oxycodone has a power of action by 1,5 until 1,8. Oxycodone is a verschreibungsplfichtiges of Painkiller (like all severe pain relievers) in Germany it is subject to the BtmG.(+Naloxone) also Paracetamol used – and that as co-medication, and even in the event of breakthrough pain!
Lacework – beyond the period level
Now some doctors say with certainty the ultimate killer argument:
"Well if that disappears by itself after a few hours, they can safely withstand ... they're still YOUNG and STRONG ... "
What do you think only those records? The head doctor at the clinic, it was incredibly cool to say then, "So then they just take paracetamol.". when I told the ... a pharmacologist who could no longer keep from laughing in his chair.. sheweth the webcam only an empty office chair ... it took me a minute to collect himself again..
Of course you can take paracetamol as co-medication in the mirror ... that is continuously. AAAAber! which comes only for a very short time in question!, Maximum 7 until 10 Days, Then you have to stop playing and rest, for at least 60 Days. Otherwise, it will inevitably lead to organ damage, If necessary, the. needs a new liver from making.
"How can you propose such a thing in itself only a healthy young man?
Why did you get that idea, that could help in such pain?!
Of course you should be careful with rescue medication - but the patient is not only wrong to withhold, is (negligent) Injury.. and his acquaintance to render assistance!”
"The argument, The fund will not pay the, is arrant nonsense.. of course, in exceptional cases, at times when he was still Pharmareferent - he actually knew about 20 Cases in their customer radius of 40km, MS patients as well as ordinary pain patients. Should this occur more frequently with the tip - so he, then does something not in the basic medication, which is then too low.
Or you must select another opioid. Ultimately, there is still the way drug pump, foresee the time when the leaves are taking longer than 6 Months will be. Again, there are models that make possible a bolus dose.
Only the cheap models based on gas pressure can not be something, but used increasingly rare in Germany!”
Ultimately, then one ought to also remember: "If you look at the self seem too, what one expects of the patients there with such a behavior?”
"Certainly not, because even if the sentence comes from the pain palliative medicine, you should apply this to all patients:
Pain management should be the days of life!
And not for life, Days give!
For the days, where one has to endure unnecessary pain, are lost days. On those days you had to suffer because of incompetence or ignorance of the doctors. And the younger a person is, suffering from chronic pain - the worse it is, if this person under-dosed every other day of his life further through life must?! Why is not malignant pain to evaluate clearly worse than malignant pain, because of non-malignant pain is usually developed over the years and with the patient still on more years. The all-round solution is not! Especially not for people who have been 3 or more years suffer from chronic pain. The memory of pain had developed too many years to get, Medication errors, Misinterpretation by physicians led to even more deterioration in the status.
It is to be with increasing duration of pain disorder difficult to master pain, the patient has as much of the longing for a pain-free life, needs to be.
I do not know what is the meaning, to be stingy with the saving drugs, for addictive (no matter how you set the definition now) is one of the resources already (by Retard ...), if one does not become physically dependent in fact - but it will be addicted to the moments where you have less pain. What is not so bad, which can not have less dramatic effects.
In the last few weeks of life…
My father was denied in the past few weeks had his life after the diagnosis of lung cancer still, the painkillers in a higher dosage (in a funny way of sister institutions, I know my pain ... but this happens also in other institutions). He even got 11 Weeks before his death, the diagnosis, metastatic lung cancer - rather than to free him from the pain, he had really (He was at this time for over 12 Years tramadol!), finally handed him a bottle (before he was diagnosed) still about 3 Days! (usually enough to a 30 day).
He was given initially for the pain (he had in the lungs, Liver, Kidneys, Bladder and brain tumors of different stages), ridiculous way 2x10mg morphine Retard (no need for medication!), instead of just the proper dosage is stuffed him with psychotropic drugs and other "happy maker" to complete under the roof edge.
He was definitely not the man, I knew as my father.
He hung himself, He gave up. You had to fear he would have to jump out the window, also because of the pain, Then came the drugs also have hallucinations and perceptual disturbances to.
The doctor told my mother: "We can no longer give her husband, He could be addicted!!!!"What they say to a woman - the day before had told : "Be glad if her husband survived the next few hours"
As they say but all serious, "He could be addicted!!!"In retrospect I'm glad, I was not there, I think the doctor would have a captive, for such a bold answer beyond any humanity and reality.
Only when my mother insisted on the general power of attorney, sedative agent immediately discontinue all, did something. My father was again clearly.
The pain medication was not necessarily better care, I set myself was at that time on 600mg morphine Retard, (an additional amount Beimedikation), I still had remnants of 30 or. 60mg tablets - these I gave to my mother - you kept for my father!
He then had a few moments during his chemotherapy, where he made a happy impression, not so contorted with pain as the months and weeks before his diagnosis (of the 2 Weeks apart on Happypills).
Not least, too, because my mother had fought relentlessly for, that my father, at least the pain could be taken - thanks to my help. Because my father looked after the family doctor (when I was), was so stingy with the pills, that my mother was happy about it - that I 4 Months earlier started a pain management.
It was indeed but also by the family doctor, the argument "You know her husband might be addicted.". a man - who may each day be the last!
What they say a wife! your husband every day they are suffering because doctors could not jump over their own shadow. It would not have mattered whether my father developed an addiction! In the last days of his life, was the painkiller supply secured, but only by the unavoidable and inexorable behavior of my mother - for her husband, she loved to fight was ready. Because my father was no longer able to fight! He left our world for good at the 31.8.2008, He was 52 Years old!
I do not know whether he was in pain, But according to my mother saw him, that he had hurt, Also in the last hours and minutes of his life - not even because he has been granted freedom from pain!
Because obstinate, blind and hopelessly exhausted doctors had the audacity to decide about, who, endure as much pain can, and that it can not be responsible if this person would be addictive and even if that person just has to live only hours!
Who are you - as you may determine that it - like someone has to endure pain, as he feels the pain. Pain is always individual and can never be interpreted according to a scheme. NEVER.
Pain is invariably, whether you're a cancer, a life-limiting illness or just in pain (by accident, a genetic predisposition or other reasons) always an individual measure!
You have to find the ideal solution for each patient and should not be obsessed with prejudice, personal dislike or other differences! You're damn for the patient because - trust you, which may be the last remaining hope in you put. People are still a slap in the face, for their credibility can not cope. Do you understand the?
You have to listen to patients and work with you on a path, not against the wishes of a patient, for the premium(n) a pharmaceutical manufacturer (- because I take only one product for all patients, even if the product is unsuitable!). I could continue this list is certainly not - but you have already understood I should also!