Lisa's in trouble... Asking for help

Hi, everyone–

First, I want to wish all the best to Jill and the other two Lisa’s and Durga and EVERYONE else who’s been posting-- but I haven’t been well enough to acknowledge all you’re all going through, but I am thinking of you, everyone, every day-- and I’m worried about many of you and the posts I’ve been reading. I wish I could suggest something more than what’s been offered. You’re all wonderful and giving, and together we’ve become great resources for each other, and for the help you’ve all given me, I’m forever grateful.

I’ve been in pain that’s been so horrible, and nothing is helping. By Thursday night I was in the ER and they wanted me admitted for several days because my bowels were completely impacted, even with the large doses of everything I use regularly (not everyday to avoid my body getting too used to it). The bigger problem was the pain I was in with this on top of a kidney stone and the CP all in one-- and all that on top of handfuls of other painful conditions I’m “used” to living with. They gave me IV Fentanyl through my Mediport/central line, but it was like a placebo. They gave me this dose three times and said their Pixis system was going to lock out and not give me more-- even though they could see I was in pain and not seeming affected in any way from the med. Does anyone know anything about limits on what they can give if you’re as tolerant to the narcotics/opiates as many of us have become? I’m allergic to all other known narcotics other than Fentanyl, but I’m so scared by them telling me they can’t even legally give me what was needed for pain control, despite years of high PCA doses and ongoing home meds. Now I’m even scared to go to an ER for anything (and I even refused to go a few weeks ago when I went into anaphylaxis-- stupid, I know)-- I know that if I’m going to the ER, I’ll likely get admitted, but why would I even go if they “can’t” give me enough meds to even touch the pain. So, I went home and got aggressive with what I could try at home to stay outpatient, but once that got a little better, the CP pain (I’m assuming that’s all it is, but they can’t do contrast studies due to allergies and I and the docs have some concern that they’re missing something else other than the CP) just jumped back into the foreground like a rocket.

I’ve been in so much pain (and daily nausea-- which luckily the Zofran has worked pretty well for) that I can’t stand it-- literally, and I rarely get to that point. I get chills and sweats, start shaking and even ‘jerking’ or wriggling from the pain-- and can’t hold the tears and noises back. It goes on all day and on and off through the night assuming I can sleep on and off between prn doses (I’m so lucky to have a fantastic and loving boyfriend who’s been there through all of this and more). I ended up at home taking 16 times my normal dose of Dilaudid (that would be 32mg, and took it w/a bunch of antihistamine since I’m known allergic to it and wasn’t sure what could happen) on top of the Actiq and Fentanyl patches-- and used more of that than what’s prescribed, too. It’s gotten scary since I don’t like taking anything at all, and while without eating and by mostly resting it’s a little better (very little), I’m scared-- and I don’t get scared too easily. I’m used to bad pain, since I was a kid, due to a painful genetic condition-- but this pain is out of control and I can’t stand it. I somehow NEED it to stop or at least stay at a lower level.

I’ve got consult appts. with GI guys, but the soonest one is two weeks from now and I don’t know what to do between now and then-- and I’m sure he won’t be able to do much more than set up an EUS celiac block, which I’m definitely ready for at this point. The last one isn’t until early December-- which is like a lifetime away the way it’s going. And that’s with saying it’s “urgent” and getting on wait lists.

I don’t know what else to do or where else to go with the pain and it just can’t keep going on like this. I’m angry at it and frightened that I have no way to know if it’s more than the CP or not-- and so frustrated that it’s keeping me from any aspect of “life” that I’m trying so hard to get back. While at times I just wish so hard for even a few minutes of reasonable pain levels, it’s obviously not in my control, and with the docs and ERs basically saying they can’t help me, I really feel at a loss for what else to do or try. I know my medical history (it’s long) and allergy list (it’s almost as long) scares the medical folks, but I need some help-- and I can’t believe they allegedly can’t do anything for the pain anymore (and I don’t feel they’re doubting me in any way about my tolerance or my need for pain relief). It’s like everyone is just throwing up their hands and giving up since they don’t know what to do to help me any more. It sure leaves me feeling drained and unsure, and confused and upset at the medical community.

I guess that’s why I’m turning to you guys-- You all get it, as sad as that is to know. Since none of the medical folks seem to get the pain issue, and can’t understand what it’s like to have CP pain in a bad flare (I don’t think anyone who hasn’t had CP can really “get it”), and can’t seem to figure out how to help control it-- I’m asking for help (something I don’t do often enough or well enough, to be honest with myself). I’m hoping you guys might have some suggestions-- because I’m staying as positive as possible and still try to make the most of every day and every moment, but it sure gets hard when the pain is relentless and my body and mind are feeling like I can’t take much more some days.

I know this got longer than I had hoped, but I would sure appreciate any suggestions or help-- here in the hope it would help someone else too, or privately. And in saying this, I also want you all to know how much I hope each one of you will get a break from the pain and this horrible illness-- whether it’s yours of that of a loved one. Nobody deserves this, even for a day.

Love and hugs and gratitude,

Lisa

Hi Lisa,
I know how you feel. I’m afraid I’m not as knowledgeable as everyone else on the pill situation as I’ve tried to not take pain pills. It’s getting harder and harder to stay that way. So, I’m afraid, I have no advise for you there.

Are you eating? I find that pineapple helps because of it’s natural enzymes. And also Probiotics help too. They help naturally regulate good flora in the stomach.

I will pray for you tonight. When you said that you are screaming and crying in pain both day and night, you were describing me. . :slight_smile:

As you suffer, we suffer too. . . you are not alone.

Christina

My Dear Lisa, and what a dear you are. I am so sorry for your pain. I just got you personal message and rushed right to this forum. I am having so much trouble wondering why they can’t remove a pancreas. Walt, as you all know had his pancreas removed after four weeks of unsuccesfully trying to save it. As the rest of you he suffered so much pain. It is a very dangerous surgery. But the success is great. His surgery was around the first week in Oct. It was rough. He is now off his feeding tube., No drains ,and most of all pain free. Of course he has to do his insulin and blood sugar three and four times aday. Friday was his birthday. We of course had a big party. He had pizza, two glassed of wine along with carrot cake. After the party he did his blood sugar and took four units of insulin. What a trade off. He is doing well.
My question is , Why is thid not an option. This is all so new to me. I knew nothing about a pancreas before his attack. Dr. Thomas Neisen, at St. Lukes in St. Louis did it. It is a long time healing. Is this an option for you Lisa?
Many hugs and prayers…Sammi

Lisa,

I don’t suffer the way that the rest of you do. My pain is minimal compared to others. But I want you to know that I am still praying for all of you. This morning I felt God’s urging to pray specifically for you. Now I know why. If it is all right with you may I put you on the prayer chain at Church? We have a powerful prayer team and many wonderful things have happened through that group. Anyone else that is having a great deal of difficulty I offer this to you also. Just let me know. Prayer is powerful, expecially when there is more than one person praying for the same thing.

God Bless and keep the Faith,

Vonnie

Lisa,
I am so sorry this is happening to you. When I read what you are going through I wish I could just be sitting next to you and holding you. I have watched this hateful disease for years with my daughter and husband and all I ever can do is be there by their side. How I wish I could do that for you now. You will get through this, please, please try to keep up your strength by eating anything-even if you can only hold down baby food, it has nutrition. The only advice I can give would be to force someone to bump you up to have the block sooner-why won’t the hospital get an anethesiologist to see you? I’m sure once they see the pain you are in he would do it immediately. Keep pushing for that, maybe someone kind will come through for you.
My prayers will be with you and never give up.
Would you consider an epidural for a few days if they agree to that?
Terri

Lisa:

Obviously I’ve read your post and I’m sure I sound like a broken record but the only advice that I can offer is Dr. Sutherland. I know that Durga warned you this is experimental and that if you did get any pain relief it would only be temporary but I have met him and he is not going to lie so I will reiterate here: Once your pancreas has been resected, how CAN you still feel the pain? IT’S GONE!!! As you also know, I have spoken with several of his patients now and they also no longer have any pain. I also know that disability insurance will not pay for the islet cell transplantation but I am certain that you could work something out with his office.

I’m afraid the above is all that I can offer other than of course, prayer, prayer & more prayer! Know that I am praying very, very fervently that you get relief from your pain!

Hugs,
Grace

Dear, dear Lisa,

I am so sorry tohear that you are reaching the end of your coping abilities. Chronic conditions do this to us. They are a constant drain and we eventually come to the end of our resources. You have been such a blessing to this group and I know that we all want to help you in any way possible. I am attempting to do some research for you on the current guidelines and limitations from the DEA to the medical community. Remember, the Feds are constantly second-guessing doctors and their prescriptions to their patients. The DEA can and has arrested doctors when they feel that the doctor has “overprescribed” a Class II Schedule drug. In other circumstances they have “merely” suspended or revoked the doctor’s DEA license- without this the doctor cannot prescribe many types of medicines. Every doctor has a number issued by the DEA through which the DEA can keep track of the doctor’s prescriptions and especially with regard to the Schedule II drugs. I will PM you the information if I am able to find it.

Okay, for possible solutions in the interim. Have you tried methadone? This is often used for pain control for people who cannot use the normal opiods. I have a friend with sarcoidosis who uses methadone for pain management. Resting the pancreas either through TPN or j-tube feedings might provide some minimal relief. You have already mentioned a possible celiac plexus block. There is also a new type of pain pump- unfortunately I can’t remember the name of the pump or the company. It is kind of like a permanent epidural and 1 mg of morphine delivered through this system is supposed to be equivalent to 800 mgs of morphine taken orally. Finally, as Sammi suggested, removal of the pancreas might be an option if you can find a gi willing to do it. When I was having such a bad time during July and August, I really started to think about asking my gi to look into it.

Well, I will continue to do some research and will get back to you if I can find anything useful. Possibly taking Halcyon or some other super-strong benzo-type sleeping aid might at least allow you to get some rest and give your mind and body a break from the incessant pain. I wish you the best and hope that some relief can be found ASAP. Please feel free to PM me if you need to unload or whatever.

Lots of love and hugs,
Warren

 

Dearest Lisa,

It breaks my heart knowing you're out there and in so much pain just about every second of the day.  That's just not fair!  Nobody knows the pain of our disease until they walk in our shoes -- GOD FORBID!  It's relentless when we're in the throws of it and it ravages every single bit of strength we have.  Even strength enough to breathe. 

Though there are no words to convey extend my deepest empathy -- please, PLEASE know I'm thinking about you and sending you love, strength, courage and lots of hugs!  Hopefully, you'll feel some of the good energy come to you across the miles.

I wish to God I could take all this away for you and give some of the life back you so humbly embrace -- without pain -- or at least managed pain, if nothing else.  If I could, I'd even take it from you and take it on myself if only to spare you and give you relief.

We're all out here pulling for you, so please, keep your chin up and try with all your might to press on!  There are so many people out there who care!!!  I just wish I could do SOMETHING.

Sending love, hugs, prayers, and giant wishes for all this to stop and give you a break. 

My best, always,

Flyboy73 

 

Dear friend Lisa,

I can totally understand what you are going through. I’m still having lot of pain and the tube site pain in addition makes me cry every single day. I know I’m on enough medication and they have worked before. But right now my weight is so low and the body can feel the pain more and I’ve been trying to rest and just have the tube feedings and trying some other stuff which I’m able to tolerate so that I gain weight and then the tolerance of the pain gets better. iIm going to start the Iron treatments from Fri. every week for 8 weeks for now. If the blood count increases they’ll stop otherwise they do few more weeks.

As Warren has suggested please ask your pain management doctor to consider the Methodone pain medicine. It is a pain blocker. Someone recently asked me to talk to the pain clinic people to increase the dosage. Because they asked me to take 20 mg and I’m taking only 15 mg because I had some side effects with it in the beginning. I have appt with them very soon and I may ask them whether I can increase it and then see how it goes. Again I don’t like to increase the pain medications which works on our bowels and gives hard time every day. I’ll think about it.

For you if you haven’t tried it yet, might be the miracle medicine for you right now. Because I remember Angela when she was in so much pain and was hospitalized so many times and was so frustrated because she was not getting any relief her doctor prescribed Methodone for her and she is feeling better now, (that’s what I’m thinking because I haven’t read anything recently from her saying that she is in lot of pain). She said, she is able to do some things and spend time with her kids more as the pain is in control.

Some time or the other we all go through this. When I was hospitalized for months after having baby and left her home with my husband when she was just 2 weeks and didn’t returned until 4 months after going through so many procedures, one major surgery(Peustow), I thought I’m never going back to home and even if I go maybe my dead body is going home. I lost all hope and suffered so much all alone in the hospital because it was during the winter time and my husband even though he stopped going to office and taking care of kids sometimes he couldn’t come to see me because of the snow storms or very bad weather those were the days when I used to cry so much thinking about all the family members in India and my baby, little boy and my sweet husband who sacrificed so much for getting us through that hard time. I was doing better even though attacks never stopped and I was taking care of them by myself by taking shots and other breakthrough medications at home because I had such bad experiences some times I just never wanted to go back there. Even though they have put mediport for emergency I decided that I’m going to take care of myself at home as much as possible and I did successfully for 8 months. There were so many times that I wanted to run to the emergencies because I had such bad attacks and my husband was so scared to give shots at home without medical staff taking care of me. Sometimes the blood pressure goes down, get dehydrated, to avoid that I used to stop my feedings that’s what the doctors used to do and push water through J-tube so that I don’t get dehydrated. I used to put alarm and do this as often as I can.

I know this disease is not an easy thing to have my dear friend. For you it is even harder with all other problems you are dealing with them since you are a child. I can’t even IMAGINE how you are able to do but can definitely understand the pain situation dear friend. I don’t want to say hang in there and it is going to get better, you did receive some good suggestions from all our good friends and see whether you can do anything about them. I definitely suggest METHADONE, which works as a pain blocker can give you relief in case you haven’t tried.

There is nothing wrong in asking help dear! You are not immune to all the problems that come with the disease. Of course you want to help others than take help, but you have to understand one thing friendship means helping each other. This Support Group’s main idea is also the same thing, right? So, please don’t feel bad because the situation has become so worse that you have to ask help from your friends. Don’t you see others asking for help, I mean it will be good if we cannot ask anyone help and manage by ourself if it is possible. But we are living in this world where people are dependent on each other to survive. Without helping each other it is hard to get through these kind of diseases my dear friend.

*You must have seen that there are still some more options that you can try which were given by all your wonderful friends. * *I hope something or other will work for you and I wholeheartedly wish that there is something that is going to work for you. *Meanwhile there is nothing wrong in crying, yelling, screaming with pain etc. But in between doing these things try to do some relaxation stuff like breathing exercises which helps the body to give more space for the Pancreas to stretch out and maybe settle down for a little bit. WE are grateful to your wonderful boyfriend who is taking care of you staying next to you all the time.

I’m sure you’ll start feeling better if not in minutes, hours, definitely in few days. *You already have so many things to worry right now. So, please do not think that there is some thing different going on which the doctors maybe missing it or not able to find it etc. Right now you concentrate on the problems you know you have. When you feel little better then think about finding out the things that the doctors missing, in case they are missing. *

Hope tonight you’ll be able to sleep with nice breeze coming in from the windows, the stars, sky, the peaceful night will help you to doze off little bit. If you can try to go to the place in your mind if you have created to visit whenever you are not feeling well, try to go there and rest there peacefully. You told me before that you do Visualizations, you used to teach or coach to your clients. I try to do that. What I do is I try to imagine again each and single thing I like to have in my favorite place until the whole thing is finished like all the beautiful things in nature. While I’m doing this I forget little bit about the pain at least for few seconds, or minutes. We can use all the help we can get from others and also whatever we can do to divert our mind from the horrible pain.

Hopefully, you’ll get relief soon my dear friend. I told you before whenever I think about you my eyes get wet thinking about how many problems you have to deal with. I’m dealing with just one problem( I know this is more than enough to deal with) but I lose control of myself so many times. Remember all the feelings of emotion are natural dear. Don’t you worry about why you are feeling like this or crying like this. Because we are human beings and not rocks.

Please remember in this fight you are not alone we are all with you darling!

Sending all the positive thoughts, prayers towards you.
Lots of love and hugs.
Durga.

Lisa, I am so sorry to hear the same story comming from you as I have watched unfold with my daughter for so long. Beforew the ghastley screw-up with the epidural, they were effective in short-term pain control. Is there a hospial, an anesthesiologist that you can consult to go in for a couple of weeks to possibly break the pain cycle with an epidural? They caqn run it under your skin, if you aren’t allergic to the medicine, and put the medicine right into the epidural space? I don’t know if this is helpful, but, it is advanced pain management. If it does work, then qan intra-thecal pump could possibly work for you. I hope this is helpful, have any of you had, or tried this for pain management? My daughter’s blood presasure couldn’t withstand long-term use of the epidural, I don’t even know why they kept trying it, but she was inpaqtient while she had these procedures.
Jill

Oh Lisa I sure hope things start turning around for you very very soon!!! I haven’t been on in awhile due to my illnesses:( Have you tried moist heat on the ab area? or maybe even a warm bath, this seems to help me alittle. I have this pain in my stomach and back. I soaked in the tub and then took a hot shower and it seemed to ease the pain alittle. Also I have been on soda crackers, and pretzels those seem to help me with the nausea…Anyway just thought I would send a couple of ideas your way, maybe this would help you alittle…I am so sorry that your so sick and your so right that NOBODY seems to understand this illness in the MED. field which is a shame, they should now more then we do here on Careplace!!! But stay strong and of all things stay in touch with ALL of us here on Careplace, as sometimes it’s hard to explain this to family/friends and DOCTORS!!! Ok hon I will say a prayer for you and also I am sending big big hugs your way. Oh I forgot where you live, but my oncologist is sending me to the Medical Center in Omaha, Ne. and I guess this is what he is the best in, Liver/Pancreas diseases…Might be worth a trip if your not that far away? Ok I need to get going my future son-in-law wrecked his motorcycle last Friday and he can’t drive so taking him to the surgeon this pm…

Lots of Love, and some relief of pain…Barb :slight_smile:

Lisa

First off, as everyone has expressed, I can not help but feel for you. My deepest prayers go out to you…Dear Jesus, please give Lisa the strength to get through all of this and give the medical profession some guidance to help your child achieve peace…

WRT the Pyxis machine…don’t let them fool you. The Pyxis will NOT lock a nurse out with a valid order. Even if the order is not interfaced yet with the main hospital computer, there is an override function that can be utilized…take it from a Pyxis Queen.

Have you seen a well qualified pain specialist? Not one just is at the local hospital but one with specific qualifications dealing with this kind of chronic, intractable pain? Believe me, they are out there! 32mg of Dilaudid for a chronic intractable pain can be nothing. And narcs do not work effectively if the pain is so severe. You MUST get on top of the pain before management is possible. Don’t worry about addiction. At this point in your life, you need to first get a quality of life. Physical addiction does have its own set of drawbacks but to achieve a quality of life, this is a risk that we all with chronic pain face. My anesthesiologist friend assured me that if ever I get pain control and want to wean off the pain meds, he would hold my hand every step of the way. I can only encourage you to keep seeking specialist help.

Best wishes and hugs to you always

Teresa

Hi Everyone,

I just wanted to let you all know that unfortunately Lisa has had to be admitted. It is very rough going with the pain as you all know.

Hugs to all…

What is a Pixis machine? Juliette was on 176 mg. of diladud over a twenty-four hour period, and is weaning down, but is recieving 148 mg. by mouth if she asks for it, isn’t that a bit exessive? Pr deadley, has anyone gotten 12 mg. orally evey 2 hours aroung the clock?

Sending prayers your way.
Please keep us updated, if you can.

Cindy

I hope she gets good care and what she needs for her pain. Let her know that she is in my prayers and thoughts. Good luck and hope this time they do something different to control her pain.

Love,
Durga.

Lisa,

I am putting you in my prayers as you have been all week. I will just redouble my efforts.

Dave, Please keep us informed. We care.

Keep the Faith and God Bless,

Vonnie

Lisa,
Thoughts and prayers are with you. Please take it easy and let them take care of you.
Terri

First off, a Pyxis machine is like a medication ATM. The nurses go in and remove medication from this large machine that contains the meds. The patient’s name is in or added and the medication list is brought up. For hospital’s with “Profile” stations, the nurses can only take out what is ordered for the patient by the doctor. It does have ability to “override” the profile but there are limitations to that.

Narcs are very patient specific. If someone is “narcotic naive” then the lower doses work, but when someone is on for an extended period of time, the body becomes tolerent. leading to “addiction”. This word is NOT a bad thing, it is many times used in a negative context. Chronic pain patients can endure enormous amounts of narcotics but still function normally. And I must stress NORMALLY because pain medications allow us chronic suffers a quality of life that can not be achieved other ways.

Can we all say our prayers for Lisa in hopes that the good Lord helps her and David through this trying time?

Best wishes to all

Love

Teresa

Tolerance might be a better word to use than addiction - dependence and tolerance are more accurate descriptions of the physical process of long term use of pain medication.

Susan