I've stopped using the duragesic patch.
The whole time I was on it had a vague feeling of nausea. Sometimes enough to make me actually barf, most of the time enough to make me not want to eat. The pain control that it was giving me wasn't as good as I thought it should have been - I still needed to take Pyroxicam and Ultram on top of the patch, which bothered me.
I weighed myself yesterday for the first time since I started the patches - I've lost 7 lbs.
7lbs is a decent amount of weight to lose, but the method of losing it...not so good. It's basically been starvation.
So, I talked to my family doc and I've discontinued the patch. It kinda sucks because now my pain level is going to be worse, but....I've got an appointment with a pain management doctor right before Christmas and hopefully we'll be able to figure out something to make my days and nights more tolerable.
I stopped the patch 2 days ago. Today I have chills, sweats and an upset stomach. It's called narcotic withdrawl, and whilst I don't like it, I know that it will pass and in a couple of days I'll be alright. I'll take a couple of days feeling rough over weeks upon end of nausea, vomiting and weight loss.
I'm not sorry that I tried the patch - at least I gave it a shot. Now I know that the side effects of it negate any pain relief I might have got from it, so I'll press on and we'll try something different.
Part of the problem I'm having is that it's not just the herniated disc that was giving me grief. I also have other degenerating discs, I have arthritis in almost all of my L vertebrae and down into my S vertebrae, and I also have scoliosis that the good old NHS failed to diagnose or treat. It's too late to do anything about it now....but it's the scoliosis that caused a lot of the degerneration in the discs and in the bones. The way the surgeon explained it was this: when he went in and fused my spine, he straightened that level out. It's not used to being straight, and level above and below it are still part of the 's' shape that constitutes scoliosis. So, it's having the straight part in the middle of the 's' that's causing some of the pain, and whilst that's going to get slightly better over time it's never going to go away totally.
So, that's the prognosis. Pain, in some degree or another, for the rest of my life. I'm always going to have to keep an eye on my weight, because gaining too much is going to aggrivate my back. Still, it could be worse. I could have a terminal illness, or like my friend Art, be a paraplegic and in a wheelchair for the rest of my life. I'm relatively lucky in that I have free healthcare, and, as long as Dave stays in until retirement, I'll have free healthcare for the rst of my life. I could have this condition and have NO healthcare at all....that would really, really suck.
It's not so bad really. I still have hope.