opioids

Wow. I don’t even know where to begin so I guess I’ll just start by writing about the Good in my life. I have so many things I feel incredibly thankful for, but I want to share the fact that I am officially off of the opioids! Yay!

No thanks to the pain management doctor though. He was becoming less and less helpful in working with me tapering off. I think the pain clinics will take your money as long as they can while they push for you to try the “new and improved” spinal cord stimulator or another spinal injection (I’ve had 18 of those injections and they never worked, but I knew it kept my doctor(s) happy and me leaving the office with new scripts).

I had been at a standstill for months and was really, really frustrated. Then the morning of my last scheduled appointment (in August) I simply woke up and said, “I’m done.” That was a defining moment for me. Not showing up to an appointment could easily break my pain management contract. And with the opioid epidemic, it was no secret that it was getting harder and harder to find pain management doctors that would accept the responsibility of new patients.

But I truly felt those words, “I’m done”. They were Soul Words. It was a Body-Mind-Spirit moment of consciousness; the kind that can make your toes curl, like the blissful moment you fall into an orgasm. But unlike orgasms, Soul Words tended to elude me. This was profoundly different than saying “I’m working on getting off these meds that I’ve been taking for the past decade”, which I always meant each time I said it, but during that mind-blowing moment it became crystal clear to me that I would be on the meds as long as a dr. told me I needed them; that it was okay; go on, have some more. It was all simultaneous, and from the very center of my Soul, the Source of those two powerful words, I faced honesty and truth without judgement and without doubt. I was done. So I didn’t go to that appointment.

The next day I felt a little uneasy, but I put on a new fentanyl patch (which would end up being my final one) and began to take note of when I actually “needed” a pill for the breakthrough pain. I was still being prescribed 180 of the 10mg oxycodones for the “breakthrough” pain each month to take along with the fentanyl. I’ve been prescribed as many as 210 pills with the 15 patches; but this didn’t change the fact that I had way more than I should. Way more than I needed. People without the opioid tolerance are usually sent home after surgery with 30 pills of 5mg oxy, vicodin, percocet, etc. with maybe one refill, if they’re lucky. For me, that would be like getting a box of Tic Tacs, because every month the pharmacist would hand me enough opioids to kill a pack of mules.

Making the decision that I was done made me realize what a habit it had become to just take a breakthrough pain pill at the first sign of pain, even the slightest twinge. You see, it had been drilled into my head that “you can’t let the pain get too bad because it’ll be harder to get under control”. Well, of course I didn’t want that to happen!

Now I had to face the unpleasant task of re-shaping my thoughts and begin to lessen my fear of something getting out of control. Oh, the irony! At first it was awful to make myself stop each time I reached for pill and ask, what else can I try first? (and not in conjunction with?). I knew I would have to deal with some additional discomfort than what I already lived with every day.

I knew I could try an ice pack. A warm epsom salt bath. Some gentle yoga. Qigong. Meditation. The tens unit. The compound cream. Writing. Creating. Reading. Even that awful acupressure mat. I had this mental list of the things I knew I could try first and If those things failed, I took some Advil or Tylenol. Then I took an oxy. Sometimes another one an hour later. Then I began to notice that as I reached for the pills less and less, the first options were working better and better.

It took a long time though.

And I am not a patient person.

I knew I had hit a milestone when I began breaking the oxys in half. Little by little, day by day, I made progress. Then something totally amazing happened. I went a day without any pills and didn’t even realize it until I went to bed and saw half an oxy from the day before still sitting there on the shelf of my medicine cabinet.

I’m in no more pain than when I was on the opioids. I haven’t had any worse Fibromyalgia flare-ups either (my rheumatologist had once told me that long-term opioid use can actually cause Fibro). Well, no dwelling on the past decade, eh?

My therapist told me it could take another month or two to get my serotonin and dopamine levels back to normal, but at least he’s not suggesting we increase my antidepressants. I will more than likely be on the neurontin the rest of my life because of nerve damage from surgery #1. But I’m okay with that.

Moving forward, I ended up flushing 6 leftover patches and 97 oxycodones. l still have the other half of the last oxycodone sitting on the middle shelf of my medicine cabinet. When I see it every morning and night when I take my other meds, I think about how it no longer has any power over me. It’s a reminder of how far I have come.

Many Blessing on Your Journey )O(

My life has been busy over the past few weeks. We’ve had some storms come by, along with remnants of Typhoon Songda. The Oregon Coast weathered 2 tornadoes and while we received over 9 inches of rain in two days, we were fortunate and didn’t lose any big trees, only our power.

We held onto our plans, dropping the kids off with my parents to head home to do some much needed (in my opinion) work on my studio. As promised, my husband helped me declutter and paint. I had been gearing up for this for quite some time so when the power went out we continued to paint by candlelight and ate cold pizza while listening to the giant trees outside creak and groan with the wind. It was really rather romantic, that is until our backs both ached and we joined in the groaning of the trees. My husband couldn’t help but allude to the fact that we should be groaning while throwing our backs out doing something that was actually fun. I told him to shut up and keep painting so we could both actually finish. His only response was to flick paint at me. My husband…speechless? Encouraged by his lapse in sarcastic comebacks, I told him it would be nice if he tried not to make a mess this time. A little back and forth innuendo match ensued which made for great entertainment.

Almost there!

What once resembled a curio/new age store now feels very “Zen” to me. A little sparse in comparison, it has become a place of serene solitude. I have organized my herbs, crystals, and tools of the trade in a way that I can actually find something easily. My craft area and supplies are separate from my writing desk. It’s a humble, quiet retreat that calms and soothes my spirit as soon as I walk in whereas before I felt weighed down in a mess of unfinished craft projects and candle stubs from a previous ritual.

Remember that binder of daily routines, tasks, and lists? I condensed things further into a Witchy bullet journal. I have my weekly plan, daily tasks, important and not-so-important tasks, weekly menu plan, the moon phase and the sign(s) it’s currently in, the weather, Tarot card of the day, spaces for quotes I like, and my long wish list of things I want to try, places I want to see, and things I want just for the sake of wanting. I have a place for my accomplishments, several pages for a brain dump, and a place for a monthly memory collage. I also made a symptom log in order to find any trends or connections to certain activities I did, and another log to track my meditation/yoga/tai chi practices. All of this easily fits in this one little 5×8 journal that will easily see me through to Imbolc.

North

West

The process of clearing out and simplifying has led me to reevaluate the other stagnant areas of my life that are in need of attention as well. One in particular I have been avoiding for some time.

It’s not easy to choose the path opposite of least resistance, but I did. I saw my pain management doctor today and I told him that I wanted to step-down on my pain meds. I told him what I wanted in the long run and the accompanying fears that go along with it.

We agreed that over the course of the next two weeks I will step-down from my current dose of Fentanyl 75 mcg/hour to a 50 mcg/hour patch. I will also go from 80 mg oxycodone for breakthrough pain down to 60. That’s the short-term goal. If things go well, the next step will be to drop down from the 50 dose of Fentanyl to a 25 mcg patch with an additional 12.5 mcg patch if needed. At that point I’ll have dropped down to 30-40 mg oxycodone.

I honestly don’t know where it’ll go from there, but my ultimate goal is to be off of the fentanyl completely by August. I haven’t set a complete shut off time for the oxy, but that will more than likely be revealed as I get closer to my goal.

My doctor and I talked in great detail about the possible hard times ahead. I have been on pain medication for so long (starting like so many others like me; with a little vicodin, on to morphine, then to oxycontin and methadone, to where I am now) that I probably won’t feel too great and I’ll have to deal with my pain spike in other ways. He paused here and there as if giving me the opportunity to change my mind. We ended the appointment with the agreement that I give him a call between now and my visit next month if things became “unmanageable”. That made me laugh. I told him that things were already unmanageable for me in the opioid department. Duh!

So there you have it. Whatever the oncoming weather, be it storm or sunny skies, whether I’m huddled in the corner in a cold sweat or sitting in a chair reading a good book, I’ll be ready to deal with whatever comes my way and stand behind whatever choices I will make. It’s up to me now.

Many Blessings on Your Journey )O(

The Zen Witch

Just Keeping it Real

Preparing for a Different Kind of Storm