1978 - Left Knee gets tore up.
1985-2009 Construction management
1992 - Fall on construction site, tear up RT Shoulder, elbow and wrist. (This is start of pain meds, from this point to 2008 I took 90 5mg vicodin per month)
2003 - Start seeing Pain Mgmgt practice
August 2006, working on project where I am standing / walking 12+ hours a day. Legs are completely wore out when I get home, I lay across bed and thats it. This was life for 10 weeks.....Legs burnt and just throbbed.
November 2006, Go to rheumatolgist, start methotrexate for psoriatic arthritis. (Approximately 15% plaque coverage)Now on larger vicodin
September 2007, lower back starts really acting up, start taking enbrel injections, with Methotrexate, vicodin intake increases (as prescribed, I do not play games with drugs)
November 2007, MRI, diagnosed with lower back disease. To me this was a nebulous diagnosis..... Back getting worse, moved up to percocet.MRI Shoes L7 bulge, and arthritis on spine.
March 2008, Directed to different Pain mgmgt DR (PMDR), between now and 12-08 he does SI injections (Corticosteriods), then does nerve block (11 unanthethetized injections, yehaaa .....)
May 2008, More back injections, up to more 7.5mg Percocets, (also Lyrica, humira, methotrexate, amitriptyline)
June 2008, saw spine specialist, and a neuro. Neuro wanted me to go directly to 6 weeks Phy Therapy (at a location owned by his company) Spine specialist tells me to learn to "live with it".... I did not do the therapy based on reccomendations of my Rheum and the spine specialist.
August 2008 prednisone run due to excessive pain
September 2008 10mg Percocets(10 daily), si injections, condition getting worse, PMDR finally relizes that I am complaining about pain around and BELOW the belt line. HE claimed I never said that and he had been treating higher up my back. Bullchit. I told them where it hurts from beginning.
November 2008 Nerve block done again. Off lyrica, OFF Amitrypitilne, more prednisone.
December 2008, Put on Fetanyl patches. Rheum diagnosis that my left SI is frozen. Prednisone again. At my direction the DR starts taking me off of percocet. It worked, but took too much drug to have effect and wuite frankly, I was tired of playing the prescription game, Every month I had to drive 60 miles (one way) to the Dr just to get a new script. (Thanks drug theives and others who ruined health care for the rest of us)
January 2009 I was took off fentynal as everytime I put a new patch on, I had major reaction 24 hours after putting it on. Except for the 5-8 hour period 24 hours after putting the patch on, it did abate the pain.(They told me to discontinue immediately, that's a fun drug to stop immediately after being on it for 6 weeks...so, I stopped cold with nothing to abate the withdrawal...loads of fun...) Started seeing chiropracter, actually some improvement.
February 2009. starting seeing a new PCP to have a physical (48 yrs old, last phy was at age 40), he jumps my ass for the 2400mg of Vitamin D, the Rheum put me on, recommends me going to a "better" PMDR, tells me I have high blood pressure ( I have documented white coat syndrome), wants me to go on BP med, despite the fact that 2 of the meds I am on have a side effect of...yep high BP... I immediately called the Rheumy (They are prescribing the most dangerous drugs, metho and humira) my thought is most DR's do not know how these drugs work,,,,
so, here I am a 48 yr old Engineer, who builds roads, who can barely drive for 30 minutes. I am taking my 9yr old to Disney in 8 weeks, come hell or high water. Currently taking:
Opana 2x day
Humira 40mg weekly
Methotrexate .4mg weekly
folic acid daily
vitamin d (2400mg) daily
Amitryptiline (50mg at bed time)
Diclofenac (1x daily)
Wellbutrin (I am a needle phobe, and just the though of sticking myself makes me a little insane....)
At this point,
1. I can stand for 30 minutes (if I want to hurt all evening)
2. I can walk all I want (But will get no sleep from the pain)
3. I can drive 30 miles (and it feels like you kicked both ass cheeks, repeatedly, with steel toe boots)
4. Sex,,,,Yeh I heard of it....
I work, come home and fall on to the couch.
I have 14 acres that need maintaing.
I have a job that requires alot of driving (250 mil per day during paving season)
I have a daughter.
I have no life.
All suggesstions and recommendations are welcome.