Oxycodone 20mg

Do oxys, oxycodone, percs, or what I had oxycodone hydrochloride. 20mg, 20mg and I just experienced heaven. No one will ever, ever replicate this amount of pleasure. I have just fucked my life over by doing one perc. I am in love, I am more than in love, I am hooked. I don't want this please, please please don't let this ruin my life please i am so fucking regretful but i dont know if i'm strong enough to not do it anymore. what the fuck do i do now

I am in a unique situation in which I have severe back issues and a MRI to prove it. I have spoken to a few surgeons and we have determined I am not a candidate for surgery, so I have chosen the pain, management route. My doctor is really cool and understanding and will pretty much prescribe me any opioid/opiate to deal with my pain. I am currently on 20mg instant release oxycodone 4 times a day.
My doc had also mentioned possibly switching opioids month-to-month, so I don’t gain as much of a tolerance. So for example, one month I take oxy, the next I take methadone in equivalent dosages
What do you think I should ask my doctor for? Like I said he is very open. I was thinking I could have him cut me down to 40mg oxy and also put me on something like hydromorphone or methadone to take alongside the oxy for further pain relief.

Edit: (5-8-24 4:55) Sorry I haven't been super on top of updating you all. I have a doctors appointment with my primary care provider to have some tests run. Just to cover my bases, just in case it is something from our environment and not done super rare metabolic disorder manifesting in my husband now as an adult. He's gotten a few more tests, and they also did a liver biopsy. I will post them now. We haven't gotten the results back from the liver biopsy yet.
IR liver biopsy
Collected on May 8, 2024 3:35 PM
COMPREHENSIVE METABOLIC PANEL Collected on May 8, 2024 2:33 AM Results
Sodium View trends Normal range: 137 - 145 mmol/L Your value is 141 mmol/LNormal range 137 - 145 mmol/L Potassium View trends Normal range: 3.5 - 5.1 mmol/L Your value is 4.1 mmol/LNormal range 3.5 - 5.1 mmol/L Chloride View trends Normal range: 98 - 107 mmol/L Your value is 114 mmol/LThis value is HighNormal range 98 - 107 mmol/L CO2 View trends Normal range: 22 - 30 mmol/L Your value is 20 mmol/LThis value is LowNormal range 22 - 30 mmol/L Glucose View trends Normal range: 65 - 99 mg/dL Your value is 117 mg/dLThis value is HighNormal range 65 - 99 mg/dL Glucose View trends Normal range: 65 - 99 mg/dL Value
If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. High Your value is If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. mg/dLThis value is HighNormal range 65 - 99 mg/dL BUN View trends Normal range: 9 - 20 mg/dL Your value is 23 mg/dLThis value is HighNormal range 9 - 20 mg/dL Creatinine View trends Normal range: 0.66 - 1.25 mg/dL Your value is 0.96 mg/dLNormal range 0.66 - 1.25 mg/dL eGFR View trends Normal value: >60 mL/min/1.73 M2 Value 106 Your value is 106 mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 EGFR Comment View trends Normal value: >60 mL/min/1.73 M2 Value Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage
An estimated GFR chronically in the range of >/= 90 is categorized as normal or high, which corresponds to Stage G1 CKD.
CKD-EPI equation (2021) used to estimate GFR Your value is Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage An estimated GFR chronically in the range of >/= 90 is categorized as normal or high, which corresponds to Stage G1 CKD. CKD-EPI equation (2021) used to estimate GFR mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 BUN/Creatinine Ratio View trends Normal range: 6 - 22 RATIO Your value is 24 RATIOThis value is HighNormal range 6 - 22 RATIO ALT View trends Normal value: <50 U/L Value 23 Your value is 23 U/LNormal value <50 U/L AST View trends Normal range: 17 - 59 U/L Your value is 18 U/LNormal range 17 - 59 U/L Alkaline Phosphatase View trends Normal range: 38 - 126 U/L Your value is 100 U/LNormal range 38 - 126 U/L Bilirubin, Total View trends Normal range: 0.2 - 1.3 mg/dL Your value is 0.3 mg/dLNormal range 0.2 - 1.3 mg/dL Protein, Total View trends Normal range: 6.3 - 8.2 g/dL Your value is 6.9 g/dLNormal range 6.3 - 8.2 g/dL Albumin Blood View trends Normal range: 3.5 - 5.0 g/dL Your value is 3.8 g/dLNormal range 3.5 - 5.0 g/dL Calcium View trends Normal range: 8.4 - 10.2 mg/dL Your value is 8.6 mg/dLNormal range 8.4 - 10.2 mg/dL Globulin, Total View trends Normal range: 1.9 - 3.7 g/dL Your value is 3.1 g/dLNormal range 1.9 - 3.7 g/dL Albumin/Globulin Ratio View trends Normal range: 1.0 - 2.5 RATIO Your value is 1.2 RATIONormal range 1.0 - 2.5 RATIO Anion Gap View trends Normal range: 7 - 17 mmol/L Your value is 7 mmol/LNormal range 7 - 17 mmol/L Want more information about CAMMONIA Collected on May 8, 2024 2:33 AM Results
Ammonia View trends Normal range: 9 - 30 umol/L Your value is 120 umol/LThis value is HighNormal range 9 - 30 umol/L
THESE ARE ADDITIONAL TESTS I POSTED IN A COMMENT YESTERDAY. I WILL ADD THEM HERE FOR SIMPLICITY.
We've gotten back a few more tests, just in case anyone is interested.
CT liver multiphase w/iv contrast Collected on May 7, 2024 1:55 PM Results EXAM: CT THREE PHASE LIVER
INDICATION: evaluate liver function
Tech Comments: No additional history
TECHNIQUE: Low dose, multi-channel computerized tomography of the abdomen was performed with IV contrast according to the triple phase liver protocol. Multiplanar reformats were reviewed.
COMPARISON: CT chest abdomen and pelvis, 05/05/2024
FINDINGS: LOWER CHEST: Lung bases are clear. No acute findings.
LIVER: Normal morphology. No suspicious hepatic lesion.
BILIARY: No CT evidence of gallbladder abnormality. No bile duct dilatation.
PANCREAS: No evidence of mass or inflammation.
SPLEEN: Unremarkable.
ADRENALS AND KIDNEYS: Adrenal glands are normal. No suspicious renal masses. Normal enhancement bilaterally. Severe bilateral hydroureteronephrosis, similar to prior with significant thinning of the renal cortex.
GASTROINTESTINAL: Visualized bowel shows no abnormal wall thickening or obstruction.
VASCULAR: Abdominal aorta is normal in caliber. The portal venous system is patent.
LYMPH NODES: No pathologically enlarged lymph nodes.
PERITONEUM: No free air or ascites.
BODY WALL AND SOFT TISSUES: Unremarkable.
BONES: No acute or suspicious abnormality.
IMPRESSION: 1. Normal morphology of the liver. 2. Redemonstration of severe hydronephrosis bilaterally with renal cortical thinning.
Collected on May 7, 2024 2:43 PM Results
Prothrombin Time View trends Normal range: 8.8 - 11.7 s Your value is 10.9 sNormal range 8.8 - 11.7 s INR View trends Normal value: <1.14 RATIO Value 1.02 Your value is 1.02 RATIONormal value <1.14 RATIO INR View trends Normal value: <1.14 RATIO
BLOOD GAS VENOUS Collected on May 7, 2024 2:43 PM Results
pH, Ven View trends Normal range: 7.32 - 7.41 Your value is 7.43 This value is HighNormal range 7.32 - 7.41 pCO2, Ven View trends Normal range: 41 - 54 mm Hg Your value is 33 mm HgThis value is LowNormal range 41 - 54 mm Hg pO2, Ven View trends Normal range: 25 - 43 mm Hg Your value is 62 mm HgThis value is HighNormal range 25 - 43 mm Hg Bicarbonate View trends Normal range: 21 - 28 mmol/L Your value is 21 mmol/LNormal range 21 - 28 mmol/L Base Deficit (-) View trends Normal range: 0 - 3 Your value is 3 Normal range 0 - 3 O2 Saturation,Venous View trends Normal range: 60 - 85 % Your value is 92 %This value is HighNormal range 60 - 85 % O2 Intake View trends Value ROOM AIR Your value is ROOM AIR
Patient is 34, male. History of polycystic kidney disease, takes lisinopril 20mg daily for high blood pressure related to the pkd. Lactulose 40mg 3x day. Just began taking this 2 days ago. No other meds or drugs. 6'0, 200 lbs. He's a little over weight, but otherwise active and healthy.
My husband came home late Friday and was acting strange. I would ask him a question and he would just stare at me blankly instead of answering. As the night wore on I noticed his symptoms becoming more and more apparent. He was very tired, when spoken to he would either stare at you blankly, answer in one word answers or reply something totally unrelated to the question asked. He was very lethargic and dazed. His eyes were glassy and blood shot. I took him to the emergency room where he continued to get worse. He began to stare blankly all the time, he couldn't tell you what he did yesterday, he couldn't tell you where he was. From my uneducated view, he seemed to be exhibiting stroke like symptoms. The first hospital did a bunch of tests, everything came back fine. They sent us home. I wasn't satisfied so I took him to another hospital. The er did more tests, all came back within normal limits from my memory. They advised that he was having a psychological meltdown and to contact a shrink. The next morning he was almost absolutely comatose, so I took him to the er again. This time we had a PA who was willing to dig. They ended up finding that his ammonia levels were 203, when normal limits are between 9 and 30. We've been two and a half days. Poison control was contacted, they ran their own tests and couldn't find the culprit as his liver is functioning normally, and his kidneys aren't great, but they wouldn't be the cause either. I will post all the tests and there results below. I'll also post all the meds he's been given.
The whole staff at this hospital is stumped, they're all of the opinion that this might something he came into contact with, and not a product of his own body. As in they believe he has been compromised by something in our environment, but they're unable to find the culprit of the symptoms. They've had him on 40mg lactulose 3x a day and at their last test of his ammonia levels he is down to 120. At that level he is alert and conscious, but still pretty slow. As if he hasn't slept well in days and had a few beers on top.
Also, I have an obsessive stalker. I am not trying to fear monger by bringing that up, but that fact and then his sudden and intense onset of symptoms has me concerned. I have informed the hospital police about the situation. I believe our city police were also contacted when they contacted poison control. It might not be relevant, but it's better to mention it.
Here's a few short videos I took of his behavior.
https://imgur.com/gallery/WEjW3D9
His labs:
May 4th
Alcohol Bld Medical View trends Normal value: <10 mg/dL Value <10
COMPREHENSIVE METABOLIC PANEL Sodium: 147 Potassium 4.0 Chloride 115 C02 20 Glucose 111 BUN 29 Creatinine 1.04 eGFR 97 BUN/Creatinine ratio 28 ALT 44 AST 32 Alkaline Phosphatase 123 Bilirubin 0.5 Protein total 8.0 Albumin blood 4.6 Calcium 9.5 Globulin total 3.4 Albumin/Globulin ratio 1.4 Anion gap 12
CBC WITH DIFFERENTIAL
WBC 6.5 RBC 5.27 Hemoglobin 14.6 Hematocrit 43.5 MCV 82.5 MCH 27.7 MCHC 33.6 RDW 14.6 Platelets 311 MPV 9.0 Diff Method Electronic wbc differential cont Segs relative 58 Lymphocytes 30 Monocyte 9 Eosinophils 2 Basophils 1 Absolute Lymphocytes 1.95 Absolute Eosinophils 0.14 Absolute Basophils 0.03
MRI BRAIN WITH AND WITHOUT CONTRAST
INDICATION: ams, evaluate for stroke, intracranial infection
Tech Comments: AMS
TECHNIQUE: Multiplanar multisequence magnetic resonance imaging of the brain was performed with and without IV contrast.
COMPARISON: 05/03/2024.
FINDINGS: VENTRICLES AND CISTERNAL SPACES: The ventricular system and subarachnoid spaces are within acceptable limits for the patient's age.
CEREBRAL AND CEREBELLAR PARENCHYMA: There is no extra-axial fluid collection or hemorrhage. There is no mass effect or midline shift. No abnormal parenchymal gradient susceptibility signal. No diffusion restriction to suggest acute ischemia/infarct. There is no abnormal signal intensity or enhancement. The brainstem is normal in size and configuration. No abnormal signal alterations are present. The cerebellar hemispheres, vermis and tonsils are normal in size and configuration.
PITUITARY GLAND: The pituitary appears grossly unremarkable. Infundibulum is midline.
ARTERIAL FLOW VOIDS: The flow voids in the vertebrobasilar and internal carotid arterial systems are grossly normal.
DURAL VENOUS SINUSES: The dural venous sinuses appear patent.
CALVARIUM, SKULL BASE: The calvarium and skull base appear within normal limits.
PARANASAL SINUSES AND MASTOIDS: No fluid signal is identified within the paranasal sinuses or mastoids.
MISCELLANEOUS FINDINGS: None.
PROTIME-INR
Prothrombin Time View trends Normal range: 8.8 - 11.7 s Your value is 11.4 sNormal range 8.8 - 11.7 s INR View trends Normal value: <1.14 RATIO Value 1.07 Your value is 1.07 RATIONormal value <1.14 RATIO INR View trends Normal value: <1.14 RATIO
HEPATIC FUNCTION PANEL
AST View trends Normal range: 17 - 59 U/L Your value is 26 U/LNormal range 17 - 59 U/L ALT View trends Normal value: <50 U/L Value 45 Your value is 45 U/LNormal value <50 U/L Alkaline Phosphatase View trends Normal range: 38 - 126 U/L Your value is 132 U/LThis value is HighNormal range 38 - 126 U/L Bilirubin, Total View trends Normal range: 0.2 - 1.3 mg/dL Your value is 0.7 mg/dLNormal range 0.2 - 1.3 mg/dL Bilirubin, Direct View trends Normal range: 0.1 - 0.5 mg/dL Your value is 0.2 mg/dLNormal range 0.1 - 0.5 mg/dL Albumin Blood View trends Normal range: 3.5 - 5.0 g/dL Your value is 4.5 g/dLNormal range 3.5 - 5.0 g/dL Protein, Total View trends Normal range: 6.3 - 8.2 g/dL
C-REACTIVE PROTEIN CRP 0.7
SEDIMENTATION RATE, AUTOMATED
SED RATE 19
(Second Metabolic Panal) BASIC METABOLIC PANEL Collected on May 4, 2024 8:10 PM Sodium View trends Normal range: 137 - 145 mmol/L Your value is 145 mmol/LNormal range 137 - 145 mmol/L Potassium View trends Normal range: 3.5 - 5.1 mmol/L Your value is 3.7 mmol/LNormal range 3.5 - 5.1 mmol/L Chloride View trends Normal range: 98 - 107 mmol/L Your value is 111 mmol/LThis value is HighNormal range 98 - 107 mmol/L CO2 View trends Normal range: 22 - 30 mmol/L Your value is 21 mmol/LThis value is LowNormal range 22 - 30 mmol/L Glucose View trends Normal range: 65 - 99 mg/dL Your value is 108 mg/dLThis value is HighNormal range 65 - 99 mg/dL Glucose View trends Normal range: 65 - 99 mg/dL Value
If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. High Your value is If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. mg/dLThis value is HighNormal range 65 - 99 mg/dL BUN View trends Normal range: 9 - 20 mg/dL Your value is 32 mg/dLThis value is HighNormal range 9 - 20 mg/dL Creatinine View trends Normal range: 0.66 - 1.25 mg/dL Your value is 1.17 mg/dLNormal range 0.66 - 1.25 mg/dL eGFR View trends Normal value: >60 mL/min/1.73 M2 Value 84 Your value is 84 mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 EGFR Comment View trends Normal value: >60 mL/min/1.73 M2 Value Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage
An estimated GFR chronically in the range of 60-89 is categorized as mildly decreased, which corresponds to Stage G2 CKD.
CKD-EPI equation (2021) used to estimate GFR Your value is Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage An estimated GFR chronically in the range of 60-89 is categorized as mildly decreased, which corresponds to Stage G2 CKD. CKD-EPI equation (2021) used to estimate GFR mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 Calcium View trends Normal range: 8.4 - 10.2 mg/dL Your value is 9.6 mg/dLNormal range 8.4 - 10.2 mg/dL Anion Gap View trends Normal range: 7 - 17 mmol/L
(Second cbc)
CBC WITH DIFFERENTIAL May 4, 2024 8:10 PM
E County Line Rd Indpls, IN 46227Testing by Quest Diagnostics 1402 E County Line Rd Indpls, IN 46227 WBC View trends Normal range: 3.3 - 10.5 K/CUMM Your value is 11.3 K/CUMMThis value is HighNormal range 3.3 - 10.5 K/CUMM WBC Result Comment View trends Normal range: 3.3 - 10.5 K/CUMM Value
Difference from previous result noted. Specimen appearance and label verified. High Your value is Difference from previous result noted. Specimen appearance and label verified. K/CUMMThis value is HighNormal range 3.3 - 10.5 K/CUMM RBC View trends Normal range: 4.15 - 5.75 M/CUMM Your value is 5.51 M/CUMMNormal range 4.15 - 5.75 M/CUMM Hemoglobin View trends Normal range: 12.8 - 16.9 g/dL Your value is 15.3 g/dLNormal range 12.8 - 16.9 g/dL Hematocrit View trends Normal range: 38.8 - 50.2 % Your value is 45.4 %Normal range 38.8 - 50.2 % MCV View trends Normal range: 80.0 - 100.0 fL Your value is 82.4 fLNormal range 80.0 - 100.0 fL MCH View trends Normal range: 27.0 - 34.0 pg Your value is 27.8 pgNormal range 27.0 - 34.0 pg MCHC View trends Normal range: 30.5 - 34.5 g/dL Your value is 33.7 g/dLNormal range 30.5 - 34.5 g/dL RDW View trends Normal range: 11.5 - 15.0 % Your value is 14.6 %Normal range 11.5 - 15.0 % Platelets View trends Normal range: 150 - 450 K/CUMM Your value is 326 K/CUMMNormal range 150 - 450 K/CUMM MPV View trends Normal range: 7.7 - 12.2 fL Your value is 9.5 fLNormal range 7.7 - 12.2 fL Diff Method View trends Value Electronic WBC differential count Your value is Electronic WBC differential count Segs Relative View trends % Value 73 Your value is 73 % Lymphocytes View trends % Value 17 Your value is 17 % Monocyte View trends % Value 9 Your value is 9 % Eosinophils View trends % Value 1 Your value is 1 % Basophils View trends % Value 0 Your value is 0 % Absolute Neutrophils View trends Normal range: 1.30 - 6.00 K/CUMM Your value is 8.20 K/CUMMThis value is HighNormal range 1.30 - 6.00 K/CUMM ABSOLUTE LYMPHOCYTES View trends Normal range: 1.00 - 3.50 K/CUMM Your value is 1.92 K/CUMMNormal range 1.00 - 3.50 K/CUMM Absolute Monocytes View trends Normal range: 0.00 - 1.00 K/CUMM Your value is 0.99 K/CUMMNormal range 0.00 - 1.00 K/CUMM ABSOLUTE EOSINOPHILS View trends Normal range: 0.00 - 0.70 K/CUMM Your value is 0.14 K/CUMMNormal range 0.00 - 0.70 K/CUMM ABSOLUTE BASOPHILS View trends Normal range: 0.00 - 0.10 K/CUMM Your value is 0.05 K/CUMMNormal range 0.00 - 0.10 K/CUMM
AMMONIA 203 May 4, 2024 9:40 PM
Lactic Acid 0.8 May 4, 2024 9:40 PM
RESPIRATORY PANEL PCR Collected on May 4, 2024 9:42 PM Misc Source View trends Value NASOPHARYNX Your value is NASOPHARYNX Adenovirus DNA View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Coronavirus 229E View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Coronavirus HKU1 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Coronavirus NL63 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Coronavirus OC43 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED SARS COVID 2 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED METAPNEUMOVIRUS View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Human Rhinovirus / Entovirus View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED INFLUENZA A View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Influenza A H1 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Influenza A H3 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Influenza A,H1N1 '09 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED INFLUENZA B View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED PARAINFLUENZA 1 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED PARAINFLUENZA 2 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED PARAINFLUENZA 3 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Parainfluenza Virus 4 View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED RSV RNA, QUALITATIVE PCR View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Bordetella Parapertussis View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Bordetella Pertussis View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Chlamydophilia Pneuminae View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Mycoplasma Pneumoniae View trends Normal value: NOT DETECTED Value NOT DETECTED Your value is NOT DETECTED Normal value NOT DETECTED Mycoplasma Pneumoniae Comment View trends Normal value: NOT DETECTED Value
IP CARBOCYHEMOGLOBIN Collected on May 4, 2024 10:10 PM Carboxyhemoglobin View trends Normal range: 0.0 - 1.5 % Value <1.5 Your value is <1.5 %Normal range 0.0 - 1.5 %
IP TSH WITH FT4 REFLEX Collected on May 4, 2024 10:10 PM TSH W/REFLEX TO FT4 View trends Normal range: 0.40 - 4.50 mIU/L Your value is 1.00 mIU/LNormal range 0.40 - 4.50 mIU/L TSH W/REFLEX TO FT4 View trends Normal range: 0.40 - 4.50 mIU/L
IP CPK Collected on May 4, 2024 10:46 PM CPK 52
SALICYLATE LEVEL Collected on May 4, 2024 10:46 PM
Salicylate Lvl View trends Normal value: <20.0 mg/dL Value <1.0
DICTATED DATE: 05/05/2024 12:22pm TRANSCRIBED DATE: 05/05/2024 01:06pm/modl SOUTH
PATIENT NAME: HEALTH RECORD NUMBER: BILLING NUMBER: DATE OF BIRTH:
DATE OF PROCEDURE: 05/05/2024
CLINICAL SUMMARY: Altered mental status of uncertain etiology in the setting of serum ammonia elevation. Please assess for possible epileptic activity.
TECHNICAL SUMMARY: International 10/20 electrode placement was performed in this portable digital EEG. The background activity shows a poorly regulated intermixture of predominantly delta range activity. This activity is triphasic in nature without localizing or focal features. No significant stay changes were seen. Amplitude did vary at times.
Photic stimulation resulted in no change.
Sleep was not recorded.
Hyperventilation is contraindicated.
IMPRESSION: This EEG is abnormal with evidence of nearly continuous triphasic waves. These are highly compatible with a hepatic encephalopathy. There is no evidence of seizure activity and there is no asymmetry to suggest a structural process
PROCALCITONIN. May 5, 2024 1:25 AM
Procalcitonin View trends Normal value: <0.08 ng/mL Value 0.07
IP ACUTE HEPATITIS PANEL Collected on May 5, 2024 1:25 AM Results
Hep A IgM View trends Normal value: NON REACTIVE Value NON REACTIVE Your value is NON REACTIVE Normal value NON REACTIVE Hep A IgM View trends Normal value: NON REACTIVE Value NON REACTIVE
Hepatitis B Surface Ag View trends Normal value: NON REACTIVE Value NON REACTIVE Your value is NON REACTIVE Normal value NON REACTIVE Hepatitis B Surface Ag Comment View trends Normal value: NON REACTIVE Value NON REACTIVE
Anti-HCV View trends Normal value: NON REACTIVE Value NON REACTIVE Your value is NON REACTIVE Normal value NON REACTIVE Anti-HCV View trends Normal value: NON REACTIVE Value (NOTE)
HCV antibody was non-reactive. There is no laboratory evidence of HCV infection. Normal value NON REACTIVE Hep B core Ab, IgM View trends Normal value: NON REACTIVE Value NON REACTIVE Your value is NON REACTIVE Normal value NON REACTIVE Hep B core Ab, IgM View trends Normal value: NON REACTIVE
URINALYSIS, CULTURE IF INDICATED Collected on May 5, 2024 1:37 AM
Glucose Urine View trends Normal value: NEGATIVE mg/dL Value NEGATIVE Your value is NEGATIVE mg/dLNormal value NEGATIVE mg/dL Ketones, UA View trends Normal value: NEGATIVE mg/dL Value NEGATIVE Your value is NEGATIVE mg/dLNormal value NEGATIVE mg/dL Specific Gravity Ur View trends Normal range: 1.003 - 1.030 Your value is 1.009 Normal range 1.003 - 1.030 Occult Blood Urine View trends Normal value: NEGATIVE Value MODERATEAbnormal Your value is MODERATE This value is AbnormalNormal value NEGATIVE pH, UA View trends Normal range: 4.5 - 8.0 Your value is 8.0 Normal range 4.5 - 8.0 Protein, UA View trends Normal value: NEGATIVE mg/dL Value 30Abnormal Your value is 30 mg/dLThis value is AbnormalNormal value NEGATIVE mg/dL U Nitrites View trends Normal value: NEGATIVE Value NEGATIVE Your value is NEGATIVE Normal value NEGATIVE Leukocytes, UA View trends Normal value: NEGATIVE Value TRACEAbnormal Your value is TRACE This value is AbnormalNormal value NEGATIVE Color Urine View trends Normal value: YELLOW Value YELLOW Your value is YELLOW Normal value YELLOW APPEARANCE URINE View trends Normal value: CLEAR Value CLEAR Your value is CLEAR Normal value CLEAR WBC, UA View trends Normal range: 0 - 5 /HPF Value 11-20Abnormal Your value is 11-20 /HPFThis value is AbnormalNormal range 0 - 5 /HPF Epi Cell-Ur View trends Normal range: 0 - 5 /HPF Value 0-5 Your value is 0-5 /HPFNormal range 0 - 5 /HPF RBC, UA View trends Normal range: 0 - 3 /HPF Value 4-10Abnormal Your value is 4-10 /HPFThis value is AbnormalNormal range 0 - 3 /HPF Urine Comment Micro View trends
No Collected on May 5, 2024 1:37 AM
(note: not sure why it says no)
Cannabinoids View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Phencyclidine View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Cocaine Random View trends Normal value: NEGATIVE Value NEGATIVE Your value is NEGATIVE Normal value NEGATIVE Methamphetamines View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Opiates View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Amphetamines, Urine View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Benzodiazepines View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Trycyclic Antidepressants View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Methadone Metab View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Barbiturates, Urine View trends Normal value: NEGATIVE _ Value NEGATIVE Your value is NEGATIVE _Normal value NEGATIVE _ Oxycodone, Urine View trends Normal value: NEGATIVE Value NEGATIVE Your value is NEGATIVE Normal value NEGATIVE Buprenorphine, Urine View trends Normal value: NEGATIVE Value NEGATIVE Your value is NEGATIVE Normal value NEGATIVE Result Comment View trends Normal value: NEGATIVE
AMMONIA Collected on May 5, 2024 4:56 AM
Ammonia 134
Normal range: 9 - 30 umol/L
ETHYLENE GLYCOL Collected on May 5, 2024 12:42 PM Lab tests - Blood
Ethylene Glycol Lvl View trends mg/dL Value <10
Reference range: Negative [<10 mg/dL]
VOLATILE COMPOUNDS Collected on May 5, 2024 12:42 PM Lab tests - Blood
Methanol Lvl View trends mg/dL Value <10 Ref Range:Negative (<10 mg/dL)
VALPROIC ACID Collected on May 5, 2024 12:42 PM Results
Valproic Acid, Total View trends Normal range: 50 - 120 ug/mL Value <10Low
CT chest abdomen pelvis w IV contrast Collected on May 5, 2024 9:21 PM Results New EXAM: CT CHEST ABDOMEN AND PELVIS WITH CONTRAST
INDICATION: altered mental status, possible infection
Tech Comments: No additional history.
TECHNIQUE: Low dose, multi-channel computerized tomography of the chest, abdomen and pelvis was performed with IV contrast. Multiplanar reformats were reviewed.
COMPARISON: 12/05/2018
FINDINGS: CHEST: LUNGS: No focal consolidation. No mass. Major airways are patent.No pleural effusion or pneumothorax.
HEART AND VESSELS: Unremarkable.
MEDIASTINUM AND HILA: Unremarkable.
CHEST WALL AND SOFT TISSUES: Unremarkable.
ABDOMEN AND PELVIS: LIVER: Normal morphology. No suspicious hepatic lesion. No hepatic cysts are identified.
BILIARY: Unremarkable.
PANCREAS: No evidence of mass or inflammation. No pancreatic cysts.
SPLEEN: Unremarkable.
ADRENALS AND KIDNEYS: Adrenal glands are normal. Massively dilated renal collecting systems and ureters compatible with severe hydronephrosis is similar to although slightly progressive from 12/05/2018. Thin rind of renal parenchyma is present and enhances symmetrically. Bilateral hydroureter extends to the pelvis. There is some layering hyperdensity within the left distal ureter which may represent debris.
GASTROINTESTINAL: No evidence of abnormal bowel wall thickening or obstruction.
VASCULAR: Abdominal aorta is normal in caliber.
LYMPH NODES: No pathologically enlarged lymph nodes.
PERITONEUM: No free air or ascites.
PELVIC ORGANS AND BLADDER: Urinary bladder is distended.
BODY WALL AND SOFT TISSUES: Unremarkable.
BONES: No acute or suspicious abnormality.
IMPRESSION: 1. No acute findings. 2. Severe chronic hydroureteronephrosis is similar to although slightly increased from 12/05/2018. Urinary bladder is distended although is otherwise unremarkable. Although the morphology of the kidney is severely abnormal and mimics parenchymal cyst formation, there are no renal parenchymal or hepatic cysts to suggest autosomal dominant polycystic kidney disease. Etiology of severe hydronephrosis is uncertain possibly related to chronic reflux. 3. Thin rind of peripheral renal enhancement without focal abnormality. Small amount of nonspecific hyperdensity within the left distal ureter may represent nonspecific debris.
SODIUM, RANDOM URINE Collected on May 5, 2024 5:03 PM Results New
Sodium Urine Random View trends mmol/L Value 55 No reference range established.
OSMOLALITY,URINE Collected on May 5, 2024 5:03 PM Results New
Osmolality, Ur View trends Normal range: 50 - 1,200 mOsm/kg Your value is 304 mOsm/kgNormal range 50 - 1,200 mOsm/kg
CBC Collected on May 6, 2024 3:56 AM Results
WBC View trends Normal range: 3.3 - 10.5 K/CUMM Your value is 9.9 K/CUMMNormal range 3.3 - 10.5 K/CUMM RBC View trends Normal range: 4.15 - 5.75 M/CUMM Your value is 5.66 M/CUMMNormal range 4.15 - 5.75 M/CUMM Hemoglobin View trends Normal range: 12.8 - 16.9 g/dL Your value is 15.7 g/dLNormal range 12.8 - 16.9 g/dL Hematocrit View trends Normal range: 38.8 - 50.2 % Your value is 46.8 %Normal range 38.8 - 50.2 % MCV View trends Normal range: 80.0 - 100.0 fL Your value is 82.7 fLNormal range 80.0 - 100.0 fL MCH View trends Normal range: 27.0 - 34.0 pg Your value is 27.7 pgNormal range 27.0 - 34.0 pg MCHC View trends Normal range: 30.5 - 34.5 g/dL Your value is 33.5 g/dLNormal range 30.5 - 34.5 g/dL RDW View trends Normal range: 11.5 - 15.0 % Your value is 14.6 %Normal range 11.5 - 15.0 % Platelets View trends Normal range: 150 - 450 K/CUMM Your value is 321 K/CUMMNormal range 150 - 450 K/CUMM MPV View trends Normal range: 7.7 - 12.2 fL Your value is 9.3 fLNormal range 7.7 - 12.2 fL
COMPREHENSIVE METABOLIC PANEL Collected on May 6, 2024 3:56 AM Results New
Sodium View trends Normal range: 137 - 145 mmol/L Your value is 146 mmol/LThis value is HighNormal range 137 - 145 mmol/L Potassium View trends Normal range: 3.5 - 5.1 mmol/L Your value is 3.8 mmol/LNormal range 3.5 - 5.1 mmol/L Chloride View trends Normal range: 98 - 107 mmol/L Your value is 111 mmol/LThis value is HighNormal range 98 - 107 mmol/L CO2 View trends Normal range: 22 - 30 mmol/L Your value is 23 mmol/LNormal range 22 - 30 mmol/L Glucose View trends Normal range: 65 - 99 mg/dL Your value is 124 mg/dLThis value is HighNormal range 65 - 99 mg/dL Glucose View trends Normal range: 65 - 99 mg/dL Value
If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. High Your value is If result of random glucose > or = 200 or if result of fasting glucose is > 125 confirm Diabetes Mellitus diagnosis with second glucose on a different day. mg/dLThis value is HighNormal range 65 - 99 mg/dL BUN View trends Normal range: 9 - 20 mg/dL Your value is 34 mg/dLThis value is HighNormal range 9 - 20 mg/dL Creatinine View trends Normal range: 0.66 - 1.25 mg/dL Your value is 1.23 mg/dLNormal range 0.66 - 1.25 mg/dL eGFR View trends Normal value: >60 mL/min/1.73 M2 Value 79 Your value is 79 mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 EGFR Comment View trends Normal value: >60 mL/min/1.73 M2 Value Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage
An estimated GFR chronically in the range of 60-89 is categorized as mildly decreased, which corresponds to Stage G2 CKD.
CKD-EPI equation (2021) used to estimate GFR Your value is Either of the following must be present for >=3 months to be Chronic Kidney Disease: -GFR less than 60 for >=3 months -Albumin to Creatinine Ratio >=30 mg/g or other markers of kidney damage An estimated GFR chronically in the range of 60-89 is categorized as mildly decreased, which corresponds to Stage G2 CKD. CKD-EPI equation (2021) used to estimate GFR mL/min/1.73 M2Normal value >60 mL/min/1.73 M2 BUN/Creatinine Ratio View trends Normal range: 6 - 22 RATIO Your value is 28 RATIOThis value is HighNormal range 6 - 22 RATIO ALT View trends Normal value: <50 U/L Value 34 Your value is 34 U/LNormal value <50 U/L AST View trends Normal range: 17 - 59 U/L Your value is 19 U/LNormal range 17 - 59 U/L Alkaline Phosphatase View trends Normal range: 38 - 126 U/L Your value is 138 U/LThis value is HighNormal range 38 - 126 U/L Bilirubin, Total View trends Normal range: 0.2 - 1.3 mg/dL Your value is 0.9 mg/dLNormal range 0.2 - 1.3 mg/dL Protein, Total View trends Normal range: 6.3 - 8.2 g/dL Your value is 8.2 g/dLNormal range 6.3 - 8.2 g/dL Albumin Blood View trends Normal range: 3.5 - 5.0 g/dL Your value is 4.6 g/dLNormal range 3.5 - 5.0 g/dL Calcium View trends Normal range: 8.4 - 10.2 mg/dL Your value is 9.7 mg/dLNormal range 8.4 - 10.2 mg/dL Globulin, Total View trends Normal range: 1.9 - 3.7 g/dL Your value is 3.6 g/dLNormal range 1.9 - 3.7 g/dL Albumin/Globulin Ratio View trends Normal range: 1.0 - 2.5 RATIO Your value is 1.3 RATIONormal range 1.0 - 2.5 RATIO Anion Gap View trends Normal range: 7 - 17 mmol/L Your value is 12 mmol/LNormal range 7 - 17 mmol/L
AMMONIA Collected on May 6, 2024 3:56 AM Results New
Ammonia. 124 View trends Normal range: 9 - 30 umol/L
I'm sorry you had to endure all of that, but thank you for doing so.

Been recently having panic attacks in the day… but the daytime attacks are over and now I am having severe ones at night. Sometimes I wake up highly alert, drenched in sweat, ready to FIGHT or FLIGHT.
Sometimes I catch myself falling in and out of consciousness and I feel like I can’t breathe and freak out and jump out of bed thinking I’m about to pass out or die.
I’ve already been to the ER. I’ve been to a cardiologist.. I am perfectly healthy other than potentially an enlarged heart.
31 years old, I do MMA but do not fight currently. Ex Army and capable of running miles with heavy gear still.
Recently I have been binge eating like a Mac Truck. Sometimes 4000 calories sometimes 7000 calories daily. I do not know why. I gained 10 lbs of muscle mass in a little over the last week.
Also recently I stopped smoking weed(15 yr smoker) as well as doing oxycodones(2 yr user 10-20mg a day). Right at a month sober. No drinking hardly ever felt good to me tbh. I currently only vape.
I am absolutely terrified. This is messing with my sleep schedule. This is messing with my job… I am so stressed because I do not know what to do. I feel like I am dying but the doctors say I am okay. Please help me. I don’t have the best past history of a good life. I lost my family when I was a young child. I lost my best friend in a car wreck and 2 other best friends died from overdose. Is this all stimulated? Do I need therapy as a 31 year old strong man? I feel so weak. I am lost. Trying to stay sane for my mother and father and be the best son they could ever ask for but it is currently 2:20 in the morning and I am supposed to be up for work in less than 4 hours. Any and all advice, is absolutely appreciated. Thank you.

No and Yes. Here’s why I say that, there are different strengths, milligrams and formulations. Percocet is Oxycodone with Acetaminophen. 2.5mg of Oxycodone and 220mg of Acetaminophen, it also comes in 5 and 10mg of Oxycodone and up to 325mg Acetaminophen. Then, you have Oxycodone, 5, 10, 20mg with nothing but Oxycodone. They also make a continuous release form of this medication for around the clock pain 10, 20, 30 and 40 and 60mg Oxycodone that is supposed to last for 12 hrs. Oxycodone also comes in liquid form for moderate to severe coughing because it relaxes the muscle that makes you cough.

hey y'all. I'm freaking out right now. I've had chronic pain since childhood, I'm now in my early 30s. I'm supposed to be having top surgery (double mastectomy) in a week but I'm really worried about post-op pain.
I currently take percocet, 20mg per day, with the ability to take an extra 10mg a few days a month. my diagnoses are cervicogenic headaches, chiari malformation, myofascial pain syndrome. osteoarthritis of the C-spine, degenerative disc disease of the T-spine, and costovertebral osteoarthritis. I'm awaiting an MRI to check for spinal stenosis.
originally the surgeon said they would give me dilaudid for post-op pain, and I said cool. today I find out via the pre-op nurse line that they called in oxycodone 5mg for post-op. now I'm freaking out, because that's such a small fraction of what I take daily. they won't tell me quantity over the phone.
I have PTSD from my chiari malformation decompression surgery with regard to poor pain management. it was excruciating. I told this to the PA and surgeon (at the advice of my therapist) and they seemed understanding and everything.
I'm awaiting a call back from the physician assistant. I feel like they're treating me with the standard dose they'd give people who don't take opiates regularly. I've been waiting to get this surgery for YEARS. any tips for me? is this a reasonable post-op plan and I'm being unreasonable? I'm just scared of being in excruciating pain for 2 weeks.

So I asked recently about different alters experiencing opiates differently. And helpful people said “Yes that’s a thing.”
I have really severe shoulder pain for lots of reasons. Both shoulders. Lying either side hurts. Lying on my back only the left shoulder and down my left arm hurts. It all hurts a lot. So I’m getting really poor sleep. I think I’m often only getting at most one hour in one go on most nights. Like if I get to sleep I wake up again from pain within an hour.
So this is debilitating and frustrating.
So last night before going to bed I took an Oxycontin 10mg, Temazepam (a benzodiazepine), two Melatonin and Oxycodone 5mg. Had some intermittent dozing but woke up constantly, changed position, dozed a little again, pain again, etc. So after a couple of hours took another Oxycodone 5mg. Didn’t work. So after another couple of hours took another two Oxycodone 5mg. Didn’t work. So that’s all the beginning stuff plus another 15mg of Oxycodone within 5 and a half hours. With no noticeable effect.
I’ve been taking a steady dose of Oxycontin and Oxycodone for the last three years to control this pain. No increase. No habituation. Oxycontin 10mg in the morning plus PRN Oxycodone 5mg never amounting to more than 10mg in one day (I usually break them in half to take 2.5mg at a time).
I realise this frustration is one place where overdoses come from. “If 20mg doesn’t work I’ll try 50mg! And if that doesn’t work in an hour I’ll add 100mg!!” So I do know that and I won’t do it.
But evidently somehow the effects aren’t getting through the way they usually do. I’m definitely processing a lot at the moment. Littles and teens are learning new things and confronting loss and grief and stuff as well as really good things.
Is that it? Do I need to slow down? Are they so upset that they’re sort of using up the pain relief and I’m not feeling it?
Or is some sort of persecutor taking it to cause me misery somehow? I’m not sure I even have a persecutor.
Please, any ideas? I’ll buy you lunch or at least send you imaginary plushies and hugs.

hi there!! this last week has been really really rough for me. for the last couple months, i’ve been happier and more active than i have in a year. i had my first pain management appointment a week ago, and they decided to change all of my medications. they took me off gabapentin and replaced it with 100mg of lyrica, took me off my 10mg of baclofen because they said it was the “max dose” and put me on robaxin, which didn’t help at all. they also took me off oxycodone and didn’t plan to give me any breakthrough medication, but eventually tried tramadol, and then hydrocodone, neither of which did a single thing for my pain. i haven’t been able to shower, brush my teeth, or sleep more than 5 hours a night for the last week or so. i usually am fairly disabled, i have trouble with these things anyway, but i can force myself to do them on the right medication. today my pain doctor messaged me back and said she does not think the oxycodone is a good idea and that i could look for other pain management or maybe palliative care could prescribe different medication, since i have a referral with them.
i had an appointment with my neurologist today and it went amazing. he put me back on all my medication (and clarified that the baclofen can go up to 20mg 3x a day) and ill be taking all the meds my pain management prescribed to the pharmacy’s medication disposal service. my neurologist thoroughly listened to me, expressed concern for my health with the state my pain is putting me in, and validated everything i said. he was confused with pain management’s choices and made sure to do everything in his power to correct them. i’m so fucking grateful. it’s rare that i (and i know many of us) have a doctor extend me this kind of empathy and kindness.
to the doctors who cower from the DEA and break your oath to do no harm; shame on you. an incredible waste of such an expensive education.
and to the doctors who listen with empathy and do your job without condition thank you. and please don’t stop standing your ground. you’re so important.

I’d like to apologize for this lengthy post. I just really needed to vent because I feel incredibly distraught and disappointed, to say the least. TLDR can be found at the end. Thank you for letting me get this off my chest and express myself on this sub.
Ever since I moved states, I have been tapered down to a dose so low that I can barely manage to get out of bed.
When I lived in Colorado, my pain was so well managed that I was only hospitalized once and it had nothing to do with pain. Since moving back to South Florida and having my regimen tapered down (from Oxycodone 30mg 5x a day and MS Contin ER 30mg 3x a day to ONLY Oxycodone 20mg 3x a day and the MS Contin was removed completely), I have been hospitalized EVERY. SINGLE. MONTH. since September of last year. This February, I was hospitalized twice in one month. Each stay ranges from 4-7 days, but on average, 5 days. That means I’m hospitalized for almost a week every single month.
This time around, something unexpected happened. I sought a virtual urgent care appointment because I needed a refill for my beta blockers. I couldn’t get an appointment with my PCP and thought this would be fine to do considering it was just a refill and not a controlled medication or anything. And while my BP and HR were quite high, I was okay. I was walking, talking, eating, but a bit short of breath and it felt like my heart was going to come out of my chest - it was uncomfortable as hell, but I’m used to discomfort and I figured it was due to the lack of meds. Urgent care, of course, had me go to the ER and wouldn’t fill my meds which I understood and agreed with.
I got to the ER and explained the whole ordeal and brushed it off saying I just needed to get cleared so I could get my meds and be on my way. They thought the same as me, but did an EKG, had me on a heart monitor, ran bloodwork, etc. Maybe an hour after my EKG, I started feeling weird. My heart monitor goes off and next thing you know the nurses are kicking my husband out of the room and people are running and rushing in. I remember feeling lightheaded, feeling pain in my jaw and chest, but don’t remember much else after the nurses and doctor came in. I, of course, get admitted and find out that I wasn’t in normal sinus rhythm when I got there, my troponin levels were quite elevated (even after the third time they took it spread over the span of a few hours), and I needed an echo plus an angio to make sure it wasn’t a pulmonary embolism.
Eventually, they finish their tests, which took about two or three days to get done, but on the second day I had a complication: my BP and HR would either be on the floor or through the roof. This had been happening for a few days which is partly why I didn’t realize I was out of my BP meds. I thought it was strange, but brushed it off. While admitted though, they had to administer fluids and a couple of other meds because I was in a-fib and at one point the charge nurse told my nurse to have the crash cart nearby because I had passed out. It took a couple of days to stabilize me, but they managed to do just that.
After all was said and done, the cardiologist finally came in to explain what had happened. He said I had a myocardial infarction that could have been caused by a couple of things including my conditions. But because of my piss poor managed pain, I asked if that could cause this to happen as well and if there was any connection to the problems I had been having with my BP and HR and I was right. This is how he explained it:
When you’re in pain, your BP and HR go up, common knowledge. But it becomes a problem when you’re in constant pain and you can’t manage your BP/HR, so I can take my 100mg of Metoprolol Tartrate BID (which apparently is a high dose) like I do, but if I’m in this much pain for too long then my heart is going to get tired. He said to think of it as someone running as fast as they can, getting tired after 20 minutes, and then resting. That’s what my heart is doing. It pumps and goes really fast, but it can’t do that forever so it slows down and (in his words), “gives the other organs time to catch up by slowing down, slowing down by a lot”, which is why my BP/HR are acting as a yoyo.
Of course, my chronic conditions can cause heart problems and I had an MI in December 2021 (before my pain was so bad that I actually needed any opioids), so he can’t say for sure that my pain is what caused this episode, but that it needs to be managed properly because I’m already a high risk patient for cancer, strokes, heart attacks, etc.
Now, this Friday I have an appointment with PM for a refill. The same PM who failed to send my medication on the day it was due so instead sent it on a Saturday when my pharmacy was closed even though I had told him that - I go to a mom and pop pharmacy (since the other pharmacies suck and they’re the only ones who always have my meds), so I ended up in the hospital where a lovely lovely doctor admitted me for the weekend until I could get my medication on Monday.
I cannot wait though to bring all of my papers from the hospital for this last stay and show him exactly what happened and tell him what the cardiologist said. Now, I’m not stupid or naive, I know that if he wants to taper me off or even cut me off completely that he can, so I have a couple of back up plans in place just in case.
First, my PCP said they’d be able to bridge me with my meds until I find a PM that can take over, so at least that won’t be an issue for now.
Second, when my pharmacist heard about what happened, he was so pissed off on my behalf that he called a PM doctor that he works with and got them to take me as a patient. He told the doctor that he was willing and happy to fill my original regimen (Oxy 30mg at 5x a day and MS Contin ER 30mg TID) which I am very grateful for, but won’t expect anything until I have the actual prescription sent to my pharmacy.
Third, I am putting my treatment on hold because you can’t have certain surgeries or procedures while on chemo. I have bulging discs, compression fractures, torn ligaments, sciatica pain, all sorts of stuff that I need fixed, but can only get that done if none of my infusions are in my system. And while it’s putting me through a major flare up right now and I know it won’t take away all of my pain because it doesn’t work that way, I’m hoping that if I can lower some of my pain that it’ll be better than the way things are now.
Fourth, if all else fails, my husband’s job is ready to let him work remote so we can move back to Colorado and I can see my PM doctor that actually cared and put me on a regimen where I had a much better quality of life. Before all of this, I had already asked if I could still see him even though it meant flying in every month to be there in person (husband gets free flights as he works for an airline), but he said no that I had to be a resident of the state, unfortunately. So, moving back is a last option.
I just wanted to vent because this whole thing has me going insane. Fighting to just be barely alive and barely able to move…it’s just so incredibly inhumane. I’m not even asking to be pain free. I just don’t want to be crying and writhing in pain every second of every minute of every day. These doctors all have the power to help, but so few will. I don’t think I’ll ever be able to understand. And now, after this happened, I’m more infuriated and depressed than ever. Doctors would rather people have serious cardiac episodes than have proper pain management. This is insanity.
Anyways, sorry for the lengthy post and thank you for those who read or even skimmed. Wishing everyone better days and sending gentle hugs.
TLDR: Pain caused myocardial infarction because it isn’t being managed properly and my heart can’t handle all the stress it’s being put under. I am livid.

hi I took my 30mg IR oxycodone (highish tolerance) 3 and a bit hours ago due to some server cervocogenetic headache and neck shoulder pain I have at the moment prescribed by my doc. I had my adhd meds (20mg dexamphetamine) just now so 3 hours after the oxycodone. The oxycodone is starting to wear off pain wise if I take another 20mg IR oxycodone now will it help with the pain or is it a waste and won’t help due to only being just over 3 hours after my last dose? And does the dexamphetamine affect if it will work or not? It’s my last of it painkiller til I see my doctor in 2 days Any advice appreciated thankyou

hey there everyone, i wanted to take a moment to come on here and ask for advice on what you guys consider red flags from pain management doctors.
i also have a more specific question on top of that. i finally got in with pain management recently and im so grateful. however i am a little bit concerned about one thing, that being what ive been told a max dose is of a couple medications. the first being oxycodone, which is less important to me right now because i know almost all doctors will be stingy with that. i was told i was on a SUPER high dose of oxy and that it was actually the highest dose my doctors clinic would prescribe. the dose of oxy i was on was 10mg, which i can see being a high dose because it’s hit me pretty hard at times but im just confused based on my research on the dosing of oxy. the one i was a little more concerned about is Baclofen. when my neurologist put me on it, i was told there was room to move up in the dose. I started on 5mg and am now on 10mg. my pain management is telling me this is the absolute maximum dose and i’ll have to try something else since its stopped working for me (it did wonders in the beginning). based on my research, the max dose is 20mg, so again im just confused. i know it has to do with weight too but my neurologist also told me i had room to move up.
i’m just really scared of committing to a pain management doctor who’s stingy with well…pain management meds.

Male: 20yo almost 21
Had a shoulder surgery when I was 16 and I have a Malpractice, I had a bone infection for more than one month, almost got septic and doctor said the pain was normal even I should be pain free or almost pain free after a month.
Ended up with my shoulder much worse than before.
Now I have instability arthritis and cartilage loose, ( it didn't dislocate but isn't stable ) this make me feel extreme pain sometimes when it adjust itself, and also almost all day pain even with not moving it. Had 4 more surgerys to fix the damage and is still fucked up.
Sued the doctor and after 4 years I won the case to only receive only $3000 bucks. ( Even for a billion I would prefer to this had never happened )
After 3 years of searching for a doctor that cared about my pain I found one that finally prescribed me opiates after taking nsaids everyday for years. Had a liver damage but not kidney and liver is good now.
The think is my doctor doesnt gave me a long term plan for dealing with my pain even I asked him several times. And my pain is chronic and there is nothing else to do till i have at least 45 to be able to get a prothesis.
I started with 20mg of oxycodone twice a day but after a months he wanted to taper me down, he gave me ETIROCOXIB 120mg and told me to take it everyday. (Max time treatment is one week, but he wanted to take that dose everyday)
make me stop using opiates for 4 months. Took aspirin every day and often naproxen. I can't tolerate the etirocoxib.
I can't tolerate any nsaid now, all gave me reflux and I feel burning in my throat and stomach ache everytime I take them and i feel the taste of the meds in my mouth all day.
I'm was taking 4 aspirines a day, it gave me the same side effects, but the taste in the mouth was bearable. The other nsaids burn a lot.
Now he gave me opiates again after begging him, at least he believes me.
The new plan is taking oxycodone 20mg twice a day for a month and taper for 15 days and start again.
The thing is I now I ruining my liver and kidneys taking nsaids, I don't care much about liver but I know kidneys doesn't heal after damage.
Doctor is improvising along the way. And I really can't find a better option, even I told him I'm scared about my kidney and even he knows and told me I can't take nsaids forever, he is like waiting to see what happens and then see what to do.
Idk what to do.. I feel like my doctor is like waiting till my kidneys gave up to do something else.
Taking nsaids every 30 days for 15 days at high doses for the rest of my life will hurt me eventually.
I can get tramadol here without a script but that make my tolerance raise up very very fast and I don't want to oxycodone stop working.
Even im really thinking about to fuck my liver on purpose hoping my kidneys will take it, so nsaids Will not be an option anymore.
Or sometimes I want to cut my arm to not deal with this anymore ( not thinking it seriously )
I tried plasma infiltrations, prolotherapy, rehab, etc. and nothing worked, I'm tired and mentally exhausted. Idk what to do anymore.
I want to still living but not this way.
Also I blame myself everyday about what happened even it was a traumatic injury and I couldn't do nothing to avoid it.
What if I wasn't there in that moment, what if I choosen another doctor what if I had not had the surgery?
Took me years to accept I will never be able to train like a normal person again but I cannot accept not being able to have a relative normal life. Im tired and hopeless..
I feel I can't take this anymore, the only thing that keep me alive is my brothers, I couldn't do that to them.
Today i hit rock Botton, Been crying all day even I never cry for anything, last time I cried was when my uncle died and I was like 10yo. I have a lot of thoughts in my head right now.
Had anyone tried stem cells treatment for joint arthritis? And have a good result? If it works, i would pay the money that i don't have to at least be a little better.
Any recommendation?
What can I do?

Male: 20yo almost 21
Had a shoulder surgery when I was 16 and I have a Malpractice, I had a bone infection for more than one month, almost got septic and doctor said the pain was normal even I should be pain free or almost pain free after a month.
Ended up with my shoulder much worse than before.
Now I have instability arthritis and cartilage loose, ( it didn't dislocate but isn't stable ) this make me feel extreme pain sometimes when it adjust itself, and also almost all day pain even with not moving it. Had 4 more surgerys to fix the damage and is still fucked up.
Sued the doctor and after 4 years I won the case to only receive only $3000 bucks. ( Even for a billion I would prefer to this had never happened )
After 3 years of searching for a doctor that cared about my pain I found one that finally prescribed me opiates after taking nsaids everyday for years. Had a liver damage but not kidney and liver is good now.
The think is my doctor doesnt gave me a long term plan for dealing with my pain even I asked him several times. And my pain is chronic and there is nothing else to do till i have at least 45 to be able to get a prothesis.
I started with 20mg of oxycodone twice a day but after a months he wanted to taper me down, he gave me ETIROCOXIB 120mg and told me to take it everyday. (Max time treatment is one week, but he wanted to take that dose everyday)
make me stop using opiates for 4 months. Took aspirin every day and often naproxen. I can't tolerate the etirocoxib.
I can't tolerate any nsaid now, all gave me reflux and I feel burning in my throat and stomach ache everytime I take them and i feel the taste of the meds in my mouth all day.
I'm was taking 4 aspirines a day, it gave me the same side effects, but the taste in the mouth was bearable. The other nsaids burn a lot.
Now he gave me opiates again after begging him, at least he believes me.
The new plan is taking oxycodone 20mg twice a day for a month and taper for 15 days and start again.
The thing is I now I ruining my liver and kidneys taking nsaids, I don't care much about liver but I know kidneys doesn't heal after damage.
Doctor is improvising along the way. And I really can't find a better option, even I told him I'm scared about my kidney and even he knows and told me I can't take nsaids forever, he is like waiting to see what happens and then see what to do.
Idk what to do.. I feel like my doctor is like waiting till my kidneys gave up to do something else.
Taking nsaids every 30 days for 15 days at high doses for the rest of my life will hurt me eventually.
I can get tramadol here without a script but that make my tolerance raise up very very fast and I don't want to oxycodone stop working.
Even im really thinking about to fuck my liver on purpose hoping my kidneys will take it, so nsaids Will not be an option anymore.
Or sometimes I want to cut my arm to not deal with this anymore ( not thinking it seriously )
I tried plasma infiltrations, prolotherapy, rehab, etc. and nothing worked, I'm tired and mentally exhausted. Idk what to do anymore.
I want to still living but not this way.
Also I blame myself everyday about what happened even it was a traumatic injury and I couldn't do nothing to avoid it.
What if I wasn't there in that moment, what if I choosen another doctor what if I had not had the surgery?
Took me years to accept I will never be able to train like a normal person again but I cannot accept not being able to have a relative normal life. Im tired and hopeless..
I feel I can't take this anymore, the only thing that keep me alive is my brothers, I couldn't do that to them.
Today i hit rock Botton, Been crying all day even I never cry for anything, last time I cried was when my uncle died and I was like 10yo. I have a lot of thoughts in my head right now.
Had anyone tried stem cells treatment for joint arthritis? And have a good result? If it works, i would pay the money that i don't have to at least be a little better.
Any recommendation?

Hi again. I thought I was done with meds but I’m not.
History: 19-20 months post-op anterior and posterior fusion of L5-S1, followed by 2 corrective surgeries in a 3 week timeframe. I have been on Lyrica and Oxycodone since the surgeries. I thought I was done with the Oxycodone a couple weeks ago, but the leg pain and withdrawals were too much for me.
I had an appointment with my pain mgmt doctor yesterday and told him how much I’m struggling mentally along with the peripheral neuropathy. I’m sick of being dependent on the pills but it’s hell getting off of them. I hate dealing with the pharmacy every month. You’re treated like a parolee with UA’s, there’s pharmacy shortages and it just sucks.
He ordered an EMG to assess the level of nerve damage. My legs are heavy and feel like I’m being sucked downwards. He wants me to consider and research a spinal cord simulator. He thinks I’m just coming to terms with the long term issues I’ll have and need to seek counseling to address the PTSD. Question: do you any of you have recommendations on finding the right counselor? It’s overwhelming when you start googling. Did you find somebody local or use an online provider? Insurance or no insurance?
Regarding meds, he wants me to stay on the same doses of Lyrica and Oxycodone until I’m feeling better mentally and have had a few more months of healing. My healing was delayed as I was taking high dose steroids during the emergent phase (6+ weeks), and after surgery 3, I developed pneumonia, sepsis, anemia, hypoalbuminemia, etc. I take 100mg of Lyrica and 20mg of oxy each day. He then introduced a 3rd med which is cymbalta. He thinks after a few months the cymbalta will allow me to get off the other two. He said he didn’t want me on the cymbalta too long, so I need to research that drug more thoroughly before taking it. Question: do any of you have experience with this medication?
Thanks for reading. This has been a long road and I’m grateful for all your help.

So I’m taking over a store with very high C2 volume, it’s an issue in the area where doctors hand out narcotics like candy here. My plan is to require them to send us treatment plans for the next fill. But what if they are not getting back to us, i really want to refuse the fill until these drs give us some type of document of why am i filling 200+ on an oxycodone 30 with an icd of “chronic pain”. What if the pt goes to the board of pharmacy with the complaint, i mean i think a month or 2 is a reasonable time to give us a treatment plan, can i refuse to fill? (This is a small town so theres not many pharmacies in the area) I already got shit from a pt for delaying her oxy 20mg #120 for icd “migraine”

Just a quick yes or no from someone would be fantastic so I don’t freak out. I don’t want to pay $1000 for an unneeded hospital of I’m being over anxious for no reason. Accidenelty took 20mg of oxycodone, am I good? I laid out my pills and took them but I usually don’t put pain killers with the supplements pile as I take them. You know 20 pills so you do things in the area and down 2-3 pills every minute. Then I took my painkiller from the bottle. Which is now 20mg
Edit:AWESOME THANK YOU! If anyone else is confused on how it happened as I’m getting messages of “you didn’t do that by accident”. You all take supplements I assume? I was taking some ginger,Tumeric, fish oil, daily vitamins for second time, anti oxidents, amino acids, potassium and magnesium. That’s like 25 pills. So I put them in a bowl and choose 2-3 pills. 2 medium-large and 1 small if I do 3 at once. I put my muscle relaxers in there and as I was instinctively opening the bottles I opened the oxy as well and threw it in the bowl. Then after I took my regular 10mg dose. And if those that also take 25 pills sometimes don’t put them in a bowl while taking 15 minutes to do it, then how do you do it? Lol I can barely handle it. Takes me like 20 minutes and 3 bottles a water with about 4 gags.

Hi all,
Had a resident tell me the other day that simethicone does more to slow bowel motility than 20mg oxycodone in a post ex-lap patient. I’m being lied to, right? This sounds absolutely farcical.

I take about 20mg of oxycodone in the morning and another 20-30 in the evening. I recently came across some gabapentin 300mg I had sitting around. I’ve heard using them together can increase/prolong analgesia and the pain-killing effects of the oxycodone.
Is it safe to take them together? I’ve heard that I should take the gabapentin, wait 3 hours, and then take half of my oxycodone dose. Anybody have experience with this?