#PainKills
I am angry tweeting and usually that is never good but I am angry. My heart is breaking for another mother who lost their child to pain. She had her entire life in front of her. Her entire life! For many years she struggled with #pancreatitis. She was 1/
not in an area where there were many #physicians aware of #pancreatitis. I provided the mother names of experts in the field but sadly they never followed up or called. I have often seen this. As a parent I would carry around my husband & kids genetic 🧬 results 2/
in order to ensue that physicians would listen to me. I’d provide them with the names or our specialists. A few times physicians listened many times they did not. So often my husband was questioned about his alcohol use relentlessly EVEN with the test results. It was a 3/
struggle often to get #physicians to believe. It got worse after their #pancreases did not show amalyse and lipase increases. If you progress in your disease these often don’t rise. Even though this girl had a diagnosis she was dismissed. Her mom was single and 4/
struggling a beside herself as to what to do. Early on she was like me - the doctors told her to ignore her daughters pain. I was told this also. They said her daughter was getting secondary gain out of being sick. This made things worse and caused issues between mom & 5/
daughter. Of course when mom put a stop to it doctors blamed her. Never once did they take into account what their behaviors were doing to this family. The girl had #pancreatitis. I have watched my husband and kids deal with #pancreatitis #pain & it’s devastating 6/
you literally are lost at how to help. My kids would get into ‘positions’ and tell me not to touch them 💔💜. As this girl got older she struggled and I want to scream ‘no shit’ of course she did. Instead of addressing pain got freaking diagnoses of borderline 7/
personality disorder. I think I will lose it if I ever see a physician talking about people w #chronicpain having #BPS - maybe trauma from being dismissed? With that dx #physicians truly did not look at #pancreatitis. I repeatedly gave mom numbers to specialist 8/
yet when she provided to doctors they ignored her. I saw this unraveling the last several years and my heart hurt. I’ve feared the same thing would happen to my kids. They both have experienced comments such as ‘pain won’t kill you’, or ‘you are doing this for secondary gain’ 9/
I’ve seen my kids dismissed and abandoned. I get it, not all #physicians are bad but right now I am angry at the medical world. I am angry at #CDC #DEA #PROP & all those moralistic individuals who are trying to ‘save’ #chronicpain #patients from #opioids. We are 10/
seeing deaths! AND while I do believe in an interdisciplinary approach inclusive of, if beneficial, psychological strategies most of the times imho these are implemented wrongly & and a very shamed based way. ALSO when you have some one in 24/7 #chronicpain you 11/
are not just going being able to use mindfulness. You just are not. I am angry. Right now I am angry at doctors ignorance and quick judgements of those in #chronicpain. I am angry at the #biases that exist. I am angry at these kids being given damn psychiatric 12/
diagnoses and their pain not addressed bc by giving a psychiatric dx they are ‘addressing’ it (ignoring). She is was 18 years old. Pain care needs to be better today. I am tired of doctors that read one or two things about pain and then make dx and judgements 13/
pain care in the US is abysmal in most places. It’s seems as if you have #chronicpain #physicians want nothing to do with you. I do want to apologize to the physicians I follow/follow me. I know there are so many good physicians & that you are working in a very 14/
difficult situation (COVID & crappy system) but this has devastated me for so many reasons. I started becoming involved bc I saw all the harm my kids went through and I wanted it to be better for kids with #pancreatitis but the system/care when working with kids 15/
with #chronicpain NEEDS to be better now and physicians need to be aware that they can cause trauma and that dammit #paincankill. 18, whole life ahead of her 16/

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More from @purplemamabear

1 Oct
My daughter has been having some pretty bad pain days. She has struggled with sleep more then usual. Tonight she came & laid by me in my bed. Sheer exhaustion took over. She is ‘sleeping’ but it’s not restful. She is whimpering and moaning in her sleep. This is 1/
a reality of pain. Yes she benefits from opioids but she also uses other techniques; distraction, stretches, hot baths. The reality for many is that even when you employ distraction, mindfulness, as well as other modalities it is NOT enough. This is the last day 2.
of #PainAwarenessMonth and I go out with a heavy heart. There is still such harm occurring, such stigmatization, inability to access quality care. There is an effort to silence those that have benefited from LTOT by labeling and providing a DSM diagnosis. To those 3/
Read 5 tweets
1 Oct
I can’t.
Do they not realize that pulling individuals from #opioid medications also causes suicide ideation and attempts?
#Paincare in the US is awful. Maybe there are pockets where quality care can be accessed but as a caregiver and advocate for many w #hereditarypancreatitis 1
it’s inadequate, stigmatizing and traumatic. I am tired of waiting. I witnessed the traumas my husband and kids went thru and my hope was to raise awareness that others would not have to suffer the same. The #CDC as well as other entities imo has put the horse 🐎 b4 2/
the cart. Why not look at developing options have less risks instead of trying to gaslight those that have found relief and QoL thru LTOT. Quite honestly it’s a ‘cluster’ and not getting better. I understand that there are wide variances of pain and intensities 3/
Read 5 tweets
28 Sep
One of our local Universities received a grant to implement #OneRx. I find the actions that they encourage highly alarming & stigmatizing. 1) approach patient to discuss only partial fill on #opioid medication 2) provide naloxone (ok with this), 3) refer to MAT 1/ Image
My kids see a team of physicians who know their medical issues. Their issues are complex. I am not sure what I would do if a #pharmacist approached the kids to engage in discussion of only partially filling meds or referring to #MAT. It’s as though there is no understanding 2/
that most on #opioids have seriously tried other modalities of treatment. What will it take to have a balanced narrative instead of one completely #stigmatizing & #shaming 3/
Read 4 tweets
22 Sep
Addressing #PatientSafety in Healthcare:

I received a call tonight from a mother whose adult daughter was brought via ambulance to the ER. She was in the middle of #pancreas flare. She is 19 & is living with bf. He is the one that made the call. She was in the bath at time 1/
and due to pain and nausea could not get out. Paramedics took her from tub. She had no clothes on (totally understand this was emergency). During transport to ER ketamine and fentanyl were administered. Once at ER she was NOT taken back to bay, instead she was 2/
placed in the lobby on chair. She was left alone in lobby. Her bf was there but no one was monitoring vitals or reactions of medication. The young woman was disoriented. Her boyfriend unsure what to do. While they are ‘adults’ they are young 18/19. The young women 3/
Read 12 tweets
17 Sep
Bravo 👏🏻 👏🏻👏🏻 to @Alberta_Pain. Pulled up their ‘Conference At a Glance’ & what do I see? People with #livedexperiences on the agenda. Thank you! Recently another #pain conference was held void of those w #livedexperiences. One ☝🏼 presenter, a #physician defended
the absence (or imo exclusion) of those w #livedexperiences by indicating #painpatients would not benefit due to the complexities of the information, nor would this #physician want those with #pain at the conference. My position as a #caregiver as well as advocate for 2/
better pain care, ‘nothing about us without us’ and to be blunt if you have difficulties as a #physician with having those with #livedexperiences participating, you need to evaluate your own issues. As an #American I give kudos to #Canada. I am impressed with their 3/
Read 5 tweets
15 Sep
Just listened to this podcast & it moved me to tears. I recommend #zebras, those with #complexconditions as well as those w #pain listen. My daughter has been deemed a ‘difficult’ #patient a #noncompliant #patient. Her chart is filled w truly notes that leave #physicians & 1/
other medical professionals biased. In a sense she was ‘difficult’ but 4 good reason. She had been dx at age 1 & had so many failed treatments & procedures. Her #voice often was dismissed bc she was young. As parents our voices were dismissed bc we were parents. 2/
With each failed procedure, with each dismissive action by #physicians she bc more difficult. Add in that she also had pain w her condition. And she knew what worked & this seen as ‘seeking drugs’. She also had a few irregular drug tests - which caused pain meds 3/
Read 11 tweets

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