As a Nurse Practitioner, patients presenting with chronic pain problems to the ER are problematic. During this so-called opioid epidemic, guidelines were put in place for patients seeking narcotics. Also urgent care facilities. It is a problem, and I’m not implying patients are not in pain, or simply drug seekers.
We do use Toradol. Unfortunately, patients with chronic pain problems should be receiving care from their primary care physician or pain clinic. I can’t provide a percentage, but we were inundated! I’m a chronic pain patient myself, and the ER’s were being utilized when patients ran out of opiate meds, the physicians working in them were concerned about their license and DEA #’s being sanctioned.
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Some states have placed a limit on the number of days supply that can be provided. Hopefully, the new guidelines will be clarified that was written in June 2021, on how much should be dispensed. Usually, a 2–3 day supply was provided til patients could see their primary or pain, clinic doctor.
Even with the prescription drug monitoring system in place, doctors were concerned about “Big Brother” looking over their shoulder as they wrote a prescription. This period of time has been hell for chronic pain patients, and I can vouch for it. It’s out of control at this time. My supervising physician has to follow the hospital guidelines.
TRUST ME I have no problem giving a 3 day supply, back in 2016. I understand your and other patients‘ pain problems, but the ER is for emergencies, life or limb at risk, and CHRONIC problems need to be managed in other ways. I don’t want to be perceived as an uncaring, jerk, or 4 letter word, but our hands are tied. I could keep writing, but it’s a problem that hopefully will be resolved soon.
If you visit chronicillness.co, Pain, you will read the same information as I’ve written. Yes, patients are committing many unwanted things, buying meds off the internet chancing your life they may contain a fatal dose of Fentanyl. The guidelines should be published soon, to ease restrictions.
I CAN’T WAIT, as my Morphine was cut from 150mg. to 90 mg. and just because I’m in the medical field, do not receive additional amounts. My life has declined and hard to function. Was working 50 hours a week, but for almost 2 years, zero hours. Take MS Contin 30mg 1 hour before getting out of bed! I’m not alone.
May God give you strength, as he has to me, making me take my Glock out of my mouth. No joke.
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🌧️ The Silent Battle Within: Fibromyalgia and Mental Health
“No one told me that fibromyalgia wouldn’t just hurt my body — it would try to break my mind. The pain is constant, but the emotional toll is heavier. There are days when the weight of exhaustion feels unbearable, when even breathing through the pain feels like a task. The world keeps moving, but I stay stuck — inside a body that feels like it’s betraying me, and a mind that’s drowning in frustration.
Depression crept in quietly, like a shadow that grew longer with every sleepless night. It whispered lies — that I was weak, that I was alone, that life before fibromyalgia was gone forever. Anxiety joined in too — making me fear flare-ups, cancellations, and the unpredictable future. Together, they created a storm that no one could see.
It’s not easy to talk about the mental weight of living in constant pain. People often focus on the physical — the fatigue, the aches, the stiffness — but they don’t see the invisible wounds: the guilt, the fear, the sadness, the sense of loss.
I’ve cried in silence, wishing for a moment of peace inside my own skin. I’ve looked in the mirror and missed the person I used to be. I’ve felt the isolation that comes from being misunderstood — when others say, “But you don’t look sick.”
Yet somehow, in the darkest moments, hope always finds a way to reach me. 💜
It comes in small ways — a message from someone who understands, a sunrise after a sleepless night, a day with a little less pain than yesterday. I’ve learned that healing doesn’t mean being cured — it means finding strength in the struggle, peace in the storm, and light in the cracks.
Fibromyalgia tries to take everything — my energy, my joy, my confidence. But it cannot take my will to rise.
Every day I fight not just for my body, but for my mind. I practice self-kindness. I let myself rest. I remind myself that I am not weak — I am living proof that even in pain, the human spirit can still shine.
So to anyone fighting this silent battle — you are not alone. We are warriors of both body and soul. And though fibromyalgia lives with us, it will never define us.” 🌙
#FibromyalgiaWarrior #FibroMentalHealth #ChronicIllnessJourney #InvisibleIllness #FibroAwareness #FibroStrong #MentalHealthMatters #DepressionAndFibromyalgia #ChronicPainWarrior #HopeInTheDark