Saturday, January 6, 2018

When a Doctor First Handed Me Opioids

On a sunny September morning in 2012, my wife and I returned to our apartment from walking our eldest daughter to her first day of kindergarten. When we entered our home, in the Washington, DC, suburb of Greenbelt, Maryland, I immediately felt that something was off. My Xbox 360 and Playstation 3 were missing.

My wife ran to the bedroom, where drawers were open, clothing haphazardly strewn about. It was less than a minute before a wave of terror washed over me: My work backpack was gone. Inside that bag were notebooks and my ID for getting into work at NBC News Radio, where I was an editor. But the most important item in my life was in that bag: my prescription bottle of Oxycodone tablets.

“I can’t believe this happened to us,” my wife said.

“They took my pills,” I said.

We repeated those lines to each other over and over, my wife slowly growing annoyed with me. Why didn’t I feel the same sense of violation? Why wasn’t I more upset about the break-in? Oh, but I was. Because they took my pills. The game consoles, few dollars and cheap jewelry they stole would all be replaced. But my pills! They took my fucking pills!

We had to call the police. Not because of the break-in but, rather, so I could have a police report to show my doctor. That was all I could think about. My pills.

How did I become this person? How did I get to a place where the most important thing in my life was a round, white pill of opiate pleasure?
***
Before 2010, I only had taken opiates a few times. In 2007, I went to the emergency room in my hometown of Cleveland, Ohio, because I could not stop vomiting from abdominal pain. Upon my discharge, I was given 15 Percocets, 5 milligrams each. I took them as prescribed, noticed that they made me feel happy, and never gave them another thought.

After I took a reporter job in Orlando, I began to get sick more frequently, requiring several visits to the ER for abdominal pain and vomiting. In September of 2008 I was diagnosed with Crohn’s, an inflammatory bowel disease, and put on a powerful chemotherapy drug called Remicade to quell the symptoms. My primary care doctor, knowing I was in pain, prescribed me Percocet every month. I took them as needed, or whenever I needed a pick-me-up at work. I shared a few with a coworker from time to time. We’d take them, and 20 minutes later, start giggling at each other. I never totally ran out—never took them that often. I never needed an early refill.

In March of 2010, I was hired as the news director of a radio station in Madison, Wisconsin. Before we moved, my doctor in Orlando wrote me a Percocet script for 90 pills to bridge the gap until my new insurance kicked in in Wisconsin—approximately three month’s worth. I went through them in four weeks. I spent about a week feeling like I had the flu and then recovered, never once realizing that I was experiencing opiate withdrawal for the first time. Soon after, I set up my primary and GI care with my new insurance, and went back to my one-to-two-pills-per-day Percocet prescription, along with a continuation of my Remicade treatment.

Two months later, while my wife and daughter were visiting family in Cleveland, I developed concerning symptoms. My joints were swollen, I couldn’t bend my elbows, I was dizzy. I went to the ER, where for two days the doctors performed all sorts of tests as my symptoms worsened. Eventually, the rheumatologist diagnosed me with drug-induced Lupus from the Remicade. I was prescribed 60 Percocets upon leaving the hospital.

When I went back to my GI doc four weeks later for a refill, he told me he was uncomfortable prescribing pain medication, so he referred me to a pain clinic. I told the physician there how I would get cramps, sharp pains that would sometimes lead to vomiting. Did it hurt when I drove over bumps, or when bending over? Yes, sometimes. I left with a prescription for Oxycodone, with a prescription to take one pill every three to four hours. My initial script was for 120 pills. I felt like I hit the jackpot.

by Anonymous, Mother Jones |  Read more:
Image: PeopleImages/Getty