Jesus H Christ. You have to be fucking immobile to get bed sores. Just being sedentary or extremely lazy won't do it. Old people in nursing homes are able to avoid bed sores. Unconscious people in comas avoid them. But this fat ass can't? I bet her hygiene is just fucking stellar, too. God the stench that must waft off her...
Taking it to another level to get Medicaid to pay for a mattress and ROHO cushion. I find it “highly” interesting that she claims to have been a zombie with her meds, which everyone noticed and developed bed sores. Literally, high and comatose from meds and has the audacity to blame doctors, while claiming she feels so much better when she missed a dose. I literally laughed my ass off when she said she felt better missing meds. Yes, that’s what happens, dear Ophelia, when you take medications YOU.DONT.NEED.
Let’s be optimistic and pretend she’s getting opiates. What happens when you take opiates and you’re not in serious pain? Number one, you experience more side effects such as drowsiness and sedation. Number two, your body’s brain and neurotransmitters decide that you no longer need to produce your own opiates (endorphins). So, you down-regulate your own pain relieving mechanisms while up-regulating your number of pain transmitters in your joints. Your body is tricked into thinking that, since it isn’t injured and you are getting opiate receptors blocked, that it needs to become more sensitive at sensing pain. So, what ends up happening is that tolerance to pain goes down, natural pain relieving response goes down, and sensitivity to pain goes up.
This is why addicts effing hurt everywhere when they stop taking opiates. Or they keep wanting more to relieve pain as tolerance builds and builds.
This doesn’t happen in patients who have a legitimate painful chronic condition that is communicated on the body’s mu receptors. If the body has a condition that causes constant opiate (mu) mediated pain, (muscular type pain and some spinal cord injury that is NOT nerve pain or disk pain), the body generally fatigues of producing it’s own endorphins over the first few hours to days. Relieving this pain with opiates early actually stops the body from developing chronic pain cycles. If a chronic pain cycle has developed, this pain, untreated can eventually lead to adrenal fatigue (marked by high cortisol that drops off) and actual complete adrenal failure (then complete cortisol depletion).
People with this type of pain usually (barring issue with cytochrome p450 enzyme genetic issue) respond well to a low dose of opiates and once a therapeutic dose has been achieved, maintain that dose for years and years, sometimes decades, without need to increase dose and with very minimal side effects. Patients who NEED this medication to avoid adrenal compromise are usually high functioning on meds, able to work, have families and DO NOT display any of the zombie-like symptoms Ophelia mentions her family noticed. They also do NOT feel better when missing a dose. This is how pain management physicians determine whether opiate therapy is appropriate or not, and whether patients need the medication. If a low dose doesn’t work, a high dose could cause amplified pain syndrome.
