I try to be a pragmatic user of medications. I think we have them for a reason and the reason was all mine when I found myself in rehabilitation and unable to perform the most mundane tasks because of intense pain. Having said that, let me add that I thought I possessed a healthy but wary attitude toward all drugs, especially narcotics. I realize now that my perception of pain-killing opioids was informed by my family of origin which was rife with alcoholism and other drug addictions. My father died of complications from his years of drinking excessively. My brother died of an alcohol and drug overdose. Obviously my viewpoint was skewed.
Over the years of my adulthood I have learned to enjoy an occasional glass of wine, and I once took a Vicodin at the emergency room when I had what we believe was a gall bladder event. Triage sent me home with four tablets and told me perhaps I should take only a half since the whole tablet knocked me silly. I ended up throwing out 3 1/2 of them. That experience didn’t do a thing to quell my fear of drugs. In fact, quite the opposite. Imagine going from that kind of trepidation about taking pain killers to begging for them back in October after my accident. That’s some serious pain.
I don’t remember exactly how long I lay in that hospital bed without any real help for my pain. I know that the therapists came to my room twice a day and laboriously tried to get me to a sitting position but the pain was agonizing and I couldn’t do it. I told them I needed to see a doctor so they sent one to see me. She said she understood I wanted/needed something for pain. I explained that I had to have something if I were going to be able to get up and get well. She left an order. I don’t know what it was but it helped about as much as an aspirin. Even one of my caregivers told me that was not what I needed; that it was not going to help my kind of pain. More time wasted while my muscles continued to atrophy.
Then I got a stroke of good luck. A staff member stopped by one day and asked me how I was doing. I told her I wasn’t making progress because of the pain. She informed me that there was a doctor on staff (I think fairly new there.) who knew all about pain management. She said, “You need to see him. He’s very good.”
I tried not to get my hopes too high but I asked my daytime nurse (CNA) to ask him to see me the next day. In fact I pleaded, “Don’t let him leave tomorrow until he’s seen me.” She promised she wouldn’t. (I have this mental image of her with a lasso around him, dragging him back down the hall. 🙂 )
I don’t think she had to rope him but by golly he showed up and my rehabilitation took a one-eighty turn and I was on my way back. My relief was palpable.
I’ve thought a great deal about what Dr. H (H is for hero.) does that makes him an effective and outstanding doctor. I’ve recently been back at the facility for additional therapy and I saw him in the gym talking to a patient. She was in a wheelchair. He got down in a squat to look her in the face and talk to her. That’s when it all came flooding back to me. That’s what he does. And much more.
He came into my room, introduced himself, looked me in the eyes and we talked. He listened. What I said mattered. He showed no sign of being in a hurry. I was the only patient he had in that moment. This wasn’t one of those 3-5 minute visits. We talked until we said what we needed to communicate to each other. I understood him. He understood me. He made me a partner in my care. That matters a great deal to me. I monitored my medication about as carefully as he did. And guess what? I’m not addicted. That had been a big concern for me.
Dr. H is very young for one so perfectly attuned to his patients needs and concerns. I believe that medical personnel can be taught a great deal about compassion and patient care. But I don’t believe this doctor had to be taught that aspect of caring. He cares about people. He has a good heart. And it shines as he goes about his work. He’s very good indeed, and I’m enormously grateful.