I was never even taught about opiate withdraw or addiction in school. So not surprising to me. I took care of a heroin patient yesterday. He is only 25. Three years ago I cared for him when he got endocarditis from shooting it. He arrested and almost died. Ended up with a mechanical aortic valve and will be on coumadin for the rest of his life. He got clean but then his dad died 3 months ago and he started using again. Now he has sepsis again. This time he really fucked his heart. Ejection fraction (pumping ability of heart) fell below 30% and he developed ventricular tachycardia and arrested. His mom found him. By some fucking miracle he survived. He had a defibrillator implanted. Now getting IV antibiotics for months again.
Anyhow, he came to the office. My doc rolled his eyes and told he wasn't wasting his time seeing him. He believes he is going to keep using and die so why bother?? I spent 45 minutes with him, his mom, and my student. We talked about the addiction, staying clean, getting treated for his depression, and his triggers. Both the patient and his mom were in tears. The mom told me nobody ever spoke to them about any of it. The whole thing pretty fucking sad. He refuses treatment for depression. I left that room feeling shitty because I think unfortunately the doc might be right.
Anyhow, I was pleasently surprised by my doc. He has been asking me to work weekends again and I have been politely declining because honestly not worth my time. So he tells me he will double my salary on weekends. I almost fell over! Now it is worth my time. I was actually surprised he figured it out. I like him but he is greedy bastard.
Beach, so sorry you are still feeling shitty. I felt a lot better at 30 day mark. It was the unrelenting fatigue that drove me back. Maybe take DHEA and adrenal support supplements. These really helped me. Hoping you feel better soon.
Love to all of you.