Dr. Gregory House ([info]doctorhouse_tm) wrote,
@ 2008-02-08 22:23:00
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Current mood: grumpy
Current music:traveling wilburys : end of the line
Entry tags:addiction, deep thoughts, journal entry

well it's all right doin' the best you can
This is a good read.

Chronic pain seen altering how brain works.

Brain scans of people in chronic pain show a state of constant activity in areas that should be at rest, U.S. researchers said on Tuesday, a finding that could help explain why pain patients have higher rates of depression, anxiety and other disorders.



Re: Depression

Of course we're depressed. Think about it. You cannot wake up in the morning (if you slept at all) without being in pain. You get used to the pain, yeah, but at the same time, it's still a chemical reaction in the brain which causes discomfort. It isn't something that goes away. Your body is broken and you cannot fix it. That is a lack of control over yourself and that is depressing. So is the realization that it's going to hurt until the day you die.

Re: Anxiety

There is always the fear that the pain will get worse, that the pain will spread, that new nerve endings will find themselves affected by this problem and that you'll be in a much more painful situation than you were before. For some people it isn't an anxiety disorder but just a general fear of not being able to control your own brain and your own body. It's not fun.

Re: Other Disorders

I am the most well adjusted drug addict on the face of the earth.

Chronic pain tends to make people different than they were before said pain struck. However in my case...it's been so long I can't remember what it was like to walk without feeling like I'm going to fall over. And even with what Emma did for me, which I'm entirely grateful for because it's like a second chance...maybe I'm just a selfish bastard because I wish I didn't need a mental block to feel like I'm not in pain.




[locked to the 'adults' : Brittany, Emma, Scott, Kelly, Nic, Sam, Lee, and Ynez]

Shit happens. I was stupid all those years ago and made the mistake of grabbing the syringe out of his hand. Somehow despite my pleas for painkillers he thought it would be intelligent to keep them from me. Somehow despite the fact that I was screaming at him he thought I was faking. I grabbed it and I jabbed it into my leg and he thought I was a drug addict looking for a score.

Funny how that worked out. They looked at me like an addict and it was three days of muscle death in my future. When muscle tissue dies it sends the dead cells into the bloodstream and into the body. The body's white cells attack. A war rages in your system as you try and fight yourself. Pain. Unbearable pain. They kept me on a minimal dose of painkillers because of my stunt in the clinic. Young doctor with a fresh addiction to feed. Again, funny how that turned out.

Three. Days.

Once they checked for the infarction it was too late. The clot had cut off too much blood flow for too long. They wanted to amputate. I said no. I toughed out another two days of the dead cells fighting in my system. They had me on the highest dose of morphine they could give me without causing me to OD and I still couldn't move. My throat went raw from screaming. That is pain.

Why am I talking about this? Because I don't want to go through it again. One stupid fucking stupid mistake of mine caused an entire chain reaction that sealed my fate. Of course you say that I couldn't have known it was a clot and that the doctor should have listened. Then again I told the nurse she had twenty seconds until I went into cardiac arrest and it was really only thirteen.

Pain. I've been beat up. I've been jumped in a dark alley. I've been clipped by a bullet just above the elbow. I got another in my gut that ended up against a rib. A third took out my jugular. Shock. Pain. I've broken bones. I've gotten so drunk I thought I was going to die. I've electrocuted myself.

I've overdosed.

Yet, the pain still persists. And as long as the pain persists, I'm still going to be an addict taking the Vicodin.

I'm never going to win.

Fuck it, I'm going to bed. A blog entry about an article I read on the internet while battling my apparent newfound insomnia turns into a fueled by the two glasses of scotch to help me sleep post of...whatever the fuck this is. It is what it is. I am who I am.

Now if I could stop dreaming about staring up at the business end of a semi-automatic .45, I would be set.




(33 comments) - (Post a new comment)


[info]bravotwozero
2008-02-09 07:38 am UTC (link)
Excuse me?

Greg...you're worrying me.

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[info]doctorhouse_tm
2008-02-10 03:15 am UTC (link)
I...don't be worried.

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[info]bravotwozero
2008-02-10 05:20 am UTC (link)
Honey, if there's something that's keeping you up, of course I'm going to worry. I'm your wife, that's what I'm supposed to do.

Is there something I can do to help?

(Reply to this) (Parent)(Thread)

locked
[info]doctorhouse_tm
2008-02-10 05:27 am UTC (link)
I can't stop seeing him. I don't know why. I feel like I'm going crazy.

(Reply to this) (Parent)(Thread)

Re: locked
[info]bravotwozero
2008-02-10 05:32 am UTC (link)
You're not crazy, honey. Crazy is if you run naked down the street covered in tomato sauce.

Did you want to talk about it?

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Re: locked
[info]doctorhouse_tm
2008-02-10 08:27 pm UTC (link)
There's not really much to talk about. I have no idea why it's come up again. That frustrates the living fucking hell out of me.

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Re: locked
[info]bravotwozero
2008-02-10 08:29 pm UTC (link)
If there's anything I can do to help...it just worries me, you know? You're such a good father and a good husband and it bothers me if you're not happy.

(Reply to this) (Parent)

*locked*
[info]ynez_castillo
2008-02-09 04:09 pm UTC (link)
One stupid fucking stupid mistake of mine caused an entire chain reaction that sealed my fate.

I hear you, Greg. That was an interesting article, even if the study had a small sample size.

Sometimes I wonder if my brain wasn't broken before my accident. I can't remember the last time I felt normal.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 03:17 am UTC (link)
It was a small sample size. I would be curious to see if that was the same result when given over a wider range of subjects.

You honestly can't remember? Or is it just...you think you must have been normal at a later point than you can?

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Re: *locked*
[info]ynez_castillo
2008-02-10 03:49 am UTC (link)
I don't think I was ever normal, but there were times when I almost felt like it.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 04:08 am UTC (link)
Even when you were a kid?

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Re: *locked*
[info]ynez_castillo
2008-02-10 04:09 am UTC (link)
Oh, I definitely wasn't normal when I was a kid.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 04:15 am UTC (link)
Normal is relative, I think. I wasn't either.

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Re: *locked*
[info]ynez_castillo
2008-02-10 04:18 am UTC (link)
I guess there are times when I feel normal temporarily, but they don't last.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 04:31 am UTC (link)
And it's been worse since your accident or you don't really think there's been a change?

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Re: *locked*
[info]ynez_castillo
2008-02-10 04:43 am UTC (link)
It's complicated. In some ways, my life is demonstrably worse since my accident, but that doesn't have much to do with feeling normal.

Maybe I'm confusing feeling normal with feeling happy. I don't know.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 04:48 am UTC (link)
You can be unhappy and normal, you can be happy and not normal, you can be happy and normal too. There are a lot of options.

What's changed? Or is the list too long?

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Re: *locked*
[info]ynez_castillo
2008-02-10 04:52 am UTC (link)
My hip really hurts right now.

I'm back in New York right now and I wish I hadn't come, but Kara's baby is so precious.

I don't know. I think when Carlos died, I sort of went with him in most of the ways that matter. I just don't know how to do anything right.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 05:05 am UTC (link)
I feel you on that. I just hurt.

I read about that...I don't think confused covers it.


I sort of went with him in most of the ways that matter.

If I can ask a personal question, did you consider yourself and Carlos to be 'soulmates' or the equivalent? If you did...well then that explains it.

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Re: *locked*
[info]ynez_castillo
2008-02-10 05:11 am UTC (link)
Confused, yes. I spent a lot of the day suspended somewhere between disbelief and outrage. The only time I felt okay was holding that baby.

I don't know if we were soulmates. I mean, I guess so. I'm not sure it's a category I believe in. I mean, what do you do when half your soul goes away? How does anybody really recover from that?

I don't know. I'm not doing a very good job at anything right now. I've lost most of my friends. I'm afraid that Darius hates me. Things are bad.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 05:15 am UTC (link)
When did she get a kid? How in the hell can she handle a kid? I mean...what the heck happened?

I don't know if you do. I know my ex still has a piece of mine I wish I could get back.

Why would Darius hate you?

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Re: *locked*
[info]ynez_castillo
2008-02-10 05:23 am UTC (link)
It's brand-new, I mean, not a newborn, she just got it. There was some sort of dimension-shifting, mutant power blah blah blah that I don't understand and don't care about. The point is the baby really is Kara's little girl. It looks just like her.

So I choose to look on it as a miracle. That works for me.

I have no idea how she's going to take care of it. I have no real confidence in her, but Angel knows what he's doing, so I have to have faith there will be no permanent damage inflicted. In the end, it's really none of my business, and that just makes me sad. She's such a sweet little baby, Greg. Just adorable.

Anyway, Darius. In some misguided attempt to be honest, I told him some things now that I wish I hadn't. I think I disgust him, to tell the truth. It's complicated. He's going through some changes right now, too.

I miss being able to talk to him.

You know, I have this feeling that if I was normal, I wouldn't end up with everyone disgusted by me.

(Reply to this) (Parent)(Thread)

Re: *locked*
[info]doctorhouse_tm
2008-02-10 05:39 am UTC (link)
I just hope she doesn't have a crisis. I'm not that worried about the kid if it's got mutant powers and that but if Kara has a breakdown because of this kid...I don't know how much more she can take. I hope it works out. I really do. Maybe it will be good for her.

Normal is boring.

Well I think if you told Darius the truth about some things you had to take the risk that he wouldn't like them. So then you have to look at his reaction and ask yourself if that's what you want to deal with, you know?

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Re: *locked*
[info]ynez_castillo
2008-02-10 05:49 am UTC (link)
I wish things were the way they used to be. That's what I wish.

But they won't be ever again.

I have to deal with his reaction. I don't want to leave him. I just wish he'd answer the phone! I've been trying to call for hours! He wasn't happy that I didn't call the last time I went away, and now that I'm trying to call, no answer!

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 05:56 am UTC (link)
Do you think maybe he's out?

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Re: *locked*
[info]ynez_castillo
2008-02-10 06:15 am UTC (link)
For twelve hours?! I don't think so!

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 06:19 am UTC (link)
Yeah, that's not just 'out'.

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Re: *locked*
[info]ynez_castillo
2008-02-10 06:22 am UTC (link)
I just keep hitting redial. This is making me crazy. I need to put the phone down and walk away from it.

(Reply to this) (Parent)(Thread)

Re: *locked*
[info]doctorhouse_tm
2008-02-10 06:27 am UTC (link)
Put it down, walk away, and try again in an hour.

(Reply to this) (Parent)(Thread)

Re: *locked*
[info]ynez_castillo
2008-02-10 06:32 am UTC (link)
I hate this. I'm going out to get a drink or something. I'm sorry to be such a downer. Thanks for listening, Greg.

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Re: *locked*
[info]doctorhouse_tm
2008-02-10 06:33 am UTC (link)
Hey, you'd do the same for me. Anytime.

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[info]sewing_on_ears
2008-02-09 06:14 pm UTC (link)
From a doctor's perspective, though, we're always in that impossible position - how do you tell a drug addict from someone genuinely in pain? Particularly when the same person can be both?

And from the patient's perspective, how do you separate pain from addiction? How do you separate symptom from cause?

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[info]doctorhouse_tm
2008-02-10 03:19 am UTC (link)
You can't. And often they are. Addicts are suffering too, from something a lot of the population doesn't understand. People don't realize that it's not like most addicts wanted to get in the position in the first place...something in their head or life forced their hand.

Pain and addiction go hand in hand...you can't. As long as I'm in pain, I'm going to be an addict. The pain's not going away anytime soon.

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