Opioid-Use Success Stories LOUIS FINKELMAN CONTRIBUTING WRITER We cannot just do without opioid drugs. They have legitimate, life- saving uses. These two men, who chose to use pseudonyms, are opioid success stories. Ever since his teens, Ted has suf- fered from a collection of painful symptoms: pain in his knees and hands, intestinal troubles and then severe headaches, inflamed muscles and back spasms. Decades later, a doctor diagnosed the cause: congeni- tal degenerative arthritis, destined to get worse as the years go by. Different doctors generally pre- scribed opioid drugs to control the pain. The drugs, derived from the poppy plant, or synthetic copies, worked pretty well. They enabled the young man to live a productive and enjoyable life. Now a retired professional, Ted maintains multiple interests in the arts and sciences, enjoys traveling from his home in suburban Detroit and has deep friendships. Without the drugs, none of this would be possible. Some doctors recommend “stay- ing ahead of the pain.” They reason if a patient waits to take drugs until pains have become noticeable, then the pain may be overwhelming by the time the drugs take effect. Better not let the pain build up. Ted takes these drugs warily. The opioid drug relieves pain, lowers stress and helps his tense muscles relax. Even in small doses, the pain killers have side effects. They can alter consciousness. They cause constipation. Ted never forgets a dealing with addiction and related problems, advises clients that thera- py to deal with addiction takes time. She criticizes the use of criminal law to deal with drug addicts. “I do not want to talk about the politics,” she says. “The law can pun- ish people who break the law. But what are we doing? If we punish someone for becoming addicted by putting him in jail, eventually he will come out still addicted and looking for his next fix.” Ziv also criticizes the insurance model, which pays for short-term medical treatment for addicts, as if addiction can be cured inexpensively. “Addiction is a chronic condition,” she says. “The addict needs long- patient can become addicted. Ted has retired on a modest pen- sion, but the cost of these drugs will eventually force him back into the job market. Ted is a success story of the opioid drugs. Charles, another retired profes- sional, a former Detroiter now living in Israel, has serious musculoskeletal problems. For years, when his body hurt, Charles, never a fan of exercise, would keep still. His world got pro- gressively more constricted, until he went from bed to wheelchair to couch to dinner table to bathroom and about nowhere else. The time had come to change. In the past two years, with the help of powerful opioid drugs and medi- cally prescribed marijuana, he has felt well enough to work with a tough physical therapist and regained the ability to sit up, to walk and even to travel about the country. “This may not be helpful to you [for your story], but the drug is a life saver. It, or an equivalent, must remain avail- able.” • term maintenance to get to a posi- tive outcome; often the spouse or the rest of the family needs coaching as well.” By way of analogy, Ziv stresses, “We do not pretend that other chronic conditions, such as diabetes, can be cured with a simple, quick, inexpensive treatment. We recognize that people must learn to live with their chronic conditions.” Ziv stresses that people involved with drugs “can become productive, caring people when they find mean- ing in life. They can help others.” • Next month look for a story about treatment. Gretchen Winer, librarian at the Lawrence Technological University Library, assisted with this story. Discover Award-Winning Care St. Joe’s is a nationally award-winning health care provider, offering excellence in the areas of Cardiovascular, Orthopedic, Cancer, Women’s Health, and Pulmonary care. We take great pride in earning the trust of the community and in being the health care provider of choice for North Oakland County residents and their families. For a referral to a St. Joe’s physician or more information, visit stjoesoakland.org or call 800-372-6094. 2159570 jn October 26 • 2017 53