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Tuesday, August 04, 2009

pain level is back up

Over the past 2 weeks, my pain level has steadily increased. This morning and last night between medication doses it was a 7. I can bring it down to 4 with 1 or 2 Percocet tablets (5/325). I was taking it in conjunction with 400 mg daily of Tramadol. Tramadol's side effects for me are severe itchy skin, anxiety, sleeplessness. These side effects have increased in severity each time I have gone back to taking it. It is bad enough now that I stopped taking it and am using Percocet exclusively for pain treatment (in addition to Gabapentin [Neurontin]), 5400 mg daily.

I have an ulcer on the interior of my left ankle which showed up about a week ago. My ankle is also swollen in the area of the ulcer. The pain radiates from this ulcer out to my shin. I also have pain in my right shin, which feels like someone kicked me there. I recognize this type of pain which I have had before in the same area. I will try and publish pictures soon of the ulcer and the current status of the discoloration.

I have an appointment with Dr. Belgrade September 9 to develop a plan for now and the future.

I leave this Saturday August 8 for a back packing/camping trip in the Rocky Mountains. I am concerned that I will not be able to fully participate in all the activities. I believe at this point that I have enough medications to manage the pain.

I notice again that I get confused when I take Percocet. The confusion presents in part as an inability to come up with words. I will start a sentence and not be able to think of or speak correct words, or words that would even make sense. I also got started doing a task and can't think of how to complete it. It's very frustrating. I remember this happening last April, but I don't see that I blogged that information. I also found myself twice this morning stopping part way through a simple task (sorting through medications), not being able to think of how to complete it. This is worrisome and will talk to Dr. Belgrade about it when I see him in September.

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