We need to talk......

[cinderdust]

Fragilebone gulped "Allright...." "What do you want? And I wouldn't be so sure about the whole "love thing." She replied, her tone slightly shaking, but she did her best to keep it steady and clear.

[~ Konkarite ~]

Skullblood sighs. "So cruel. After i made it so you could have kits, and this is how you treat me?" He knew that she knew that he wasnt even suppose to know about the kits. He washed the mudd off easily, showing his true pelt. He smirked over at her, walking closer. "And to think. I let you live as well."

[cinderdust]

"Un-willingly." she persisted, and then gave up. "If you care so much, please just let me go!" she begged, although she knew that hope was slim.

[~ Konkarite ~]

Skullblood brushed against her mockingly. "Aww. What fun is that, Luv?" he mocks He smirked at her evily.

[cinderdust]

"Very fun?" Her voice squeaked, and she sighed. "I've had to lie to my kits about something they should know at their birth. Do you know where they are. If you did anything to them..." she shook her head. If that was the case....

[~ Konkarite ~]

A sly, evil smirk crossed over his face. "Why, what ever do you mean? I did nothing to OUR kits!" His voice was mocking, yet smooth.

[cinderdust]

"You selfish..." Fragilebone sighed. "Nevermind that. You have not dont anything for our kits. Why are you here? What does anything matter to you?" She inquired. "Its not like you suddenly decided to go up to me and talk to me....or are you really that useless to anyone?" Fragilebone challenged the crimson-eyed warrior.

[~ Konkarite ~]

"Wow. You finally got a spine, what a shocker." Skullblood smirked, leaning in close to Fragilebone. "I would like you to know they are safe . . . with me. They're fine, dont worry. They luv it." He tilted his head to the side, still smirking. "How are the others?"

[cinder]

ooc: Sorry for being so late!

"The others are fine." She said coldly.

[kines]

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Opioid medications are synthetic cousins of opium and the drugs derived from opium, such as heroin and morphine. These drugs are often prescribed for acute pain that stems from traumatic injury, such as surgery or a broken bone. Opioids currently cause the most prescription drug-related overdose deaths in the United States — and that rate is still rising. Because the risks are so great, opioids are used at the lowest dose possible, usually for just a few days.



Brand names. Hydrocodone (Hysingla ER, Zohydro ER); hydrocodone-acetaminophen (Norco, Zyfrel, others); fentanyl (Actiq, Duragesic, Fentora), oxycodone (OxyContin, Roxicodone, others); oxycodone-acetaminophen (Percocet, Roxicet, others); others

How they work. Opioids, just like real opium, mimic the natural pain-relieving chemicals — called endorphins — produced by your brain. These drugs "turn down the volume" on the pain signals your nervous system sends through your body. They also muffle other nerve cell functions, such as your breathing, heart rate and level of alertness.



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Pain Management: Treating Mind and Body



Scheman stresses the importance of approaching pain both physically and emotionally and addressing "people as entire human beings.” So while chronic pain medication can be effective and important for pain management for many people, it isn't the only tool available when it comes to pain treatment, and it shouldn't be the only tool that's used.



Medications. "There are a lot of medications that are prescribed for pain," says Scheman, although she notes that opioids (narcotics) and benzodiazepines may not be the best options. Those treatments "have their own problems, and there are no good studies on using opioids for long periods of time for the treatment of chronic pain."



Types of chronic pain medication used include:



NSAIDs (non-steroidal anti-inflammatory drugs), including ibuprofen, naproxen, and aspirin

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Antidepressants, which can improve sleep and alleviate pain

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Steroids, like dexamethasone and prednisone, to alleviate inflammation and pain

Therapy. Therapy can be aimed at both the mind and the body. Says Scheman, "I try to look at any of these therapies as not being purely physical or purely psychological — we are always a mixture of both of those things."



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Cognitive-behavioral therapy allows people to "learn and have a better understanding of what the pain is from, and what they can do about it," says Scheman. This therapy is really about understanding the role of pain in your life and what it actually means for you, add Scheman.

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Anti-inflammatory medications

Non-steroidal anti-inflammatory drugs (NSAIDs) can be taken to alleviate the pain caused by inflammation.

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Avoid the long-term use of NSAIDs unless advised by a doctor. They increase a person's risk of stomach ulcers, which can result in severe, life-threatening bleeding.

NSAIDs may also worsen asthma symptoms, cause kidney damage, and increase the risk of having a stroke or heart attack.

Acetaminophen, such as paracetamol or Tylenol, can reduce pain without affecting the inflammation. They may be ideal for those wishing to treat just the pain while allowing the healing factor of the inflammation to run its course.

Corticosteroids

Corticosteroids, such as cortisol, are a class of steroid hormones that prevent a number of mechanisms involved in inflammation.

There are two sets of corticosteroids:

Glucocorticoids: These are prescribed for a range of conditions, including:

Arthritis, temporal arteritis, dermatitis, inflammatory bowel disease (IBS), systemic lupus, hepatitis, asthma, allergic reactions, sarcoidosis

Creams and ointments may be prescribed for inflammation of the skin, eyes, lungs, bowels, and nose.

Mineralocorticoids: These are used to treat cerebral salt wasting, and to replace important hormones for patients with adrenal insufficiency.

The side effects of corticosteroids are more likely if taken by mouth. Taking them with inhalers or injections can reduce the risk.

Inhaled medications, such as those used long-term to treat asthma, raise the risk of developing oral thrush. Rinsing the mouth out with water after each use can help prevent oral thrush.

Glucocorticoids can also cause Cushing's syndrome, while mineralocorticoids can cause high blood pressure, low blood potassium levels, connective tissue weakness, and problems with the levels of acids and alkalis in body tissue.

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Pain Management Schemes for all

Pain is a very common condition and it is an unpleasant sensation caused by stimulation of fine nerve endings. The occurrence of pain rises as people get older, and women are more likely to experience pain than men. A pain management specialist is a doctor who evaluates your pain and treats a wide range of pain problems. A pain management doctor treats sudden pain problems such as headaches and many types of long-lasting, chronic, pain such as low back pain. Patients are seen in a pain clinic and can go home the same day. Pain management doctors offer a mix of medication-based treatments and procedures, that can stop the pain at its source.

Types of pain treated by a pain management doctor

The types of pain treated by a pain management doctor fall into three main groups. The first is pain due to direct tissue injury, such as arthritis. The second type of pain is due to nerve injury or a nervous system disease, such as a stroke. The third type of pain is a mix of tissue and nerve injury, such as back pain. However, pain fall into two major categories namely: acute and chronic pain. Acute pain is a normal response to tissue injury, which starts suddenly and is usually short-lived. Chronic (ongoing) pain persists beyond the normal time of healing and generally lasts for longer than three months.

Pain may be anything from a dull ache to a sharp stab, and can range from mild to extreme. Pain may be located in one part of the body or it may be widespread.

Studies suggest that a person’s outlook and the way they cope emotionally with long-term (chronic) pain can influence their quality of life. Counselling can help support you to manage the emotional and psychological effects of chronic pain. Understanding the causes of your pain can help reduce your fear and anxiety.

The pain management clinic

Pain patients are seen in an outpatient pain clinic that has procedure rooms, with ultrasound and X-ray imaging. Sometimes, the pain doctor performs the procedures in a nearby hospital. Some pain doctors may offer you sedation during the treatments. However, this is not needed in many cases.

Key pain management strategies include:

• pain-relieving medications

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• complementary therapies (such as acupuncture and massage)

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Causes of pain

The most common causes of pain in adults include:

• injury

• medical conditions (such as cancer, arthritis and back problems)

• surgery.

The most commonly reported pains are headache and back pain (although pain involving the limbs, shoulder, neck and head is also common).