September 14th, 2008

mr men bump

1 patch = good. 2 patches = puke.

I ended up experiencing my first side-effect/overdose senario yesterday with the fentanyl patches. It wasn't intentional definitely caught me off guard. The fact of the matter is that the patches are supposed to last 3 days. The problem, from my perspective, is that it takes between 12-24 hours for a new patch to hit peak efficiency. That means that I often leave the old one on for at least an extra 12 hours or so after I apply the new. This hasn't been a problem so far, and I'd like to believe that overlapping in this fashion has saved me some unnecessary agony from breakout pain. I also don't like the idea of 'wasting' any of the meds that might be left in the patch so I figure there's no reason not to leave it on until every last drop is gone. The problem is that the time of day I apply the patches varies. It just so happened that I had applied the previous one very late in the day and the new one yesterday early. I figure I must've spent at least a handful of hours getting much more of the fentanyl on board than I should have.

Yesterday was a game day at the Panera and I really wanted to make it there because a new game order had come in a few days ago and contained Agricola. It's the new 'hottest game' with the most buzz and excitement. People have actually been quite rabid in defending its merits. You'd think that the cure for cancer was included free in every box.

Anyway, I wanted a chance to run through it and I was actually very happy with the results. Hell, I can't remember the last time I was this favorably inclined toward a board game. It took us around 4 hours to run through it from start to finish, not bad considering that I was trying to read the rules as we went along. The problem was that halfway through I started to get nauseous. I wasn't especially sleep deprived, so I knew it was likely due to the medication. I tried to just ignore and ride through it, but that was a no go. I ended up nearly puking all over the place a couple times and that convinced me to yank the new patch off. That seemed to sort things out eventually and the rest of the day ran much more smoothly.

All in all, it was an interesting experience. I had always wondered how much patch would be too much for me. I had no negative reactions at all when I first started taking it and with the more than occasional presence of pain, I figured I was actually taking less than I really should. Now I know that double the dose is way too much. That might come in handy when I finally get to see the pain specialist on the 19th. I'm just hoping that the guy doesn't end up being a wankjob.