missoula notebook

Sweet Mother Lortab


By Sutton Stokes, 7-23-08

 
  Ahhh... I can feel it working...

Judging by the mental feebleness of some of the regular commenters here at New West, I’m guessing that a few of you are believers in so-called “intelligent design,” so can one of you please explain to me what is so intelligent about the human neck? I ask because I’ve apparently caused grievous injury to mine with nothing more than pillows, which seems indicative of the kind of bug that never should have made it past beta testing.

It all started last week when I was down in Flagstaff visiting my wife, the Bird Woman of the Coconino. We stayed on San Francisco Street in the hotel Monte Vista, where parts of Casablanca were supposedly filmed and the rooms are named after celebrities who once passed through. In the past, Amy and I have had the Robert Englund and Michael Stipe rooms (yeah — disappointing!), but this time our room’s namesake had a more satisfying nostalgia quotient: Alan Ladd. (Think “Shane, come back!”)

Our first night there, we noticed that the pillows were exceptionally thick.

“Ooh, luxurious,” I thought, before turning in.

“Ooh, ouch!” I thought upon waking. I had a crick in my neck and, in certain positions, a pain that shot down under my right shoulder blade. There was plenty to distract me all week, though, and the pain was never that pronounced, so I was able to ignore it.

Until this morning.

I was lying in bed, trying to decide whether it was more important to sleep for another hour or get the trash out in time for pickup, when I made the mistake of commencing a langorous stretching of my lithe, catlike muscles. Suddenly I was shrieking with pain and twitching like an electrocution victim as I desperately tried to find a position in which I could escape the sensation of someone carving out my cervical spine with a filet knife while sliding red-hot knitting needles up under my shoulder blade. I finally found a somewhat neutral position and lay there gasping, thinking profound thoughts like “what the fuck was that” and “guess I should probably go to the doctor.”

I dressed and dragged myself out to the car for the drive to Northgate Medical Center, where the staff is friendly and helpful, but — it has to be said — the waiting-room-magazine selection is just about the worst I’ve ever encountered: three copies of Model Aviation (for a second, you let yourself hope that one of these will include photos from a party on Ron Burkle’s private jet, but, alas, not that kind of model, apparently) and a two year old Kiplinger’s Personal Finance.

The doctor wondered if I’d been in an accident or maybe fallen down, but when I explained the pillow theory she thought it sounded plausible. “The neck is really easy to injure,” she said. “If you end up needing physical therapy, the therapist can show you all kinds of exercises and how to improve your posture. It’s all about prevention,” she finished, cheerfully, apparently not having considered that — if it really were all about prevention — our doctors would have us all in for some posture analysis and medicine-ball work before the debilitating spasms commence.

She started explaining what the course of treatment would be. Waiting to hear what kind of painkillers I’d won been prescribed, I tried not to look shifty. I’ve been reading the fascinating Missoulian series on painkiller addiction all week, full of harrowing tales that almost make you never want to grind up and snort an OxyContin ever again, and I worried my treatment would suffer if they thought I was faking my pain, “doctor shopping,” another junkie just looking to score.

I was half expecting her to hand me a writ for “Coast Guard penicillin,” i.e., the 800-milligram Motrin pills the military doctors gave out for everything from sprained ankles to leprosy. But no: Flexeril for the spasms, and good old Lortab for pain as needed, and when isn’t it? They also gave me a “c-collar,” one of those foam neck braces you wear to court after you’ve been in a car accident.

I wracked my brain trying to remember if I’d seen mention of Lortab in the Missoulian series, but I didn’t think I had. I forgot to ask the doctor if that means it’s safe to snort it, although a quick Google search for “Lortab abuse” just now found that it is supposed to be “slightly less” addictive than OxyContin, which — I guess — makes it slightly safer to snort. (Disclaimer: The preceding statement is for entertainment purposes only.)

I left the clinic wearing the collar but took it off in the car so as not to frighten my fellow drivers as I made my cautious, pain-brightened way across Reserve Street to the Wal-Mart pharmacy. (Hey, did you hear that Wal-Marts don’t hurt small businesses after all — depending, as always, on just where you draw your regression line.) I turned in my paperwork and was told the prescription would take about 25 minutes to fill, which seemed like a long time for scooping some pills into a bottle, but at least the wait gave me the opportunity to slump on a bench by the checkout lanes and scribble most of this account in my notebook.

Now I’m finally home, after swinging by the video store for some horror movies (the only truly relaxing form of cinematic fare, I find, much to my psychologist’s concern, although he says he’s almost certain I’m not going to have any more “episodes") and the grocery store for some frozen pizzas. I popped a Lortab about a half hour ago, and I can feel it starting to spread its soothing warm tendrils down along my veins. The Missoulian isn’t the only publication with good drug stories this week: David Carr, the New York Times columnist who has just released a fascinating-sounding memoir of his own crackhead past, wrote in an excerpt on Sunday that “drugs… do not conjure demons; they reveal them.”

I’ll let you know if Lortab reveals anything to me. See you in rehab!


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Comments

Have you considered a chiropractor?
NO. He is more funny this way!
I feel your pain brother. I'll second the comment above: see a chiropractor. Ditch the regular doctors - they'll just prescribe drugs that mask the problem. A chiro will actually fix it.
When you travel, always, always pack your pillow. It is well worth the trouble.
I read the Carr piece. It confirmed what I have always believed, and that is college junkies from money will someday be rehabilitated, and college junkies not from money become lifetime junkies. And probably a shorter lifetime.

A chiropractor will allow you to live pain free most of the time. The MD with surgery on his mind, and you willing, will almost guarantee you a lifetime of pain and pills. Go to the chiropractor.

My wife spent 25 years as a senior adjuster for workers comp accounts, and professionally found that chiros were slime. Then she hurt her neck. For two months she was in pain. She was beside herself. Then she did remember one chiro who seemed to not have people on comp for the rest of their lives, had been honest in all their dealings, and in desperation, went to him. And now swears by his manipulations. Recommends him. She figured it out. Go to the chiropractor.
Thanks for the comments all. Bear Bait, that confirms what I've heard, that some chiropractors definitely try to make you dependent forever (there are apparently chiropractic trade journals with articles about how to get "patients for life" and that sort of thing); at the same time, chiropractic has been the key to my wife's salvation from a couple relapses of whiplash resulting from when a truck hit our car on the highway, so obviously there's good and bad eggs in that field, just like every field. My mom used to take me along to her chiropractic appointments when I was little, and that guy always gave me a balloon, so he must have been all right.
This is hilarious. Especially this part:

twitching like an electrocution victim as I desperately tried to find a position in which I could escape the sensation of someone carving out my cervical spine with a filet knife while sliding red-hot knitting needles up under my shoulder blade.

Giggle.

And this:

I tried not to look shifty.

What I don't get is, how are y'all getting your drugs? Because I hadn't had or wanted prescription painkillers in twenty-some years until I got adult braces on a few years ago. I was in excruciating pain for 11 solid days, and neither my orthodontist nor my doctor would prescribe anything for me.

I'm still traumatized.
@Patia: I'm not sure if orthos have ever been in the practice of handing out painkillers for braces, though having been through that myself as a kid, I know how nice it would have been to get something to help after those tightenings. I know in general that painkiller prescribing became more common in recent years, in the recognition that pain management isn't just "nice to have" but an integral part of recovering from injury and/or illness. This is as opposed to an older paradigm in which doctors were very stingy with pills out of the fear that people would become addicted. I have to say, though, that those Missoulian articles pretty well freaked me out...
Not funny. Just plain stupid. Waste of spqce.
All who recommend chiropractors are right on; those people can really work some magic. Although, as bear bait says, find a good one that won't try to make you a patient for life; that one is slime!
Watch it with the Lortab. I was on 5/day for 10 days for a painful post-surgery recovery malfunction, and when the pain subsided and I started eating less Lortab, I'd feel lightheaded, anxious, achy, and generally "ucky". Had to decrease my intake over a few days; it wasn't pleasant.
Sutton: My teeth were so torqued that they were nearly straight in one month's time. No wonder I hurt so bad!

Willy: Your comment is a waste of "spqce."
Willy is the guy responsible for the magazine selection at Northgate--this piece cut him deeply.
I went to chiropractors for years and received some relief. But when I was facing surgery because of 3 pinched nerves between the C4 and C5 vertibra a friend told me about a different type of Chiropractor. It is called NUCCA and after treating with this doctor I no longer need surgery. Type in nucca.org to find a doctor near you. They are very scarce. I have referred 3 friends, one was also facing surgery and they can't Thank me enough.
AMPUTATE!!
Willy is right! Sutton, I don't know if you realized it, but the internet is almost out of space. Please stop wasting it! It is needed for funny things.
@Neale: I know, I know. I try not to hog the internet, but it's just so good... I want to grind it up and snort it...
Neck ailments are debilitating, but not quite as much as the laugh I got from your column.

I was raised to believe chiropractors were quacks, but once I found a good one who told me that chiros who keep you coming back forever are the quacks, I was willing to try. I had pain in my hip joints that made me cry out loud, but x-rays showed nothing. After a year of misery, this chiropractor cured me in one $35 visit. That was five years ago. Not a twinge of pain since. Ask around for recommendations, and when one name keeps coming up, try her/him.
Great writing, as usual, Sutton. You've set the bar pretty high for yourself, and even with the bum neck, you still manage a nice Fosbury Flop over that baby.

I've had the same neck affliction you describe, and it reminds me of the George Carlin (or was it Steven Wright?) observation: "Did you sleep well?" "No, I think I made a couple of mistakes."

I got through the neck episodes (attributed to Getting Old) without seeing a doc, but as it happens I'm currently in possession of a shiny green bottle of Lortab 7.5's, which were prescribed by my orthopaedist to facilitate sleep with the pain of what is probably a torn rotator cuff in my left shoulder.

It's been a love/hate relationship with Mother Lortab over the last ten years for me (ever try to rub one out while on Lorab? Talk about hand to hand combat!), but somehow avoided addiction beyond the prescribed period.

The comments on seeking chiropractic are on the money, and for that type of neck pain, I think you could get some relief without the codeine or surgery. Good luck, and keep your chin up.
BobWire: A very good friend, 80, had rotator cuff surgery, arthroscopic, early this month. He wrote that he was the most stupid, idiotic, bull headed person in the world. Why, he wrote, would a thinking person NOT have that surgery and be in pain for several years? Two days after surgery, one of which left his arm in a condition not even a bushel of viagra could move, he was pain free. In less than a week it was like nothing had happened. The instant cure. He is still self flagellating over his not getting it done years ago. Dumbfounded by his lack of pain, after affects, and new sunny outlook on all things physical....and he is 80 years old. Not 48, not 58, but 80....
Bear bait, that is encouraging indeed. I'm having the MRI next Friday to confirm my dr.'s suspicions, and you can bet your bennies I'll be asking him all about arthroscopic. (This pain really took the sheen off my road trip.)

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