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01/30/2004: It's been a long time that I have updated here, but now that I get morphine I am going to update it here again.
First of all: in the Netherlands durogesic patches are also called morphine-patches although the patches don't contain morphine but fentanyl. So when you read morphine I actually mean fentanyl, but in Dutch it's normal to say morphine instead of fentanyl.
Since Saturday 24 January I have started with durogesic (fentanyl) patches. I already had them in house on Friday night, but I didn't dare to start. What if I got really sick from the patches. I already don't sleep much, but then I probably wouldn't sleep at all that night which would only make the night even more longer. So Henk woke me up at 10 o'clock Saturday morning.... yawn that's early, it's still in the middle of the night. The reason that he woke me up that early is that I then would have the whole day to improve from it if I would get pretty sick of the morphine. About a half hour later Henk put the fentanyl patch on my upper arm and... nothing, not even a tiny reaction! Yippee, at least I am not allergic to it, because then I already would have reacted to it. A couple of hours later I still didn't notice any side affect, but it seemed that the pain was a bit less. Oh boy what was I happy that it went so well; not even the slightest side-affect or allergic-reaction and even the pain got a bit less!
At night I haven't slept more, but if I fell a sleep I slept a bit deeper and that's something. The next day I even felt a bit more better; I had at least a bit less pain, if I slept I slept a bit deeper, I were hungry again and I even had it a bit less cold! I have the feeling as if my body functions a bit better.
I did get the durogesic patches from dr. Tisscher, because all other pain meds didn't do much/anything and because according to a blood test my endorphins seemed almost nihil. According to dr. Tisscher it's this last one (the few endorphins) why normal pain meds didn't do much and why my pain level is so low. Everybody has endorphins in his body, your body makes endorphins itself. Do I use a pain med, for example tramadol, then your body is being helped making endorphins. The fact that, even after years of daily use of tramadol, I still have way too less endorphins says enough.... my body doesn't work properly.
As you could have read in the previous chapters, my gp refuses the prescribe morphine. This because his opinion is that morphine is only for for example cancer patients during their last few days and because it should be very addictive. Despite all information which proves the opposite of all the above and despite a conversation with dr. Tisscher, my gp still refuses to prescribe me morphine. So this is the reason why dr. Tisscher prescribes it me himself.

Monday, the 2nd day of the patch (a fentanyl patch works for 72 hours), in the afternoon I started noticing the patch didn't do much anymore; I got more pain again. The next day however the day became less again as I put on a new patch.
Now it seems as if it works less, but this can be due to a relapse I have thanks to the neighbours. Tuesday morning at 08.45 hrs they started to work at the blinds with my neighbours, which was a lot of noise. Due to the noise I went downstairs together with Henk, because downstairs you hear somewhat less noise compared to upstairs. Considering they have been busy all day long, you can imagine I didn't had much rest because even with my ear plugs in it was still too much noise downstairs of the drill. Unfortunately it started all over again the next day, except that this time I was way too tired and sick from the previous day that now I couldn't go downstairs together with Henk. It took hours before I could move again and so it was about 12 o'clock as I came upstairs and of course I didn't feel exactly well. Also this day I couldn't rest, because again the noise was all day long. Since then I don't feel fine, I have it pretty cold again and the pain has dropped less despite the patches. So I suspect it's due to these past days and not because I already should be adjusted/addicted to the morphine.

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