Thank you for explaining Helen....and Tina it was very clear....I am saving a copy of this for myself. I did not get morphine from the doctor yesterday, but got some kind of patch. I can't remember what it is called...I think it begins with an e. I had to put tape on it to hold it on so I can't look at it to tell you and since I am not at home I don't have the box. All I know is my doctor told me that it was very addicting, but he said that at this point that really didn't matter. My blood pressure when I got to his office was 208/140. I was really surprised that he didn't put me back in the hospital. He is sending me to Green Bay on Friday so that I can have and MRA - angiogram. This is basically a nonevasive angiogram. The doctor doesn't feel that I can handle a normal angiogram. An MRA is like an MRI and hopefully will be just as telling as a normal angiogram.
Thanks for all the info regarding patient rights, the intractable pain law in Texas as welll as the statement from that doctor. When I got through all of Bev's email I found that and printed it up. I was well armed when I walked into the doctor's office. Fortunately, I didn't really need to address the issue. However, I have already made a call to my state assemblyman trying to determine if we have the same type thing and if not I think I will start a campaign to get it.
Thanks once again!
Karla N.
>----- Original Message -----
From: Helen Dynda <olddad66@runestone.net>
To: Multiple recipients of list ADHESIONS <adhesions@forum.obgyn.net>
Sent: Wednesday, February 16, 2000 3:28 PM
Subject: Opioid Potency - Tina and Karla
> Tina and Karla, What you saw, when you typed, is not what you got when
> you posted the following message to the forum.
>
> I try to remind myself everytime I post a message - to leave a space
> between consecutive items. If I don't, the consecutive items will not
> appear the way I planned them to appear.
>
> I decided to accept the responsibility to help Tina's chart to appear as
> Tina meant it to appear. Tina's chart about Opioid Potency appears
> below:
>
> ```````````````````````````````````````
>
> At Wed, 16 Feb 2000, Tina Shelby wrote:
>
> Karla,
>
> No need to apologize, it wasn't very clear was it?Basically, using
> oxycodone as the standard comparing its strength to morphine and the
> other opiates. So I'm going to use a different chart - easier to
> understand (I hope)
>
> Using Morphine as the standard. The following drugs and their dosages'
> injection are equal to getting the same amount of pain relief as 10 mgs
> of Morphine injection:
>
> 1.5 mg hydromorphone (Dilaudid) = 10 mg morphine
>
> 10 mg methadone (Dolophine) = "
>
> 15 mg oxycodone (percocet, tylox) = "
>
> 2 mg levorphanol (Levo-Dromoran) = "
>
> 1 mg oxymorphone (Numorphan) = "
>
> 5 mg Heroin = "
>
> 75 mg meperdine (demerol) = "
>
> 130 mg codeine = "
>
> 25 ug/hr Fentanyl = "
>
> Is this clearer? Please let me know!
>
> Tina
>
> ``````````````````````````````
>
> Opioid Potency
> ``````` ````````
>
> Oxycodone 1 (standard)
>
> Codeine 0.15
>
> Fentanyl (patch) but potency about 50
>
> Hydrocodone 0.9
>
> Hydromorphone 4.0
>
> Levorphanol 7.5
>
> Meperidine 0.1
>
> Methadone 1.5
>
> Morphine 0.5
>