Pain Management/OPMD


I am getting blood and dna test today for OPMD PABP2. It has been passed through by my parents.  I have seen what it has done to other family members at earlier ages. I have eye drooping, muscle weekness and a very hard time swallowing.  I am 45.  pain medication does help, as the pain in the shoulder area seems worse.  I did try an old scrip of valium a few days ago, I let it melt in the back of my mouth and it seemed to help my swallowing issue quite a bit.  Does that make since??  And is it ok to take vicoden with this?  Does not seem to effect my head, thinking, sleepness, etc.

It is fairly safe to take one tablet only of Valium with Vicodin, but technically you should not do it without checking it out with your dr first. Sorry for "passing the buck", but nurses are not supposed to "prescribe". However, to answer your question, if you only take one of each it should be safe. And, no alcohol.

Pain Management

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Patricia M


I welcome questions from people who may want a "nurse's perspective" on the subject of chronic pain and pain management. I am a nurse, NOT a physician (MD).I can answer questions on medications, alternative approaches, and the various organs and body systems. There are many avenues to explore with chronic pain. I am against seeing patients suffer simply because healthcare professionals might suspect they are "drug seekers". There are methods of identifying true pain, and this makes patients feel as if they are taken seriously, which they should be.


Over 25 years working experience in Internal Medicine, Adult Cardiology, Post-Surgery care, Cancer, psychiatry and some experience as a lay-counselor in addictive medicine (dependence to alcohol and/or drugs, both legal and illegal drugs).

I am an Expert with AllExperts in several areas: Pharmacy, Internal Medicine, Medical Errors. Feel free to check my Q&A history as well as my ratings, which are very high.

Diploma from hospital-based nursing school. Additional courses in pharmacology. I keep current in continuing education. Am currently working as lay-counselor which can lead to my certification as Substance Abuse Counselor.

Awards and Honors
Dean's List while in college.

Past/Present Clients
Internal medicine patients, cardiology patients recovering from heart disease and/or open-heart surgery, cancer, as well as recently working as a lay-counselor to individuals dealing with addiction to drugs and/or alcohol. NOTE: Just because I attempt to help patients with addictive diseases, I have over 25 years in Internal Medicine, have nursed patients with great deal of pain, and I am compassionate. I never label anyone as a "drug seeker". I have seen that done for years, and am against it. All patients should be evaluated for pain in a fair and comprehensive manner. Am an Expert with AllExperts in three other medical categories; feel free to check my ratings, which are high.

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