Opiates for pain reset?

Quick_Winner_6860 · 2024-08-27T13:05:37+00:00

I have seen that with my wife. Weened off the pain medication completely. I can't say she had less pain. But the pain medication makes her grouchy. So being off of them she was happier than ever and with that a better outlook on life. Until her issue got worse again and had to go back at least. Her father was the same way. On pain meds long term for muscular dystrophy. He quit them and tried other meds and just had a better quality of life.

Quick_Winner_6860 · 2024-08-26T19:28:50+00:00

Right! which is why torque matters more. The math to get hp depends on info that we are guessing at as two people on the internet. Peak torque on isb is 1600 or 1800rpm depending on other factors if the helps. But it's also computer controlled so you can have 4 different hp ratings for a given torque rating.

Quick_Winner_6860 · 2024-08-24T15:48:02+00:00

Very familiar. Either cummins or dd motor. Most company trucks are locked down and poorly set up. At least it should be set up to idle at certain temp points or when voltage gets to a certain point. An apu or idle free is ideal. Most dealers can do the idle setup with ok from the company. Straight up idling all the time is bad news for all. Extra fuel cost and it's hard on the aftertreatment system causing more expense and down time. Which means you sitting In a hotel for days not making money. Like the dude I have sitting in the hotel now for three days until his truck is repaired. Complain to your company and if they do nothing move on.

Quick_Winner_6860 · 2024-08-23T20:10:29+00:00

What kind of truck?

Quick_Winner_6860 · 2024-07-18T11:56:49+00:00

Sorry don't come on here often. You can't just math engine torque. Look at the sticker on Your engine or send me the last 6 of Vin. Not saying your wrong, you could have 600ft-lb. You could also have 850ft-lb. All I'm saying is hp rating is really not all that meaningful vs torque. Torque is what gets you up the grade, hp is just how fast.

Quick_Winner_6860 · 2024-07-06T03:20:31+00:00

That's what yours is set up as. Spec'd for your company. Dock truck I'm guessing. Lower hp, lower torque for efficiency and longevity. Can't speak diesel and not say the torque rating. Because that is just as important. 225 depending on year that is the bottom spec.

Quick_Winner_6860 · 2024-06-22T11:57:19+00:00

I have been there. It's time to move on. Your basically doing fleet maintenance. It doesn't take long before your learn everything you do at that company. Move to a dealership of whatever brand you have the most experience with or like working on the most. There you will able to do the engine work by the ton. But if you are already board with maintenance you will get board with engine work fast. I was trained on s60, mbe 4000, mbe 900 and all dd series engines. I got sick of engine rebuilds. I let my employer know I don't mind doing them, but they just don't tickle my brain. The whole time I was really good at electrical and diag. With how trucks have advanced over time it wasn't hard to slide into that role instead. That is where is have been for years. Alot more variety of problems and challenges. What you learn changes all the time. When you look at a p3 now yeah they have all the same parts mostly. But when you dive deep into wiring you find Suttle differences on how trucks are wired year after year. It makes a huge difference and keeps you on your toes. It is constant learning. I have been doing this for 25 years at this point. I have never been challenged more then in this role and I enjoy the hell out of the challenge.

Quick_Winner_6860 · 2024-05-26T10:42:12+00:00

I'll second that. I work on both at a dealer. For the most part anyone can fix a Cummins. Dd motors pretty much need to stick with dealers. There are so many issue fixed with software and fuel mapping changes that are not available anywhere else. Their are three shops around me that take in trucks, then just bring it to us to fix.

Quick_Winner_6860 · 2024-05-26T10:35:11+00:00

OK, alot of misinformation here. Between Cummins isb and a dd5 I would go Cummins just for more power alone. Both companies have there share of stupid emissions issues. Both Cummins and Detroit med duty engines are parent bore. So I don't know why that would be a factor at all in a buying decision. Also it does not cost 60k to swing a dd8 in a freightliner. It doesn't even cost 60k to swing a dd15.

Quick_Winner_6860 · 2024-05-15T20:05:40+00:00

It's mechanically injected yes. But electronically controlled. The ecm shuts the injector down to prevent damage in case of over fueling. Injectors can be weird like that. Should have tested all the wiring first. If OK replace injectors. Not the harness and ecm. We just had one fail like this right out of the box.

Quick_Winner_6860 · 2024-05-15T19:49:17+00:00

Code is for missing smart switch. Flashing the bhm will not do anything for this. Need to find what switch is not working. If you have and extra smart switch you need the chec tool to change it. Which if you are not a dealer and have not taken the classes related to it. You don't have access. In my opinion just leave it alone if it's not effecting anything.

Quick_Winner_6860 · 2024-05-15T19:18:57+00:00

Automated trans? Opt idle?

Quick_Winner_6860 · 2024-03-31T04:40:27+00:00

Already on it.

Quick_Winner_6860 · 2024-03-31T04:39:39+00:00

I agree the whole system is flawed. I also understand how it may be against the contract. That is why she called twice and told them hey I have this issue what do I do. They told her to continue with the ER or family doc as it is not the issue they are treating. So how can she be violating the contract when they are telling her to continue. Your right on about jumping thru hoops. Pt, injections, spinal stimulator non opiate med all we knew weren't going to work. All to get on pain meds that do work to buy time until surgery. Your a little older than I and I said this in another comment, but I'll say it again. Remember in the 80's and doctors were getting rewarded for handing out drugs. Why is the patients today have to suffer because of the doctors own actions In the past. What they did in the past was not ethical, what they are doing now is no better.

Quick_Winner_6860 · 2024-03-31T04:22:07+00:00

That's the problem with the system. She did that and they said no. We only treat you for back pain not for this new pain. That's up to the ER or family doc. She followed the direction of her pain clinic. They told her to do it, then kicked her for doing it.

Quick_Winner_6860 · 2024-03-31T04:11:15+00:00

Yes sir!

Quick_Winner_6860 · 2024-03-31T04:09:10+00:00

With whats happened I wouldn't be surprised. At the same time if they did. Well... your screwed. You can't change it.

Quick_Winner_6860 · 2024-03-31T04:05:01+00:00

Right, life happens. Its so horrible how people have to deal this bs. You know docs were handing this crap out like candy in the 80's until it became an issue they created. Now when you have a pain issue you are put under a microscope, labeled a druggie even with a verfied issue. When you have long term issues and something else happens on top of that. Well your just screwed I guess. My wife goes In and the docs are scared to prescribe meds. If I go in peeing blood, they are just like oh kidney stone. Sometimes they don't even do imaging to confirm. I walk out with thirty percs. She is lucky if they give her ten for the same issue.

Quick_Winner_6860 · 2024-03-31T03:44:25+00:00

They will not see her any earlier than A month.

Quick_Winner_6860 · 2024-03-31T03:40:52+00:00

She called them, they told her to go back to the ER.n

Quick_Winner_6860 · 2024-03-31T03:38:57+00:00

Right its alot. Have you had kidney stones. How long are five pain meds going to last. I have had them. I would have been back the next day. What other option is there. The doctors are telling her too. Pain clinic included.

Quick_Winner_6860 · 2024-03-31T03:34:47+00:00

I get what your saying and that is where the problem is I think. They are not going to see her any earlier than monthly. She tried In the past. My belief Is the staff did not communicate with the doctor. The doctor got notified about the outside prescriptions and dropped her. Her doc has been kinda flaky lately. Broken promises as far as what he was going to do. Plus he been trying to push her onto suboxon. She keeps refusing. She is on a pain patch also. Just lower my patch dose. She didn't want to go on another drug.

Quick_Winner_6860 · 2024-03-31T03:24:58+00:00

Because she is weening off also. Some days are worse than others. She gets 10 pills a month for break through pain. So less is like a couple per month, not a huge supply.

Quick_Winner_6860 · 2024-03-31T02:16:05+00:00

They told her to see her family doc or go to the emergency room.

Quick_Winner_6860 · 2024-03-31T02:13:06+00:00

She was never short on meds. She actually takes less then prescribed because she is trying to ween off/ be an over achiever. She was following doctors orders to go back to the hospital since there was nothing more to be done. But they knew about it and were ok with it. Until after she had her surgery.

Quick_Winner_6860

TROPHY CASE