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Annie's Mailbox®, August 7

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Dear Annie: My teenage son, 22-year-old daughter and I live with my elderly mother in order to help take care of her. My daughter, "Vanna," used to be a fun-loving person who enjoyed going out to clubs, meeting new people and helping those in need.

I don't like Vanna's boyfriend. When they first got together, he drank from morning till night and I realized he was an alcoholic. He quit his job because he didn't like his salary, and since Vanna was working part time, she supplied him with beer and cigarettes. I hoped they would break up, but instead, Grandma gave permission for the boyfriend to move in.

I told Vanna her boyfriend has to get a job and stop drinking. To his credit, I haven't seen him take a sip in the last two weeks. He's also working full time. The problem is, he's supposed to give Grandma $300 a month. He never has enough money for that, but somehow finds the cash to buy weed so he can get stoned. He doesn't even buy food or attempt to chip in.

Vanna still confides in me, but we don't get along as well as we used to because I can't understand how she lets him treat her like this, and when I say so, she gets angry. I told her I didn't invest all this time and love for her to be someone's doormat. It's like I don't even know her. I know I'm overprotective and am trying to leave her alone. Her father (we're divorced) told me to let her learn the hard way, but it's so difficult. Can you help me understand this? — A Mom Who Really Feels Hated

Dear Mom: If the house belongs to Grandma and she is mentally capable, she gets to decide who stays there and how much they contribute. Don't say one word against Vanna's boyfriend. Instead, befriend him so your daughter doesn't feel forced to defend him. Encourage him to be more responsible, while letting Vanna make up for his shortcomings. Don't make it your fight. You can't win. When Vanna becomes tired of the situation, she will change it.

Dear Annie: What is the correct amount of time to wait before calling to see why someone is late meeting you for lunch? If you do call, what should you say? I don't want to sound impatient.

— Waiting

Dear Waiting: Give the person 15 minutes before calling to say in a friendly voice, "Hi. I was just wondering if you're still planning to meet me for lunch." The person should then let you know how much longer they will be. If it's too long, you have the choice of waiting, canceling or rescheduling for another time.

Dear Annie: This is for "His Wife," who worried that her husband might be addicted to painkillers.

I am a family practitioner and sometimes prescribe OxyContin for chronic, refractory noncancerous pain. Addiction is the physical and/or psychological craving for a substance despite documented damage to one's health and well-being. A person will beg, borrow or steal to get that substance. Her husband is not addicted. He appears to have chronic pain for which there is no surgical cure. He is under treatment for a bona fide medical condition.

I wear glasses. Am I addicted to them? No. Am I dependent on them? Yes. I am also a diabetic. The medication on which I am dependent has a specific purpose to control a medical condition.

The same goes for the OxyContin. If it is prescribed by a physician and his condition is monitored regularly for the purpose of improving function and maximizing his potential, it is legal and beneficial. If I cannot cure my patient, my next goal is to alleviate suffering. For too many years, patients have suffered in pain because we doctors were afraid of "causing" addiction. — A Doctor in California

Dear Doctor: Thanks for the lunch-bucket lingo explanation. Our readers will appreciate it.

Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please e-mail your questions to anniesmailbox@comcast.net, or write to: Annie's Mailbox, P.O. Box 118190, Chicago, IL 60611. To find out more about Annie's Mailbox, and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate Web page at www.creators.com.

COPYRIGHT 2009 CREATORS.COM


Comments

6 Comments | Post Comment
re "Doctor in California"'s advice to "His Wife": My husband took medication for pain and sleep problems for many years. It doesn't matter whether you call it "addicted" or "dependent," he was cloudy, miserable and not himself. Finally, two years ago, he spend three months in a twelve step based rehab program and became clean. He is happier than he has ever been. He knows that sometimes he has pain and sometimes he can't sleep, but he doesn't lose sight of the big picture just to get a little temporary relief. Oh, yeah, he's an MD, too. Anyway, my heart goes out to "His Wife" and if nothing else, she might find a little help in AlAnon. To "Doctor In California," thanks for nothing.
Comment: #1
Posted by: Donna
Fri Aug 7, 2009 8:28 AM
After years of hearing about end stage cancer patients and other people with intractable pain being denied pain killers because they might become addicted, I am relieved to see that a doctor has stated that after doing all that can be done to remediate the condition, enough pain medication will be given to make life livable. My doctor assured me that if I ever got into that situation, I would have relief. If my entire personality changed and I became impossible to live with, I would expect my doctor to listen to my husband and work with me to make adjustments. One of the things I would expect my doctor to do is to give me the smallest amount of medication possible.
Comment: #2
Posted by: BB
Fri Aug 7, 2009 10:55 AM
To the California doctor: there is a big difference between following the prescribed dose of painkillers for a specific ailment and using painkillers to numb any and all kinds of pain as a means of escape. It does happen that patients who were originally prescribed a drug for pain relief start to abuse said drug and cannot stop. This is addiction. Especially when the drug, when taken in extravagant doses, does harm to the patient's health. As for the mother of two kids living with her mom, I would have given her completely different advice: move out to a close place where you can still take care of your aging mother but you are not under her thumb. Then tell the boyfriend he must contribute in either rent, groceries or bills. Tell your daughter what you arrange, make it clear to her that if her boyfriend contributes, he will be welcome, but that if he doesn't it indicates a lack of responsibility and respect towards you and the others with whom he lives. Stop berating him, as this is driving a wedge between you and your daughter and under those circumstance she will not remain clear-headed about the situation. Remember, you have a duty to protect BOTH your children, not just your daughter. your teenaged son could become influenced by the boyfriend's actions, or worse, he will see the lack of spine you exhibit and will lose respect for you.
Comment: #3
Posted by: Marie-Claude
Fri Aug 7, 2009 1:08 PM
Re: Donna, your husband might want to consider trying yoga. It can help a lot with chronic pain. There are also yoga therapists who would know exactly what to do (and what not to do) for specific conditions.
Comment: #4
Posted by: Van Wickle
Fri Aug 7, 2009 6:00 PM
If daughter, granddaughter and grandson are living with grandma in order to take care of her,then no, grandma does not get to invite another person into the household. Daughter needs to instruct grandma to evict boyfriend for non payment to rent or else she and the minor son will leave. Then granddaughter can discover how much she likes taking care of grandma and worthless boyfriend all by her self.
Comment: #5
Posted by: whitelonis
Mon Aug 10, 2009 10:50 AM
Doctor in California: OxyContin abuse is growing across the nation. So, do we blame the doctors for not properly monitoring their patients? OxyCotin should only be used for it's original intent, patients who are terminal. Show us just one patient who's quality of life and functionality has been improved long-term by OxyContin! As a "general practitioners", if you cant help your patients, maybe you should do your patients a favor and admit when you have exhausted your resources in finding a cure to your patients pain and refer them to a specialist until they find someone who CAN help them. Masking the problem with OxyContin is not the answer. It may be legal but is only beneficial to the makers of OxyContin and the doctors who prescribe it so loosely and receive kick back from pharmaceutical companies. It's a very sad, vicious cycle for the patients and their families.
Comment: #6
Posted by: Sugaree
Mon Aug 23, 2010 5:49 AM
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