"i have a congenital birth defect called arnold-chirari malformation. part of my brain sticks out the back of my skull and pushes against my spinal cord. i live in a small town and had a difficult time getting my pain managed because i was in my late 20s and was told i couldn&#039;t receive pain pills until i was older. (backwards and shameful, i know.) i resisted attempts to make me submit to brain surgery because i have factor v and a history of dvt and pe. after spending nearly 3 years of my life bedridden with severe pain in my head, eye, neck, and spine, unable to work or study, a physician finally gave me this medication. it gave me my life back and nobody questions the fact that i am young and seeking only pain relief in order to function."