I don't understand it but I quit hydromorphone called turkey was hard but I did do it once I realized I was becoming an attick was taking 24mg every 4hours 3weeks after I quite , I had 4heart attacks and 2strokes in one day ,why, my left side is paralyzed. Hard to deal with but maninaging,back on my own again out of nursing,was scared I would never get that part of my life back I'm only47learned a lot in last19months.still scared most of time have had several mini stroke's but have been able to keep my apart sent thankfully what causes blood clots in heart to go to brain