I am just curious if my shock, dismay and fear are reasonable...
i have been on PM for many years for a 24 year history of massive spine/ lumbar issues... i am currently on 80mg Oxycontin twice a day and 10/325 percocet 4 times a day for breakthrough...i have been on the same exact dose for just over one year. I never have asked for an increase, nor do i complain to my PMDr as to the meds, etc... i have had perfect/ flawless urine tests and am basically the model patient. I have been with this pain clinic for over a year, and yesterday got results from a discogram that i had on tuesday- by my ortho surgeon who has done my previous ALIF and 2 PLIF's- and as it turns out, i need yet ANOTHER fusion at the level above my highest fusion- and i am scheduled for the XLIF in 2 weeks...
So, today, when i go to my monthly med appoint at the PM, i provided all info regarding this upcoming surgery and wanted to discuss the procedure for my post-op meds per my ortho surgeon...and the PA tells me that "whatever they give you in the hospital is fine, and then just stay on your normal meds- maybe take 3 percocet a day before your surgery instead of 4"...I almost tipped over?! Yes, the XLIF is less invasive than the other fusions, but it is still MAJOR surgery with hardware, bone harvest and grafts, 3 incisions and muscle stripping!!!! I was patting myself on the back for not requesting anything extra for the excess pain that the discogram caused and is still causing- and i find it almost inhumane to be expected to have ANOTHER fusion with not a single adjustment to my current pain management regimen for at least a few weeks post-op???
Am i over-reacting? I thought that even an extra 4 percocet per day post op was conservative... i just do not know if i can tolerate this surgery with zero change even for 2 weeks post op???
I did request only 2 weeks worth of my meds today and have another appointment for a month supply just a few days before my surgery so that i can avoid too many long trips in the car so soon after this surgery- as i live in a rural area and all of my doctors are at least an hour drive each way... I am going to discuss this with my health psychologist next week (who btw works with my PM dr) as well as my orthopedic surgeon- and hopefully get feedback from fellow spineys... and then see what transpires between now and 2 weeks from now... any input or comments are much appreciated-
i am a very "tough" patient who is not a whiner, nor am i demanding AT all (probably to my detriment)... however, i just can not fathom going through this with zero accomodations made???