I've been meaning to share an important lesson I wish I had known a few weeks ago.
So about 3 weeks ago I had a breast reduction done by a Plastic Surgeon (PS) with the hope that it would help with my back pain (he ended up removing about 5 lbs total)
Prior to surgery, as is customary, we went through all my meds, dosages, etc. The only one relevant to this discussion is that I put down that I take Norco as needed for pain. That is the truth, I don't have a set # I take it depends on the day. I do however, take some amount every day, which I did not mention, not because I was trying to hide anything, but I didn't think I needed to (rookie mistake). The Dr did not ask me any questions about my Norco usage (his mistake that he later apologized for).
During our discussion I made it very clear that the only pain med that works on me is IV demoral. I'm allergic to dyladud, & morphine does nothing for me. I also made this clear to the anestiologist, because Inow from previous surgeries demoral is hard to get, most dr & hospitals don't like to use it. As I was being wheeled into surgery, I even reminded the PM.
So surgery goes well, & I wake up in recovery getting 7.5 demoral every 10 minutes. This is normally an outpatient surgery, but because I have a history of blood clots I am to spend the night in the hospital. So I get up to my room, & now the fun starts. Meds are wearing off, & I am in pain. Only way to describe is my breasts are rock hard, on fire, & knives are stabbing my nipples. Plus, my back hurts. I ask for pain meds, & get morphine! Wait a minute, what happened to my demerol, I TOLD the dr & he agreed I'd get IV demoral because morphine doesn't work, the try perc, of course thats useless. Now I'm in pain & EDIT I did not ask nurses to call dr, but I guess they feel bad for me, dr not happy.
Finally comes to see me later that night, claims I never told him I take 8 Norco a day, I say it was on the paper I gave him that listed all my meds, & I don't always take 8 a day, where is he getting that info? No answer. He tells me I'm addicted to pain meds, he " knows about all my trips to different ER's for pain meds. I am flabbergasted, but I ask him which time is he referring to? One of my 5 kidney stone events? When my intestine got twisted? When I broke my leg? When I had not 1 but 12 pulmonary embolisms & nearly died? He than proceeds to tell me that if he knew ahead of time that I only respond to demoral, he soul never have done the surgery. I'm sure I don't have to tell you guys how bad this Dr made me feel, & how hurt my feelings are. Finally he works it out that I can have the IV demoral but it has to be given slowly, & adds that I'm putting the nurses in a bad spot. I reminded him that I just had my nerves burned & received 250 mg IV demoral & he can call the dr who did it.
So the next day I get a visit from a friend of my PS, an amazing PM. Basiclly, he explained that people with chronic pain don't respond to pain meds like other people, we need more and/or different types of meds that non PM doctors don't understand & are not comfortable prescribing. Even the hospital pharmacy & nurses will give a non PM dr a hard time if he tries to prescribe something outside the norm. So the moral of this long story is that if you have any kind of surgery even if it's not related to your back or neck, make sure you have your PM doc involved so you can get on the right dosage of meds to get you through.
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Post edited by Sandi for inappropriate forum language.
We can't always control the cards we are dealt in life, but we can control how we play the hand