Pain meds and post op appt tommorrow. I need some advice.

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kimber9807
Regular Member


Date Joined Jan 2010
Total Posts : 492
   Posted 3/31/2010 5:24 AM (GMT -7)   
Ok  ya'll you know I had surgery  8 days ago  to have my gallbladder removed. Well I have a post op appt   tommorrow   and I have less than a week of pain meds left .  I am still in alot of pain   and wonder if I will feel better within the next week. I am wondering If I should broach the subject tommorrow and ask him for more pain meds or just let the dr  know im still in a lot of pain and let him bring it up. I dont want to seem like a drug seeker .Should I just not bring it up at all and just hope my surgery pain feels better  in a week.  I need some advice because havent been on pain meds for almost a year  and dont know how to approach the subject.Any advice appreciated.
im dxed with  herniated discs,fibromylagia , scolosis,ddd,athritis, spinal stenosis ,gerd,gastric ulcer,gastroparesis..gallbladder removal 3/23/10.
 
meds,ambien, prilosec otc,lortab ,reglan,flonase and  trazodone.


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 3/31/2010 6:10 AM (GMT -7)   
Kimber what do you have to loose, if you don't bring it up. I certainly brought it up when I went in for my first check up, and told the Surgeon not to leave me hanging in pain. He said he would make sure I was comfortable for a reasonable period of time. By all means share your concern with him. Just spit it right out! Say, "Hey Dude, I'm still in pain, will you please make sure that I will be comfortable until I start to heal from this" I do think he will take care of you.
Good Lord Kimber! I think you may be my twin sister! :)

SE
DDD (Degenerative Disk Disease) S1-L4-L5, Heart Attack 2002, Angioplasty to clear blocked Artery and to implant Stent. Six Epidurals, Disocgram, Melanoma Cancer 07, Lumbar Fusion March of 2010, Four cortisone injections Tendinitis in Elbow.


kimber9807
Regular Member


Date Joined Jan 2010
Total Posts : 492
   Posted 3/31/2010 7:59 AM (GMT -7)   
Thanks Se. Yeah I am a worry wart. I always get afraid to ask for pain meds because the stigma that comes with pain meds . Those people abuse them makes us that need them in a diffucult situation . I only have seen my surgeon twice but he seems like a good dr I dont think he will let me suffer in pain . I just worry sometimes that he wont cause he said on my consult I would start to feel better within 6 days and I havent . He has been so genrous with pain meds already afraid that if I ask for more he will think i am drug seeking . I guess I am just parnoid or something. Hubby says when I tell him when he asks about my pain and I am honest with him about the pain Im in he will most likely refill my pain prescription. Thank you for all the advice . You have been helpful. I hope you have a lpd. I will let everyone know hows my post op appt goes tommorrow.
im dxed with  herniated discs,fibromylagia , scolosis,ddd,athritis, spinal stenosis ,gerd,gastric ulcer,gastroparesis..gallbladder removal 3/23/10.
 
meds,ambien, prilosec otc,lortab ,reglan,flonase and  trazodone.


Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/31/2010 9:05 AM (GMT -7)   
Kimber....

I'm right there w/ SE... I know "why" you feel the way you do...I really do. There ARE doctors that make you feel you are doing something wrong by asking for what you need. That being said... I learned some time ago that if I "act" like I'm doing something wrong, it probably will appear that way. So, now, I just put it out there what's going on with me... what I need... etc. I think you'll be surprised that most doctors will respect your honesty, your knowledge; etc.

I know not everyone agrees w/ my line of thinking (and that's ok) :) But I really hate to hear when people are so stressed about asking for meds when they are in pain. That's what they are meant for - especially after surgery, a procedure, etc.

Regardless, Kimber, I hope things go well for you tomorrow... and update us when you can :)
Good luck!!
--Tina
Main Health Problems: Dysautonomia/POTS; CFS/Fibromyalgia; Severe Hypertension; Hypothyroidism; Hypoadrenalism; Mixed (Obstructive/Central) Sleep Apnea - on Auto BiPap; Depression/Anxiety; Severe Vitamin D Deficiency

Pain Issues: Cervical/Thoracic back pain; migraines; carpal tunnel syndrome; widespread joint/muscle pain, nerve pain in hands/arms/feet; Future Plans: Intrathecal Pain Pump; already completed trial (Sept, 2008); awaiting my decision for implantation


MsBunky
Veteran Member


Date Joined Jan 2010
Total Posts : 1097
   Posted 3/31/2010 10:11 AM (GMT -7)   
Kimber, by all means, if you are still in pain, ask him for another prescription. You have more going on in your body than just pain from your gallbladder removal, so your body is likely more sensitive to pain. Just let him know that you're still experiencing pain and you'd like a renewal on the meds and it should be fine

I am of the same opinion on meds as Tina. I am fortunate in that my general physician and my Pain Centre team can and will both prescribe meds for me, and often based on my recommendation of what I need. Last month, I told my doctor that I wanted to increase the Oxycontin to 40mg, 2 x a day as I didn't feel the 20mg dose was helping. I also asked her for a muscle relaxant and she happily prescribed both. My team works with me to make sure I'm comfortable and there's never been any sense of distrust on their part that I am abusing meds. I feel so bad when I read of people who are afraid to ask for what they need to manage their pain properly. Those who do abuse the system make it harder for us who don't, but I'm a firm believer in asking for what you need, without fear.

Good luck tomorrow Kimber...hope it all goes well!

hugs,
Pam
Conditions: Fibromyalgia, Chronic Pelvic Pain, FAI, Reynauds, IBS, Interstitial Cystitis, Surgical Adhesions, Ophthalmic Migraines, Severe Hot Flashes (Surgical Menopause and drug related), plus physically unable to vomit due to Nissen, and I have extremely tiny veins...a joy for blood work or IV's)
Surgeries: Appendix, Uterus, Nissen Fundoplication for GERD, Left Ovary, Gallbladder, Right Ovary, TVT
Medications: Oxycontin, Tramacet, Cymbalta, Flexeril, Clonidine plus Vitamin D and Multi-Vitamin daily


Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/31/2010 10:53 AM (GMT -7)   
Pam... you said it better than I did :) I'm glad you have such wonderful doctors that listen and help you. I've got the same thing...and it makes every difference. I wish everyone could have this.

But the best thing you said was "asking for what you need, without fear"... I agree completely.

Kimber... Again, good luck...and let us know how things go.

--Tina
Main Health Problems: Dysautonomia/POTS; CFS/Fibromyalgia; Severe Hypertension; Hypothyroidism; Hypoadrenalism; Mixed (Obstructive/Central) Sleep Apnea - on Auto BiPap; Depression/Anxiety; Severe Vitamin D Deficiency

Pain Issues: Cervical/Thoracic back pain; migraines; carpal tunnel syndrome; widespread joint/muscle pain, nerve pain in hands/arms/feet; Future Plans: Intrathecal Pain Pump; already completed trial (Sept, 2008); awaiting my decision for implantation


Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 3/31/2010 11:46 AM (GMT -7)   
Ask, ask, ask!! They will surely understand. Not everyone heals at the same rate and you had serious pain for a long time before the surgery. What can they say other than yes or no?

Good luck!
Formerly PrayingForRealRelief...
 
DDD, CHRONIC PAIN SYNDROME, TLIF L5-S1 2009 (failed), FIBRO, MINEYER'S (SP?), VERTIGO, MIGRAINES, GERD, SLEEP DISORDER, NISSEN FUNDOPLICATION (failed), DEPRESSION, EXTREME ANXIETY DISORDER, OCPD, PTSD, CHRONIC MUSCLE SPASMS, HUMAN GROWTH HORMONE DEFICIENCY, VITAMIN D DEFICIENCY, CARPLE TUNNEL SYNDROME, EXTREME IDIOPATHIC HYPOGLYCEMIA FROM AGE 12
 
 
 
 


Abol76
Regular Member


Date Joined Mar 2010
Total Posts : 74
   Posted 3/31/2010 3:16 PM (GMT -7)   
Hi kimber I can really see where you are coming from as I recently broached the subject with my dr that my pain meds were not working and He was very kind in helping me with something stronger. I'd maybe say something along the lines of "my pain meds run out soon but as i'm still in alot of pain, do you prescribe me some more?" that's just how I would do it though of course as that way i'd be informing him of the pain but in a way asking him for more in such a way He thinks it comes from him If u see what I mean? Go well Kimber and keep us posted X
Arthritis, GORD, IBS, PCOS, Neurosarcoid, Hypothyroidism, psoriasis, mental health issues, BIH, high blood pressure and high cholesterol. . . Methotrexate injections, folic acid, Prednisolone, Alendronic Acid, Adcal D3, Morphine, Lansoprazole, Domperidone, Norethisterone, Metformin, Levothyroxine, Amitriptyline, Sertraline/lustral/Zoloft, buspirone/buspar, Carbamazapine/Tegratol, Risperidone/Risperdal, Melatonin, Lisinopril, Atorvastatin ". . . but hey, Tomorrow is another day!" :-)


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 3/31/2010 5:25 PM (GMT -7)   
Hey Kimber,

Sorry to hear that you are still having a lot of pain...The good news is that you said that there doesn't seem to be any infection of sorts..so it's just likely still sore from the air and inside sutures...

I just wanted to say that you may or may not find that the surgeon is receptive in giving you more pain meds as they typically like to start weaning you little by little after surgery....

If you feel that your pain is going to be more chronic with your other issues..I would seek out a Pain Management Dr. (not sure if you see one already) and have them take over your medicine...

Most surgeons do not like to get involved in long term pain mgmt. and find that if you are healing on schedule after this type of lap surgery...they usually will release you from their care and have you see your PCP or PM for further medicine...

So...just wanted you to not be too discouraged if he turns you down..it's not that they don't have compassion or want to help..it's just the passing of the baton so to speak...

I hope for your sake that he will help you out so you don't have to make another appt. with someone..or that he gives you enough meds to make that transition..

Just FYI, being friends with my PM...he is a stickler for people actually saying.." I want this medicine"....it helps if you tell them all that you are doing non-med wise to help with your pain as well...so they know that you are doing all you can to help yourself and not just relying on meds....and say something like.."I am still hurting and wondering what to do from here"..and letting them make the call on how to treat you...
My Dr. is an amazing guy and has so much empathy...but his pet peeve is when patients come in demanding or telling them how to do his job when he has spent 20 plus years studying and doing it...LOL..

****NOT saying that you are doing this!!! Just giving a generic example****

I will be praying that you start to feel better day by day and let us know how it goes...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
 
 


kimber9807
Regular Member


Date Joined Jan 2010
Total Posts : 492
   Posted 4/1/2010 7:14 AM (GMT -7)   
Snow, I antipictate that so thats why I started to taper off of pain meds . I have tapered down to 2 lortabs a day and that will last me 2 weeks if I do that . I will just tell the surgeon where I am in my pain after surgery and if he offers to refill my pain meds this afternoon will take the script if needed or otherwise start to taper off the meds if he dont offer to refill them. I know I seen my family dr this morning and he said that typical patients recover in a week and im not just bouncing back as I should and still very sore by my incisions and have alot of trapped gas as the nurse said when I called the surgeons office on tuesday . I will let you all know what he says at my appt this afternoon.
im dxed with  herniated discs,fibromylagia , scolosis,ddd,athritis, spinal stenosis ,gerd,gastric ulcer,gastroparesis..gallbladder removal 3/23/10.
 
meds,ambien, prilosec otc,lortab ,reglan,flonase and  trazodone.

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