Pain meds and Surgery

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Carolyn2018
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Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 6:52 AM (GMT -7)   
Hello,
I am having surgery next week on my neck to replace a disk that has been causing a pinched nerve for about a year now. I see a pain management doctor for back issues and she has also been treating me for this issue as well. I get Percocet every month. My question is this: After my surgery will they prescribe me pain meds even though I have a script through another doctor? I am asking because my "regular" script will not last me through my recovery. I know sometimes you are at least taking them for about two weeks. I hope this questions makes sense. It just scares me because pain scares me..lol.

skeye
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Date Joined Mar 2008
Total Posts : 3079
   Posted 12/1/2017 7:13 AM (GMT -7)   
I would call your PM doc and tell him/her that you are having surgery next week, and ask what they would like to do post-operativley in terms of pain control/medication. Some docs will default to the surgeon, but many (including mine) like to manage their own patients post-operatively. If that is the case, not only will your PM doc need to write you the scripts, but I would have him/her fax a letter over to your surgeon's office saying that he/she will be managing your post-operative pain. Alternatively, you could ask the surgeon and your PM talk prior to surgery and decide together what they would like to do (though I would still also suggest talking to your PM yourself). Either way, your PM doc needs to be involved now, before surgery.

Skeye

PS - You will also want to have a plan in place for pain control if you end up inpatient after surgery. Again, your PM may default to the surgeon or hospital's anesthesia/pain management team, but he/she may also want you to receive specific medications during your hospital stay. It all depends on your medical condition(s) and your doctor. In any case, best to talk to your doctor, and have your PM and surgeon touch base.

Post Edited (skeye) : 12/1/2017 7:18:54 AM (GMT-7)


Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 7:26 AM (GMT -7)   
She knows I am having surgery but nothing has been discussed. I was told by someone if it's a "new" prescription, it shouldn't be a problem getting it filled because it's not for the same issue for which I am being treated. It's for surgery. The people telling me this aren't my doctor though..lol.

Alcie
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Date Joined Oct 2009
Total Posts : 4931
   Posted 12/1/2017 8:37 AM (GMT -7)   
You may not have trouble filing a new script, but your pain doc may dismiss you and you won't be able to find another one.

I had surgery in another hospital where my pain doc didn't go, but he wrote the script and the surgeon saw to it that I got the meds. My pain doc did order more for a couple of weeks than I had been taking because surgical pain was going to be worse and I have been on pain meds for years. Surgeons seem to assume that everyone is opiate naive and that we don't need even what we were taking before surgery. I've had that happen too! Screaming in recovery!

Talk to the pain doc!

straydog
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Date Joined Feb 2003
Total Posts : 15335
   Posted 12/1/2017 9:06 AM (GMT -7)   
Carolyn, you need to get on the phone now & talk to your drs & get this handled before surgery. Since you are under the care of a PM dr, you signed a Contract & it states that you will not accept pain medication from any other dr. This includes your surgeon. Whoever told you it was considered a "new" script is wrong. You do not want to run the risk of being kicked to the curb by your PM dr.. Once that happens it is very difficult getting another dr to take you on. Skeye has given you the info you need to discuss this with the drs.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 9:19 AM (GMT -7)   
I will shoot her a message now and let her know what's going on. She is pretty good about meds and I have to go every three months and also get tested and have never had an issue. Probably because I do what I am supposed to smile. I get very irritated with all the rules and regulations due to people that can't handle taking medicine properly. Sorry. I really have no sympathy.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15335
   Posted 12/1/2017 12:02 PM (GMT -7)   
The main thing is to have your medication issue all in place prior to surgery. Are you having a one level fusion? If you will look at the top of this page & click on CP101 there is a lot of excellent tips from members that have had surgery. You have to scroll down towards the bottom.

Keep us posted on how you are doing.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 2:09 PM (GMT -7)   
Hello and thanks for the advice! I received a message from my PM doctor's office and they said it is normal procedure for the surgeon to take care of post-op pain. So I am assuming I am okay since I told her about and nothing was said about my current prescription. Otherwise, they would've told me to use what I already have I assume. That's a load off my mind as I don't want to get in any trouble but I don't want to be too uncomfortable either. I know I am in for some level of pain but I don't want it to get to where I am out of meds and out of luck smile

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 4:15 PM (GMT -7)   
I am glad I found this forum. So much good information here.

straydog
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Date Joined Feb 2003
Total Posts : 15335
   Posted 12/1/2017 5:45 PM (GMT -7)   
Carolyn, will you be seeing the surgeon in his office prior to surgery? If not, here is what I suggest, call the surgeon's office Monday & speak to the nurse. Let her know what your PM dr says about post op pain meds. Be sure to get your script so it can be filled before your surgery. You are set with your PM dr so you will not have any issues there. Carolyn, ask any questions you would like, we have had lots of members to have surgery.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Post Edited (straydog) : 12/1/2017 6:07:40 PM (GMT-7)


Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 6:40 PM (GMT -7)   
The lady today from the surgeon's office was telling me that I will get sent home with a prescription for pain meds and she was well aware that I take percocet on the regular through my PM doctor because it was a pre-admission phone call. In fact, they give you your first dose while you are still in recovery. I would think most people that are getting this type of surgery are already on pain meds. However, with all the new rules and regulations now, you never know what the docs are going to do.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4931
   Posted 12/1/2017 7:03 PM (GMT -7)   
Great, so far! The only question left is what the dose will be post-op. I would ask, and if it's not greater than what you are already on, ask your pain doc about it. Surgeons I have had don't give enough to patients who are pain-med tolerant from long use.

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/1/2017 7:30 PM (GMT -7)   
You all have been so helpful. I plan on sticking around this board smile

JustMrMe
Regular Member


Date Joined Nov 2017
Total Posts : 21
   Posted 12/2/2017 4:59 AM (GMT -7)   
Good luck with your surgery. Just a little tip. Some Doctors automatically think just because you had the surgery that you are always cured of pain. My surgery ended up failing for God knows why. Keep a log of your pain before and after surgery. I am hoping the pain goes away. Although you did mention that you were on the pain medications for your back as well.

I was on 4 Percocet a day before surgery and post op they gave me 8 per day for 2 weeks. I was then weened off of them. Another disk had herniated and I was in tremendous pain. I am now months post op and in pain. I do take Oxycodone now 3 times a day which helps.

I understand you don't have sympathy for those who can't control their pain medications and that is totally your right. But it can happen to anyone. Don't be so quick to judge. Sorry just wanted to put that out there.

I wish you the very best of luck with your surgery.
Hi. I am in my early 40s have been dealing with chronic back pain as well as sciatica, mixed chronic headache syndrome as well as Trigemnial Neuralgia. I had back surgery and if asked if I would do it again the answer would be NO. I am also dealing with mental health issues such as OCD, Bipolar, and anxiety disorders. I am currently medicated for most of my conditions.

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/2/2017 8:28 AM (GMT -7)   
I understand addiction. I am not putting the people addicted on blast as much as I am the people that make us pay for their addiction with all these rules and regulations. I have been on pain meds for years and have yet to become addicted. However, everyone is different. No sympathy was a poor choice of words.

Anyhow, Alcie I spoke to my insurance company and she stated that as of December 8th I will be able to get meds without a problem as far as insurance is concerned. It would have to be a lesser quantity than I currently get though which makes sense. I think they only give you about a week's worth anyhow. So, sounds like I am good to go!

Post Edited (Carolyn2018) : 12/2/2017 12:44:16 PM (GMT-7)


rocckyd
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Date Joined May 2012
Total Posts : 1102
   Posted 12/2/2017 12:38 PM (GMT -7)   
Glad that things have been sorted out. Good luck with your surgery and let us know how you are doing.
Single mom to my little man 11yrs old
39yrs old. JRA since a kid. Chronic Uveitis, pleurisy, pericarditis, intersticial lung disease, sjorgrens syndrome, Cushing's Syndrome, gastroparisis
Bilateral TMJ replacements due to bone fusion, port-a-cath, g/j feeding tube, antiphospholipid antibody syndrome(my blood fights itself) epilepsy, MCTD, dysphagia(unable to swallow correctly)

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/2/2017 12:43 PM (GMT -7)   
Thank you!

straydog
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Date Joined Feb 2003
Total Posts : 15335
   Posted 12/7/2017 5:24 PM (GMT -7)   
Carolyn, good luck with your surgery & I hope you are doing ok.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/12/2017 5:09 PM (GMT -7)   
Hello all. Surgery went well. I am recovering okay. Just tired and in a little pain. Night is the worst part actually. Not getting good sleep but that will subside soon I hope. Just wanted to check in. Thanks again for all your help and suggestions!

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15335
   Posted 12/12/2017 6:18 PM (GMT -7)   
Hi Carolyn, glad to hear that surgery went well. Did you have a fusion, how many levels were involved? Are you sleeping in a recliner? Most people found they slept much better in a recliner at first. Getting in & out of bed was very difficult. If you don't have a recliner, if you can borrow one, I suggest that you do so.

Keep us posted.
Susie
Moderator in Chronic Pain & Psoriasis Forums

skeye
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Date Joined Mar 2008
Total Posts : 3079
   Posted 12/12/2017 8:01 PM (GMT -7)   
So glad to hear that things went well. I hope your pain continues to improve with each day!

Skeye

Carolyn2018
New Member


Date Joined Dec 2017
Total Posts : 11
   Posted 12/16/2017 2:24 PM (GMT -7)   
I had a disk replacement. I was told they don't do fusions much anymore because they don't last. Ice has been my friend these days as the pain between my shoulder blades is bad. Again, I was told this is the norm for a few weeks. They did give me percocet but as of Friday I was allowed to start taking Ibuprofen which is what I am doing right now. Between the percocet and the flexerill I was in a haze. I don't like that feeling at all. I go for my post-op visit on the 21st and hopefully they will clear me to drive and go back to work on January 2nd. I think I have done a little more physically than what I what I am supposed to do, but it's so hard to remember not to lift, bend, etc. I try though! I can't wait to get back to normal living. I really need to lose some weight but it's so hard. At 48 years old, everything sticks to the ribs, butt, legs and tummy..heehee.

JustMrMe
Regular Member


Date Joined Nov 2017
Total Posts : 21
   Posted Yesterday 10:52 AM (GMT -7)   
Hi
Glad everything went well!!!!
Hi. I am in my early 40s have been dealing with chronic back pain as well as sciatica, mixed chronic headache syndrome as well as Trigemnial Neuralgia. I had back surgery and if asked if I would do it again the answer would be NO. I am also dealing with mental health issues such as OCD, Bipolar, and anxiety disorders. I am currently medicated for most of my conditions.

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 682
   Posted Yesterday 9:42 PM (GMT -7)   
Best wishes for an uneventful recovery and for reclaiming of your health. Be gentle on yourself during your recovery. Pamper yourself with plenty of naps and Netflix movies.
- Karen -
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15335
   Posted Today 5:19 AM (GMT -7)   
Carolyn, I did not realize that you had the artificial disc surgery. I did a forum check here at HW & found 2 other members that had this surgery. I knew we had a couple of people that had this done.

about returning to work, I am guessing this is what about 4 weeks from surgery? What type of work do you do? Don't you think this is rushing it a bit? The theory of if I just push through this things will go back to normal quicker is not a good thought. People that do this end up regretting it because of the set backs. Things may look healed on the outside but they are not healed on the inside. Keep in mind there was quite a bit of trauma to the spine during this surgery.

I just wanted to make you aware of this. Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums
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