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  • BDD Moderators: Keif’ Richards | negrogesic

Surgury With No Pain Meds To Go Home With

K

KY_Boy80

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Joined
Jan 10, 2009
Messages
2
I had Surgury Yesterday to remove my Toe Nail. When they did the removal process they did a nerve block. The Surgeon said this would last for 3-4 hours and keep me pain free. After everything was over and they discharge me, they told could not get anything for pain. I ask the Surgeon if it would hurt afterwards and his response was yes that it be a trobbing pain and that I would not be able to walk around very easily without being in pain but the worst part would only last 3-4 days. The Doctor told me that I was admitted through the ER that the new Obama Health Care reform act had taking there older methods of sending people home with pain meds. I also gave me written instructions to be excused from work for 3 Days. By this time I was getting nervous, and that the pain would be pretty bad. I ask the nurse to get the Doctor to come back in before I left and that I would like to get enough pain meds to get me through the first 24 hours. The nurse said I would be wasting my time. By this time I am feeling like they thought I was doctor shopping and god sakes they just performed surgury on me. Okay I did the right thing and went home and went to bed at 3:30am I woke up straight in the bed in some pretty bad pain, the nerve block had wore off. I really belive this was the worst pain I had ever been in. So I began a regiment of Tylynol, Motrin and Aleave rotating them the best I could. I got relief from these over the counter meds.

This is my question, first I am not looking for methods to score pain meds from Hospital ER Doctors. I just want to go home and be confortable and without most of the bad pain, I can handle pain pretty good. This turned into one bad behind night of major pain. Did I do something wrong? Is it the Obama plan? How should I have handle things differently? Was the hospital just following policy?

I just reached the 24 hour mark after surgury, still in pain but not as bad. Oh I left one part out, the reason for going to the ER in the first place was that I stumped my toe on the coffee table and tore my nail about 3/4 the way off and the pain level was a 15 from 1 to 10. The doctor said that the whole nail would have to come off. There was never any talk about pain meds nor did I expect any. It was something I just did not think about because face it I was not there to score pain meds.

Someone could you please help me understand this issue.

Thanks so much~
 
First off it is your legal right to proper pain management after a procedure. Also, If you are in Kentucky it might be part of your problem. Because of all the pain pills being sold there from FL.. drs wont give out pills for shit... I have heard similiar stories from friends that live there.. my friend broke her hand and got a script for some ibuprofen 800 in kentucky.. the Obama plan thing they told you is a line of horseshit. If you are in serious pain go to another dr and report the dr that treated you to the medical board. What they did is unethical. Good luck!
 
That's horrible, absolutely horrible. I think the Obama explanation is complete BS, they're just trying to limit their liability. It's such a shitty situation. The real culprit isn't really the doctors, its the people who abuse their pain meds and then blame the doctor for prescribing them in the first place. I was given percocet for kidney stones and it led me to a serious opiate addiction but that was only because I abused them. It's 100% my fault, and the doctor was just doing his job. Now the doctors are afraid to prescribe the meds patients need because of people that sue the hospital for rehab costs and the like.

I'm not sure what the procedure is in Kentucky but up here, codeine is OTC when sold with Caffeine and APAP. You could send someone out to buy some for you, it should help. Search "Cold Water Extraction" if you want to increase the dose of codeine for pain management without all the APAP.
 
JoshuaV said:
That's horrible, absolutely horrible. I think the Obama explanation is complete BS, they're just trying to limit their liability. It's such a shitty situation. The real culprit isn't really the doctors, its the people who abuse their pain meds and then blame the doctor for prescribing them in the first place. I was given percocet for kidney stones and it led me to a serious opiate addiction but that was only because I abused them. It's 100% my fault, and the doctor was just doing his job. Now the doctors are afraid to prescribe the meds patients need because of people that sue the hospital for rehab costs and the like.

I'm not sure what the procedure is in Kentucky but up here, codeine is OTC when sold with Caffeine and APAP. You could send someone out to buy some for you, it should help. Search "Cold Water Extraction" if you want to increase the dose of codeine for pain management without all the APAP.
Click to expand...

Where do you live at?
I have yet to see any codeine over the counter anywhere, even when I asked.
 
Jesus christ to be accused of doctor shopping after having a toenail removed and getting absolutely zero pain medication!??! That is insane. Completely insane. What is the world coming to? Somebody has SURGERY and cant even get the proper pain medication...wow
 
The reason no pain meds was giving is due to this being a local surgery. No different than getting a deep gash in your arm. They sew it up after an injection of lidocaine, then off you go.

This is not in the category of pain to need opiate medication.
It's not that they are on to you, its that you don't need it.

Throbbing pain is caused by inflammation, so an anti-inflammatory was all you needed.
The swelling goes down, the pain goes away.
 
Psychedelic Jay said:
Where do you live at?
I have yet to see any codeine over the counter anywhere, even when I asked.
Click to expand...

Canada. It's not available on the shelves, but you can ask the pharmacist and they give it to you. They're Tylenol 4s. I was under the impression that it was the same deal in the states - I remember reading that in the states, it can be up to the judgment of the pharmacist. If you look too much like a junkie, they have the right to refuse you.

They contain pathetic amounts of codeine (8mg codeine, 15mg caffeine, and 325mg apap), and even with a cold water extraction, there's still the caffeine to worry about. In terms of recreational use, it seems close to worthless, though for pain management it seems like a good enough idea.
 
Psychedelic Jay said:
The reason no pain meds was giving is due to this being a local surgery. No different than getting a deep gash in your arm. They sew it up after an injection of lidocaine, then off you go.

This is not in the category of pain to need opiate medication.
It's not that they are on to you, its that you don't need it.

Throbbing pain is caused by inflammation, so an anti-inflammatory was all you needed.
The swelling goes down, the pain goes away.
Click to expand...

You're saying that having a toe nail surgically removed (eg. ripped out of the nail bed) is not something that warrants pain medicine? I don't know about that one...:\
 
JoshuaV said:
Canada. It's not available on the shelves, but you can ask the pharmacist and they give it to you. They're Tylenol 4s. I was under the impression that it was the same deal in the states - I remember reading that in the states, it can be up to the judgment of the pharmacist. If you look too much like a junkie, they have the right to refuse you.

They contain pathetic amounts of codeine (8mg codeine, 15mg caffeine, and 325mg apap), and even with a cold water extraction, there's still the caffeine to worry about. In terms of recreational use, it seems close to worthless, though for pain management it seems like a good enough idea.
Click to expand...

Tylenol 3's are 30mg Codeine & 300mg APAP
Tylenol 4's are 60mg Codeine & 300mg APAP

The pills with 8mg Codeine 15mg caffeine and 325mg apap are commonly known as "222's"
 
It is a non-invasive surgery. The only "real" pain was the actual procedure, which was not felt due to the lidocaine. The pain now is caused by the inflammation around the nerves. (The throbbing.) And of course you wont want to put anymore pressure on it to irritate the tissue even more than it already is.

Opiates would be an overshoot, and is not necessary. Due to the fact that they would kill all of the pain, but will not decrease swelling. This makes the opiates near useless for this application.

Secondly, people would naturally not think that they are in too much pain and start walking on this injury, possibly underestimating the actual damage, if you overshot the pain. Leading to more swelling due to the irritation of doing so.

Ibuprofen is ideal for this application, because it has similar analgesic power to that of morphine. (Not euphoria, that's different, and is considered a side effect.) It is a very good anti-inflammatory.
 
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report them, then report them again. then cause a fuss, if your in pain and they didnt properly treat said pain it's their fault, keep going back cause a scene fuck them, they work for you not the other way around keep reporting and calling till you get somebody fired or at least written up
 
I'm one of those people that cause trouble when I don't get what I want, so I would still do that regardless of their procedure
 
When my sister had her toenail half way ripped off, I just pulled the rest of it off for her. Wrapped it in a band-aid, and she was good to go.
 
When I recently had a broken kneecap and dislocated shoulder, I was given IV Tramal (tramadol) for most of my 3-day stay there, and when released, the same thing. I was given 1 fentanyl shot after the nerve block wore off.

The part that frustrated me was they would keep asking me my level of pain, from 1 to 10, and I would reply a 4-5. Sure, I was in a lot of pain, but my reasoning was that a level 10 must be something like having your eye cut out, an elbow just broken, etc., and since I wasn't in that level of pain, I figured that a 4-5 would suffice. I was later told that I was given tramadol because I said my pain level was a 4-5, and had I said a 7+, I would have gotten something stronger.

It'd be nice if the pain chart had different indications, to things we could all relate to. Something like:

level 1 is a bee sting, getting a shot, or something pierced.
Level 2 is stubbing your toe or getting blue balls.
Level 3 could be a spanking from your parents or getting a tattoo.
Level 4 could be road rash.
Level 5 - being horribly constipated and having to pass something that is 2x the normal size.
Level 6 - being forced to watch 'the view'
Level 7 - a broken bone
Level 8 - a dislocated joint
Level 9 - childbirth or passing a kidney stone
Level 10 - Having a limb sawed off with a rusty swiss-army knife.
 
chilidog said:
When I recently had a broken kneecap and dislocated shoulder, I was given IV Tramal (tramadol) for most of my 3-day stay there, and when released, the same thing. I was given 1 fentanyl shot after the nerve block wore off.

The part that frustrated me was they would keep asking me my level of pain, from 1 to 10, and I would reply a 4-5. Sure, I was in a lot of pain, but my reasoning was that a level 10 must be something like having your eye cut out, an elbow just broken, etc., and since I wasn't in that level of pain, I figured that a 4-5 would suffice. I was later told that I was given tramadol because I said my pain level was a 4-5, and had I said a 7+, I would have gotten something stronger.

It'd be nice if the pain chart had different indications, to things we could all relate to. Something like:

level 1 is a bee sting, getting a shot, or something pierced.
Level 2 is stubbing your toe or getting blue balls.
Level 3 could be a spanking from your parents or getting a tattoo.
Level 4 could be road rash.
Level 5 - being horribly constipated and having to pass something that is 2x the normal size.
Level 6 - being forced to watch 'the view'
Level 7 - a broken bone
Level 8 - a dislocated joint
Level 9 - childbirth or passing a kidney stone
Level 10 - Having a limb sawed off with a rusty swiss-army knife.
Click to expand...

You had broken bones and all they gave you was Ultram? One shot of Fentanyl? That is insane to be inpatient at a hospital for something like that and that is all they gave you? Geez even when I was on Methadone and had to have a minor surgery they gave me Dilaudid IV afterwards and Oxy to go home with, and they knew I was on methadone. Wow you poor thing! I hope things are better now!
 
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