Guest guest Posted February 23, 2009 Report Share Posted February 23, 2009 Hi all, I hope this evening finds you well in spirit, if not pain free. As many of you know, my ortho doctor decided not to give me any post-op pain meds, feeling that I could get by wwith what I had at home. I have a very high drug tolerance, and a very low pain threshhold, and even though I take some of the strongest opioids, if I have a new pain problem come up, or get into a bad Lupus/Spondylitis flare, my nine pain meds can't fight the battle... An old doctor friend of mine Doctor Dominique, who is in my group and who has agreed to take over my primary care, gave me some Norco. She gave me 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run out pretty quickly. She hoped that my post-op pain would be somewhat diminished after the first week and I'd be able to get by. Saturday, I called her and told her just how bad it was. My knee was swollen up to the size of a soccer ball, I couldn't walk on it and nothing, and I do mean nothing, was doing any good. She commiserated with me, and told me as she was on her way out to Quebec, where she is from and also has a practice, (she rotates), to go to ER if I needed. I, not wanting to bother anyone, just suffered. Sunday passed in the same sort of haze, but today, the pain was even worse and my blood pressure, which tends to skyrocket when I'm in severe pain, was in the stroke out region... Reluctantly, I called in an ambulance crew. Now, it's always been embarrassing to me, when a medic like me, and I'm a good medic if I do say so myself, (my colleagues agree), has to call for a rig. My friends were available and were going to take me but they were a few miles away, so they sent a fire truck to sit with me and monitor my BP... This was part of the same fire crew that had given me a hard time last time about my service dog. I did have them written up. I apologized, and they both agreed that they'd deserved the write-up. As senior medic in our corps, I have some clout. So, finally, the ambulance got there and Dewey and I were whisked away to the hospital. I decided to go to the same hospital which had performed the surgery, seeing as how they would have all my records and everything. We get there, and they put me in the waiting room. I raise holy H*** . I say, " No way are you sticking me in this waiting room to wait for hours when I could have a blood clot. " My friend Jeff, one of the medics who brought me in, went over to the desk and the nurse said to bring me to triage. After giving me the third degree on why I took nine schedule II meds and why they were not working for me, and why I didn't have most of my injectables, (I am given a supply of injectables, if I use them as I normally do, I don't run out early, but if I use them as prescribed, I run out a day or two early). I don't ask for early refills. I explained that the reason I was out of my Fentanyl and Demerol injections was that I am due to get them on wednesday, and I had permission from my pain doc to up my dose if I needed because of surgery. Finally, Dewey and I are taken into a room and another nurse comes in. She, too, gives me the third degree. Then she rips the bandages off my incisions, (nice of her), and says, " They're not draining, your leg is bruised but not that swollen). I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I did, my knee began to swell, within a few minutes, it was the size of a softball, that being the swelling. She said, " Oh my God, I guess you are in pain, you poor thing. I'll go get Doctor J. " She leaves and I wait a while. By this time, I'm slipping out of consciousness and a man, who I assumed was the doctor, comes in and said he had some pain patches for me, where did I want them. I said, " pain patches? What kind? " Imagine a drunken slur and you've got it about right. He said, " Fentanyl, you take fentanyl. " I mumbled that I did but by injection. He explained that they didn't have fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. Then he taped them down. He warned me that they may take a few hours to really kick in. I told him I was a paramedic and wasn't stupid. Thank God, he took it with good humor. Then, the doctor comes in, and he talks about giving me something for pain. I explained that I had already been given Fentanyl patches, and then he said he wanted to do an ultrasound of my leg to make sure there was no blood clot. There wasn't. After that, they let me go home. It was obvious that I was still in pain, and I didn't know this until I got home, but the doc had given Rod, who had come to get me, some Fentanyl for breakthrough pain called actiq, which is a losenge on a stick... Rod had two of them, since the doc told him it could be several hours before the patch began to work... Everyone there was so impressed with Dewey and how well he behaved. He made me proud. I can't wait until my Dobermann in training, Demon, can be the same way. So, that's my story, and...I'm sticking to it, or rather, it's sticking to me! -- Dodge Read my blog at: http://jumpthis.wordpress.com Visit me at: http://www./group/a_different_reality Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 Dodge, you're the only one I know of that can put a slice of bread in the toaster and it becomes the beginning of a dramatic soap opera! LOL Maybe you've missed your calling, they pay well for the soaps. Get better (and without the problems that have been), Dennis in eastexas On Tue, Feb 24, 2009 at 12:36 AM, Dodge Porter <medicdodge@...>wrote: > Hi all, > > I hope this evening finds you well in spirit, if not pain free. > > As many of you know, my ortho doctor decided not to give me any post-op > pain meds, feeling that I could get by wwith what I had at home. I have a > very high drug tolerance, and a very low pain threshhold, and even though I > take some of the strongest opioids, if I have a new pain problem come up, or > get into a bad Lupus/Spondylitis flare, my nine pain meds can't fight the > battle... > > An old doctor friend of mine Doctor Dominique, who is in my group and who > has agreed to take over my primary care, gave me some Norco. She gave me > 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run > out pretty quickly. She hoped that my post-op pain would be somewhat > diminished after the first week and I'd be able to get by. > > Saturday, I called her and told her just how bad it was. My knee was > swollen up to the size of a soccer ball, I couldn't walk on it and nothing, > and I do mean nothing, was doing any good. She commiserated with me, and > told me as she was on her way out to Quebec, where she is from and also has > a practice, (she rotates), to go to ER if I needed. > > I, not wanting to bother anyone, just suffered. Sunday passed in the same > sort of haze, but today, the pain was even worse and my blood pressure, > which tends to skyrocket when I'm in severe pain, was in the stroke out > region... Reluctantly, I called in an ambulance crew. > > Now, it's always been embarrassing to me, when a medic like me, and I'm a > good medic if I do say so myself, (my colleagues agree), has to call for a > rig. My friends were available and were going to take me but they were a few > miles away, so they sent a fire truck to sit with me and monitor my BP... > > This was part of the same fire crew that had given me a hard time last time > about my service dog. I did have them written up. I apologized, and they > both agreed that they'd deserved the write-up. > > As senior medic in our corps, I have some clout. > > So, finally, the ambulance got there and Dewey and I were whisked away to > the hospital. I decided to go to the same hospital which had performed the > surgery, seeing as how they would have all my records and everything. > > We get there, and they put me in the waiting room. I raise holy H*** . I > say, " No way are you sticking me in this waiting room to wait for hours when > I could have a blood clot. " My friend Jeff, one of the medics who brought me > in, went over to the desk and the nurse said to bring me to triage. > > After giving me the third degree on why I took nine schedule II meds and > why they were not working for me, and why I didn't have most of my > injectables, (I am given a supply of injectables, if I use them as I > normally do, I don't run out early, but if I use them as prescribed, I run > out a day or two early). I don't ask for early refills. I explained that the > reason I was out of my Fentanyl and Demerol injections was that I am due to > get them on wednesday, and I had permission from my pain doc to up my dose > if I needed because of surgery. > > Finally, Dewey and I are taken into a room and another nurse comes in. She, > too, gives me the third degree. Then she rips the bandages off my incisions, > (nice of her), and says, " They're not draining, your leg is bruised but not > that swollen). > > I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I > did, my knee began to swell, within a few minutes, it was the size of a > softball, that being the swelling. She said, " Oh my God, I guess you are in > pain, you poor thing. I'll go get Doctor J. " > > She leaves and I wait a while. By this time, I'm slipping out of > consciousness and a man, who I assumed was the doctor, comes in and said he > had some pain patches for me, where did I want them. I said, " pain patches? > What kind? " Imagine a drunken slur and you've got it about right. > > He said, " Fentanyl, you take fentanyl. " > > I mumbled that I did but by injection. He explained that they didn't have > fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. > Then he taped them down. He warned me that they may take a few hours to > really kick in. I told him I was a paramedic and wasn't stupid. Thank God, > he took it with good humor. > > Then, the doctor comes in, and he talks about giving me something for pain. > I explained that I had already been given Fentanyl patches, and then he said > he wanted to do an ultrasound of my leg to make sure there was no blood > clot. There wasn't. > > After that, they let me go home. It was obvious that I was still in pain, > and I didn't know this until I got home, but the doc had given Rod, who had > come to get me, some Fentanyl for breakthrough pain called actiq, which is a > losenge on a stick... Rod had two of them, since the doc told him it could > be several hours before the patch began to work... > > Everyone there was so impressed with Dewey and how well he behaved. He made > me proud. I can't wait until my Dobermann in training, Demon, can be the > same way. > > So, that's my story, and...I'm sticking to it, or rather, it's sticking to > me! > > -- > Dodge > . > > __ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 Nope, I'm happy as a paramedic, Federal Law Enforcment officer and firefighter, but maybe one day, I'll sell my story to Hollywood. Just kidding, would never do that...I'm actually a very private person, and really drama free, promise... -- Dodge Read my blog at: http://jumpthis.wordpress.com Visit me at: http://www./group/a_different_reality And my adults only journal at: http://www.my-journal.com/slaveheat You can check out the progress of my new service dog in training here: http://www.my-journal.com/demonsjournal ---- Dennis W <betnden@...> wrote: ============= Dodge, you're the only one I know of that can put a slice of bread in the toaster and it becomes the beginning of a dramatic soap opera! LOL Maybe you've missed your calling, they pay well for the soaps. Get better (and without the problems that have been), Dennis in eastexas On Tue, Feb 24, 2009 at 12:36 AM, Dodge Porter <medicdodge@...>wrote: > Hi all, > > I hope this evening finds you well in spirit, if not pain free. > > As many of you know, my ortho doctor decided not to give me any post-op > pain meds, feeling that I could get by wwith what I had at home. I have a > very high drug tolerance, and a very low pain threshhold, and even though I > take some of the strongest opioids, if I have a new pain problem come up, or > get into a bad Lupus/Spondylitis flare, my nine pain meds can't fight the > battle... > > An old doctor friend of mine Doctor Dominique, who is in my group and who > has agreed to take over my primary care, gave me some Norco. She gave me > 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run > out pretty quickly. She hoped that my post-op pain would be somewhat > diminished after the first week and I'd be able to get by. > > Saturday, I called her and told her just how bad it was. My knee was > swollen up to the size of a soccer ball, I couldn't walk on it and nothing, > and I do mean nothing, was doing any good. She commiserated with me, and > told me as she was on her way out to Quebec, where she is from and also has > a practice, (she rotates), to go to ER if I needed. > > I, not wanting to bother anyone, just suffered. Sunday passed in the same > sort of haze, but today, the pain was even worse and my blood pressure, > which tends to skyrocket when I'm in severe pain, was in the stroke out > region... Reluctantly, I called in an ambulance crew. > > Now, it's always been embarrassing to me, when a medic like me, and I'm a > good medic if I do say so myself, (my colleagues agree), has to call for a > rig. My friends were available and were going to take me but they were a few > miles away, so they sent a fire truck to sit with me and monitor my BP... > > This was part of the same fire crew that had given me a hard time last time > about my service dog. I did have them written up. I apologized, and they > both agreed that they'd deserved the write-up. > > As senior medic in our corps, I have some clout. > > So, finally, the ambulance got there and Dewey and I were whisked away to > the hospital. I decided to go to the same hospital which had performed the > surgery, seeing as how they would have all my records and everything. > > We get there, and they put me in the waiting room. I raise holy H*** . I > say, " No way are you sticking me in this waiting room to wait for hours when > I could have a blood clot. " My friend Jeff, one of the medics who brought me > in, went over to the desk and the nurse said to bring me to triage. > > After giving me the third degree on why I took nine schedule II meds and > why they were not working for me, and why I didn't have most of my > injectables, (I am given a supply of injectables, if I use them as I > normally do, I don't run out early, but if I use them as prescribed, I run > out a day or two early). I don't ask for early refills. I explained that the > reason I was out of my Fentanyl and Demerol injections was that I am due to > get them on wednesday, and I had permission from my pain doc to up my dose > if I needed because of surgery. > > Finally, Dewey and I are taken into a room and another nurse comes in. She, > too, gives me the third degree. Then she rips the bandages off my incisions, > (nice of her), and says, " They're not draining, your leg is bruised but not > that swollen). > > I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I > did, my knee began to swell, within a few minutes, it was the size of a > softball, that being the swelling. She said, " Oh my God, I guess you are in > pain, you poor thing. I'll go get Doctor J. " > > She leaves and I wait a while. By this time, I'm slipping out of > consciousness and a man, who I assumed was the doctor, comes in and said he > had some pain patches for me, where did I want them. I said, " pain patches? > What kind? " Imagine a drunken slur and you've got it about right. > > He said, " Fentanyl, you take fentanyl. " > > I mumbled that I did but by injection. He explained that they didn't have > fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. > Then he taped them down. He warned me that they may take a few hours to > really kick in. I told him I was a paramedic and wasn't stupid. Thank God, > he took it with good humor. > > Then, the doctor comes in, and he talks about giving me something for pain. > I explained that I had already been given Fentanyl patches, and then he said > he wanted to do an ultrasound of my leg to make sure there was no blood > clot. There wasn't. > > After that, they let me go home. It was obvious that I was still in pain, > and I didn't know this until I got home, but the doc had given Rod, who had > come to get me, some Fentanyl for breakthrough pain called actiq, which is a > losenge on a stick... Rod had two of them, since the doc told him it could > be several hours before the patch began to work... > > Everyone there was so impressed with Dewey and how well he behaved. He made > me proud. I can't wait until my Dobermann in training, Demon, can be the > same way. > > So, that's my story, and...I'm sticking to it, or rather, it's sticking to > me! > > -- > Dodge > . > > __ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 OMG! Dodge, I am soo sorry to hear about your ordeal. I hate it when docs think you will be OK w/ ypur current pain meds. Have they ever heard of breakthrough pain?!?!? I used to work in pain management and my caregivers are suprised when I talk to them. It's obvious that I am just not some regular person who will be satisfied with what they tell me. I hope you will find some relief soon. You will be in my thoughts. --- In , Dodge Porter <medicdodge@...> wrote: > > Hi all, > > I hope this evening finds you well in spirit, if not pain free. > > As many of you know, my ortho doctor decided not to give me any post-op pain meds, feeling that I could get by wwith what I had at home. I have a very high drug tolerance, and a very low pain threshhold, and even though I take some of the strongest opioids, if I have a new pain problem come up, or get into a bad Lupus/Spondylitis flare, my nine pain meds can't fight the battle... > > An old doctor friend of mine Doctor Dominique, who is in my group and who has agreed to take over my primary care, gave me some Norco. She gave me 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run out pretty quickly. She hoped that my post-op pain would be somewhat diminished after the first week and I'd be able to get by. > > Saturday, I called her and told her just how bad it was. My knee was swollen up to the size of a soccer ball, I couldn't walk on it and nothing, and I do mean nothing, was doing any good. She commiserated with me, and told me as she was on her way out to Quebec, where she is from and also has a practice, (she rotates), to go to ER if I needed. > > I, not wanting to bother anyone, just suffered. Sunday passed in the same sort of haze, but today, the pain was even worse and my blood pressure, which tends to skyrocket when I'm in severe pain, was in the stroke out region... Reluctantly, I called in an ambulance crew. > > Now, it's always been embarrassing to me, when a medic like me, and I'm a good medic if I do say so myself, (my colleagues agree), has to call for a rig. My friends were available and were going to take me but they were a few miles away, so they sent a fire truck to sit with me and monitor my BP... > > This was part of the same fire crew that had given me a hard time last time about my service dog. I did have them written up. I apologized, and they both agreed that they'd deserved the write-up. > > As senior medic in our corps, I have some clout. > > So, finally, the ambulance got there and Dewey and I were whisked away to the hospital. I decided to go to the same hospital which had performed the surgery, seeing as how they would have all my records and everything. > > We get there, and they put me in the waiting room. I raise holy H*** . I say, " No way are you sticking me in this waiting room to wait for hours when I could have a blood clot. " My friend Jeff, one of the medics who brought me in, went over to the desk and the nurse said to bring me to triage. > > After giving me the third degree on why I took nine schedule II meds and why they were not working for me, and why I didn't have most of my injectables, (I am given a supply of injectables, if I use them as I normally do, I don't run out early, but if I use them as prescribed, I run out a day or two early). I don't ask for early refills. I explained that the reason I was out of my Fentanyl and Demerol injections was that I am due to get them on wednesday, and I had permission from my pain doc to up my dose if I needed because of surgery. > > Finally, Dewey and I are taken into a room and another nurse comes in. She, too, gives me the third degree. Then she rips the bandages off my incisions, (nice of her), and says, " They're not draining, your leg is bruised but not that swollen). > > I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I did, my knee began to swell, within a few minutes, it was the size of a softball, that being the swelling. She said, " Oh my God, I guess you are in pain, you poor thing. I'll go get Doctor J. " > > She leaves and I wait a while. By this time, I'm slipping out of consciousness and a man, who I assumed was the doctor, comes in and said he had some pain patches for me, where did I want them. I said, " pain patches? What kind? " Imagine a drunken slur and you've got it about right. > > He said, " Fentanyl, you take fentanyl. " > > I mumbled that I did but by injection. He explained that they didn't have fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. Then he taped them down. He warned me that they may take a few hours to really kick in. I told him I was a paramedic and wasn't stupid. Thank God, he took it with good humor. > > Then, the doctor comes in, and he talks about giving me something for pain. I explained that I had already been given Fentanyl patches, and then he said he wanted to do an ultrasound of my leg to make sure there was no blood clot. There wasn't. > > After that, they let me go home. It was obvious that I was still in pain, and I didn't know this until I got home, but the doc had given Rod, who had come to get me, some Fentanyl for breakthrough pain called actiq, which is a losenge on a stick... Rod had two of them, since the doc told him it could be several hours before the patch began to work... > > Everyone there was so impressed with Dewey and how well he behaved. He made me proud. I can't wait until my Dobermann in training, Demon, can be the same way. > > So, that's my story, and...I'm sticking to it, or rather, it's sticking to me! > > -- > Dodge > > Read my blog at: > http://jumpthis.wordpress.com > > Visit me at: > http://www./group/a_different_reality > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 Boy you have all the experiences Dodge. At least you finally got some more pain medicines. Knowing the crew helps I am sure. [ ] My continuing surgery saga Hi all, I hope this evening finds you well in spirit, if not pain free. As many of you know, my ortho doctor decided not to give me any post-op pain meds, feeling that I could get by wwith what I had at home. I have a very high drug tolerance, and a very low pain threshhold, and even though I take some of the strongest opioids, if I have a new pain problem come up, or get into a bad Lupus/Spondylitis flare, my nine pain meds can't fight the battle... An old doctor friend of mine Doctor Dominique, who is in my group and who has agreed to take over my primary care, gave me some Norco. She gave me 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run out pretty quickly. She hoped that my post-op pain would be somewhat diminished after the first week and I'd be able to get by. Saturday, I called her and told her just how bad it was. My knee was swollen up to the size of a soccer ball, I couldn't walk on it and nothing, and I do mean nothing, was doing any good. She commiserated with me, and told me as she was on her way out to Quebec, where she is from and also has a practice, (she rotates), to go to ER if I needed. I, not wanting to bother anyone, just suffered. Sunday passed in the same sort of haze, but today, the pain was even worse and my blood pressure, which tends to skyrocket when I'm in severe pain, was in the stroke out region... Reluctantly, I called in an ambulance crew. Now, it's always been embarrassing to me, when a medic like me, and I'm a good medic if I do say so myself, (my colleagues agree), has to call for a rig. My friends were available and were going to take me but they were a few miles away, so they sent a fire truck to sit with me and monitor my BP... This was part of the same fire crew that had given me a hard time last time about my service dog. I did have them written up. I apologized, and they both agreed that they'd deserved the write-up. As senior medic in our corps, I have some clout. So, finally, the ambulance got there and Dewey and I were whisked away to the hospital. I decided to go to the same hospital which had performed the surgery, seeing as how they would have all my records and everything. We get there, and they put me in the waiting room. I raise holy H*** . I say, " No way are you sticking me in this waiting room to wait for hours when I could have a blood clot. " My friend Jeff, one of the medics who brought me in, went over to the desk and the nurse said to bring me to triage. After giving me the third degree on why I took nine schedule II meds and why they were not working for me, and why I didn't have most of my injectables, (I am given a supply of injectables, if I use them as I normally do, I don't run out early, but if I use them as prescribed, I run out a day or two early). I don't ask for early refills. I explained that the reason I was out of my Fentanyl and Demerol injections was that I am due to get them on wednesday, and I had permission from my pain doc to up my dose if I needed because of surgery. Finally, Dewey and I are taken into a room and another nurse comes in. She, too, gives me the third degree. Then she rips the bandages off my incisions, (nice of her), and says, " They're not draining, your leg is bruised but not that swollen). I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I did, my knee began to swell, within a few minutes, it was the size of a softball, that being the swelling. She said, " Oh my God, I guess you are in pain, you poor thing. I'll go get Doctor J. " She leaves and I wait a while. By this time, I'm slipping out of consciousness and a man, who I assumed was the doctor, comes in and said he had some pain patches for me, where did I want them. I said, " pain patches? What kind? " Imagine a drunken slur and you've got it about right. He said, " Fentanyl, you take fentanyl. " I mumbled that I did but by injection. He explained that they didn't have fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. Then he taped them down. He warned me that they may take a few hours to really kick in. I told him I was a paramedic and wasn't stupid. Thank God, he took it with good humor. Then, the doctor comes in, and he talks about giving me something for pain. I explained that I had already been given Fentanyl patches, and then he said he wanted to do an ultrasound of my leg to make sure there was no blood clot. There wasn't. After that, they let me go home. It was obvious that I was still in pain, and I didn't know this until I got home, but the doc had given Rod, who had come to get me, some Fentanyl for breakthrough pain called actiq, which is a losenge on a stick... Rod had two of them, since the doc told him it could be several hours before the patch began to work... Everyone there was so impressed with Dewey and how well he behaved. He made me proud. I can't wait until my Dobermann in training, Demon, can be the same way. So, that's my story, and...I'm sticking to it, or rather, it's sticking to me! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 You know Dodge, this is how Captain Ahab got his start. He actually suffered from RA and gnawed his leg off himself at the knee (I think it was in the footnotes), you could be headed for fame! Er...let's not talk about how the rest of the story went for him. Stan, Seattle, rainy. Re: [ ] My continuing surgery saga Nope, I'm happy as a paramedic, Federal Law Enforcment officer and firefighter, but maybe one day, I'll sell my story to Hollywood. Just kidding, would never do that...I'm actually a very private person, and really drama free, promise... -- Dodge Read my blog at: http :// jumpthis . wordpress .com Visit me at: http :// www . groups .com/group/ a_different_reality And my adults only journal at: http :// www .my-journal.com/ slaveheat You can check out the progress of my new service dog in training here: http :// www .my-journal.com/ demonsjournal ---- Dennis W < betnden @ gmail .com > wrote: ============= Dodge, you're the only one I know of that can put a slice of bread in the toaster and it becomes the beginning of a dramatic soap opera! LOL Maybe you've missed your calling, they pay well for the soaps. Get better (and without the problems that have been), Dennis in eastexas On Tue, Feb 24, 2009 at 12:36 AM, Dodge Porter < medicdodge @charter.net >wrote: > Hi all, > > I hope this evening finds you well in spirit, if not pain free. > > As many of you know, my ortho doctor decided not to give me any post-op > pain meds , feeling that I could get by wwith what I had at home. I have a > very high drug tolerance, and a very low pain threshhold , and even though I > take some of the strongest opioids , if I have a new pain problem come up, or > get into a bad Lupus/ Spondylitis flare, my nine pain meds can't fight the > battle... > > An old doctor friend of mine Doctor Dominique, who is in my group and who > has agreed to take over my primary care, gave me some Norco . She gave me > 100, and she guessed, with me taking 12 a day, 2 every 4 hours, that I'd run > out pretty quickly. She hoped that my post-op pain would be somewhat > diminished after the first week and I'd be able to get by. > > Saturday, I called her and told her just how bad it was. My knee was > swollen up to the size of a soccer ball, I couldn't walk on it and nothing, > and I do mean nothing, was doing any good. She commiserated with me, and > told me as she was on her way out to Quebec, where she is from and also has > a practice, (she rotates), to go to ER if I needed. > > I, not wanting to bother anyone, just suffered. Sunday passed in the same > sort of haze, but today, the pain was even worse and my blood pressure, > which tends to skyrocket when I'm in severe pain, was in the stroke out > region... Reluctantly, I called in an ambulance crew. > > Now, it's always been embarrassing to me, when a medic like me, and I'm a > good medic if I do say so myself, (my colleagues agree), has to call for a > rig. My friends were available and were going to take me but they were a few > miles away, so they sent a fire truck to sit with me and monitor my BP ... > > This was part of the same fire crew that had given me a hard time last time > about my service dog. I did have them written up. I apologized, and they > both agreed that they'd deserved the write-up. > > As senior medic in our corps, I have some clout. > > So, finally, the ambulance got there and Dewey and I were whisked away to > the hospital. I decided to go to the same hospital which had performed the > surgery, seeing as how they would have all my records and everything. > > We get there, and they put me in the waiting room. I raise holy H*** . I > say, " No way are you sticking me in this waiting room to wait for hours when > I could have a blood clot. " My friend Jeff, one of the medics who brought me > in, went over to the desk and the nurse said to bring me to triage. > > After giving me the third degree on why I took nine schedule II meds and > why they were not working for me, and why I didn't have most of my > injectables , (I am given a supply of injectables , if I use them as I > normally do, I don't run out early, but if I use them as prescribed, I run > out a day or two early). I don't ask for early refills. I explained that the > reason I was out of my Fentanyl and Demerol injections was that I am due to > get them on wednesday , and I had permission from my pain doc to up my dose > if I needed because of surgery. > > Finally, Dewey and I are taken into a room and another nurse comes in. She, > too, gives me the third degree. Then she rips the bandages off my incisions, > (nice of her), and says, " They're not draining, your leg is bruised but not > that swollen). > > I said, " Oh yeah, watch this! " and I hopped off the stretcher. As soon as I > did, my knee began to swell, within a few minutes, it was the size of a > softball, that being the swelling. She said, " Oh my God, I guess you are in > pain, you poor thing. I'll go get Doctor J. " > > She leaves and I wait a while. By this time, I'm slipping out of > consciousness and a man, who I assumed was the doctor, comes in and said he > had some pain patches for me, where did I want them. I said, " pain patches? > What kind? " Imagine a drunken slur and you've got it about right. > > He said, " Fentanyl , you take fentanyl . " > > I mumbled that I did but by injection. He explained that they didn't have > fentanyl injection in the ER. So, I got two 75 mcg patches on my right arm. > Then he taped them down. He warned me that they may take a few hours to > really kick in. I told him I was a paramedic and wasn't stupid. Thank God, > he took it with good humor. > > Then, the doctor comes in, and he talks about giving me something for pain. > I explained that I had already been given Fentanyl patches, and then he said > he wanted to do an ultrasound of my leg to make sure there was no blood > clot. There wasn't. > > After that, they let me go home. It was obvious that I was still in pain, > and I didn't know this until I got home, but the doc had given Rod, who had > come to get me, some Fentanyl for breakthrough pain called actiq , which is a > losenge on a stick... Rod had two of them, since the doc told him it could > be several hours before the patch began to work... > > Everyone there was so impressed with Dewey and how well he behaved. He made > me proud. I can't wait until my Dobermann in training, Demon, can be the > same way. > > So, that's my story, and...I'm sticking to it, or rather, it's sticking to > me! > > -- > Dodge > . > > __ > Quote Link to comment Share on other sites More sharing options...
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