Surgeon only gives Tylenol after surgery

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Thank you.

You aren't expected to just "deal with it." If you have pain way out of proportion to what should be expected, you should be re-evaluated by a medical provider (in person, as in ER) to make sure a serious complication isn't happening. Internal bleeding, etc., doesn't care if you have a 6 year old.

This is going to blow your mind, but I know my body. Crazy, I know. In the past, when I had surgery, I experienced excruciating pain and could not sleep, couldn't eat, and was shaking so bad, which, newsflash, isn't great for the healing process.

So I am being my own advocate since I know my body best.

Don't make your addiction issues my problem.

You should have put a stick between your teeth and Americans can stand to loose a little weight. /s

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Thank you.

You aren't expected to just "deal with it." If you have pain way out of proportion to what should be expected, you should be re-evaluated by a medical provider (in person, as in ER) to make sure a serious complication isn't happening. Internal bleeding, etc., doesn't care if you have a 6 year old.

This is going to blow your mind, but I know my body. Crazy, I know. In the past, when I had surgery, I experienced excruciating pain and could not sleep, couldn't eat, and was shaking so bad, which, newsflash, isn't great for the healing process.

So I am being my own advocate since I know my body best.

Don't make your addiction issues my problem.

You're yelling at the wrong pp. And "I know my body best" is a massive red flag to doctors. Difficult patients always say this crap.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Thank you.

You aren't expected to just "deal with it." If you have pain way out of proportion to what should be expected, you should be re-evaluated by a medical provider (in person, as in ER) to make sure a serious complication isn't happening. Internal bleeding, etc., doesn't care if you have a 6 year old.

This is going to blow your mind, but I know my body. Crazy, I know. In the past, when I had surgery, I experienced excruciating pain and could not sleep, couldn't eat, and was shaking so bad, which, newsflash, isn't great for the healing process.

So I am being my own advocate since I know my body best.

Don't make your addiction issues my problem.

You're yelling at the wrong pp. And "I know my body best" is a massive red flag to doctors. Difficult patients always say this crap.

Harsh but true.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Thank you.

You aren't expected to just "deal with it." If you have pain way out of proportion to what should be expected, you should be re-evaluated by a medical provider (in person, as in ER) to make sure a serious complication isn't happening. Internal bleeding, etc., doesn't care if you have a 6 year old.

This is going to blow your mind, but I know my body. Crazy, I know. In the past, when I had surgery, I experienced excruciating pain and could not sleep, couldn't eat, and was shaking so bad, which, newsflash, isn't great for the healing process.

So I am being my own advocate since I know my body best.

Don't make your addiction issues my problem.

I've never been an addict, though.

You should get that hypersensitivity to literally everything looked at.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Thank you.

You aren't expected to just "deal with it." If you have pain way out of proportion to what should be expected, you should be re-evaluated by a medical provider (in person, as in ER) to make sure a serious complication isn't happening. Internal bleeding, etc., doesn't care if you have a 6 year old.

Post operative pain is expected. Hence the pills. You're creating a straw man.

Post-operative pain is expected.

Post-operative pain out of proportion to what is expected should be evaluated. At the time , if it is unexpected -- but if you have a coronary over every hangnail or scratch, you should talk to your doctor about what your body signals and ability to manage them are so out of whack.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Tylenol isn’t even good for pain. It is mostly a fever reducer. What a stooge doctor.

-a junkie

I mean, the total amount of pain killers I have taken in my lifetime is probably under 40 200 mg Advil and that is about it. I have maybe 10 drinks a year. I am not exactly going crazy over here with substances.

But I also know that Tylenol doesn’t really work on pain. And a doctor like that is a stooge. Find someone else.

Again, why are the French, the Swedish, all these other people so much better able to manage without narcotics? Are they just all better genetically, or what?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Nothing in the medical world is set up for single moms. Everyone assumes you will have another adult at home who can drive, take care of things, etc. Makes me insane that they give you paper prescriptions at the hospital after surgery. Give that stuff ahead of time so I can fill it!

[Anonymous]

Anonymous wrote:

Anonymous wrote:I met with a surgeon today for a consult for significant and urgent surgery. There were a number of things I was unimpressed with but one was that they only give Tylenol. I feel like they would probably give more if a patient was in REALLY bad shape but her take was “some discomfort is normal after major surgery but it should be manageable with Tylenol.” That’s jacked up. We invented medication so that you don’t have to feel pain. Give a patient 3-5 days of pain meds. I’m meeting with other surgeons because this one seems heartless.

It would depend on the surgery. I've had some surgeries where all I had was Tylenol. I was sore but dealt with it and was fine after a few days.
I also had a kidney removed. I got something a bit stronger for the 24 hrs following surgery. After the 1st day, I was given Tylenol.

I think the patients who don't want to feel any pain are red flags. It's surgery. It will be painful. The pain meds should be used cautiously and within reason. Opioid addiction and overuse is real.

It’s absurd to say that not wanting to feel pain is a red flag. Next time you have surgery, how about you ask them to use no anesthesia, becuase surgery SHOULD hurt, and anesthesia has risks.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I met with a surgeon today for a consult for significant and urgent surgery. There were a number of things I was unimpressed with but one was that they only give Tylenol. I feel like they would probably give more if a patient was in REALLY bad shape but her take was “some discomfort is normal after major surgery but it should be manageable with Tylenol.” That’s jacked up. We invented medication so that you don’t have to feel pain. Give a patient 3-5 days of pain meds. I’m meeting with other surgeons because this one seems heartless.

It would depend on the surgery. I've had some surgeries where all I had was Tylenol. I was sore but dealt with it and was fine after a few days.
I also had a kidney removed. I got something a bit stronger for the 24 hrs following surgery. After the 1st day, I was given Tylenol.

I think the patients who don't want to feel any pain are red flags. It's surgery. It will be painful. The pain meds should be used cautiously and within reason. Opioid addiction and overuse is real.

It’s absurd to say that not wanting to feel pain is a red flag. Next time you have surgery, how about you ask them to use no anesthesia, becuase surgery SHOULD hurt, and anesthesia has risks.

It's not even worth trying to correct you. If you don't see the obvious differences between using anesthesia during surgery and using the minimum pain medication post-operatively, you're too stupid to help. Don't add narcotic drugs to the mix.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Tylenol isn’t even good for pain. It is mostly a fever reducer. What a stooge doctor.

-a junkie

Not the PP, but lots of experience with Tylenol. It has never worked worth a damn on any pain I have ever had. A+ fever reduction.

Also not a “junkie”. (Very 70s terminology, by the way. I am in my 50s—you must be ancient.)

Most of your pain is probably in your head. You sound mental, so that tracks.

You seem to have a large reserve of slurs related to mental health and substance use disorder to spray around like verbal diarrhea. Looks like a gas station bathroom in this thread. Gross. Bye.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Tylenol isn’t even good for pain. It is mostly a fever reducer. What a stooge doctor.

-a junkie

Not the PP, but lots of experience with Tylenol. It has never worked worth a damn on any pain I have ever had. A+ fever reduction.

Also not a “junkie”. (Very 70s terminology, by the way. I am in my 50s—you must be ancient.)

Most of your pain is probably in your head. You sound mental, so that tracks.

You seem to have a large reserve of slurs related to mental health and substance use disorder to spray around like verbal diarrhea. Looks like a gas station bathroom in this thread. Gross. Bye.

Welp. That's a "creative" way to self-own, innit? Enjoy your drugs!

[Anonymous]

Is it a male OBGYN?

My mother dated on once and he said they either love or hate women.

Are you a back woman? Doctors are notoriously flippant about black women’s pain. Even if they think they’re not.

And…it could be that Tylenol is actually enough. Just get a second opinion.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Nothing in the medical world is set up for single moms. Everyone assumes you will have another adult at home who can drive, take care of things, etc. Makes me insane that they give you paper prescriptions at the hospital after surgery. Give that stuff ahead of time so I can fill it!

Yes! Inexcusable to not give at 2-3 doses to prevent that misery.

[Anonymous]

Anonymous wrote:new to the convo here, but before my recent surgery i was actually given ibuprofen before hand. It's been shown that ibuprofen before surgery can help reduce pain after the procedure and improve recovery outcomes.

And it work for me. I was quite amazed! I literally had no pain after the procedure. It was in my groin area, so instead of stitches, they used superglue and a transparent patch until it all healed.

Ibuprofen is typically not recommended prior to major surgery because it can increase the risk of excessive bleeding during the procedure.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:As a nurse, I've never worked with a surgeon or any physician for that matter, who only prescribes Tylenol for pain. What you need post-operatively depends on a lot of factors. This is a red flag in my opinion.

Yeah, like the actual level of pain, complications, etc. Asking for opiates at a consult is wild, and suggests drug-seeking behavior, regardless of the procedure in question. If the professional performing the procedure doesn't think it will be necessary, go with that. If they absolutely refuse if/when it is actually necessary, call your GP or another provider with whom you have a working relationship or go to an emergency room. A patient willing to bounce because they weren't guaranteed opiates before they were necessary is a massive red flag to the clinician.

No GP in the United States is going to Rx opioid painkillers in the immediate aftermath of a surgery performed by someone else—and rightly so.

It is reasonable to find out in advance whether you are having surgery performed by someone who will use the full range of pain mitigation that they are legally authorized to provide, or by someone who categorically rules some of the most powerful out in advance.

I can’t tell from OP’s post whether that is what they inquired about, therefore none of the rest of us know what scenario we are arguing about.

Good vibes to all undergoing surgery—and all in, or contemplating, recovery from substance use disorders.

I want a doctor to categorically rule out the most powerful narcotics in advance of procedures that don't require them. At most, I want them to say "if you encounter complications, call the 24-hour line and we'll take care of it." That's responsible. I don't want a pill-pusher (again), and I wish more people understood what they were risking taking these meds when they really don't have to. But some people can't even have that conversation without crashing out about meth for some reason.

So walk us through this “call the 24 hour hotline” that you reference. Let’s say I have a hysterectomy and as a single mom I have break through pain at 2am that your mega dose of Tylenol isn’t helping, what do I do?

Kid is sleeping like 6 year old should. Call a sitter at 2am so I can run to the ED or find some pharmacy that is open at 2am to fill a prescription. Be specific.

“Oh but you should have someone staying with you!” I’m sure is your next gripe. Really? You expect someone else to be running all over the city looking for a 24 hour pharmacy to fill a prescription? For something that is expected?

What if I’m alone? Call a friend? Wake up a neighbor? Get my 1st grade kid out of bed and take him to the ED with me to “seek” pain meds?

This is why women don’t get proper medical care! We are expected to just “deal with it”.

Nothing in the medical world is set up for single moms. Everyone assumes you will have another adult at home who can drive, take care of things, etc. Makes me insane that they give you paper prescriptions at the hospital after surgery. Give that stuff ahead of time so I can fill it!

Yes! Inexcusable to not give at 2-3 doses to prevent that misery.

No. You don't get 2-3 doses of narcotics to "prevent the misery" of being temporarily inconvenienced by a one-off procedure. Handle it. You're a single mom, you can figure this out.

Besides, if you're the only parent on duty, without even so much help as a runner, you'd better not get the nods. Nope, no opiates for you, especially "Just in case". If/when you need them enough to figure out the minor, one-time inconvenience, ask then.