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”.

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.

This makes no sense. Taking a small amount of meds for a one-off procedure is exactly the best use case.

[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”.

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.

This makes no sense. Taking a small amount of meds for a one-off procedure is exactly the best use case.

This poster has been trolling and likely sockpuppeting relentlessly. Just let him tire himself out.

[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”.

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.

This makes no sense. Taking a small amount of meds for a one-off procedure is exactly the best use case.

Maybe for you.

[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”.

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.

This makes no sense. Taking a small amount of meds for a one-off procedure is exactly the best use case.

Taking unnecessary narcotics is never a best use case. Prescribing needed narcotics as-needed, when needed, is best practice for opiates and other highly-addictive meds.

Prescribing opiates nobody even ends up using is exactly how kids get into opiates.

[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”.

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.

I have always gotten narcotics after surgery. More than 2-3 doses. Usually enough for 5-7 days. This has been with different surgeons. I have had zero issues.

[Anonymous]

I feel you OP I recently had an emergency surgery to deal with a staph infection I my chest wall post breast reconstruction. 5is also included a 7 inch incision down my back to take healthy tissue and transfer to breast. I also had a respiratory infection. Every time I coughed I thought I was being stabbed. They made me beg for stronger drugs, beg! They finally upped the morphine. They wouldn’t even give ,y cough medicine with codiene. It was absolute hell for four days in hospital.

I had some leftover oxy from previous surgeries so used those for a days when I got home. No addition worries on such a low dose.

[Anonymous]

Anonymous wrote:I feel you OP I recently had an emergency surgery to deal with a staph infection I my chest wall post breast reconstruction. 5is also included a 7 inch incision down my back to take healthy tissue and transfer to breast. I also had a respiratory infection. Every time I coughed I thought I was being stabbed. They made me beg for stronger drugs, beg! They finally upped the morphine. They wouldn’t even give ,y cough medicine with codiene. It was absolute hell for four days in hospital.

I had some leftover oxy from previous surgeries so used those for a days when I got home. No addition worries on such a low dose.

Opiates are respiratory depressants and shouldn't be given to people who are already struggling to breath correctly, but hey, you know your body best, right?

[Anonymous]

This is OP. 21 pages of people being mad that other people want/are getting 3 days of pain relief. I don't even know what to make of this!

[Anonymous]

Anonymous wrote:This is OP. 21 pages of people being mad that other people want/are getting 3 days of pain relief. I don't even know what to make of this!

Nobody's mad you want drugs. Sane people are pointing out that these drugs aren't candy, and you shouldn't expect to get them just because you want them, Veruca. Then, the veruca contingent jumped on those because because they want their drugs and they want them now!

Shopping around for someone who will give you the drugs you want, but don't need, is drug-seeking behavior. You're free to ignore all the sense some people tried to talk to you and go do it anyway, and you will find some half-assing whitecoat who will write you a prescription (probably just to shut you up). They do that with opiates the same as the do with antibiotics for colds.

The best approach to healing is to rest and let your body recover without adding additional complications (nausea, constipation, possible withdrawal symptoms), and your doctor seems to understand that perfectly well. Why you don't trust their medical expertise is probably worth looking into.

Best of luck, OP.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I feel you OP I recently had an emergency surgery to deal with a staph infection I my chest wall post breast reconstruction. 5is also included a 7 inch incision down my back to take healthy tissue and transfer to breast. I also had a respiratory infection. Every time I coughed I thought I was being stabbed. They made me beg for stronger drugs, beg! They finally upped the morphine. They wouldn’t even give ,y cough medicine with codiene. It was absolute hell for four days in hospital.

I had some leftover oxy from previous surgeries so used those for a days when I got home. No addition worries on such a low dose.

Opiates are respiratory depressants and shouldn't be given to people who are already struggling to breath correctly, but hey, you know your body best, right? :roll:

Who knows. But someone who cannot spell breathe correctly probably should hold off on the medical judgment.

[Anonymous]

Anonymous wrote:This is OP. 21 pages of people being mad that other people want/are getting 3 days of pain relief. I don't even know what to make of this!

People are cray!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

+1 Another way of wording "drug-seeking behavior" is "reality denying behavior". Post-surgical pain is part of the reality of having surgery, and you shouldn't expect a pain-free experience. Pain management isn't pain elimination.

There are some stages between no pain and rolling around on the floor screaming in agony. I gather you are more toward to hands clenched in agony and sweating through the sheets side.

+1
I die. Like women don't know how to tolerate pain. We tolerate way more than men. We tolerate way more than patriarchal doctors. GMAB. Why pile on more unnecessary pain on someone just because "it's surgery and pain is expected". Eff that.

If you don't like sweating through your sheets, you should stay away from opiates.

I do stay away from opiates! But then there's hot flashes....

[Anonymous]

Anonymous wrote:

Anonymous wrote:This is OP. 21 pages of people being mad that other people want/are getting 3 days of pain relief. I don't even know what to make of this!

Nobody's mad you want drugs. Sane people are pointing out that these drugs aren't candy, and you shouldn't expect to get them just because you want them, Veruca. Then, the veruca contingent jumped on those because because they want their drugs and they want them now!

Shopping around for someone who will give you the drugs you want, but don't need, is drug-seeking behavior. You're free to ignore all the sense some people tried to talk to you and go do it anyway, and you will find some half-assing whitecoat who will write you a prescription (probably just to shut you up). They do that with opiates the same as the do with antibiotics for colds.

The best approach to healing is to rest and let your body recover without adding additional complications (nausea, constipation, possible withdrawal symptoms), and your doctor seems to understand that perfectly well. Why you don't trust their medical expertise is probably worth looking into.

Best of luck, OP.

And then there's the drug addict who thinks everyone is an addict too! Or they will be if they have that "candy".

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I feel you OP I recently had an emergency surgery to deal with a staph infection I my chest wall post breast reconstruction. 5is also included a 7 inch incision down my back to take healthy tissue and transfer to breast. I also had a respiratory infection. Every time I coughed I thought I was being stabbed. They made me beg for stronger drugs, beg! They finally upped the morphine. They wouldn’t even give ,y cough medicine with codiene. It was absolute hell for four days in hospital.

I had some leftover oxy from previous surgeries so used those for a days when I got home. No addition worries on such a low dose.

Opiates are respiratory depressants and shouldn't be given to people who are already struggling to breath correctly, but hey, you know your body best, right? :roll:

Who knows. But someone who cannot spell breathe correctly probably should hold off on the medical judgment.

Yes, focus on a typo and not the obvious point. Sorry a single spelling error was enough to derail your poor, sweet brain.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:This is OP. 21 pages of people being mad that other people want/are getting 3 days of pain relief. I don't even know what to make of this!

Nobody's mad you want drugs. Sane people are pointing out that these drugs aren't candy, and you shouldn't expect to get them just because you want them, Veruca. Then, the veruca contingent jumped on those because because they want their drugs and they want them now!

Shopping around for someone who will give you the drugs you want, but don't need, is drug-seeking behavior. You're free to ignore all the sense some people tried to talk to you and go do it anyway, and you will find some half-assing whitecoat who will write you a prescription (probably just to shut you up). They do that with opiates the same as the do with antibiotics for colds.

The best approach to healing is to rest and let your body recover without adding additional complications (nausea, constipation, possible withdrawal symptoms), and your doctor seems to understand that perfectly well. Why you don't trust their medical expertise is probably worth looking into.

Best of luck, OP.

And then there's the drug addict who thinks everyone is an addict too! Or they will be if they have that "candy".

And here's our resident antagonist, dropping by to shit on anons without making any sort of useful contribution to the thread.