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Reply to "Surgeon only gives Tylenol after surgery"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]With knee replacement surgery they tell you to get ahead of the pain. My DH tried to skip the heavy duty pain meds and it was not pretty for a few days. He definitely needed the stronger drugs.[/quote] This. I've had a lot of different surgeries, and my pain management needs have been quite different in each case. My ACL/MCL/meniscus repair was the worst, and I definitely needed the oxy for about 4 days post-op and multiple nights after that. My bilateral mastectomy wasn't too bad, and I was fine with gabapentin and tylenol/ibuprofen. They might have given me a vicodin or two while I was still in the hospital, but nothing to take home after I was released. Laparoscopic surgeries were trivial, and OTC meds were completely fine. OP didn't tell us what the surgery is, so we have no idea whether the doctor is being reasonable with the pain meds or whether he's some sort of purist. I would run far from any orthopedic surgeon who thinks OTC meds are sufficient. [/quote] You think doctors don't know this? The fact that OP didn't say, and hasn't come back to clarify, strongly suggests they already know they're on some nonsense. [/quote] OP probably saw the people ganging up on her and accusing her of being addicted. It is a fact that some doctors are extremely rigid when it comes to pain management. Check out r/medicine and see the debates among physicians about this. Besides not knowing what the surgery entails, we also don't know whether OP has undergone any surgical procedures before.[/quote] OP was probably trolling, like most of the people who post here. Either that, or they wanted "support" and bounced when they got a perspective check instead.[/quote] The perspective that we should tough out surgical pain versus using an FDA-approved medication that is indicated for surgical site pain? There is zero reason [b]to go back to biting sticks and rolling around in pain [/b]because of some junkie somewhere. My body, my choice. [/quote] But you know this isn't what happens to patients after standard surgeries in Sweden, Germany, France, and the UK, right? What makes Americans react so very much more poorly to the same procedures?[/quote] What are your sources for this claim? From a quick review: The US and Canada have much higher post-surgery use than Sweden, but the US and UK have seen a similar and substantial drop in opioid prescriptions. France has seen an uptick in prescription opioid use, and Germany still has opioids prescribed somewhat regularly as analgesics: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2749239 https://www.ofma.fr/wp-content/uploads/2018/09/Chenaf_et_al-2018-European_Journal_of_Pain-vf.pdf https://www.mdpi.com/1660-4601/21/2/180 https://journals.sagepub.com/doi/abs/10.3233/JRS-220040[/quote] Sure. Same data as you. From your first link: [quote]In this cohort study, more than 70% of surgical patients in the United States and Canada filled opioid prescriptions after 4 surgical procedures compared with only 11% in Sweden. [/quote] The exact same surgical procedures, but Swedes require 1/7 the opioid prescriptions post-op as Americans. Why is that?[/quote] Yes, the comparison with Sweden was noted in my reply. You’ve also referred to Germany, France and the UK. The latter has similar stats to the US, as does Canada, which you’re notably excluding. Germany and France also utilize prescription opioids, with the latter seeing an uptick, as noted in the respective link. Do you have links to studies suggesting a large current disparity between the US use of prescription opioids post-surgery compared with the countries you mentioned other than Sweden?[/quote]
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