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

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.[/quote]

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.[/quote]

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.  :roll: [/quote]

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”.

[/quote]

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![/quote]

Yes! Inexcusable to not give at 2-3 doses to prevent that misery. [/quote]

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