First pilonidal. First surgery.

Discussion in 'Pilonidal Discussions' started by jdschmidt, Jul 27, 2009.

  1. mumto2

    mumto2 New Member

    Joined:
    Nov 30, 2008
    Messages:
    203
    Helpfuls Received:
    4
    Location (Country):
    Australia
    I agree with Cricket... don't try to be a 'hero' about the pain and suffer needlessly. Good pain management is just SO important!

    Here is a thread discussing pain and packing changes that may be of interest: http://www.pilonidal.org/forums/showthread.php?t=11347 I think the consensus on that thread was that pain with packing drops off significantly at around day 10. There were also lots of tips on how to make it less so.

    Hopefully you will be able to get a script filled today. Continue to chase them up if you don't hear back.

    All the best,
    Mumto2.
     
  2. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    Haha not trying to be a hero. I just feel so weird asking for it. I mean doctors label too many people with drug seeking behavior here if you just ask for some. It is insane. My dad cracked his T7 vertebre in his back and they didn't give him anything. After a few days he called and asked and the nurse called him out on being a drug addict! And the last time he had any pain medication was 3 years ago for surgery...But hopefully my surgeon realizes I am only 1 week out from surgery. I told them I just needed it for packing changes.
     
  3. REALLY???

    REALLY??? New Member

    Joined:
    Jun 17, 2009
    Messages:
    209
    Helpfuls Received:
    0
    Location (Country):
    USA
    Well, if you are old enough, and they don't give you any more pain meds (I got a prescrption for 30 days for my lancing... maybe I should send you mind!) maybe a shot of Tequila a few minutes before hand would help. :)
     
  4. mumto2

    mumto2 New Member

    Joined:
    Nov 30, 2008
    Messages:
    203
    Helpfuls Received:
    4
    Location (Country):
    Australia
    That's just crazy JD!

    My husband has had his ribs broken twice. I forget what they gave him for pain the first time... Panadeen forte, I think. Well, it didn't even put a dent in it. We ended up paying for a doctor to come to our house because he was in SO much pain that we couldn't possibly get him into rooms and/or hospital. That doctor ended up prescribing morphine and thank God he did!. The second time he broke his ribs, I asked for the morphine straight up. NO WAY were we going through that again!

    My youngest son also suffered (needlessly) with chronic migraines for 4 years. What I learned about pain management in that time I will never forget, let me tell you! Pain effects your whole system and can become chronic... ie. will start to feed on itself. When they tell you to take your pain meds EARLY, they mean it AND for good reason! Once we were able to pick my son's prodromol (early warning signs of a migraine), 2 over the counter tablets (Iboprofen) and he was right. If we didn't catch it and a migraine took hold... nothing, NO kind of pain reliever would help. Basically he was in it for the long haul then. That's the difference... night and day really.

    Sorry I'm going on, but something I've come to feel passionately about. I reckon you are layed up and have the time to hear me out. ;)

    All the best to you,
    Mumto2.
     
  5. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    Haha I am only 19..No booze for me yet. I will call the pharmacy here in a bit. If anything I will just have to suffer till it gets better. I don't like the idea of suffering when I don't have to though. I am actually pretty nervous about it. I don't even wanna imagine what the next few days will be like without. I had a really tough time walking out to get the mail a little while ago. haven't even been able to take a shower yet. Let alone change the packing. I honestly don't know if I will be able to go through the packing change. what happens if I skip it for one day? It is still in there fine. I don't want to risk it getting dried in there though (I am using strips with saline or something, so they are moist to begin with). I am not sure. I guess I will know more once I hear from the pharmacy. I am just not giving the nurse I talked to much credit quite yet. She was kinda rude and really didn't care I was in pain.
     
  6. mumto2

    mumto2 New Member

    Joined:
    Nov 30, 2008
    Messages:
    203
    Helpfuls Received:
    4
    Location (Country):
    Australia
    I'm just wondering JD... you mentioned earlier that your father helped to change your dressings. Could he or anyone else call into doctors on your behalf?

    I'm thinking that with your age, maybe you aren't being taken as seriously as you should. Sometimes one has to go in fighting for these things. Nothing fiercer than a parent looking out for their child.

    Just a thought.

    Mumto2.
     
  7. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    I actually called while giving my mom a ride back to work(Supposed to have up to baseball size hail here:eek:, So had to bring her car back and put it in the garage) Anyways..After she could tell I was having no luck she took my phone and talked to her. She wouldn't even transfer her back to the surgeons office. That made her mad and she kinda told the nurse off. If they don't do anything I will call back tomorrow and tell them I refuse to change the packing without it..and if they don't want to do another surgery due to poor care they should help me out. My surgeon is pretty compasionate. So i hope he gets the message atleast.
     
  8. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    it would not be good to keep it in there longer as it will kill really bad even if u have meds. once the saline drys too much inside than when its removed it takes skin with it as your skin gets attached to the dry gauze.

    i read your first post and saw u have a tolerance to pain meds? do u get prescriptions often or did u go thru your last script faster than it was prescribed for? thats what happens to me and than they will not give u more until its time to get u more. my last surgery was a cleft lift closure and because i was on meds for over a year, the meds stopped working and i ended up in er and was told by my family doc to take 5 vicodin every 4 hours or if i had percocet, to take 4 every 4 hours but that on the script it would only say 2 every 4 and in which case i would run out too fast. it got pretty ugly and now i'm on suboxin to get off the pain meds. i'm opiate free now for almost 5 weeks.

    my advice is if u get no meds, u must still change your dressing but if your in too much pain than go to er and demand something for pain and have them change it and than they will see your wound too and take alot of pity on u. once they see the wound than they understand better.
     
  9. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    My last bottle was enough to last 2-3 days..I got about a week out of it. made it last as long as I could..hoping I would be pain free when it ran out. But it didn't work. and alls I take for pain now is Ultram. Which I honestly think is a joke. So I don't take it that often. I don't have a tolerance anymore to opiates. I did when I had 2 surgeries in 2 months last year. But was opiate free for over a year so it went down. I take two 5/500's (vicodin) and am pain free throughout the day. The most I take a day is 4. (sometimes 6 in a 24 hour period if I wake up middle of the night in pain) Not very often though.

    *edit. mom just called me. My surgeon wasn't even in the office at all today..So he won't get my message until tomorrow. Ugh..I am really debating on doing the packing tonight..I just don't think I could handle it.
     
  10. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    Forgot I had 15 refills on my ultram. So I will refill it tonight. (actually gonna go pick it up here in a minute) I get 60 of them every 5 days if I need them. But 60 of them will last me a month. So I should be sort of ok tonight..maybe be able to sleep..
     
  11. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    yeah ultram sucks. thats what my nephrologist gives me for my kidneys. i'm so sorry those idiots didn't tell u earlier that your doc wasn't in. they treat animals more humanely than us with huge gaping wounds.

    i really don't reccomend u skipping your packing. i understand if u do skip it but i know from alot of experience that u don't want to do something u shouldn't. besides the fact that with every dressing change u get rid of the bacteria brewing and by leaving it in till tomorrow your putting yourself at risk. i think u should get your thing changed at the hospital that way u could be comfy.thats just what i'd do. good luck.
     
  12. mumto2

    mumto2 New Member

    Joined:
    Nov 30, 2008
    Messages:
    203
    Helpfuls Received:
    4
    Location (Country):
    Australia
    I agree... good advice cricket.

    Sorry about your surgeon being out of the office JD. I've found that doctors CAN be paged if concerns are urgent... not information that is freely given out to patients btw. You don't have to necessarily see your own surgeon to get a script either.

    Wish you luck,
    Mumto2.
     
  13. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    oh good. i'm glad u at least have these. if i were taking ultram for this i'd take 3-4. my family doc said for this particular surgery that if i take two and no relief than take 3 than 4. i hope it at least takes the edge off of it till the morning.
     
  14. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    Yeah..I was told to take up to 5 at a time 2x a day. So I will probably take them before bed and hopefully my surgeon gets back to me tomorrow morning.
     
  15. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    i hope so too. i hope u can get some rest cause thats important for your well being as well.
     
  16. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    It just started bleeding like crazy for no reason at all :confused: So had to pack up and put alot of gauze over it to stop the blood. Hurts quite alot more now. Took the tramadol. have a feeling its going to be a long night.
     
  17. needadvice

    needadvice New Member

    Joined:
    Apr 3, 2009
    Messages:
    31
    Helpfuls Received:
    0
    Location (Country):
    Canada
    Hi JD,
    I have read all the posts and just want to say I'm so sorry you're having to go through that. I hope you are able to get some rest. Best wishes to you
     
  18. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    was the packing in or out when the bleeding began?
     
  19. jdschmidt

    jdschmidt New Member

    Joined:
    Jul 27, 2009
    Messages:
    179
    Helpfuls Received:
    0
    Location (Country):
    USA
    Still in..Basically packed with gauze as well just to get the bleeding to stop..Pretty sure nothing is really wrong considering I was just seen yesterday and he said I we on track. Just really really sore now. I will call them in the morning and tell them whats going on. And hopefully get some meds. The tramadol is pretty weak stuff and doesn't work to well. But it is taking some of the sting out I guess.

    Edit. There was also a clot of blood..pretty decent size that came out as well. It was gross. But everything is with these things.
     
  20. cricket1

    cricket1 Helpful

    Joined:
    Nov 7, 2008
    Messages:
    2,182
    Helpfuls Received:
    11
    Location (Country):
    united states
    yeah, i wasn't really thinking something was wrong either. i was just wandering cause i've had some fairly large bleed outs occur with my open wound. so much bleeding that they were wandering if i needed a blood tranfusion.
     

Share This Page