[Spiney95]

I am scheduled to have my implant at 1:00 PM. The surgeon said it would be done on a same day basis but I am wondering about post op pain mgt. I am not a wimp but I am concerned about how I am going to feel that night and the next day or so. My regular meds are not going to take care of the increase in pain after having the surgeon rooting around in my tush. Even if the device is working perfectly coming out of the gate, I have other pain issues that it does not address. Am I over reacting? Thanks.

[Mark56]

If your implant is as was mine, while it is a same day procedure, send you home approach, the unit is not sent home in operation within you. My surgeon required two weeks of healing before the unit was switched on/programmed.

I was sent away from the surgery center with a scrip for pain meds which were calculated to be relevant to the surgery and in addition to the pain management meds on which I was existing...... so we stopped at the pharmacy on the way home and filled me up, then took me home to bed and looped me up.

Yup,
That's the way it was,
mark56

[Rrae]

I was in and out of hospital within 4 hrs, with unit buzzing.....but I only had the percutaneous leads rather than getting the laminectomy surgery.
Doc sent me home with post op meds (which were basically what I already had on hand from my regular pain doc)

The hospital usually keeps us very well medicated and feeling 'good', as you probably already know from experience....but then their meds wear off.

The first 2 days were uncomfortable of course and I laid on ice alot and spent most of the time recouping in bed.....I recall getting discouraged about the whole thing during this time, but by day 3 I felt much better and got very excited while bonding with my new buzzing buddy.

Rae

[Spiney95]

No laminectomy for me either. The surgeon said the bone quality is poor, which I knew, and he doesn't want to take any chances of another "crash". I agree. I was told I would leave there buzzing. I am supposed to stay with my daughter for a few days. I will discuss my concerns with Pain Man on the 11th and come up with some battle plan. I have reservations about this taking place at the end of the day. I have visions of my son in law taking a script to a large pharmacy, which is all that will be open at that hour, and running into problems getting it filled. I am probably over reacting. I know he had difficulty getting my daughter's script filled after she had her gall bladder removed. The pharmacist said she needed to come in and do it herself. I am most likely getting silly in my mature years.

[ger715]

Originally Posted by Spiney95

No laminectomy for me either. The surgeon said the bone quality is poor, which I knew, and he doesn't want to take any chances of another "crash". I agree. I was told I would leave there buzzing. I am supposed to stay with my daughter for a few days. I will discuss my concerns with Pain Man on the 11th and come up with some battle plan. I have reservations about this taking place at the end of the day. I have visions of my son in law taking a script to a large pharmacy, which is all that will be open at that hour, and running into problems getting it filled. I am probably over reacting. I know he had difficulty getting my daughter's script filled after she had her gall bladder removed. The pharmacist said she needed to come in and do it herself. I am most likely getting silly in my mature years.

I would have thought your Pain Mgmt. doctor would be on board as far as current and any additional meds needed for your procedure. Whenever I had any additional procedures, surgeries, I had my Pain Doc work with getting my pain covered beforehand.

Pray all will go well and any additional pain will be manageable.

Gerry

[Spiney95]

Originally Posted by ger715

I would have thought your Pain Mgmt. doctor would be on board as far as current and any additional meds needed for your procedure. Whenever I had any additional procedures, surgeries, I had my Pain Doc work with getting my pain covered beforehand.

Pray all will go well and any additional pain will be manageable.

Gerry

My guess is that is what this upcoming appt. is all about. He has managed my pain for going on 13 years now and hasn't let me down yet. He has always set up for a pain specialist to manage my pain when having surgery out of town as he hasn't been satisfied with what the surgeons did. I need to settle down. I'll be glad to be on the other side of this. I have never been this antsy before.

[Mark56]

Originally Posted by Spiney95

No laminectomy for me either. The surgeon said the bone quality is poor, which I knew, and he doesn't want to take any chances of another "crash". I agree. I was told I would leave there buzzing. I am supposed to stay with my daughter for a few days. I will discuss my concerns with Pain Man on the 11th and come up with some battle plan. I have reservations about this taking place at the end of the day. I have visions of my son in law taking a script to a large pharmacy, which is all that will be open at that hour, and running into problems getting it filled. I am probably over reacting. I know he had difficulty getting my daughter's script filled after she had her gall bladder removed. The pharmacist said she needed to come in and do it herself. I am most likely getting silly in my mature years.

If your procedure is occurring within the hallowed halls of a hospital/medical center, regardless of the time of discharge there is usually a twenty-four hour pharmacy onsite which may fill scripts issued therein for patients. Price us usually higher, but the comfort of avoiding frayed emotion is generally well worth the while. Check it out. I know we have used such a pharmacy before for the likes of me and the scripts I needed filled due to lateness of hour of a discharge from the hospital.

Yup, and prayin,
Mark56

[Mark56]

Originally Posted by ger715

I would have thought your Pain Mgmt. doctor would be on board as far as current and any additional meds needed for your procedure. Whenever I had any additional procedures, surgeries, I had my Pain Doc work with getting my pain covered beforehand.

Pray all will go well and any additional pain will be manageable.

Gerry

Unless Pain Manager and Surgeon are one and the same, surgeon will always take precedence in issuance of the immediately post surgical pain scripts. This is why I have even received scripts which we filled at the hospital pharmacy before leaving for home for fear the usual pharmacy would be closed before we arrived at home.

Check it out Spine, and take advantage of the abiltity to be adequately and professionally medicated and forarmed before leaving for home or your daughter's home,
Prayin,
Mark56

[Spiney95]

Originally Posted by Mark56

Unless Pain Manager and Surgeon are one and the same, surgeon will always take precedence in issuance of the immediately post surgical pain scripts. This is why I have even received scripts which we filled at the hospital pharmacy before leaving for home for fear the usual pharmacy would be closed before we arrived at home.

Check it out Spine, and take advantage of the abiltity to be adequately and professionally medicated and forarmed before leaving for home or your daughter's home,
Prayin,
Mark56

I realize that the surgeon takes precedence in the issuance of post op scripts. He and Pain Man are pals and I anticipate his double checking to make certain that the aquisition of proper post op meds runs smoothly. The hospital pharmacy across the street from me only services people who are admitted or in the ER. They do not fill scripts. This is a large regional hospital. I will call the hospital where the surgery is taking place tomorrow. If they have a pharmacy which services discharging patients, there is no issue. I have a marvelous Part D but would be willing to pay any copay to leave there with proper meds. In the past, the surgeries were so invassive that I had to be transferred to the local rehab hospital where Pain Man would take over and I was discharged from there with scripts that were filled at the Mom and Pop pharmacy across the street. Those folks are some of my guadian angels. Thanks for the heads up on getting the scripts filled at the hospital. Hopefully, they service discharging patients and I have been beating myself up over nothing. Back to sleep now.

[Nanc]

Hey there!

I had both cervical & thoracic SCS's implanted at a 1:00 pm procedure time. They kept me overnight in the hospital to manage the pain...good thing they did because it hurt and the anesthesiologist did not give me anything for nausea as I requested...it was not pretty! Anyway, I was not allowed to turn on my unit until my follow-up appointment a week later (when the staples came out).

You shouldn't have any trouble getting the prescription filled late at night, I mean how can you go fill it yourself since you just had surgery?!? My husband picked up my post-surgical prescriptions every time without issue. They did not fill them onsite at the hospital.

Good luck!!
Nanc