As a matter of fact I called today and talked to the nurse there and told her my issues and concerns. My aunt, a Pharmacist, had told me that percocet is among the shortest duration of relief when it comes to the short acting narcotics, and that hydrocodone has a longer half life and stays in the system much longer. From my personal experience over the years I would have to agree, too. The percocet kicks in quicker, but it seems to spike to a high level for just a couple hours and then makes an early exit. I've found the relief of the hydro(ES) to be as effective and it hasn't ever been a real problem for me to get an easy 4-5 out of it, sometimes more.
If I had my choice, I'd go with dillaudid shots, though. The few times I've put aside my pride and let an ER doc reluctantly stick me with 2-3mg the relief was excellent and lasted what felt like half a day.
Anyway, the call today was so refreshing to hear someone knowledgeable and competent, who actually understood what I've gone through for the last 5 years speak to me.
Rather than hearing the usual 'lets do some injections!' or 'no narcotics' that seem to plague pain clinics and prejudice doctors alike in the great beacon of conservative pain control that is Ohio, the woman at the surgeons office stressed that I had a major surgery for a serious injury (nothing mild about it, as other docs kept wanting to blow it off as, stick a needle in it and see me in a few months) and that I'm going to have a lot of healing to do, considering everything that had to be done. 10 days out and she fully expected me to still be hurting pretty bad and said it could last from 6 weeks to 3 months before things got back to normal.
I just can't stress enough how vindicated it's made me feel to know that it wasn't all in my head, as many doctors can make people feel that way; it was almost to the point where I was starting to question myself and harboring some strange sense of guilt about being in so much pain for so long. Hard to explain.
Anyway, the woman was very kind and understanding, we talked about switching to the hydrocodone es and even though I still have some of the oxycodone left, she said she'd call me in a script for the hydros too and to just take them instead every 4-6 hours. I was pretty much shocked. I've never had such an easy time with any doctor I've seen here in Ohio before. It's literally always been a nasty or thinly veiled level of b_s or hassle on the other end of the line.
So... everything is going much better now. The hyrdos are working better and the regular time frame and shorter duration is doing the trick. It's been a great day today.
Finally able to smile.