Hey Donana, Just a tip, If your doc didn't recomend an abdominal binder to hold iit in plce after the implant it's worth spending 20 bucks on one. It's a comfort thing as far as it not bouncing around when you walk or ride in the car and it will also hold iit in place while it becomes encapsulated in scar tissue. Occaisonally a pump can flip which makes rfills difficult, unpleaseannt or impossible. I've only met one person who's flipped, but THe elastic 12 inch wide binder just holds it so you don't ave to when you hit a speed bump. The first few weeks or months when mine bounced it felt like little tears each time.
Becky, It tok me about 6 months to get my first med adjusted, but I was na a fairl y high dose of meth. I stopped that prett much cold turkey. I was glad to be off he stuff but it was the only med I could afford without insurance.
Everyone is different, I have met folks that spent months adjusting morphine, then dilaudid , then fentanyl and then suffentanyl.18 months later the were still tinkinging with meds and adjunct meds. Clodine, Bupivicaine and Baclofen can also be delivered Va pump and can help with spasm, pain and add a little numbing agent directly t the site of the cath. It's just a mater of how you respond to each med and how agressive and available your doc is. But once you ahave a comfortable working dose, it's pretty smooth sailing, especially with the larger resevoirs in the new sychromed11 pumps where you can go months between refills even with weaker meds like morphine. Sufentanyl is the strongest per microgram, Fentnyl is also measured in mcrograms due to it's potency and then you have dialuadid and morphine measured in mgs.
MY implant was a 23 hour breeze too. The tthe first traial was 4 days in patient with a spinal headache though. I eventually did a single bolus injection months later and just hung out and walked around the clinic for a few hours after the injection and it was great relief, but that was in addition to the meth in my system that you can't jst clear out by skipping a dose or two. They normally want you to stop or at least decrease the oral meds while doing a trial to get a better reponse. As the decrease Donna's Patch strength, they have to increase the flow rate. Unfortnately there isn't an exact conversion from Oral to pump or from patch to pump, so it takes a few adjustements to get it right but the only reaon to give up on amed is if you can't tolerate he side effects, so don't think your off track if your still adjusting months longer than Donna. My doc had Me DC meth when hey put the pump in, so I was starting from scratch, where Donna still has to replace her other meds with IT meds and work towards the level of relief she's recievng from a patch and whatever the pump delivers.
AS far as visabilty, Unless you go to work showing off a six pack, nobodyy will notice a thing. I guess swim suites would be different and how much tummy you have to hide the pump makes a difference too. I've lost some weight since the implant and mine is more prominant, but at 40, I really don't care anymore. I'm pretty sure it's kinda strange for my wife to feel and my daughter feels it when she hugs me. But it's a small price to pay for a clear head.
Good luck, Dave