Discussions that mention vicodin

Pain Management board


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That is completely way beneath the standard of care, way beneath. I had bilateral total knee replacement (both knees) a year ago, and was on a morhpine self administerd drip for several days, then as I was opioid tolerant given an adequate increase in pain meds to treat what is without question, and exceptionally painful procedure. The recovery period is a minimum of a month during which he will require decreasing amounts of pain meds. But to get what sounds like vicodin for that type of major surgery is criminal, and a complaint should be filed with the state medical board, and all efforts should be made ASAP to find an advocate who can speak for him to either his primary or the surgeon or the anesthesiologist (who will more than likely pass the buck back to the surgeon). This is unbelievable in the callous disregard for normal pain management following that procedure. It smells of malpractice to me, but finding an attorney who will agree to pursue a remedy might prove difficult unless the pain produces some type of lasting injury, which is sad to say.:mad: I wonder if a letter to the editor of the local newspaper detailing the events and naming the doctor will shame him so that others needing that surgery will know who NOT to go to for it. My knees are always just a little sore and I have come to accept that as the price I pay for the prosthetics, but your friend should not have to pay any pain price during the post surgical phase. He really should go to ER and ask for additional relief. The only good side to this is that the acute pain only lasts about two weeks, then there is about six more weeks of about a level 4-5 pain, depending on his state of health. Given that he is quite heavy, that period might extend itself into months. Damn, what next? An amputation with aspirin as pain management, or open heart surgery with three days of vicodin. I agree, if it was the surgeons knee he would be singing a different song, what a jerk! Paulo
It's not really that shocking for someone to be sent home with Vicodin after surgery. Being chronic pain patients and on some sort of daily pain medication regimen it doesn't sound like much but for someone who isn't opiate dependent a Vicodin might knock them out. My mother had knee replacement last summer and didn't even take the entire bottle of 30 Vicodin 5/500's she was RX'd. My son's other grandmother had a hysterectomy and left the hospital with Tylenol 3's and they worked fine for her. I'm not saying that works for everyone, because by all means if someone still hurts after being cut open give them some pain meds!! I'm just throwing out there that from what I know it's pretty common to give out basic Vicodin or Percocets after some surgeries and have that work just fine. I do know that no matter what if someone is not getting relief from the prescribed meds after surgery than something NEEDS to be done, to just say "well I know you were just cut open and these pills aren't helping but I'm not giving you anything stronger" is morbid.
[QUOTE=BabyOwensMama;3351910]It's not really that shocking for someone to be sent home with Vicodin after surgery. Being chronic pain patients and on some sort of daily pain medication regimen it doesn't sound like much but for someone who isn't opiate dependent a Vicodin might knock them out. My mother had knee replacement last summer and didn't even take the entire bottle of 30 Vicodin 5/500's she was RX'd. My son's other grandmother had a hysterectomy and left the hospital with Tylenol 3's and they worked fine for her. I'm not saying that works for everyone, because by all means if someone still hurts after being cut open give them some pain meds!! I'm just throwing out there that from what I know it's pretty common to give out basic Vicodin or Percocets after some surgeries and have that work just fine. I do know that no matter what if someone is not getting relief from the prescribed meds after surgery than something NEEDS to be done, to just say "well I know you were just cut open and these pills aren't helping but I'm not giving you anything stronger" is morbid.

You could very well be right, it really does depend on a variety of factors, particularly for knee replacement. I had both done at the same time, and was already on opioids for pain management; but I was in a room with another man who had only one knee done, was not opioid dependent, and the initial protocol was the same, e.g., morphine drip with a patient release system, for the first 24-48 hours after surgery. They are shaving the ends of two major bones, the tibia and the femur, drilling into the center of each and then fitting cobalt and titanium plates to each bone and a polyurethane plate in between. For anyone who has ever broken their leg, they will know bones have nerves, and it hurts like crazy. But they do get you up and on the leg[s] as soon as possible, and start physical therapy while in the hospital. What they send a patient home with depends a great deal on age, physical health, and whether they are opioid dependent. Although I required a 6 hour blood transfusion, healing is remarkably fast and within a few weeks I was walking on my own without crutches and back down to my normal pain dose - so yes, it does depend alot on your medication history. I have a feeling that had I not already had a long pain history of treatment and disease, I might have gotten a 30 day supply of norco or vicodin and probably would have been alright. The more you use your legs after a surgery like that the better off you are, and if you are overly sedated by drugs your healing process could well be delayed. But, to just get a "few" lortab suggests maybe ten pills or so, which really is unacceptable...Good post, there are several sides to a situation...Paulo