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Hospitals pushing discharge

Mar 28, 2015 1:41 AM

What do you guys do when hospitals push for discharge before your body is ready?

I was almost discharged yesterday from this horrific place but I am only what..2 days post op now after my double fusion/ALIF Weds. I also had an anterior lumbar fusion 3 wks ago (in neck brace now until 4/10). They were going to dc me at 10/10 (read 10000/10 for any typical person - non chronic pain-er), when my body wouldn't digest etc....until nurse saw me and was like wtf no your pain is not controlled and intervened.

Then they developed this plan where I am to get the IV dilaudid and just be comfortable and "bridge" it with my morphine er, valium and perkocet to see if I can get off IV dilaudid starting tomorrow. Well I was a wreck and realized I had gone 13 hrs without any muscle relaxer (put me on 10mg valium every 8 - dx paraflex my lighter muscle relaxer - this was less now than I have received in years - my body always needs a muscle relaxer! And I also hadn't had perkocet in 8 hours (supposed to be every 4).

I do not see how that was bridging! But apparently its every such and such AS NEEDED. So I have to ask. I had hubby bring up my self made excel sheet from home and am now charting meds they give me. I do not trust this damn joke of a place. I was told 1 week to 2 weeks inpatient and they tried kicking me out Friday with uncontrolled pain. Then developed a plan that sounded great!....then no one followed thru on...so now I'm trying myself & to be my own advocate.

I woke up in pain just now and had dilaudid (still in a crap ton of pain). I could have chose perkocet but I wouldn't be due to take that with valium until 4am so I am trying to bridge/piggy back myself as a "trial run" fof myself. Perkocet does nothing for me unless I have a muscle relaxer with it.

Ugh. So now I am charting and trying to "bridge" or piggy back my own meds as I can here. As much as I want to get the HELL out of this hellhole I need to be able to damn function without intravenous medication!

I know insurance companies are the ones behind this and it makes me sick. But as a clinician myself I am always a patient advocate first...& will fight tooth and nail for insurance companies if needed. I am the clinician/expert, not the penny pincher. It makes me sick when I encounter clinicians (or hospitals) that abide by the insurance and kiss ass. EW.

Any thoughts on this? I plan to discuss this all and show my charting to doc tmrw morning. ((I also wanna call them all big huge bleep bleeps wusses for folding to insurance companies but will refrain ;).))

Tips and/or advice, thoughts, experience, take on it all greatly appreciated.


PS. My baseline meds, at home meds all included morphine, perkocet and valium....and the paraflex they are holding. I have been dealing with chronic and tremendous pain for over 2 years. So immediately post op...my body needs something more, isn't that normal?! Just because I have had to endure a greater amount of pain that would be unbearable to most any other person on earth...why are they looking at this list and freaking out? I had hubby bring all the meds and my "graveyard" of full bottles I never took to show them what I have been thru and that this is the only combo I have that won't knock me out....and that I self wean, loom at the dates on my bottles! My 1 month supply of morphine was nearly full so I have just been taking that old bottle.

I hate they're making me feel defensive here when my focus should just be on recovering :-(

Mar 28, 2015 1:43 AM

Edit: meant my anterior cervical fusion was 3 wks ago. Lumbar was past Wednesday.

And wow that is long...sorry and thanks for reading thru it if u can lol.

Mar 28, 2015 4:31 AM

I'm sorry you've had to deal with all that crap its sounds like you've got a good plan going just stick to it and speak your mind and make sure you keep telling the nurse when you need the pills that way the doc sees that it matches time wise and scale wise too. God bless you and prayers said for fast recovery.

Mar 28, 2015 11:26 AM

Therapistunveiled, there is always supposed to be a patient advocate!!! Make sure they send him/her up to your room. Show the person your chart, tell them your thoughts and concerns and right out fears. Have your hubby bring you the number for the insurance company. As a provider yourself, you're somewhat familiar with the ins and outs of how they work. Remember the other day I told you that they CANNOT release you with uncontrolled pain or other issues. Thank God that nurse knew her job!!! Be your own advocate... Today, you HAVE to be. I'm am so infuriated at the treatment you are getting, you have no idea. There isn't one person who WANTS to stay in the hospital so, obviously, if you're telling them you're not ready, there's a problem there!! I'm going to keep checking up on you. Hang in there, things will work out. You're in my prayers. 💕😊🌻🙏🌺

Mar 28, 2015 10:13 PM

Uodate! Still here. Pain management changed...added a breakthrough muscle relaxer I was already on (Paraflex) to give when my back and legs give out way before I hit the 8hr mark on my valium.

So I was basically controlled all day AND did a lot of activity. Also added pain patch to lower back and ice (so awesome, relieves soo much!).

I feel I was a good advocate for myself this morning but still had some concerns....like WHY is she so adamant and persistent right now, in the hospital of stripping/weaning meds??? That is obviously on MY radar and a huge reason I got these surgeries but why on earth is she so overly concerned about this just a couple days post op (x2 this month). I thought immediately after surgery high pain control is highly important to promote healing? I feel like this is her more trying to prove herself right than making good clinical choices for me.

Regardless I am so hoping tonight goes well and I can go home witb confidence tmrw. But I will be asking questions and still have an entire page of answers I need from her lol.

Mar 28, 2015 10:47 PM

Therapist Unveiled I am so glad that you are feeling better, since they git your meds straightened out for you . Hopefully they will add the patch to your home meds.

Mar 28, 2015 10:53 PM

Oops acidentally hit the button. I hope if your pain is being controlled that they will let you go home if you are ready,don't let then rush you out if your not ready. Ask to talk to the patient advocate and tell her what's going on. Will be praying for you. .God Bless you and keep you

Mar 30, 2015 2:06 AM

Hello sorry to hear that, the same happend to me I was 4 days in hospital the doctor toldme I will be at least 2 weeks and this people try to kick me my sister inlaw and my husband got mad, they call the doctor and he got mad too talk with the staf and let me alone.😩
Hang in there soon all this will be in the past

Jan 31, 2017 10:08 PM

Can I ask what is the pain patch they gave you to help with pain. I had surgery Jan 11. L4-L5 fusionl and decompression.
I am on Oxycodone 10mg Q4 and they want me to start every 6 starting tomorrow. I tried doing it a couple different days and I am in way too much pain. Even with valium and neurotin. It makes me feel like I am a drug addict when I tell them all this.

Apr 19, 2017 12:11 AM

I just had C3-T1 discectomy/fusion/titanium 4 weeks ago, Wednesday 3/22/17. I was in ICU until Saturday afternoon, and had awesome nurses and care. I was very lucky. It sounds like you had a very difficult experience. My first fusion, 20 years ago, I had a problem with meds changeover during a nurse shift change and thought I would die from pain, so I get it. I talked to my current surgeon/nurses about that ahead of time, so it wouldn't happen again, and they were great at keeping my pain under control. (Different hospital/different state.) It helps to have experience, unfortunately, to know what to ask for. I will go to the same hospital for my next surgery, too, in a few months. (Lourdes Hospital in Pasco, Wa)

Apr 19, 2017 12:16 AM

Also, the pain patch I used to be on was Fentenyl, and I don't recommend it for long term use, if you can avoid it. I was on it for 15 years, and had to keep increasing ad time went on. There are a lot of long term side affects with it. My surgeon made me wean down and be totally off it for 3 weeks before he would do my fusion surgery last month, to prevent problems with anesthesia. He wanted an additional month, but I begged!! I was in too much pain.

Apr 19, 2017 8:27 AM

Last July I had a microdiscectomy L1/2. I was in and out in 7 hours! I felt ok when I left the hospital cuz of all the meds they had me on. I'm used to taking morphine as needed for pain. I don't take it very often. They thought that was enough for the pain so they sent me home. By night time I was literally screaming in pain and my husband had to call an ambulance. I ended up staying in the hospital for two days just to get the pain under control. 😡

Apr 19, 2017 8:42 AM

Forgot to say that they sent me home with 2 week supply of oxicotin after I left the hospital.

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