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 :-(