I'm gonna ream a gas passer's ass.
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Nope.
Wife had a partial thyroidectomy yesterday to remove a (most likely benign) 2.7-ish cm nodule. Post-op, she was throwing up her toes, along with a severe headache. She usually exhibits some post-op nausea, but if her usual is a 2, this was a 9 or 10. Put her on a Ofirmev drip, with alternating pushes of Phenergran and Zofran. You could tell as soon as one started to wear off, as she would wake up and immediately start vomiting again.
She was out of Recovery at 1100. She didn't start to improve last night until about 2100. I knew her night nurse well (worked with him for 30 years). He said there was an order for IV Dilaudid on the chart, if needed. I think my answer was "Hell, no.".
The wife does not tolerate synthetic opioids. It can range from a bad headache to what we saw last night. So no. Morphine, if absolutely necessary. Even then, she has headaches, just not as bad as the synthetics.
They had trouble sticking her for AM labs, even when I told her where they are. I don't blame the nurse, she's tough. It either takes somebody darn good or an anesthesiologist. This time, it took the latter.
I don't know if it was the same guy who did her yesterday, but this doc had reviewed her chart before walking in her room. He told her to never let them give her narcotics in surgery or post-op again.
That information on the synthetic opiates is in her chart. I know it is. I've seen it. I can't wait to get my hands on her chart again.
Somebody is going to have a come to Jesus moment.
“Cry havoc and let slip the DOGE of war!”
Warning: I post things that interest me. Read and comment at your own discretion.
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Nope.
Wife had a partial thyroidectomy yesterday to remove a (most likely benign) 2.7-ish cm nodule. Post-op, she was throwing up her toes, along with a severe headache. She usually exhibits some post-op nausea, but if her usual is a 2, this was a 9 or 10. Put her on a Ofirmev drip, with alternating pushes of Phenergran and Zofran. You could tell as soon as one started to wear off, as she would wake up and immediately start vomiting again.
She was out of Recovery at 1100. She didn't start to improve last night until about 2100. I knew her night nurse well (worked with him for 30 years). He said there was an order for IV Dilaudid on the chart, if needed. I think my answer was "Hell, no.".
The wife does not tolerate synthetic opioids. It can range from a bad headache to what we saw last night. So no. Morphine, if absolutely necessary. Even then, she has headaches, just not as bad as the synthetics.
They had trouble sticking her for AM labs, even when I told her where they are. I don't blame the nurse, she's tough. It either takes somebody darn good or an anesthesiologist. This time, it took the latter.
I don't know if it was the same guy who did her yesterday, but this doc had reviewed her chart before walking in her room. He told her to never let them give her narcotics in surgery or post-op again.
That information on the synthetic opiates is in her chart. I know it is. I've seen it. I can't wait to get my hands on her chart again.
Somebody is going to have a come to Jesus moment.
@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
Please love yourself.
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Sigh - can she tolerate NSAIDs or acetaminophen? Shouldn't have all that much pain after a thryoidectomy, esp 24 hours later.
I'm a GREAT believer in acetaminophen, as you know.
One of the things we used to use, back in the day, was low-dose droperidol.
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Sigh - can she tolerate NSAIDs or acetaminophen? Shouldn't have all that much pain after a thryoidectomy, esp 24 hours later.
I'm a GREAT believer in acetaminophen, as you know.
One of the things we used to use, back in the day, was low-dose droperidol.
@George-K said in I'm gonna ream a gas passer's ass.:
Sigh - can she tolerate NSAIDs or acetaminophen? Shouldn't have all that much pain after a thryoidectomy, esp 24 hours later.
I'm a GREAT believer in acetaminophen, as you know.
One of the things we used to use, back in the day, was low-dose droperidol.
Try to stay away from the NSAIDs because of the kidneys, although she can tolerate a little ibuprofen if she has to. Naproxen, OTOH, gave her acute pancreatitis when they were using that years ago for her arthritis. She was on Ofirmev post-op, which controlled pain well, so it'll be oral acetaminophen at home.
The problem was the severe nausea and headache, not surgical pain. Whatever the narcotic was, it was not needed.
“Cry havoc and let slip the DOGE of war!”
Warning: I post things that interest me. Read and comment at your own discretion.
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@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
@Aqua-Letifer said in I'm gonna ream a gas passer's ass.:
@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
Working today. Did not anticipate all the post-op fun. I was going to stay with her until late yesterday evening, then go home, feed the animals and leave home for work in the morning, while letting my daughter stay with her this morning until discharge. Thought we might have even been able to go home late yesterday evening. As it was, I enjoyed all the comforts of a hospital room couch, got ready at 0400 and drove on over, leaving the wife uncovered for a couple of hours, but by that time she was doing better.
So...I'll get my point across in private. For more than one reason...Been monitoring CA, BUN and Creat levels on my MIL...Getting real close to parathyroid surgery and the same surgeon will probably do her procedure.
And...my wife's mother has the same issue with synthetic opioids her daughter has...
“Cry havoc and let slip the DOGE of war!”
Warning: I post things that interest me. Read and comment at your own discretion.
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@George-K said in I'm gonna ream a gas passer's ass.:
Sigh - can she tolerate NSAIDs or acetaminophen? Shouldn't have all that much pain after a thryoidectomy, esp 24 hours later.
I'm a GREAT believer in acetaminophen, as you know.
One of the things we used to use, back in the day, was low-dose droperidol.
Try to stay away from the NSAIDs because of the kidneys, although she can tolerate a little ibuprofen if she has to. Naproxen, OTOH, gave her acute pancreatitis when they were using that years ago for her arthritis. She was on Ofirmev post-op, which controlled pain well, so it'll be oral acetaminophen at home.
The problem was the severe nausea and headache, not surgical pain. Whatever the narcotic was, it was not needed.
@Jolly said in I'm gonna ream a gas passer's ass.:
She was on Ofirmev post-op, which controlled pain well, so it'll be oral acetaminophen at home.
I was a great believer in that stuff until subsequent studies showed that the oral route is just as effective as the parenteral route. That's become my go-to drug.
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@Aqua-Letifer said in I'm gonna ream a gas passer's ass.:
@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
Working today. Did not anticipate all the post-op fun. I was going to stay with her until late yesterday evening, then go home, feed the animals and leave home for work in the morning, while letting my daughter stay with her this morning until discharge. Thought we might have even been able to go home late yesterday evening. As it was, I enjoyed all the comforts of a hospital room couch, got ready at 0400 and drove on over, leaving the wife uncovered for a couple of hours, but by that time she was doing better.
So...I'll get my point across in private. For more than one reason...Been monitoring CA, BUN and Creat levels on my MIL...Getting real close to parathyroid surgery and the same surgeon will probably do her procedure.
And...my wife's mother has the same issue with synthetic opioids her daughter has...
@Jolly said in I'm gonna ream a gas passer's ass.:
So...I'll get my point across in private. For more than one reason...Been monitoring CA, BUN and Creat levels on my MIL...Getting real close to parathyroid surgery and the same surgeon will probably do her procedure.
It's good to know about those things. My grandmother had this weird hip calcification thing going on, and needed surgery for it. When my uncle got about that old, he had the same thing. They both recovered okay enough, but weren't ever exactly 100% afterwards.
My dad started wondering and after one doc refused, he got examined by someone else. Same thing, same side. Only he caught it earlier, so he recovered better from the surgery. He can still run. (Crazy bastid.)
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Much better, thank you. Typical post-op stuff right now, which is very manageable with this type surgery.
Didn't improve her snoring, though.
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Much better, thank you. Typical post-op stuff right now, which is very manageable with this type surgery.
Didn't improve her snoring, though.
@Jolly Wow! that is scary. Glad you had the knowledge to understand what was happening and causes!!
And good that Mrs. Jolly is doing better!!
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@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
@Aqua-Letifer said in I'm gonna ream a gas passer's ass.:
@Jolly said in I'm gonna ream a gas passer's ass.:
Nope.
Somebody is going to have a come to Jesus moment.
I'd pay good money to be in the room for that shit.
Glad she's okay, though, all things considering.
+1 indeed!
