BBrakhane

Thanks for the info on how that all works, learned a lot from that.  Hope your results continue be good!

Thanks for the info on how that all works, learned a lot from that.  Hope your results continue be good!

Thanks for the info on how that all works, learned a lot from that.  Hope your results continue be good!

I went through something vaguely similar, the night following my lung resection, I had a dilaudid PCA, it was doing fine while I was awake.  I had asked for something to help sleep because I had a roommate who was older, very loud and refused to turn his lights off.  The sleep med worked fine, but when I woke up around 12:30am, needless to say I hadnt hit my PCA button in 4 hours or so, so I was HURTING.  I knew I had been written for more dilaudid for breakthrough pain, my doctor and I had discussed it, and I had been given some in the afternoon when I first got to my room from Post op.  As an aside, Im a neurosurgical consultant, I work in the OR with surgeons every day, I am not naive, I am very knowledgable in post op pain management.  The night nurse said the resident said I could only have tylenol, I insisted that they at least look at my post op instruction, she said, "Sorry, thats all the resident said you could have."  Needless to say there was no more sleep that night, tylenol after rib spread, lung resection and a chest tube…when the nurse came in in the morning to check my PCA her eyes about popped out of her head when the machine registered how many times I had been banging that button all night long.  She said, "I had no idea you were in so much pain."  I said nice try, I told you all night long how bad it was hurting, and you chose to give me tylenol, instead of talking to the resident, you dont get to revise history now.  Glory of all glories, the attending and all the residents came in right at that moment!  The attending asked how I was doing, and I said not worth a damn!  He asked why, whats wrong?  I laid it all out for him while eyeballing all of the residents, trying to figure out which one it was, since he or she never even bothered to stick their head in the door during the night to find out what was going on!  They all were looking very intently at me until I finished my diatribe and then their notecards all got very interesting to them!  Needless to say, I got my pain meds, within about 5 minutes of that!  I feel your pain, complain long and loud if your pain needs are not being met!

I went through something vaguely similar, the night following my lung resection, I had a dilaudid PCA, it was doing fine while I was awake.  I had asked for something to help sleep because I had a roommate who was older, very loud and refused to turn his lights off.  The sleep med worked fine, but when I woke up around 12:30am, needless to say I hadnt hit my PCA button in 4 hours or so, so I was HURTING.  I knew I had been written for more dilaudid for breakthrough pain, my doctor and I had discussed it, and I had been given some in the afternoon when I first got to my room from Post op.  As an aside, Im a neurosurgical consultant, I work in the OR with surgeons every day, I am not naive, I am very knowledgable in post op pain management.  The night nurse said the resident said I could only have tylenol, I insisted that they at least look at my post op instruction, she said, "Sorry, thats all the resident said you could have."  Needless to say there was no more sleep that night, tylenol after rib spread, lung resection and a chest tube…when the nurse came in in the morning to check my PCA her eyes about popped out of her head when the machine registered how many times I had been banging that button all night long.  She said, "I had no idea you were in so much pain."  I said nice try, I told you all night long how bad it was hurting, and you chose to give me tylenol, instead of talking to the resident, you dont get to revise history now.  Glory of all glories, the attending and all the residents came in right at that moment!  The attending asked how I was doing, and I said not worth a damn!  He asked why, whats wrong?  I laid it all out for him while eyeballing all of the residents, trying to figure out which one it was, since he or she never even bothered to stick their head in the door during the night to find out what was going on!  They all were looking very intently at me until I finished my diatribe and then their notecards all got very interesting to them!  Needless to say, I got my pain meds, within about 5 minutes of that!  I feel your pain, complain long and loud if your pain needs are not being met!

I went through something vaguely similar, the night following my lung resection, I had a dilaudid PCA, it was doing fine while I was awake.  I had asked for something to help sleep because I had a roommate who was older, very loud and refused to turn his lights off.  The sleep med worked fine, but when I woke up around 12:30am, needless to say I hadnt hit my PCA button in 4 hours or so, so I was HURTING.  I knew I had been written for more dilaudid for breakthrough pain, my doctor and I had discussed it, and I had been given some in the afternoon when I first got to my room from Post op.  As an aside, Im a neurosurgical consultant, I work in the OR with surgeons every day, I am not naive, I am very knowledgable in post op pain management.  The night nurse said the resident said I could only have tylenol, I insisted that they at least look at my post op instruction, she said, "Sorry, thats all the resident said you could have."  Needless to say there was no more sleep that night, tylenol after rib spread, lung resection and a chest tube…when the nurse came in in the morning to check my PCA her eyes about popped out of her head when the machine registered how many times I had been banging that button all night long.  She said, "I had no idea you were in so much pain."  I said nice try, I told you all night long how bad it was hurting, and you chose to give me tylenol, instead of talking to the resident, you dont get to revise history now.  Glory of all glories, the attending and all the residents came in right at that moment!  The attending asked how I was doing, and I said not worth a damn!  He asked why, whats wrong?  I laid it all out for him while eyeballing all of the residents, trying to figure out which one it was, since he or she never even bothered to stick their head in the door during the night to find out what was going on!  They all were looking very intently at me until I finished my diatribe and then their notecards all got very interesting to them!  Needless to say, I got my pain meds, within about 5 minutes of that!  I feel your pain, complain long and loud if your pain needs are not being met!