General Medical issues thread

[Quickstatus]

Voluntarily

Maybe he didn’t trust his urology colleagues

 

[Katie]

I had a little procedure on Monday, had the same anaesthetist as another similarish procedure ~6yrs ago. This time he didn't comments about me being big enough to handle the anaesthetic! He gave me something a bit different than he had planned, as I said I'm prone to motion sickness and he didn't want me getting sick on the way home. I also scored some endone in recovery 1 due to pain, but have only had to have the odd ibuprofen or paracetamol since. Had to take Tuesday off work, as I was still pretty tired after walking the dog early on Tues AM. Spent the morning in bed. A few polyp biopies were taken (I believe) and we'll see what comes back to the specialist next week.

In my post-anaesthetic not-too-much-haze, took to the Teen to an orthopod on Tues afternoon. They've had knee pain since early June (with no incident to link it to), swelling, not really responding to ibuprofen, physio, or ice/heat. Took a while to get to the GP, for the teen to not lose the MRI request form, etc.

The ortho said he was expecting this to be an (expensive) exercise in reassurance of a typical teen injury, but the MRI said otherwise. Looks like a bit of the patella has chipped at the back, and is aggravating the soft bits behind it. Yes, maybe I wasn't as with it as I could have been! Teen booked in for keyhole surgery next Friday, where the ortho will apply a "mini light saber" to the back of the Teen's patella to shave it back. We have cancelled our plans to go to the Ekka the next day ...

 

[coriander]

. I also scored some endone in recovery 1 due to pain,

Aah, that reminds me to remind my anaesthetist on Monday to avoid Endone, perhaps give me Dilaudid or similar as I go seriously loopy on Endone when I had my multiple # vertebrae. Morphine infusion on Niki box was ok.
Having bilateral inguinal hernia surgery (why oh why does this stuff happen as you prepare for an OS trip?)

 

[Quickstatus]

Dilaudid

Unlikely. Maybe a morphine PCA.

Morphine infusion on Niki box

Niki pumps are great little devices.

 

[drron]

Aah, that reminds me to remind my anaesthetist on Monday to avoid Endone, perhaps give me Dilaudid or similar as I go seriously loopy on Endone when I had my multiple # vertebrae. Morphine infusion on Niki box was ok.
Having bilateral inguinal hernia surgery (why oh why does this stuff happen as you prepare for an OS trip?)

I remember when I was a young Uni Student and had a tooth extracted. i was given the popular pain medication Doloxene Co.
I can still remember skipping down martin place singing with not a problem in the world. It scared me when it wore off and i haven;t touched any strong pain medication until the morphine infusion with my knee replacent,
Not surprisingly Doloxene became a big hit in the drug scene so it was withdrawn.

 

[Quickstatus]

Dilaudid

AKA hydromorphone (yes correct spelling) is 5 times more potent than morphine. Easy enough to dose adjust to get comparable effect to morphine.

But for some reason it is not used in the normal postop setting - one theory is that it sounds much like morphine. So errors in prescribing with Drs writing morphine level doses in a hydromorphone prescription - which means the patients get 5 times the usual dose. No one will realise until pt becomes blue.

Great for palliative care though.

 

[andye]

AKA hydromorphone (yes correct spelling) is 5 times more potent than morphine. Easy enough to dose adjust to get comparable effect to morphine.

But for some reason it is not used in the normal postop setting - one theory is that it sounds much like morphine. So errors in prescribing with Drs writing morphine level doses in a hydromorphone prescription - which means the patients get 5 times the usual dose. No one will realise until pt becomes blue.

Great for palliative care though.

Agree useful in palliative care of people with renal failure. One of the commonest drug prescribing error in that circumstance though: suspect it is that potent doses don't sound very big so miss the RNs querying if the dose is actually correct

 

[coriander]

Dilaudid was great once I was sent home - pain scores would suddenly spasm up from 2 to 11 and the quick onset tab would bring the score back to a manageable 3.

 

[Quickstatus]

Dilaudid was great

There is a new kid on the block: Tapentadol - has a triple mechanism of analgesia action.

 

[Freq Flier 2013]

This sums it up nicely…

Hype comes to mind
They are selling insurance - like the paint protection, leather protection, rust protection that used car salespeople like to hype up.

Thanks for the link. Good article but just repeats common thoughts around this process. However people still buy a lottery ticket with longer odds very much an individual decision.

 

[cove]

We have a recycler in Perth who is processing hospital plastic and we use this material in our Remade products in Adelaide. In a hundred years I think our next generations will criticize us for how we did not recycle enough.
Just read that some long Covid males were failing to cough. Could crimp population growth.

 

[coriander]

Just read that some long Covid males were failing to cough. Could crimp population growth.

Oh well, not too serious - as long as you can still load the gun, even if you're firing blanks.....

 

[andye]

Oh well, not too serious - as long as you can still load the gun, even if you're firing blanks.....

On a serious note, lack of cough is something that is reported to be unsatisfying by some post-prostate surgery patients

 

[coriander]

So I'm told, there are those that go through open heart surgery with nary a concern, but have been known to forensically quiz their surgeon on the sequelae of a TURP and approach that surgery with much trepidation.

 

[suze2000]

Then add the reusable plastic bags - they use more plastic which are much harder to biodegrade than single use plastic bags.
Households now have large numbers of reusable plastic bags

I have successfully managed to avoid acquiring any of these things since I moved into my new home (having left the old ones with my ex-husband), so it IS possible.

 

[cove]

Having been in California for a couple of weeks I had the opportunity to hear all those drug company advertisements.
One advert said you should take Co-enzyme Q10 to replace what statins remove from your body. Have been on statins since 1994.

 

[Major]

Having been in California for a couple of weeks I had the opportunity to hear all those drug company advertisements.
One advert said you should take Co-enzyme Q10 to replace what statins remove from your body. Have been on statins since 1994.

About the same time for me

 

[JohnK]

There is a new kid on the block: Tapentadol - has a triple mechanism of analgesia action.

Never heard of that one. Opioid.

Middle and ring finger on left hand as well as the knuckles visibly swollen quite badly. Some days struggle to make a fist. The pain in the middle finger near the knuckle can be excruciating.

Almost passed out earlier as the pain was sharp and severe. Luckily only last 2-3 seconds but now just the normal non stop pain causing discomfort.

The problem with pain killers is the effects don't last long. Cortisone does help from time to time but not sure prolonged use is good idea.

And then the left upper leg whenI try to move the leg when I am sitting down.

Physiotherapist has recommended exercise physiologist. I'm not sure putting myself through pain is going to help the pain long term.

 

[RooFlyer]

There is a new kid on the block: Tapentadol - has a triple mechanism of analgesia action.

Palexia. Was given that prescribed 50-100mg 2-4 times a day IR for an occasional but severe post-operative (hernia) pain. Didn't seem to do anything and as I read it was an opioid, I got off it after 2 days. No change to the pain straight after that, which faded over a week.

 

[TheRealTMA]

Palexia. Was given that prescribed 50-100mg 2-4 times a day IR for an occasional but severe post-operative (hernia) pain. Didn't seem to do anything and as I read it was an opioid, I got off it after 2 days. No change to the pain after that, which faded over a week.

Pinot mate, Pinot!