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PostPosted: Fri Jan 09, 2015 2:44 am 
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Hi All:
I am new to this site, and have many things I would like to say. I do see that no one has posted to the Surgery topic in a few weeks, so I thought this might be a good place to start. My story is a bit long and complex, so please forgive me in advance. My hope is that at least one person on this forum will learn from my experience! (As a note--Unfortunately I did not find this site until several weeks post-surgery).

So, prior to having a hysterectomy, I did tell my surgeon that I was on 4 mg. of Suboxone/day. I gave her the phone number of my Suboxone MD (who told me to take my last dose of Suboxone the night before surgery). Obviously there wasn't good communication between my surgeon and Suboxone MD, because when I went in for surgery on 11/18/14, I was all set to go both mentally and physically, hooked up to an I.V., etc. So the anesthesiologist comes into the pre-op room and tells me that the only way she can treat my peri-operative and post-operative pain is for me to 1) Go through with my hysterectomy and that they would give me Toradol for the post-operative pain (!), or for me to go off of the Suboxone for a week, and reschedule the surgery for 12/1/14, which I did.

So, three days prior to Thanksgiving, my Suboxone MD tells me to stop the Suboxone cold-turkey (No taper) and to take one half of a 5/325 mg. Percocet three times a day. Long story short--Thanksgiving was the worst I have ever had. I was so sick! I was sneezing, had a runny nose, achy, feverish, nauseated, diarrhea--you get the picture. I was definitely not having fun! So, I called my Suboxone MD, who told me to double the dosage. Still sick. It wasn't until he raised the dose to 4x 5/325 mg. Percocet that I felt remotely better.

12/1/14. I go in for my surgery, and am told that they're going to give me a nerve block. When I woke up in my room (way after being in PACU) my pain level was at a level 8 on the 0 to 10 scale. They had me hooked up to a morphine pump (I have no idea how much) and told me that I could push the button every six minutes. (Which I did--as long as I was conscious). The morphine didn't do much of anything, so the following day I asked to see a pain management specialist.

She noticed that I had pushed the PCN button on the morphine 55 times in twelve or so hours. Anyway, they (the residents) wanted me off the pump (Despite having a pain level of 6 to 8--depending on when you asked me). So, the next day I was started on 20 mg. of Oxycontin Extended Release (every six hours), and 10 mg. of Oxycontin Immediate release (To use as a PRN). The level of Oxycontin was well below what the pain management specialist recommended, (and even though I had a 4 year clinical relationship at a pain management practice with this woman, they still wouldn't listen to her.)

I was discharged the following day on the same regimen, but with a taper-down schedule, so that I would be off of the Oxycontin in two weeks. I never felt any euphoria or much pain relief on the Oxycontin and felt as if I really fell between the cracks as they relate to my medical care. I only wish that I had been aware of this site prior to surgery, and that I had gone to the hospital with Dr. Junig's recommendations for pain management for people on Suboxone who are having surgery!

I would also like to quickly add that I suffer from major treatment-resistant depression; something I feel the Suboxone has helped. So I got home post-surgery, with no one to assist me, and literally lay in bed for a month. After beginning to heal physically, I had one of the worst bouts of depression in 30 years hit me. (I was also still not back on the Suboxone.) (I may have been going through withdrawal? I had no appetite for ten days, and lost 17 pounds between 10/31/14 and 12/22/14.)

I wanted to stay off of the Suboxone due to the extreme stigma I have experienced while taking it. My depression, however, was so horrendous, that I decided to reengage with the Suboxone, and went back on 8 mg./day at the direction of my Suboxone MD on 12/25/14.

I am happy to report that my depression is lifting, and just this week, after just over a month, I have been out and about, with a return to work next week. Just as a note--I do not take the Suboxone for depression, although me and my psychiatrist (who doesn't prescribe the Suboxone) independently have noticed its antidepressant effects.

Thank you to the Suboxone Talk Zone community for listening. I am so very happy to have found you, and I look forward to participating!

--gossamerwings

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PostPosted: Fri Jan 09, 2015 2:13 pm 
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Hello gossamer wings and welcome to the forum!

I, too, am sorry that you didn't find us before going through surgery. Recovery from a hysterectomy is no joke anyway, but when you add lack of pain relief and depression, you went through hell!

We have had several members here who use suboxone for untreatable depression. It seems to be the only thing that works for them. You might want to check out the Buprenorphine and Mood section to find their stories.

I'm sorry that you couldn't make it without sub, but I'm grateful for a medication that can make such a difference in your life.

Thanks for sharing your story!

Amy

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PostPosted: Fri Jan 09, 2015 5:34 pm 
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Hey Amy:

Thank you for your support around my surgery debacle and warm welcome to the forum--that was huge for me! I think I just trusted in my doctors that they would know how to deal with my post-operative pain, especially since they knew for weeks prior, that I was on Suboxone. Oh well, each life experience is a chance to learn something new...

I will definitely check out the buprenorphine and mood section to see what other community members have experienced as far as buprenorphine's effect on mood.

In the meantime, I am very happy to have found this community!

Thanks again, Amy!

-gw


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PostPosted: Thu Jan 29, 2015 10:33 pm 
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hello gossamerwings, welcome to the forum. hope you are fine now. :D


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PostPosted: Mon Feb 09, 2015 10:39 pm 
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Hey RoundWater:

Thanks for the welcome and "get well" wishes. I am all recovered from my surgery, and doing well on
8 mg./day of Suboxone.
My only regret is that since I've now returned to work, I have less time to visit suboxone talkzone. :(

-gw


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

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