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  1. #1
    Join Date
    Mar 2011
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    Tallahassee, Fl.
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    Stopping narcotics before surgery

    My son's physician wants him to come off of all narcotics (he's on saboxone) for 8 weeks before his upcoming surgery. I don't really understand this reasoning. He does have problems with addiction, thus the saboxone, but it is going to be so hard for him to completely come off of all pain medication that long before the surgery. Has anyone else experienced this? I understand wanting the pain medication to work better post surgery, but 8 weeks of suffering?? Thanks for any comments. He is 24 and looking to have spinal fusion L3 - S1 in June.

  2. #2
    Join Date
    Mar 2012
    Location
    Pittsburgh, PA
    Posts
    21
    If I were you, I'd call the office and try to find out why. My surgery is Monday and the only med I had to stop was meloxicam (anti inflammatory)...I can't imagine not having my pain meds right now. I hope you get some answers for him.

    Lindsay

  3. #3
    Join Date
    May 2009
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    3,745
    saboxone, or suboxone, is used to treat opiate addiction, is it not....????
    i would think this will complicate pain treatment after surgery as well....
    does your son have an medical doctor who is an addiction specialist who can discuss his tx with the surgeon who
    will be doing the scoliosis fusion surgery....????

    jess

  4. #4
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    Mar 2012
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    Sorry for my irrelevant post. I misread - my apologies.

  5. #5
    Join Date
    May 2010
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    345

    Pain Team

    Hi,
    I can tell you that I have had two huge back surgeries. Thus I have been on pain meds for a long time and never once stopped them before the surgeries. But what I did do, is make DARN sure that my "surgeon" knew that I was on pain meds for a long while , and that I was going to need extra help. Now , the anesthesiologist will accually be in recovery with your son. He will talk to him before hand. Your son needs to make it very clear what his situation is. Anesthesiologist are experts in pain managment. So they are suppose to know what to do in situations like these. Also, a lot of big hospitals accually have "pain teams" that are called in when there's a situation that requires expert pain management. The main thing is that your son should not have to go off of pain meds and suffer before surgery(in my opinion) and should get the best pain relief as anyone else, if the right people are alerted, after surgery! The experts will know what to do as far as what meds to use after his surgery, even if he hasn't stopped his meds. It would be great if we didn't have to take the meds~~but it's the reason we are searching for help , because of our pain and suffering. Good Luck~and remember-he deserves to have the best pain relief they can give~~Linda
    Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
    Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
    This started adult onset scoliosis
    July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
    Oct.20th 2010, extended rods to T4 / did osteotomy at L3
    Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
    May 30th 2013 revision
    May 8th cervicle surgery 2016
    May 31st Dr. Gupta revision 2017

  6. #6
    Join Date
    May 2010
    Posts
    345
    I guess I didn't ask if your physician that ask your son to get off pain meds is his surgeon or just his GP? A good pain mngt. Dr. would know how to handle the thing with suboxone and surgery. And that brings me back to the anesthesiologist, as they are suppose to be experts in this field. Just makes me disgusted to expect someone to be in pain for any length of time. Warmly, Linda
    Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
    Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
    This started adult onset scoliosis
    July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
    Oct.20th 2010, extended rods to T4 / did osteotomy at L3
    Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
    May 30th 2013 revision
    May 8th cervicle surgery 2016
    May 31st Dr. Gupta revision 2017

  7. #7
    Join Date
    Mar 2011
    Location
    Tallahassee, Fl.
    Posts
    33
    Quote Originally Posted by les130 View Post
    Sorry for my irrelevant post. I misread - my apologies.
    It's ok...I wouldn't say it was completely irrelevant. ;o)

  8. #8
    Join Date
    Mar 2011
    Location
    Tallahassee, Fl.
    Posts
    33
    Quote Originally Posted by jrnyc View Post
    saboxone, or suboxone, is used to treat opiate addiction, is it not....????
    i would think this will complicate pain treatment after surgery as well....
    does your son have an medical doctor who is an addiction specialist who can discuss his tx with the surgeon who
    will be doing the scoliosis fusion surgery....????

    jess
    He sees a pain/addiction specialist and he is teaming up with the surgeon to come up with this plan for him. Problem is...they are 10 hours apart and conversing by phone and it is difficult to get in touch with the pain specialist. Easier to speak with the surgeon as he gave us his cell phone number. We just need to get up to date on what the two of them are conversing about. It was just today that the surgeon's nurse called and got the pain docs number to call him...again since they misplaced the number. Originally though the pain doc said he could use the saboxone and come off like 2 weeks before the surgery...so I need to find out what their plan is! Soooooo frustrating...on top of the thought of the huge surgery and wondering if it is even going to help him. I wonder what the % of people that really have successful surgeries is? I said before his fusion is from L3-S1, but I meant to say T3-S1!! Thanks for your input!! ;o)

  9. #9
    Join Date
    Mar 2011
    Location
    Tallahassee, Fl.
    Posts
    33

    Exclamation

    Quote Originally Posted by dianadee58 View Post
    He sees a pain/addiction specialist and he is teaming up with the surgeon to come up with this plan for him. Problem is...they are 10 hours apart and conversing by phone and it is difficult to get in touch with the pain specialist. Easier to speak with the surgeon as he gave us his cell phone number. We just need to get up to date on what the two of them are conversing about. It was just today that the surgeon's nurse called and got the pain docs number to call him...again since they misplaced the number. Originally though the pain doc said he could use the saboxone and come off like 2 weeks before the surgery...so I need to find out what their plan is! Soooooo frustrating...on top of the thought of the huge surgery and wondering if it is even going to help him. I wonder what the % of people that really have successful surgeries is? I said before his fusion is from L3-S1, but I meant to say T3-S1!! Thanks for your input!! ;o)

    Hi I am dianadee58's son Jonmarc H. looking to having the spinal fusion correction operation with Dr. Lebwhol on June 14. I am very scared and stressed, and I think that I have been making it worse on myself with so much anxiety. I have an extreme amoumt of pain and I want to let all of you know that I logged in and my membership username is readytoheal. You can contact me at jonmarcholland@gmail.com. I appreciate this forum soo much. The support is greatly appreciated. I am trying to figure out how to post and reply on my own forum username account, but am having a hard time with it.

    Also, I want to say THANKYOU so much to Linda - I have your contact information and I will give you a call. Also I will email you and give you my contact information as well.

    -Jonmarc Holland

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