Showing posts with label pain management. Show all posts
Showing posts with label pain management. Show all posts

Friday, December 19, 2008

Sleep

I recognize the need for sleep. Just plain, old every day sleep. I certainly know the value of sleep when sick or trying to heal. In fact, to my understanding, one heals best when they are asleep due to the peak release of growth hormones. Therefore, I am in complete agreement with my surgeon's assessment that I should take sleeping pills to help me sleep during the first week after my Lower Body Lift (due to the fact that normal sleep is disturbed by pain). But this is my slippery slope.

I have a food addiction. I know, therefore, that I have an addictive personality. I know that my addictions have never spread to pain medication. However, my body responds to sleeping pills like Snow White responded to the Wicked Stepmother's poison apple. I drop, dead asleep. Man, do I sleep.

Once before, in a time of great stress, I asked my Doctor for sleeping pills and she gave them to me. Why wouldn't she? We both knew at that point that I did not abuse pain medication. She prescribed, Lorazepam, which did the trick. However, if I missed taking the pill even once, I would have psychedelic dreams that were certainly not conducive to restful sleep. So, I decided to kick the habit. It was not easy. In fact, to my surprise, it was impossible. I tried every trick in the book; taking ½ pill, taking the pill every second day, going from Friday to Sunday without. Anything I could think of to get off the damn things. Nothing worked.

Now luck was with me on this one because, over a years use of Lorazepam was wiped out by a week of a Morphine/Demerol cocktail that I was being given after my gastric by-pass surgery. I just didn't take the Lorazepam while I was in hospital. I was able to use one drug to kick the habit of the other. I believe happy was a good way to describe what I was feeling,

My sleep cycle went back to normal and I have not had a problem with it since. Until now. Yup, the sleeping pills that I have currently been given to help me sleep, included Lorazepam. I took them right after the Lower Body Lift. I confess, I needed them. The ability to sleep through the night had been completely stripped away by pain.

And now, one week later, there is a small plastic bag on my night table, here in San Jose that still holds several little white, harmless looking Lorazepam pills. I knew that I had to stop now. I already could feel that they were a problem and they are because, here I am, laying in my bed at 4:22am blogging.

The adventure continues.

Wednesday, December 17, 2008

It hurts! But not where you'd think.

As you may recollect, the lower body lift is a removal of a "belt" of skin that encircles the waist. My belt ended up weighting 10lbs with the removal of another 2lbs by liposuction. (Brenda's husband, Eric, called it a body circumcision LOL). Not a small amount of tissue loss by any stretch of the imagination.

I really thought that the incision that encircled my body would be the thing that hurt the most, but I am here to swear to you that I don't even notice it. What is killing me is a combination of couching stitching and a deep cough that I have developed. Let me back track.

When they remove the belt of skin they liposuction away the extra fat that is between the skin and the muscle on the upper abdominal wall so that the new “tummy” lays flat. However, in order to make sure that the tummy stays flat (and to reduce the area in which fluids can build up between the muscle and the fat), the surgeon places hundreds of stitches holding the two layers together (kind of like when you see a pillow with a button holding both sides together). Now that alone doesn't really hurt either, and let's just say, I freely use my pain medication. The problem is that I have a dog allergy and the recovery centre has three dogs. I did not not know about the dogs until I got here (and really, it has been years since this particular allergy has caused me a problem). Anyway, my allergies kicked in; the itchy eyes, itchy throat, itchy ear canals, a runny nose and a deep, deep phlegmy cough. This cough is the killer because I am using the low abdominal muscles jut above the pubis that is all stitched to the underside of my skin! Let's see, on a scale of 1 – 10, when I cough I hit a nine.

I have started taking allergy pills and codeine (which is a natural cough suppressant) in efforts to control the coughing. I must say that this has been working. However, the other concern to me is not just the coughing. Because I am so sedentary and I have all this fluid in my lungs, I run the risk of phenomena, So I am trying to make sure that I cough, but in a more controlled way that doesn't cause so much pain. I will be seeing the doctor on Friday to confirm that all is going well.

In all honesty, I can say, to date, that this has been the most uncomfortable thing I have had to deal with. Count you blessings when the come, I say. It could have been a lost worst.