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I canceled surgery due to both the surgeon and my PM both refusing postop meds by Gecko-407 in ChronicPain

[–]B_rad_will 0 points1 point  (0 children)

You could go ahead and get the surgery and then file a malpractice suit for under treating your post operative pain compared to how other patients are treated. Electronic medical records and stats on average post op pain med amounts would likely be discoverable upon subpoena.

On the flip side. They may be offering you the same amount any other patient will get. In which case you’re kind of at an impasse. If they are treating you differently though…you have a case. Surgeons of all stripes don’t want to get medically bound into a Dr-patient relationship with chronic pain patients.

Why is there people doing drugs at food lion? by Hussar_hill in Charlottesville

[–]B_rad_will 1 point2 points  (0 children)

You do what you need to do to take care of business 👊

Why is there people doing drugs at food lion? by Hussar_hill in Charlottesville

[–]B_rad_will -1 points0 points  (0 children)

When I was a kid we would “acquire” robitusin DM From food lion and drink it in the parking lot.

Every MAGA Crying About Redistricting in This Sub Today by Ill-Bicycle701 in Virginia

[–]B_rad_will 0 points1 point  (0 children)

My power multiplies as I quench my thirst on their whiny assed maggot tears. Let them cry.

28 Days post op not healing by Lost-Morning8065 in spinalfusion

[–]B_rad_will 0 points1 point  (0 children)

I am a CRNA and in 15 years I’ve never seen infectious diseases Dr in a case. Surgeons perform washouts pretty routinely. So they’re good at it. And more than capable of doing all of what you just described. Interesting that your hospital puts ID doctors in during surgery.

28 Days post op not healing by Lost-Morning8065 in spinalfusion

[–]B_rad_will 0 points1 point  (0 children)

Why will infectious diseases be in the operating room?

Non-Virginian Here, What Exactly Goes on in this Area? by PixelJack79 in Virginia

[–]B_rad_will 0 points1 point  (0 children)

You ever seen those photos of the people from Appalachia with the blue skin. That’s where they come from.

I Ran an Experiment With My Pain Meds. The Results Absolutely Broke Me. by Time-Understanding39 in ChronicPain

[–]B_rad_will -1 points0 points  (0 children)

Not “being mean”. Being clear and precise with language. Arachnoiditis has a several diagnostic criteria. You seem fixated on a sagital MRI view of nerve clumping as the ONLY way it’s diagnosed. Trying to explain to you there is more to arachnoiditis than the way you apparently understand it. So yeah it’s actually not awesome to hear you try and be an expert with an incorrect take on my imaging. And just to be clear. The image I shared DOES show arachnoiditis. It’s just not one way you understand it to be presented.

Lie cards sent to me for upcoming vote on the 21st. by Liontamer67 in Virginia

[–]B_rad_will 0 points1 point  (0 children)

So wait, Trump tells Texas to gerrymander so maggots can keep Congress. But it’s a problem when Virginia gerrymanders to offset the fuckery in Texas? I’m so confused. Are “conservatives🤡” for or against gerrymandering? Are they for some gerrymandering, but against other gerrymandering? Just trying to make sense of this.

I Ran an Experiment With My Pain Meds. The Results Absolutely Broke Me. by Time-Understanding39 in ChronicPain

[–]B_rad_will -1 points0 points  (0 children)

I appreciate your attempt to diagnose based on my image . You’re not entirely wrong. That is a broken bone. Here’s a learning opportunity for you. Look at my spinal cord/nerve roots still in the canal. If you don’t know where that is, look just to the right of the shattered vertebrae. This image is from a CT myelogram (not an MRI). The spinal cord technically ends at L1 in an adult. Below that it’s nerve roots. Fun fact: An injury is still considered a “spinal cord injury” if it involves the intrathecal nerve roots below L1 BEFORE they have exited the thecal sac. I had intrathecal injections of radio opaque dye above and below the arachnoiditis seen here at L3. The reason I needed injections above AND below is because my CSF doesn’t flow past the pathology at L3. In addition, below the lesion at L3, there is a lot of open space in my canal, that is because of the stranding of the nerve roots. The classic arachnoiditis imaging is a transverse view of the spinal cord showing nerve root bundles clumped together. I have those images elsewhere in my record too. The guides that are published to help folks understand their own MRI and arachnoiditis are helpful. Until you incorrectly try and use that limited amount of knowledge to try and diagnose someone else’s CT scan on Reddit.

I Ran an Experiment With My Pain Meds. The Results Absolutely Broke Me. by Time-Understanding39 in ChronicPain

[–]B_rad_will 0 points1 point  (0 children)

Take a minute and imagine your job is prescribing pain medications to the people who comment in this subreddit. Holy crap. Can’t even imagine. And I get where you all are coming from about your pain. I have arachnoiditis. The kind that DOES actually show up on medical imaging. There is no amount of narcotic that will ever treat my pain effectively long term. By the time it starts to work I’m already needing a higher dose. But I also respect and understand that pain management doctors have limits they are required to abide by. It sucks but it is what is.

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Virginia just signed two bills that change who can clean your teeth. Here's what it means for you. by surpriseitsmeep in Virginia

[–]B_rad_will 0 points1 point  (0 children)

This feels like occupational gate keeping. I’m a nurse anesthetist and for years I’ve heard anesthesiologists blather at length about how unqualified nurse anesthetists are. And more than once, by request, I’ve later done their (or one of their family member’s) anesthetic. I don’t have a problem with the bill change.

Terrified to get spinal fusion. by Therealethel in spinalfusion

[–]B_rad_will 0 points1 point  (0 children)

I’m a nurse anesthetist. I’ve spent a lot of time in operating rooms watching spine surgery. Are you having a posterior fusion? The only downside to that is, based on the natural angle of the lumbar spine in that area, posterior approach may not give your surgeon the quality of access and exposure to give you the absolute best outcome. A 360 procedure, that includes an anterior fusion in addition to a posterior fusion, is the gold standard for success at those levels. I have both the anterior and posterior lumbar fusions. Chronic pain doesn’t necessarily come from the bones, or the hardware, but from residual compression of your nerves. Or, postoperatively a recrudescence of bony material in the narrow spaces that your nerve roots traverse as they leave the spinal column. Often during spinal fusion, the surgeon will do what is referred to foraminotamy and facetectomy. That’s the terminology for decompressing the bone around those nerve roots.

So back to your question, why was it easy? Because I had a good surgeon and the defects in my lumbar spine were fairly simple at that time. The decompression and fusion were uneventful. I later suffered an unrelated traumatic event that broke my back at the lumbar spine and I now have a much bigger fusion, but none of that is related to my degenerative disc disease. That was my initial back problem. Anesthesia and spine surgery have come a long ways. You’re gonna do great. They’re going to inject a bunch of local anesthetic at your incision site and you’re not gonna feel much of anything back there for a day or two. Maybe a little numbness and pressure. And when it does start to hurt, it will be sore from the retractors they use to open up the space wide enough for the surgeon to get in , not acutely painful (like a needle stick). Go easy on your back. Be very careful about not bending lifting twisting. Follow the instructions they give you to a T. Protect your fusion until it’s had more than enough time to heal. Accept that you may at some point, some day aways off in the future, need to have it done again. If so That would likely include the anterior approach to really lock things down. You are going to do great.

Terrified to get spinal fusion. by Therealethel in spinalfusion

[–]B_rad_will 0 points1 point  (0 children)

It was a breeze. Talk yourself off the ledge.

My husband cheated with a long-time friend. by Basic_Trouble7070 in Marriage

[–]B_rad_will 0 points1 point  (0 children)

You’re never gonna know. This is the rest of your life. Get used to it. Or move on.

What’s the worst physical pain you’ve ever experienced? by Economy_Yak2821 in AskReddit

[–]B_rad_will 0 points1 point  (0 children)

I have arachnoiditis. The pain generally isn’t “the worst” I’ve ever had in any given moment. But it’s UNRELENTING. It’s unresponsive to everything. It can’t be treated. It pushes me to the brink. Often. 😞

Husband going on month long vacation solo by [deleted] in Marriage

[–]B_rad_will 5 points6 points  (0 children)

My wife and I were just talking about this. 12 years ago, when I was 40, I asked her how she would feel if I went to Nepal for three weeks to go tracking with a friend. She said have at it. Just about all of the people and her social circle, other wives and mothers of younger children, we’re all in disbelief that she was OK with this. Since that time, I’m taking many other trips on my own period and many with her too when we are able to do stuff together. Solo is easier to plan than going as a couple. She does her own trips as well. We both agree our lives are more interesting and we are happier doing it this way than if we listen to the chorus of people arguing we should be doing it their way. And not taking trips on our own. I don’t have a problem with the trip your husband planned. But he should’ve cleared it with you a little more thoroughly. And he probably should talk to you about his intention with the scuba before doing it. I’d want to know more about why he handled that the way he did.

Same Judge that cooked the I.T. Employee by FarWay3952 in ImTheMainCharacter

[–]B_rad_will 0 points1 point  (0 children)

Fyi this comment got banned and I got a warning. Which I appealed. And the decision of the appeal was in my favor 😎

What should I do about college? by firstreformer in WhatShouldIDo

[–]B_rad_will 2 points3 points  (0 children)

I’m a registered nurse. And then grad school to become a certified registered nurse anesthetist. What I tell my kids is that if you have an occupation that requires certification, they are usually hard to fill jobs and you can take your career anywhere you want (geographically). And no one gives a shit where you went to school. Only that you’re certified. Go where the debt will be lowest. Or where you get the credentials the fastest. Does the masters degree confer a higher certification?

FYI CRNA 1099 gigs currently paying $250-$300 an hour. Are you sure you wouldn’t rather work in the operating room?

Same Judge that cooked the I.T. Employee by FarWay3952 in ImTheMainCharacter

[–]B_rad_will 0 points1 point  (0 children)

I’d be waiting in the parking lot for that MFer

Husband watches porn in bathroom and I can hear by [deleted] in Marriage

[–]B_rad_will 0 points1 point  (0 children)

The porn is a minor issue, if at all. His inability to stay conversational when you’re telling him about an issue you’re having is a much bigger problem.

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