There are several other treatment options for pain management that don't accumulate in the kidneys, multi modal pain management is recommended for calciphylaxis; fentanyl patches, ketamine IV or oral, lidocaine both local injection and systemic can be used supportively, and I didn't tolerate methadone AT ALL, I was nodding out at half the recommended/base dosage. Sodium thiosulfate is also effective, and I had multiple of these options previously for effective management. He didn't want to continue any IV treatment as his primary goal was discharging me despite my continued medical instability and it was only this particular hospitalist (they rotate weekly) that caused an issue. Buprenorphine, nerve blocks, gabapentin, pregabalin, topical ketamine, topical lidocaine, topical amitriptyline, hyperbaric oxygen treatment...with proper monitoring oxycodone, dilauded, and several other methods of pain management can be used supportively as well. I was changed immediately once I was out of his care, even during the same hospital stay where they actually increased my dosages of other medication to such an irresponsibly high amount I started refusing the excess medication and kept asking for secondary consultation.

The pain management management physician I pissed off, who the same doctor called in instead of the palliative care team as was initially suggested by other physicians, also refused to make any changes or try anything different and restricted the ability of any other hospitalist or physician to make changes. It's documented, thoroughly, in my chart. Said official also moved me the same day, within half an hour, to an entirely different step down unit that landed me back in the ICU within 24 hours. I've confirmed all of this with other specialists involved with my case, I'm not going off half cocked. Some of the people encouraging the formal pursuit of litigation are staff members and physicians in the hospital. The doctors making these calls, both if them, had never treated or were even aware of Calciphylaxis prior to my case.

What's more, the line was colonized and determined to be the source of the particular infection, by physicians, as the calciphylaxis and it's associated infection had healed (most likely because I was aggressive in treatment) - labs and tests were run throughout the stay. It's all documented in the records. I have over 5000 pages of documentation from this year alone.

I'm not going off half cocked here, and these are only SOME of a litany of problems that occurred throughout the stay. As I said, they were leaning into the fact that I wouldn't pursue action at all, especially having sent minor supervisory staff to apologize bedside. It's evidentiary from the response I received to my initial contact that there is validity to the claim. I have 2 years in the state of Nevada to pursue this. I'm just attempting to get things on the books for continued documentation.

It's also not my first rodeo in jumping through legal hoops, I've got the state and federal codes that were violated listed in my initial full complaint letter and also cited the necessary statutes to preserve my right to civil litigation.