Hello, My wife had been diagnosed with PAD in her legs and had a Stent placed in her right Iliac Vein early this year. as well as one near her heart.
She has been normally active since with no problems. She went in in June to have her knee worked on for a childhood injury that bothers her all the time. She had some pain in that leg afterwards (the left-The one opposite the side with the stent).
That surgeon ordered a venous ultrasound and they discovered some calcification of the vein in the left leg just above the knee and sent her to her cardiologist for further testing. She was only in mild pain at the time in the left leg only.
She has some mild degeneration of the back at the l3-l5 disks and likes to have in rubbed at night, but was not a major issue either.
However on the 19th of July she had an exploratory procedure when the cardiologist used a catheter to go in and look in the left leg to see what he could and the right to check on the stent that he had placed at the start of the year.
In post op he claimed the stent had failed and he said it probably could not be restented and was getting a second opinion from a vascular surgeon. He said her blockage on the right was 90% and the new block on the right was also 90% and that she had a new blockage just above where the two veins meet as they go up to the heart.
This would be her 3rd such procedure and besides being in the hospital for observation that evening she never had any problems.
This time however she came out of the operating room and even while they were holding the vein closed so it would heal shut she was trying to turn and move while complaining of back pain and that her left leg was killing her. They gave her triple the pain meds she had needed before and she was not moved to the hospital room for 4 more hours, 2-3 hours longer than before and 2 hours after everybody else who had had similar procedures had been moved out.
By this time she was both in alot of pain and groggy from the meds. She continued to have escalating pain into the night. The doctor had left by then had not left instructions for pain meds beyond lortab 10 every 4 hours and these would not touch the pain which was now in her back and BOTH legs all the way to her toes.
The nurses called the doctor numerous times to get more and more pain meds until he told them not to call again, and he still had not authorized repeating meds. except for percoset. She had been given more powerful injection pain meds so far. She finally fell into a painful sleep and still had elevated but lower pains the next day when he released her. She hates narcotics and was not asking for meds unless it got unbearable. I said that to get the obvious assumption out of the way.
Anyway she also had high blood pressure and low heart rate trough-out the post surgical recovery room stay (200/115 down to 180/96) she was released with a prescription for lortab 10 with her pressure still high (160/93). She thought she could get more comfortable at home rather than the hospital.
That was Thursday. On Sunday night and again on Tuesday night I took her to the ER for pain so bad that since Friday she had not been able to get any sleep. By Tuesday she was passing out while trying stand, from lack of sleep, and hallucinating. She had to use crutches to get around until Tue when she could not get out of the truck at the ER and had to be helped into a wheelchair.
I don't know if you have had a loved one in what is called intractable pain, but it is a horrible experience. She would sit and cry or beat on the table and say Oh My God over and over again. The only time she would get any relief was while n the ER, within a couple hours the pains would be climbing back to what was unbearable again.
The 1st ER just gave her one pain shot and a prescription of Oxycodone, the 2nd gave her Oxyxontin and about 4 shots of what they said was 9-10 times more powerful than Morphine! She managed to get some real sleep from that, but again only for a couple of hours. Our daughter stayed with her that night as I went to work (7pm-7am). When I got home they were still up and my wife was completely out of it and whimpering, hallucinating and would try to do things or move and when asked could not tell us what she was trying to do.
I have left a lot of the stuff out, but that should give you an idea of her state a week after the surgical procedure.
Now about what the doctor did or did not do.
We had called him on the day after she was released from the hospital. And he said to see a pain specialist. We could not find one that could see her earlier than 3 weeks away. We called and asked him to call one to use his status as a fellow doctor to get a more timely one. His staff called and gave us an appointment that was 2 weeks away. I asked later and he had not called himself but left it up to his staff, and they were not advised of her state.
That day I made an appointment to see HIM on the following Monday when they told me that, and after asking why so early, We got it for the Monday afternoon. In the last two procedures we saw him the following week anyway so I was concerned that they though 5 days after was too early.
Anyway all he said was that it was her back causing the problem – he did not exam, test or touch her to figure this out. And to tell the truth I thought it was the back too. She has always had pain if she laid flat on her back too long, but this was way over the top. And her pain did seem to be in the nerve distribution of that part of her back which was slightly degenerated. He gave her percoset and sent her home.
The next day her legs got these long blackish streaks on them that lined up with the blood vessels in her legs, especially the left. But they faded away by the following day before we took her to the ER, again.
(too long continued in 1st reply)