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Suggest Treatment For Severe Pain After A Failed Hernia Repair Surgery

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Posted on Wed, 18 Mar 2015
Question: Follow up from previous question. I took the leap and started with fresh eyes after the failure to address new symptoms from two surgeries has me now, going to doctors, and, if I want to stay away from pain, I do not move. That is not a life; and, it is from carelessness, surgery I didn't need, infection, another surgery for hernia repair. Just so you understand what I am up against in this city (seems every doctor is afraid to get involved) I saw a neurologist who did say "I don't want to get mixed up in your mess." I have a new doctor; but, everything takes time and having to go through past is time consuming and delaying progress. It's simple. Surgery failed, hernia repair involves mesh covering most of my abdomen; bowel goes through and it takes a couple of days to calm the nerves. Cutting a hole in the side of a rectum; and ignoring the fact that a hernia was forming. I do not have a specific question, but, starting over, being told that my mess is not something this particular doctor wanted to get involved with tells you what I am up against. Suing a doctor (which I didn't and wouldn't) is very hard in this state and it is obvious that carelessness means little to some and integrity is lacking. Interesting, had an MRI, and since the auto accident four years ago, my spine looks pretty normal. So, as I told the pain XXXXXXX at Mayo, and this was after the colorectal surgery, the pain is deep; not in area of initial pain; seems I was right, but, patients are never right. I have been a guinea pig; and, ignoring the symptoms from the surgery has cost me a life. Thank you for listening. Your time is valuable so, no answer needed, but, understand, it's like walking upstream. The only positive thing I can do is put together everything and submit to my insurance company so that the hospital care - no change of bandages; cleaning up my own accident, will not get paid and the surgeon will not either. He admitted failure; he admitted I didn't need the surgery. He doesn't deserve to practice and, the hospital, should not be paid by taxpayers. Big business and doctor failure is at the patient's expense.
I'm rambling. I am going through my questions; saw you answer, and wanted you to know I tried to see a neurologist. I cannot believe this is happening in 2015; but, no doctor wants to fix another doctor's failure. Have a great day.
doctor
Answered by Dr. Olsi Taka (9 hours later)
Brief Answer:
Thank you!

Detailed Answer:
Thank you for taking the time to write and let me know how it is going.

I am sorry that the situation has not improved for you, I remember the anguish you were in, due to your surgery aftermath.
It is a little strange for the MRI to have had changes before and result normal now, age related degenerative changes to not evaporate by themselves, but I guess by normal they meant no new lesions in comparison to the old exam. Anyway that is a positive news, meaning you have no reason t be submitted to any neurosurgical procedure.
One suggestion I would like to make, I see that you seem to still be getting Xanax, be careful because as you might already know that class of antianxiety drugs has a big potential for dependence and tolerance. For that reason it is preferred to be used only for short periods of time (I use it for a month at most). If on the other hand treatment for anxiety is thought to be necessary for a longer time, then other drugs are preferred like for example Venlafaxine. Not a miracle working drug and its effect takes some time, but it might help in quitting Xanax. It would be like killing two birds with one stone as its used for chronic pain as well (for which I advised it in your previous query). So you might discuss its use with your new doctor.

I wish you all the best!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (5 hours later)
Xanax was inappropriately given to me; as I requested safe withdrawal from Percocet, I also requested safe withdrawal from Xanax - I've cut it in half. Problem is, with no pain meds, and, pain reaching such a level I have a problem controlling reaction. I agree with you totally, however, I often forget to take it and, please believe me, it is not a drug of choice. I am under the care of a doctor (?) who has helped; however, he was willing to go up if I wanted. I don't understand how drugs are always the answer;
My MRI was a joke. My age alone a spine couldn't be in such great shape. I will upload if you are interested, but the monitors of this site might have an issue with it. Thanks for confirming my desire to get off Xanax. I think I'd be given morphine if I asked for it. I'd still be on Fentanol and up to 8 percocet/day if I hadn't known the dangers and requested, again, safe withdrawal. I'm off of opiates. I'm pretty much scared to walk into a doctors office. Four (3 unnecessary surgeries) and someone can't figure this out. Astonishing.
Thanks so much.
doctor
Answered by Dr. Olsi Taka (14 minutes later)
Brief Answer:
Xanax is not a solution

Detailed Answer:
I am really surprised by the facility by which you suggest opioids like Morphine or Fentanyl can be taken where you live.
If you can withdraw from Xanax, then it's great, as you yourself said drugs don't always have to be the answer. But if trying to interrupt it affects your anxiety levels and sleep then my suggestion is a less harming and potentially more efficacious alternative. I definitely don't think you should go up with Xanax, not unless you've tried other options at least like Venlafaxine I suggested or Duloxetine belonging to the same group.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (1 hour later)
I am afraid you don't understand the XXXXXXX Way - drugs handed out like candy; are you aware of the scandal with the Veteran's Administration? I will send a copy of the tons of drugs doctors chose to give me rather than address the colorectal surgery and hernia repair. I think you have a view of the XXXXXXX Medical professionals that is certainly distorted. Of course, there are great doctors; but, if it's easier to toss drugs your way than try to solve a very complicated case, that is what happened. I understand you questioning me; I would question someone also. again, if you would like to see that for two years after two surgeries, I was drugged, I will send. I am off opiates only because I knew the dangers and I had to request withdrawal which I also requested with Xanax. Doctors are so afraid of being sued in the United States they forget the patient's care, in some cases; now, no doctor wants to undo what the surgery did to me. My only choice is to find a diet that will ease the pain. My best regards.
doctor
Answered by Dr. Olsi Taka (30 minutes later)
Brief Answer:
Read below.

Detailed Answer:
The US is a very big country so I guess one meets both ends of the spectrum.
Coming from a small country we are used to read XXXXXXX medical textbooks, refer to US national medical societies guidelines and famous US medical personalities, but apparently there is also the lesser known side.
Thank you for sharing, in a way you have been as informative to me as I to you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (1 hour later)
My one gift from all this mess is to try to prevent others from getting so lost in the cracks; teaching people to listen; be their own advocate and get a second opinion.
Of course there are excellent doctors in this country; I happen to have gotten lost in the cracks. Suppose there's a reason; I've yet to determine, but, I will fight any system that allows a person to endure what I have and if I help prevent the handing out of drugs to cover up symptoms rather than address, I will have succeeded.
Reply only so I can rate you. Thanks
doctor
Answered by Dr. Olsi Taka (13 minutes later)
Brief Answer:
Best of luck!

Detailed Answer:
I hope better days are ahead of you because you deserve it.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Severe Pain After A Failed Hernia Repair Surgery

Brief Answer: Thank you! Detailed Answer: Thank you for taking the time to write and let me know how it is going. I am sorry that the situation has not improved for you, I remember the anguish you were in, due to your surgery aftermath. It is a little strange for the MRI to have had changes before and result normal now, age related degenerative changes to not evaporate by themselves, but I guess by normal they meant no new lesions in comparison to the old exam. Anyway that is a positive news, meaning you have no reason t be submitted to any neurosurgical procedure. One suggestion I would like to make, I see that you seem to still be getting Xanax, be careful because as you might already know that class of antianxiety drugs has a big potential for dependence and tolerance. For that reason it is preferred to be used only for short periods of time (I use it for a month at most). If on the other hand treatment for anxiety is thought to be necessary for a longer time, then other drugs are preferred like for example Venlafaxine. Not a miracle working drug and its effect takes some time, but it might help in quitting Xanax. It would be like killing two birds with one stone as its used for chronic pain as well (for which I advised it in your previous query). So you might discuss its use with your new doctor. I wish you all the best!