u/No-Strawberry-5804

Joke’s on her! He needs a place to do his yoga.

I’m irritated with both of them. Once she realized he wasn’t going to budge, she should have put them in a hotel, because the apartment is clearly not a good situation for anyone. Or, alternatively, broken up with him, had a vacation with her parents, and then gone home to Brazil.

I guess the good thing is that they’re seeing his manipulation and abuse up close.

Med change update

Ok so I was stressed out this past week about getting my pain pump switched from fentanyl/bupivicane to dilaudid/bupivicane. I was nervous bc my doctor isn’t the best communicator so I didn’t fully understand why I was being switched. Just a few weeks ago she was telling me I had plenty of room to go up on the fentanyl 😅

Anyway I asked about it at my appointment and she explained that fentanyl is lipophilic which means it doesn’t travel through the CSF very well, it sits where you put it and binds to whatever fat you’ve got there. Dilaudid is hydrophilic and therefore circulates better because it’s grabbing on to the fluid and moving with it.

So it seems like my catheter position just wasn’t letting the medicine hit all the nerves it needed to. I’ve been fully switched to dilaudid for two or three days and there’s a MAJOR difference in my pain levels. I’m feeling significantly better and using fewer boluses.

The bad part is now I have to remind myself how to pee wherever I sit down. I seem to have lost the “automatic” option lol. But it’s great feeling this much better, it’s like I felt in the early days of my SCS.

Ok so I posted a few days ago (https://www.reddit.com/r/PainPumpQuestions/s/s58L9GF5pE) about getting switched from fentanyl/bupivicane to dilaudid/bupivicane. I was nervous bc my doctor isn’t the best communicator so I didn’t fully understand why I was being switched. Just a few weeks ago she was telling me I had plenty of room to go up on the fentanyl 😅

Anyway I asked about it at my appointment and she explained that fentanyl is lipophilic which means it doesn’t travel through the CSF very well, it sits where you put it and binds to whatever fat you’ve got there. Dilaudid is hydrophilic and therefore circulates better because it’s grabbing on to the fluid and moving with it.

So it seems like my catheter position just wasn’t letting the medicine hit all the nerves it needed to. I’ve been fully switched to dilaudid for two or three days and there’s a MAJOR difference in my pain levels. I’m feeling significantly better and using fewer boluses.

The bad part is now I have to remind myself how to pee wherever I sit down. I seem to have lost the “automatic” option lol. But it’s great feeling this much better, it’s like I felt in the early days of my SCS.

Ok so tomorrow I’m switch from fentanyl/bupivicane to dilaudid. What should I expect for that process? Should the equivalent dose of dilaudid give me more relief than the fent?