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Putting in some work in the ORs at @WRBethesda - got to help with some interesting cases and saw several people get Tylenol and other meds to help provide anesthesia and post-op pain relief with minimal opioids. They all woke up comfy and happy! 
@ASALifelinepic.twitter.com/J5ukgkok37
FYI to all- sorry if you’ve had bad experiences. Flip side is that many people have bad experiences (short and long term) WITH opioids every day. I’m not against opioids for those that need it. But people should know that for many, pain relief is possible- even better- without!
Posting limited info like this is misleading and irresponsible. This suggest Tylenol is sufficient as the main source for post-op analgesia. It is not. Please try to be more responsible with your messages.
studies show 1000mg of Tylenol is equivalent to 6mg of morphine. Which is more than I’ve given quite a few patients in the OR. And I’ve definitely given patients only Tylenol and toradol (like ibuprofen) and had them wake up with minimal pain. Not for everyone but it does work!
2/2 Also guessing others other didn’t see (or care to look for) my tweets in favor of chronic pain patients and not inappropriately applying CDC guidelines... Opioids ARE overprescribed in US- need to make sure those who benefit get them, those who don’t, don’t... Happy 4th!pic.twitter.com/vizMt3hgVs
1/2 I’m guessing several people didn’t actually read (or care to read) the original tweet (clearly talking about perioop only, said Tylenol AND other meds, NEVER said no opioids- said minimal, also said several vs ALL patients), so here it is again...pic.twitter.com/qgcP0lwwJD
Dr. Kline & Jonelle Elgaway discuss how research studies pitting Opiate pain medicine against over-the-counter medicines (OTC), like Tylenol/Motrin, are biased to give false results, studies published as "fact" are in fact, a unequal comparison.https://youtu.be/qXFhhQTziNM
We should never be afraid to challenge beliefs/ assumptions, but I worry about a world where YouTube videos & blogs are given same weight as peer reviewed studies & long trusted research/ science institutions. The erosion of our faith in the scientific process is bad for all...
As I endured an emergency TVAH, opiates got me through the crisis and within a week I was down to one a day. It eased my suffering and I did not develop a dependence. Until you experience post op pain yourself and the agony it brings, you really don’t know.
Agree. My wife has had several abdominal/ pelvic surgeries- best 1 w no opioids. As stated multiple times, everyone is different, some people do need opioids, but the studies show that on average MOST people do MUCH better with opioid sparing regimens. http://nsc.org/Portals/0/Docu …
Just had joint replacement yesterday sent home with 5mg Norco every 6 hrs I haven’t slept and can assure you I’m not comfy and happy!
So even worth opioids you aren’t comfortable?? Every patient is different, but just- wondering- Did you get an ERAS protocol? Tylenol, Celebrex, gapabtin, and a block before surgery? My whole point was with multimodal analgesia (not just opioids) most patients do better.
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