In the category of "it's never easy" is this little story.
Before the surgery, the doctors let me know that one of the standard protocols would not be available to me. In nearly all cases a nerve block is used in addition to the general anesthetic so that the pain is already under control before the patient wakes up. It is a set up of a steady drip pump of one of the caine drugs - lidocaine, novocaine, etc. -- that numbs the entire shoulder area for a day or so after the surgery.
Unfortunately for me, I am deathly allergic to the entire family of local anesthetics -- so they can't use that plan with me. The use would cause an emergency situation called anaphylaxis, a potentially deadly situation. They told me that they would start me on some delaudid as soon as I get to the recovery room. I have had delaudid before and it is a pretty effective pain killer.
So I wake up in the recovery room and I was in real agony. I had no pain killers on board.
Here is what happened... There is a nationwide shortage of delaudid caused be the recent hurricane in Puerto Rico. Due to that shortage, the hospital staff is not allowed to inject the drug into the patient's IV anymore -- it can only be administered through a patient-controlled pump, and I had to be awake enough to be aware of the fact that I had to push the control button.
Once I was awake enough to push the button, it became clear that the pump was defective and was not administering doses. So there ensued a panic-driven search for a new pump to hook up so that I could get some pain medication. That took a while.
I was in the recovery room for over an hour before there was any pain control. It wasn't a fun-filled experience. That was not how it was planned to go, but just how things worked out. My recovery room nurse refused to leave my side and I could hear her barking orders at people as she tried to speed things up and get me some pain control. She was a true angel of mercy.
I have found my allergy to local anesthetics inconvenient in the past, but this time it created a pretty big mess -- certainly not as big as anaphylactic shock (what happens to me if I get local anesthetics) -- but big enough.
I am now restricted to home and doing small pendulum exercises 6 times a day......