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My week on narcotics

THE DREAMS YOU HAVE when you’re withdrawing from narcotics make David Lynch look like an After School Special hack. How I got on narcotics was outpatient, noninvasive surgery on a double hernia. I got the double hernia from a mistake I made in the gym, or maybe I slipped in the bath and caught myself funny and ripped open my abdominal wall in two places without knowing it.

Doctors dump all this useless data on you and tell you nothing you need to know. Before the surgery I was given a 40 page disclaimer about my privacy rights and how hospitals use and share my medical information. I reckon I was given this because someone sued someone else once. Flash to the medical community: I want you to share my info. That’s what databases and XML and the internet are for. If I fall down a staircase in Katmandu, I want the emergency medical team that rescues me to know I’m allergic to penicillin, and I want the doctor who attends me to know what medicines I take. Thank you for the lovely 40 page disclaimer.

And no thank you for what I left the hospital with: a prescription and nothing else. After all that upfront paperwork, the hospital didn’t even bother giving me my surgeon’s name and phone number. (I had to look them up on the web when my painkiller prescription ran out.)

Here’s some information the hospital could have given me: your peas and carrots are going to swell up and look more like eggplants and cauliflower. That’s normal and you don’t need to call in. For at least five days, you’ll feel like someone just cut you open with a street knife. That’s normal and you don’t need to call in. Your sleep will be fitful, with wild dreams. You’ll wake up at 2:00 AM and 5:00 AM, unable to sleep. If you take the prescription pain killers, your sleep will be even more disrupted. The pain killers don’t so much take away the pain as move it slightly off-camera. You’ll want to take more than we give you and your digestive system will resemble that of a hardcore junkie within two days. All of this is normal. After five days, we cut off the pain killers and provide no way for you to get more. But you’ll still be in terrible pain. This is normal.

If they had told me that in the hospital and written it down somewhere, I wouldn’t have worried so much when parts of my body started resembling clubbed baby seals and seemed to be undergoing racial transmutation. While they were at it, they could have left me a card with my surgeon’s phone number and asked me to call in after four days for an evaluation.

They wanted to evaluate me next week, but I’m taking my daughter to Disney World next week, so instead they’ll see me when the surgeon returns from vacation on August 15. Meantime, I guess I muddle through.

I’m not on narcotics today and the pain is bad but manageable with Advil. I haven’t had that shit or any shit in my system for nearly 20 years, and I don’t like how close it brings me to the old days. I can get my prescription refilled by begging the surgeon’s answering service until eventually he calls the pharmacy, but I think maybe I’ll stick with Advil.

By L. Jeffrey Zeldman

“King of Web Standards”—Bloomberg Businessweek. Author, Designer, Founder. Talent Content Director at Automattic. Publisher, alistapart.com & abookapart.com. Ava’s dad.

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