Posted 31 January 2007 - 10:41 PM
Well playing the allergy card totally changes your medicines they think about. Not just one or two, but dozens. You are the patient. (I'm basing all of this off my knowledge of US laws, so I hope that's where you live). You have rights. Simply say, No. I don't want this drug, or that drug, because I've it trigger a bad case of cdiff and I was told to avoid those and take something comparable. Any trouble, its easy, ask for a supervisor, hospital administrator, etc. They will comply, it might just take talking to someone who can boss around this apparent jerk of a surgeon. You want to cover yourself? Ask a nurse to write in your chart, under allergies, "No X, Y or Z, not allergic. Causes Cdiff complications as per personal physician." Ask to see it written. Then there's no doubt they won't do it, because it would be a huge legal liability on their part to ignore it. Nobody can claim they didn't know/hear if its written in the chart.You may have to argue some, but I have done it before. I'm not allergic to a certain anesthetic (no names here) but, when I had it, I was described as "combative, yelling, insisting that the pills were bad, demanding a new doctor" after everything was done. They were shocked how alert and coherent I was once I came out of it. Yet, I made no sense, and had no memory of the whole day, or next day. So, I was told to not have that drug again. When I had my gallbladder out I simply had them write in the allergy section: "Drug X, not allergic, but previous physician reports post-op combativeness, please avoid." The gallbladder surgery is a cinch. I was up and about the next day, just sore from the gas they inflate you with for 24 hours, and sore at the entry sites for a little over a week. Think positive, do what they tell you, and go back on your probiotic when you're done. You'll be fine. Odds are, you will have a week or two of abnormal digestion. That's life, you just lost an organ. But you'll adapt quickly and your body will learn to react normally without the GB soon enough. Also- If you've had problems with C.Diff being resistant to vancomycin in the past, you might want to look into asking about Xifaxan post-op. Its an excellent antibiotic for C.diff and doesn't effect the rest of your body, so you wont' get just Xifaxan. It doesn't get absorbed by the body, it staying just in the digestive tract. It's pricy and some insurances complain about it, but from a hospital it might be easy to get approved if you have picky insurance.