Alfred, so sad to read your latest. Did you mean the ambulance officers gave you those meds???? Seems a bit is lost in translation of "luckily I had" , dont understand how you had such a strong drug as Tapentadol, in your possession.???? The combination with amiltryptiline and other drugs you have can be very very dangerous.
And sorry but I already told you no more manipulation, osteos, chiros, physios ,acupunture , all will only aggravate you more at this point, as so sadly, you found out last nite.
I am glad your wife is there to help you. Hoping you see the surgeon very soon. 🙏