Hi Jim, what would you say the differences are between Dilaudid AKA Hydromorphone and morphine? Dilaudid is stronger I know but why can't you take IV morphine? Just wondering if you have some sort of reaction to it? Or, if it just doesn't do the trick. Usually, when a patient asks for a medication by name, that is a red flag to the staff doctor patient is drug seeking.

Just an FYI, it was when I was in post-op recovery from surgery that I suffered so. So far I 've been treated well in the ERs.

Are you familiar with cross-tolerance? When one opiate won't let another have the effect that it should? They block each other's receptor sites. That happens a lot in medicine and unfortunately, there are a great deal of providers to do not understand that. When a patient has been taking an opiate for a long time and they have tolerance to it, the doctor will add a different opiate for the pain such as in post-op recovery, but one opiate blocks the other's receptor sites so the different opiate is essentially ineffective or not optimally effective.

Good luck at your appointment and be sure to let us know how it goes. I am worthy of being vascular surgery today for my greater than 50% stenosis brachial artery which is considered rare as less than 5% of people have it. My concern is the cause of it and I'm praying it is not peripheral artery disease which is the most common cause.

Take Good Care, Sunnyflower