Pain during surgery
So I went through the club initiation rites yesterday and got my membership card. Biotronik dual-lead PM up and running. Had read about the procedure and got a brief explantion from the doctor but was totally unprepared for how painful it was. They said I'd have a light sedative and local anesthesia, but I thought I'd be more out of it and feel only tugging and pressure. Felt the injection of the anesthesia obviously, then I don't think I felt the incision, but shortly after that the dr said "This is going to hurt some" and did it ever. I let out a groan and my whole body tensed up. My wrists were restrained but I was able to grasp the edges of the table for some relief. Dr ordered more of the sedative and fentanyl, nurse told me it would kick in in two minutes. I could tell the sedative helped me relax some but I was continued to feel the dr digging into my shoulder with occasional very sharp pain. Maybe by the end of the procedure the fentanyl kicked in while I was being stitched up but I was uncomfortable through the whole process. I've never had surgery before so the only thing I could compare it to is a root canal on steroids. Because the doctor said it was going to hurt I just gritted my way through it, but I don't understand why I wasn't given higher levels of sedative and fentanyl from the start. I kept thinking of western movies where the cowboy gets shot and has to bite on a bullet or just tough it out to endure the pain. The doctor didn't talk to me afterward, only my wife, but she said he told her that my vein was not where they expected it to be and that took longer than usual. Maybe that complication required some deeper probing that wasn't fully anesthetized.
The rest of the day my shoulder felt like I had been stabbed and I kept asking the nurses about it, but they said it was normal. I was released to go home and started a regimen of ice and alternating tylenol and ibuprofen, which seems to have helped some. I was given an arm sling at the hospital which I have used religiously as it hurts to move my shoulder. I can tell it's getting better today so not concerned enough to follow up with the doctor, but feel like I wasn't fully prepared for what this surgery would involve.
I saw a couple of posts about similar pain during surgery but most of the other posts I've seen focus on pain after surgery, not during. Is my experience an anomaly due to vein anatomy or insufficient anesthesia/sedative/fentanyl or both?
At any rate, glad to get it behind me and appreciative of the support I've found here.