I was in an emergency ward in Toronto Wednesday with a family member. There was a man there who was there because he worked construction and a fork-lift went over his foot. They gave him Tylenol and said that they might add Advil if that wasn't enough. He was a construction worker, in construction gear, and had taken his foot out of the work boot because of the way it was swelling. It was clearly swelling and turning blue with bruising. They were waiting for x-rays when I talked to him. They had hinted that he might get something stronger later.
If you have a forklift go over your foot with clearly visible injuries they should not be trying Tylenol on you and get you something stronger unless you have an allergy. The man was clearly in pain, but not really complaining and just keeping very quiet.
This has just gone to far.
Male, early 50s, Dx AS+ 1991, HLA B27+, Tylenol 3 PRN for flares. Off NSAIDs due to stomach issues. Considering a biologic. SI and thoracic involvement and costochondritis. Many bouts of uveitis. Small bowel issues, anemia.