I haven’t figured out just what happened here? I believe regardless of the dose we don’t know how the patient will react (I’m also a nurse) when given pain meds. We give what the surgeon orders. The problem I see is the nurse who told your husband it was ok for you to nod off, and he can help with the breast pump should have evaluated the situation and have done an assessment of your condition. His concern was a red flag since he knew your normal consciousness. I always paid attention to family .