A POLST - for Physicians Orders for Life-Sustaining Treatment - is a hot-pink, one-page form signed by a doctor or nurse-practitioner that turns a patient's wishes into written medical orders.
Pain Medications to Treat Kidney Stones. Over-the-counter pain relievers (e.g., aspirin, Tylenol, Advil) usually are not effective by themselves for the more severe pain caused by kidney stones. However, you can try a combination of Aleve, Advil, or Motrin plus Tylenol for milder pain. Talk to your physician about what dosages of these medications is safe for you to take.
Lithotripsy treatment for kidney stones located in the substance of the kidney will cause some tubular damage locally. There are about a million nephrons in each kidney/ The loss of a few should not have any detectable effect on kidney function.