Even after getting home, dozing for a bit and then waking up to take a shower has seen me basically functional in a low impact setting. There's pain, but it's not unbearable. If this were a normal night, I might take a half pill to try to drive what was left away or a whole pill and hope for a restful sleep until morning. At 12 hours in, the patch shouldn't be at peak effect yet so I'm hoping that it'll still ratchet up a few more notches and take what's left of the pain with it. It's unlikely that I'd be able to sleep with the residual pain remaining so I'm just going to see if I can wait it out.
The downside, if there's any, has been the general opiate haze that I'm pretty used to by now. It's nothing extreme but it's a pervasive muddle-headedness and earlier some vague nausea. It's not anything I think I'll need to really worry about if it stays at this level, though I'm not sure how it'll go combined with a stuffy plane ride or other aggravating factors. I might just end up having to use a barf bag.