Migraine.
Three days.
Out of pain medication and vomiting so you wouldn’t keep it down, anyway.
Agony.
Emergency department.
*****
You’re in luck – no one in triage!
A bed opens up, the nurse takes you straight to a room.
Gown, blanket.
And….
Two minutes later you send your cousin out to ask how long it will be until you get your pain med.
Excuse me? Read more »
*This blog post was originally published at Emergiblog*
I took care of an elderly man recently. He’d been dealing with multiple medical problems for almost 30 years. Despite being in some very significant pain, he still made eye contact, still said “please” and “thank you.”
He wasn’t faking the pain. He was very stoic, but I could tell he was hurting. That tight-lipped grimace, the tachycardia, not moving a muscle unless it was absolutely necessary. Still, manners prevailed.
My colleagues and I went above and beyond for him and his family. There’s just something about being polite to others that makes those others want to help you and help you and help you some more.
I’m not saying that we don’t want to help those that aren’t overly polite. It was just nice to be treated, well, so nicely. I wouldn’t expect everyone in severe pain to maintain such decorum. Every once in awhile you just click with a patient and it makes being a nurse so enjoyable. Read more »
*This blog post was originally published at code blog - tales of a nurse*
Horrible.
Perry doctor killed by patient
SUSPECT HAD BEEN REFUSED PAIN PILLS EARLIER IN DAY
By Dori Hjalmarson, Bill Estep and Karla Ward – dhjalmarson@herald-leader.com
CORNETTSVILLE — A man seeking prescription painkillers shot and killed a doctor at a Perry County medical clinic Tuesday morning, according to state police. Read more »
*This blog post was originally published at GruntDoc*
When it comes to opiate drugs, like morphine, there is a bitter debate between patients who are in chronic pain, and the doctors who are vilified for under or over-prescribing these medications.
But there are some other subtle influences that push doctors to prescribe these drugs, in some cases inappropriately. An ER physician talks about the issue, saying, “when dealing with a patient who is in pain, or appears to be, it can be impossible to sort out when a patient needs opiates for legitimate reasons, and when it is merely feeding a long term addiction. We are trained to provide comfort and relief from suffering to our patients, and we generally will err on the side of treating pain, rather than withholding addictive medications.”
There is also the pressure to provide “patient satisfaction,” and indeed, low scores in this area can place a doctor’s job in jeopardy. Taking a stand against those who inappropriately request opiates will result in low patient satisfaction scores, and “will often times result in arguments, profanity, and calls and letters to administration.”
What’s the answer? Perhaps a little less reliance on these scores, since a good patient satisfaction score is not necessarily correlated with proper medicine.
*This blog post was originally published at KevinMD.com*
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