Monday, January 18, 2010
I love these patients! I see them a few times a week. They come with severe pain (usually all over their body), and they hurt everywhere you touch them.
When they DO bring their meds, it usually looks like this guy's mini-pharmacy.
Invariably, they are allergic to Ibuprofen, Toradol, and Tramadol as well as anything else that they don't want.
This guy's basket was very typical and included 5 different narcotics, 4 different "nerve pills" (benzodiazepines), and few non-addictive medications as well. Of course, these Rx's were from 4 different physicians, but amazingly in this case were all filled through the VA (great job of oversight by the Government system).
This particular patient was barely responsive from taking handfuls of this stuff, but when he awakened, he demanded shots of Demerol!
These folks are always lots of "fun" because when you refuse to give them any meds, they become quite belligerent and threaten to call their lawyer and sue. (So far, not one has actually HAD a lawyer).
Once this guy woke up, he was writhing about, and pressing the call button every few minutes asking for a shot for pain. When I told him that he wasn't getting anything, his pain seemingly disappeared magically and he grabbed the basket and stormed out, calling me names that I won't repeat here!
I love my job!
Posted by erdoc85 at Monday, January 18, 2010