I know I've said this before.
But when you have a post-surgical patient who has had several other surgeries and who was given Vicdin/Percocet/Oxycotin/Oxycodone then and didn't get addicted, what in the Blue Bloody Hazes of Hell makes you think that it'll be a problem this time around.
But no, they're so, so afraid of the DEA that the "caring" medical community will let people suffer. If high-dose ibuprofen doesn't help, well, it sucks to be you.
Motherfuckers. It might be enjoyable to do some med-mal cases just to fuck with them.
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Monday, September 11, 2017
7 comments:
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I had hip replacement surgery in July. It's a fairly brutal surgery that involves cutting someone open through the buttock, dislocating the hip, sawing off the top of the femur, pounding a titanium spike with a ball atop it into the marrow of the remaining femur, abrading the hip, attaching a titanium cup containing a plastic collar, and then putting the patient back together again and sewing the patient up.
ReplyDeleteThe hospital sent me home with a prescriptions for oxycodone, and a warning to use it only when necessary. Which is what I did. I had three the first and second days, two the third and fourth days, one more the fifth day, and that was it. Without it, I might have gone crazy with pain.
I think most people who really need the drug use it responsibly. The problem is doctors who prescribe it willy-nilly. They can be found out — largely by monitoring the number of prescriptions they write and the number of patients they see a day. We also need a central data base which would help identify the prescription shoppers. In addition we need to burn the senior management of Equifax at the stake. This has nothing to do with narcotic prescriptions, but I thought I'd throw it in while I'm here.
Yours very crankily,
The New York Crank
I won't blame the medical community--their choices aren't good. Give this patient enough, you may not get to treat the next patient.
ReplyDeleteMight I compliment you, Crank, on the picture(s) you have so graphically painted?
ReplyDeleteAgain with the damn social moralizers. Other people want to morally and otherwise interfere with medical treatment for those they don't even know. Damn them and their do gooderisms.
ReplyDeleteI can see a bit of criminality when a town of say 1200 has 6000 oxy scripts a month, but that is world away from restricting someone in a doctors care.
My Heart goes out to your friend, I don't have anything like what you suggest they do and my "lowly Arthritis pain" can make me want to scream in agony sometimes.
I grew up in the Psychedelic Bay Area of the 60's I escaped Heroin and many of my close friends didn't, but I do know what it is. If they worry about being strung out on Oxy, they'd better damn well worry more about the Heroin Epidemic that would replace it.
Damn moralizers, I hate them.
Oh yea, also. Thanks NY Crank, I will oh so remember that one.
w3ski
OK, best case scenario nobody gets addicted to anything. Over here in reality, they prescribe painkillers when the scenario is not, in fact, best case.
ReplyDeleteThere are risks to everything. We train doctors for all of those years to be able to make decisions about those risks.
But now there are white people dying from overdoses, white people who live in Sarah Palin's "real America", and not just a few of them.
I find it interesting that punitive incarceration is not the first line approach to the problem, policy-wise, but I'm also a little anxious that it may be coming back via the policies of Jefferson Beauregard Sessions III.
It's a complicated issue, and I have less than full confidence in our present government when it comes to setting effective policy for complicated issues.
Some aspects of it aren't complicated, though, such as the idea that the existence of people who abuse drugs should not ever cause anyone who actually needs them to not get them.
Prohibition didn't work, and doesn't work, but that's a rant for a different post.
-Doug in Oakland
Most doctors consulting and advising on pain are like virgins commenting on a sex show: They have never experienced what they are discussing.
ReplyDeleteComrade, that suggests a particularily interesting idea for an Intern rotation...
ReplyDelete