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Re: Pain management From: DoctorJoe@aol.com Tue Mar 28 06:53:38 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Laure: "Re: antenatal Rhogam:why" Previous message: Joe: "Re: Osler course" Maybe in reply to: Lynn Montgomery, MD: "Pain management" Next in thread: GA12L@aol.com: "Re: Pain management" In a message dated 3/27/06 5:48:41 PM, apgar10@qwest.net writes: > > ce part of the blame on the hospital's use of its "Pain Scale", where they > counsel patients pre-operatively on gauging their pain on a scale from 1-10.  > They are taught that if "they" feel they are greater than a 4-5, their pain > is not adequately controlled.  Nursing staff doesn't do their own assessment > any longer, but rather relies on the patient's own assessment of their pain - > hell when the recovery room nurses call to advise me of a patient's > post-operative pain, they don't even know the patients vitals. > >   > > It seems that we have created a culture of better living through > pharmaceuticals and we are expected to provide the remedy. > >   > > I would be very curious regarding others observations in this regard. > Same thing. "Empowerment," whatever that's supposed to mean, is a terrible thing. On the flip side, I used to routinely give people Tylenol #3, or Vicodin, or Lortabs, or whatever. Then we, the physicians, apparently got scared of the drug police. So I'd see people send their patients home, often after more than just 'scopes (e.g. with a Pfannenstiel incision), with mightly Motrin 800, or Toradol or something. Just won't cut it. You know, nothing's "safe" any more. Narcotics mean you're a druggie. Aspirin makes you bleed to death. NSAIDs shut your kidneys down. Tylenol rots your liver. Accupuncture transmits viruses. As the man said: "And so it goes." Joe P. Next message: Laure: "Re: antenatal Rhogam:why" Previous message: Joe: "Re: Osler course" Maybe in reply to: Lynn Montgomery, MD: "Pain management" Next in thread: GA12L@aol.com: "Re: Pain management"

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