Comments on: Sign of The Times http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/ A blog from inside the emergency department Wed, 19 Jun 2013 17:23:00 +0000 hourly 1 http://wordpress.org/?v=3.5.1 By: WhiteCoat http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45585 WhiteCoat Thu, 24 Feb 2011 17:48:38 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45585 True.
Now let’s say that a patient with chronic back pain and who has a rap sheet three pages long on the state controlled drug prescription database starts popping heroin because he can’t get enough Percocets and develops an acute epidural abscess.
How many seasoned doctors are going to overcome the “crying wolf” phenomenon when the patient has been coming in with 10 of 10 back pain for the past 3 years?
I would respectfully disagree that any of the issues I mentioned above are not easy to miss in chronic back pain patients.

]]> By: Supremacy Claus http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45554 Supremacy Claus Thu, 24 Feb 2011 12:11:17 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45554 Someone to call with far more powers, dictatorial and otherwise, than the police, and with absolute immunity for the doctor exercising clinical judgment.

Child welfare authorities.

Demerol for children sounds abusive and a threat to safety. They have the power to remove children without due process.

Loss of the child would be a memorable ER experience for this mother.

]]> By: Supremacy Claus http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45553 Supremacy Claus Thu, 24 Feb 2011 12:05:28 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45553 Not only should we be able to say such things, we should be able to have her ass kicked by our goons, and her camera smashed. To deter and to teach the scum of the earth frequenting ER’s some manners.

The lawyer protects only evil. Why? Evil generates massive government make work sinecures. And government is a wholly owned subsidiary of the criminal cult enterprise that is the rent seeking lawyer profession, history’s greatest criminal syndicate. Victims and decent people generate nothing, and may rot.

]]> By: Hueydoc http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45509 Hueydoc Thu, 24 Feb 2011 05:05:14 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45509 Wht did the nurse refuse to call the police ?
Firing time !

]]> By: Zenfire http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45506 Zenfire Thu, 24 Feb 2011 04:38:23 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45506 Epidural abscess is usually focal, severe and not chronic. They usually have a look to them to that a seasoned doctor would not mistake for chronic lumbago.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45500 WhiteCoat Thu, 24 Feb 2011 03:57:36 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45500 If only we could say things like that …

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45499 WhiteCoat Thu, 24 Feb 2011 03:57:00 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45499 Press Ganey scores: 1 out of 5 across the board.

Just don’t miss the cauda equina syndrome or the epidural abscess or the cancer met.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45497 WhiteCoat Thu, 24 Feb 2011 03:54:04 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45497 Invasion of privacy?
One of the advantages of helping out the police in town is that they are more likely to return the favor when you need help.

]]> By: KT http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45493 KT Thu, 24 Feb 2011 03:06:25 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45493 Why do health care staff have such a problem ensuring their own privacy and safety?

In the very least, mum should have been escorted out by security.

]]> By: Threehills http://www.epmonthly.com/whitecoat/2011/02/sign-of-the-times/#comment-45459 Threehills Wed, 23 Feb 2011 20:35:38 +0000 http://www.epmonthly.com/whitecoat/?p=6122#comment-45459 “Smile bitch, you’re going on my blog.” ;)

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