Do you hate the term “drug seeking” when it’s used on people who are seeking legitimate medication?

[Anonymous]

Anonymous wrote:ERs are just a crapshoot. I was having an asthma attack and went to be treated. The dr told me that I was fine and he didn't hear any wheezing when he listened to my lungs. Yup, you don't hear wheezing when your lungs are too constricted to move air. They told me it was a panic attack. Any panic was caused by the fear of dying because they wouldn't treat my asthma.

Any doctor knows the difference between diminished lung sounds and clear. They can also see that your vitals are fine. You were having a panic attack.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

NP and I think people that work in the ER either hate people to start with or come to hate people through their jobs.

I've been in an ER three times in my life and each one was traumatic, largely due to absolutely horrible doctors. One screamed at me for bleeding on his shoes and stormed out of the room leaving me alone for another 4 hours before anyone would examine me, another started stitching up my arm and wouldn't believe me when I told him he hadn't numbed the area yet until I was sobbing and begging him to stop at which point he saw the full syringe he hadn't used on me yet sitting right there, and the last told the nurse he was working with that I was probably just a "knocked up sl*t" right outside my open door when I presented with sharp stomach pains I couldn't breathe through at 14 years old. It was appendicitis.

The stitches and the appendicitis were when I was in middle school, imagine treating a child like that? And the bleeding was when I was a freshman in college and all alone in the ER at 2 AM on a Tuesday night with my family 10 hours away and scared as hell. Don't tell me that "oh the job leaves you jaded" as if that excuses this kind of behavior. GTFO and get a new job, then.

My brother and SIL are doctors and yes, they have been trained, in med school and afterwards, to hate people. I think it's inadvertent, but the training is definitely there.

The training comes from patients who are overly demanding, rude, and ridiculous. The ER is not a pain management clinic. Don’t use it like one. A pain management clinic is what you need for these problems

Was I ridiculous for going in to ask for help with my pain two and a half days after a c-section? Mmmm-kay.

[Anonymous]

Anonymous wrote:You don't need opiates for most pain.

https://www.sciencedaily.com/releases/2018/04/180417181101.htm

https://www.sciencedaily.com/releases/2017/11/171107113211.htm

https://www.sciencedaily.com/releases/2015/10/151020120847.htm

Except when you have an NSAID allergy.

[Anonymous]

Anonymous wrote:

Anonymous wrote:ERs are just a crapshoot. I was having an asthma attack and went to be treated. The dr told me that I was fine and he didn't hear any wheezing when he listened to my lungs. Yup, you don't hear wheezing when your lungs are too constricted to move air. They told me it was a panic attack. Any panic was caused by the fear of dying because they wouldn't treat my asthma.

Any doctor knows the difference between diminished lung sounds and clear. They can also see that your vitals are fine. You were having a panic attack.

Ha. Not true. My kids also have asthma and we often meet physicians who can't diagnose asthmatic symptoms. On many occassions doctors will identify the wheezing after a nebulizer treatment when pre-nebulizer the doctor says their chest sounds clear.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

NP and I think people that work in the ER either hate people to start with or come to hate people through their jobs.

I've been in an ER three times in my life and each one was traumatic, largely due to absolutely horrible doctors. One screamed at me for bleeding on his shoes and stormed out of the room leaving me alone for another 4 hours before anyone would examine me, another started stitching up my arm and wouldn't believe me when I told him he hadn't numbed the area yet until I was sobbing and begging him to stop at which point he saw the full syringe he hadn't used on me yet sitting right there, and the last told the nurse he was working with that I was probably just a "knocked up sl*t" right outside my open door when I presented with sharp stomach pains I couldn't breathe through at 14 years old. It was appendicitis.

The stitches and the appendicitis were when I was in middle school, imagine treating a child like that? And the bleeding was when I was a freshman in college and all alone in the ER at 2 AM on a Tuesday night with my family 10 hours away and scared as hell. Don't tell me that "oh the job leaves you jaded" as if that excuses this kind of behavior. GTFO and get a new job, then.

My brother and SIL are doctors and yes, they have been trained, in med school and afterwards, to hate people. I think it's inadvertent, but the training is definitely there.

The training comes from patients who are overly demanding, rude, and ridiculous. The ER is not a pain management clinic. Don’t use it like one. A pain management clinic is what you need for these problems

Was I ridiculous for going in to ask for help with my pain two and a half days after a c-section? Mmmm-kay.

Without knowing any backstory here... I mean, yes, kind of. First of all that's really incredibly early to be discharged home, and then already back to the ER, from a c-section. So it sounds fake. But even if you meant you were discharged home on day 3 or 4 like normal, and then had increased surgical site pain- why didn't you call your OB or go see your OB? It baffles me that a woman would have a c-section, lobby to be discharged a full 1-2 days early, and then come immediately back to the ER for IV pain meds. Yes, it sounds fishy.

[Anonymous]

Anonymous wrote:Oh, boy. I had an emergency c-section at a hospital an hour and a half away from my home (long story). My OB made a mistake on my prescription for Percocet when I was discharged, so the pharmacy wouldn't fill it and Advil wasn't cutting it. She told me the best thing to do was go to the local ER. (We all thought it would be faster than my husband driving 3 hours round-trip to her office - you can't call in Percocet)

So I did, and was treated so horribly that I walked out in tears. My milk had just come in, I was in pain with a fresh incision and newborn, and the ER doc told me he "thought I was just looking for oxy." I've never been so ashamed and horrified in my life.

That was just shitty advice from the doctor, who knew perfectly well that it was going to take a hell of a lot longer than 3 hours to get in and out of an ER. Especially considering you didn't have any true medical emergency- you just need a scrip re-written. And this is the problem- an ER is not the place to go to get a scrip re-written. It's for medical emergencies. You were only doing what your doctor advised you so I don't fault you, but that's insane of her to say "oh yeah, post partum mom in a lot of pain, just go to the ER and ask them to re write the prescription instead of having your husband drive up here and get a new one while you rest comfortably at home with your baby for the next few hours".

[Anonymous]

A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

[Anonymous]

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

[Anonymous]

Anonymous wrote:

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

If elderly, he is.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

If elderly, he is.

Not really. There aren't many (if any) death certificates with "broken hip" as cause of death.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

If elderly, he is.

Not really. There aren't many (if any) death certificates with "broken hip" as cause of death.

NP here, and he obviously deserved to receive relief from his pain during those 4 hours. They can manage to handle that simple task. Only someone who's a heartless creep would suggest otherwise.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

If elderly, he is.

Not really. There aren't many (if any) death certificates with "broken hip" as cause of death.

Actually the mortality rate following broken hips is high. Look it up. Stats are skewed because this injury is most common among the elderly, but regardless mortality rates are high.

Also, this thread is about managing pain. It's not ok to leave ER patients for hours in agony while suffering from obvious serious injury and deny them pain medication. Regardless of whether there are also life threatening emergencies in the ER, at some point before four hours are up, a patient should be assessed and their pain managed. It also doesn't explain treating the patient with contempt.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:A family member arrived at a DC area hospital by ambulance following an injury. The ER staff immediately diagnosed him with a broken hip (correctly) based on info from the paramedics (that is, they didn't actually examine him) then they treated him with contempt, ignoring him for four hours without pain medication. I could only assume they thought he wss an addict despite the obvious evidence of a serious and extremely painful accident.

That's possible. But knowing DC hospitals, I would assume that the hospital was full of other life-threatening emergencies. A man with a broken hip isn't in danger of dying in 4 hours.

If elderly, he is.

Not really. There aren't many (if any) death certificates with "broken hip" as cause of death.

No, but it can cause other conditions such as shock that are listed as cause of death.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

NP and I think people that work in the ER either hate people to start with or come to hate people through their jobs.

I've been in an ER three times in my life and each one was traumatic, largely due to absolutely horrible doctors. One screamed at me for bleeding on his shoes and stormed out of the room leaving me alone for another 4 hours before anyone would examine me, another started stitching up my arm and wouldn't believe me when I told him he hadn't numbed the area yet until I was sobbing and begging him to stop at which point he saw the full syringe he hadn't used on me yet sitting right there, and the last told the nurse he was working with that I was probably just a "knocked up sl*t" right outside my open door when I presented with sharp stomach pains I couldn't breathe through at 14 years old. It was appendicitis.

The stitches and the appendicitis were when I was in middle school, imagine treating a child like that? And the bleeding was when I was a freshman in college and all alone in the ER at 2 AM on a Tuesday night with my family 10 hours away and scared as hell. Don't tell me that "oh the job leaves you jaded" as if that excuses this kind of behavior. GTFO and get a new job, then.

My brother and SIL are doctors and yes, they have been trained, in med school and afterwards, to hate people. I think it's inadvertent, but the training is definitely there.

The training comes from patients who are overly demanding, rude, and ridiculous. The ER is not a pain management clinic. Don’t use it like one. A pain management clinic is what you need for these problems

Was I ridiculous for going in to ask for help with my pain two and a half days after a c-section? Mmmm-kay.

Without knowing any backstory here... I mean, yes, kind of. First of all that's really incredibly early to be discharged home, and then already back to the ER, from a c-section. So it sounds fake. But even if you meant you were discharged home on day 3 or 4 like normal, and then had increased surgical site pain- why didn't you call your OB or go see your OB? It baffles me that a woman would have a c-section, lobby to be discharged a full 1-2 days early, and then come immediately back to the ER for IV pain meds. Yes, it sounds fishy.

Did you even read my post? The OB sent me to the ER, and it wasn't for IV pain meds.

And no, I was discharged on day 2. Not all of us like hospitals, and no, I didn't leave AMA. There was no medical reason to stay.

[Anonymous]

In the past, i have been prescribed xanax for anxiety and ambien for insomnia due to menopause. Each prescription has one refill ..per year. Doctors act like i am a drug addict.

Believe me, if i knew a drug desler, id rather pay him than go thru crap to get the refills every year