View Single Post
Old 03-17-2007, 04:41   #9
Eagle5US
Quiet Professional
 
Eagle5US's Avatar
 
Join Date: Jan 2004
Location: Tampa
Posts: 2,536
LOL...

Versed is one of my favorite drugs in the world.
Patient: Damn Doc, this friggin HURTS!!!
Me: I know, I'm sorry....here is something for the pain now....but I'm gonna give you something so you won't remember it.
an hour later
Patient: Man, I remember injuring myself, but I really thought it would hurt more...when you gonna fix it?
Me: Here is your discharge papers....see ortho in the morning

The main badness with demerol is the nausea and vomiting. Whats worse than being in pain? Being in pain and pukeing your guts out.
Dilauded is a VERY powerful drug....hence my love of it. .5 to 2 mg of Dilauded can cure many ills for folks with significant pain. If you need IV pain medicine, I will give you something that works quickly and effectively the first time.
I hate being in pain, I hate my patients being in pain. People come see me because they hurt. I can fix that most of the time.

Add to that, people who are victims of multisystem trauma needn't remember the experience for the rest of their lives either....let me introduce you to my leetle friend....Senor Versed.

Nearly all opiates cause constipation as they slow your digestive tract. Increase your roughage and clear fluids, add a stool softener (over the counter is fine) if you need it.

I am glad you are feeling better......try and keep in perspective that there are many any ways to do the same thing in medicine...treat folks, diagnose stuff, learn things.....it really is generally based on the practitioner's preference. I am by no means saying your physician was incorrect in any way in your management. I just wanted to make certain that was crystal clear.

Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.

Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
Eagle5US is offline   Reply With Quote