I'd just like to say that I'm, well, I'm searching for the right word to describe my feelings towards a certain pain management doc. The one who told my patient, perhaps the most difficult patient I've ever had to deal with, the one with a fragile ego and chronic pain and a sense of entitlement and probably borderline personality disorder, the one I spent two weeks getting stabilized on a pain management regimen while an inpatient, told this patient that "methadone is a drug for heroin addicts." So now the patient is back, refusing the one drug that got him out of the hospital, and I guess I really want to transfer all of his pain to the idiot pain management physician.
Sigh.
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life, the universe, and medical residency
Nathan
All names have been changed to protect the innocent and guilty alike.
Comments and questions welcome at jollycompany (at) gmail (dot) com.
Pretty much anything in italics is quote. Ask me if you'd like a source.
Without faith, without poetry, without music, medicine is pointless, for why save a life which is not special, and why dedicate so much effort to a cosmic accident? It would be worse than pointless, it would be cruel.
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All stories about patients follow HIPAA guidelines regarding personal information, and nowhere are the names of hospitals, schools, or other locations given. All text copyright [insert my real name]. Most pictures shamelessly borrowed from the internet.
1 comment:
wow. this is mind boggling. i agree with your conclusion. I am so sorry. Maybe she will turn around again.
i recently had a pt. taking massive amounts of inconvenient morphine, who refused methadone because of previous drug abuse and the attendant connotations. It took a LOT of talking to get the pt to try the very real benefits of methadone. Methadone is a wonder drug for certain clients.
tmu
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