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- Oct 16, 2001
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Just curious if any others have useful approaches to these patients... Cyclic vomiting syndrome, etc.
My intial approach was to look at prior visits and repeat what has worked in the past.
Then I switched to 2 rounds of meds and if not ready to go home - I admit you to the hospital.
Well, my department got an observation unit and there is more pressure for us to keep these patients out of inpatient beds. I don't need to mention they are infuriating. The last one felt well enough to go home, but refused to, stating she was too afraid her pain would return and would have to come right back. She wanted a prescription for pain medicine.
I explained to her analgesics worsen nausea and gut motility - and she burst into tears.... Ugh.
Any novel ideas for success?
I think I may go back to admitting them all again...
My intial approach was to look at prior visits and repeat what has worked in the past.
Then I switched to 2 rounds of meds and if not ready to go home - I admit you to the hospital.
Well, my department got an observation unit and there is more pressure for us to keep these patients out of inpatient beds. I don't need to mention they are infuriating. The last one felt well enough to go home, but refused to, stating she was too afraid her pain would return and would have to come right back. She wanted a prescription for pain medicine.
I explained to her analgesics worsen nausea and gut motility - and she burst into tears.... Ugh.
Any novel ideas for success?
I think I may go back to admitting them all again...
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