Why is everyone so scared of morphine?

[docB]

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If the high level attorney/accountant etc can only go to work after popping a little xanax in the morning to avoid a panic attack or the thought of a panic attack, then I'm fine with that person having their xanax every morning b/c the negatives of not having it are much greater than the risks that come with the person's physiological dependence. Sometimes we are treating more than pain but luckily these last scenarios - chronic management - are things we don't have to deal with too much in the ED

You're OK writing someone like this for their chronic Xanax use out of the ED? There are only two possible scenarios. One the patient is chronic xanax user and therefore this is not an emergent anxiety attack even if there were such a thing and should be turfed back to whatever PMD got him hooked. Two the patient has overused and broken his contract, again back to the PMD. These people should not be conditioned to go to the ED for their fixes like a monkey hitting the heroin lever.

 

[hyperbaric]

TM's had spider webs on them

What is this?

 

[Apollyon]

What is this?

Her tympanic membranes had a white woven-type appearance consistent with spider webs.

 

[Jeff698]

You're OK writing someone like this for their chronic Xanax use out of the ED?

I know you weren't asking me, but Xanax is one of the few drugs I will not write for. Ever. Period. Not gonna do it. Wouldn't be prudent.

If you want your Xanax, go hit up your PCP.

Other benzos, maybe. Not likely, but maybe.

Strange, I know.

Take care,
Jeff

 

[Apollyon]

I know you weren't asking me, but Xanax is one of the few drugs I will not write for. Ever. Period. Not gonna do it. Wouldn't be prudent.

Hey man, why you got a problem with palindromes??

 

[zinjanthropus]

You're OK writing someone like this for their chronic Xanax use out of the ED? There are only two possible scenarios. One the patient is chronic xanax user and therefore this is not an emergent anxiety attack even if there were such a thing and should be turfed back to whatever PMD got him hooked. Two the patient has overused and broken his contract, again back to the PMD. These people should not be conditioned to go to the ED for their fixes like a monkey hitting the heroin lever.

no - I was saying the exact opposite- that I'm glad I don't need to deal with a person's chronic xanax use....go to your pain doc or pcp for that...

my previous post:
Having said that, I do think that the chronic back painer that lays around all day when not on pain meds but is able to become a functioning/working member of society when they do have pain meds, then I'm again all about giving them whatever works for them. If the high level attorney/accountant etc can only go to work after popping a little xanax in the morning to avoid a panic attack or the thought of a panic attack, then I'm fine with that person having their xanax every morning b/c the negatives of not having it are much greater than the risks that come with the person's physiological dependence. Sometimes we are treating more than pain but luckily these last scenarios - chronic management - are things we don't have to deal with too much in the ED

--> meaning, we don't need to be the ones who manage this pts everyday xanax use - that is for someone else to do

 

[hyperbaric]

Her tympanic membranes had a white woven-type appearance consistent with spider webs.

Sorry, I wasn't clear. What does it have to do with drug seekering? Was she doing something to her ear?

 

[Apollyon]

Sorry, I wasn't clear. What does it have to do with drug seekering? Was she doing something to her ear?

She was claiming intractable pain from her ears. That was the interesting thing - she outed herself as not having the pain she claimed by innocuous movements, but her ears really looked like hell - but she didn't even take the Cortisporin Otic with her when she didn't get the Lortab/oxycodone/opiate/whatever.

 

[da8s0859q]

Hey man, why you got a problem with palindromes??

Never actually noticed that; I'm an idiot.

 

[hyperbaric]

She was claiming intractable pain from her ears. That was the interesting thing - she outed herself as not having the pain she claimed by innocuous movements, but her ears really looked like hell - but she didn't even take the Cortisporin Otic with her when she didn't get the Lortab/oxycodone/opiate/whatever.

Now I gotcha.