Word: pains
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Dates: during 2000-2009
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...This patient had been in an automobile accident 48 hours earlier. After the accident she had gone home. She then came in to the ER the evening I was on call because she said her pain had become "excruciating - like I'm being stabbed with a thousand knives." Charlene complained of pain in her head and neck, both shoulders, upper back, lower back and one knee. There was not a mark on her. Between her physical exam, scans and X-rays, I was unable to find any abnormality other than nonreproduceable joint stiffness (they moved well except while I examined...
...least a 10. Can I put 11? Or 12? It's way off the scale." Vicki wrote 10 in the box. This meant she was supposed to give strong pain medicine, quickly. Another quick look from Vicki; she had only been in the room for two minutes with this patient yet she already had the same feeling, one that I was quite sure about: that there wasn't really that much pain here and that the VAS protocol (a hospital policy at that point) was wrong for this patient...
...start with Toradol," I said to Vicki. Toradol is a non-narcotic pain...
...Percogesic?" I asked, with mock innocence. This is the non-narcotic pain reliever whose primary selling point is a name quite similar to the highly addictive Percocet that Charlene was trying to get me to give...
...Percocet from me. The patient is still out of work. Pain worsening. Initiating a possible lawsuit...