So for like chronic musculoskeletal pain we can do nerve blocks, steroid injections etc.

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Jun 18, 2021
7:44:47pm

JohnnyComeLately Philosopher King

Opioids have their place but for a lot of the reasons they are commonly prescribed there are much safer alternatives

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JohnnyComeLately

Previous username: BigReedThunder
Bio page: JohnnyComeLately
Joined: Mar 23, 2015
Last login: May 3, 2024
Total posts: 81,583 (61,019 FO)

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Messages

Author

Time

Opiates are the bane of my existence. I kid you not that at any given time half the patients I see in the hospital

Slim All-American

6/18/21 4:09pm

Those things scare me. I had a series of surgeries after an accident and was on opiates for a few weeks. I remember a

delux_247

6/18/21 4:28pm

I'm the same. I've never had an opiate because they freak me out. Maybe someday I'll feel like I need one, but I'd

SingleStrapBackpack

6/18/21 4:46pm

YEP ... post surgery... felt SOOO good ..

Xenon

6/18/21 5:13pm

Give neostigmine. You're welcome.

EQD2

6/18/21 4:40pm

Just to treat constipation? Is that a thing?

Backcountry

6/18/21 6:46pm

It works amazingly well. Downside is they have to be on telemetry cuz you might

EQD2

6/18/21 6:50pm

Ive never seen that. Interesting

Backcountry

6/18/21 7:00pm

They don't do anything for me.

Hobo

6/18/21 4:47pm

Username checks out

k-ace

6/18/21 5:02pm

The only time I had them was when I had kidney stones.

Mostlyaccurate

6/18/21 5:06pm

I truly think it is opioid roulette. Some people get such a strong euphoric

gtown

6/18/21 5:07pm

I tore two ligaments in my ankle, and was given hydrocodone. Honestly, they

Loafer

6/19/21 9:43am

I treat chronic pain

Snipe

6/18/21 5:12pm

narcotic induced pain syndrome was significant problem 10 years ago

claw

6/18/21 5:22pm

That has to be one of the hardest jobs in medicine (at least out of clinic based

cougfanz

6/18/21 5:27pm

NOT a great way to X-mas cards...

Snipe

6/18/21 5:30pm

How do we deal with chronic pain, though? It's awful.

ReyOso

6/18/21 5:47pm

We see really good success with procedural based pain management in my facility.

JohnnyComeLately

6/18/21 7:06pm

I confess ignorance. How does that work?

ReyOso

6/18/21 7:09pm

So for like chronic musculoskeletal pain we can do nerve blocks, steroid injections etc.

JohnnyComeLately

6/18/21 7:44pm

I have had two radio frequency ablations. Miraculous results for me.

Big Daddy D

6/19/21 9:17am

CBT for Chronic Pain and injections

TexanY

6/18/21 8:16pm

Wonder how many opioid addicts the hospitals have created..

cougfanz

6/18/21 5:25pm

All so the pt gives a satisfactory score

Backcountry

6/18/21 6:47pm

The one time I had them I had kidney stones, and I swear I didn't feel anything.

ReyOso

6/18/21 5:45pm

I took opioids for 3 days, 5+ years ago. I still crave them.

Blue Print

6/18/21 6:18pm

Took some after I broke my collarbone 4 years ago. I was in Hawaii. I basically sat there in the hotel room feeling

Slim

6/18/21 6:43pm

My pain was gone.

Blue Print

6/18/21 7:13pm

Board Status Checks out "Totally ADDICTED user"

MyTwoCents

6/19/21 11:38pm

Holy crap

ColonelMustard

6/19/21 3:51am

I’ve known 3 people in my wards over the years so addicted that 2 died of it

USMCdad

6/18/21 7:06pm

I deal with people every day who wouldn’t dream of ever drinking a glass of coffee or wine but spend their entire waking

Slim

6/18/21 7:20pm

I think it’s bigger in the church than anyone wants to admit

USMCdad

6/18/21 7:24pm

Dude in the next ward over would sneak into ward members’ houses during church

Big Daddy D

6/19/21 9:23am

Exact same thing happened to a friend. Came hone from church a little early,

Backcountry

6/19/21 9:33am

I’m surprised so many people have it lying around.. your avg lds

cougfanz

6/19/21 12:35pm

We need more mushrooms and Marijuana meds!!

CarolinaCoug

6/18/21 7:21pm

Both too hard and too easy to get opiates. Opiate usage at end of life is down

jvquarterback

6/18/21 7:35pm

I wonder who is being stingy with opiates at end of life?

Slim

6/18/21 7:54pm

Pharmacies. It's very difficult to give end stage cancer patient sufficient pain

EQD2

6/18/21 8:56pm

I call bull. We’re stingy EXCEPT with a cancer diagnosis.

PharmCoug

6/19/21 7:15am

RE: I call bull. We’re stingy EXCEPT with a cancer diagnosis.

SJS

6/19/21 7:51am

It’s a combination of things that all start with some bureaucrat’s sister strung

jvquarterback

6/19/21 12:29pm

They make my face itchy. I don't see how anybody can take them for very long.

CougarAndMerlin

6/18/21 8:13pm

I get kidney stones every year or so. I am super grateful for Dilaudid.

RebelScum

6/19/21 9:58pm

So what do you recommend people in serious pain take?

MyTwoCents

6/19/21 11:37pm

Not chronic opiates

SJS

6/20/21 7:04am

Expecting people in pain so severe it's completely debilitating to not take

MyTwoCents

6/20/21 10:10am

No, it really won’t continue

SJS

6/20/21 11:58am

Opiates are not the solution to chronic pain. They just make things worse. It’s like trying to treat depression by

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