Log in

No account? Create an account
Sometimes, you have to be wary about what you say. - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
Sometimes, you have to be wary about what you say.
I have a patient. Let's call him Phil.
Phil is a man who, when I initially offered him follow-up from his six-week hospital stay for alcohol-induced pancreatitis, everyone said I was crazy. Nuts. I was told by a dozen people that I was going to regret it, that he would constantly be abusing narcotics and getting admitted to the hospital.

Thus far: One hospital admission and it was a doozy. He lost his pain meds through an act of abject stupidity and went on a drinking binge, got admitted, and went into DT's. Went a little crazy. Told me the dog ate his IV, dumped the fluids everywhere, and then got better.
I don't have a problem with his narcotic use.

And then he called me - said "I'd like to start decreasing the chronic pain patch." I said OK, but why not wait until he was having fewer symptoms from his abscessed tooth (when it rains it pours) and we could talk about it. He said that made sense.
Today he calls. "I stopped taking the pain patch. And now I think I'm having withdrawal pains." I'd imagine so. Let's take it a little slower, shall we? "OK. I was reading the pamphlet, and it said all this stuff about how not to stop right away..."
So I walked a new script over to the pharmacy for a lower dose, and some breakthrough meds.

I'm still giggling, under my breath. I was reading the pamphlet...

Phil just made my day. Again.

now feeling:: amused amused

2 whispers echo . o O ( ... ) O o . whisper a word
ausmedstudent From: ausmedstudent Date: September 6th, 2006 01:21 pm (UTC) (etched in stone)


Just thought I'd drop by and say hi :) Is it okay to friend you?
ayradyss From: ayradyss Date: September 6th, 2006 04:58 pm (UTC) (etched in stone)

Re: Hello!

2 whispers echo . o O ( ... ) O o . whisper a word