Pitfalls in Managing Pain in the ED with Sergey M. Motov, MD, FAAEM | The 2 View

[@theodorevegh6030]

Dr. Joyce Brothers, PhD Columbia Philosophy wrote a book that could be a game changer for Pain Management of Emergency Room Patients. "How To Get Whatever You Want Out Of Life" is the title of her great book. Buy the book at a discount in bulk and give a copy of the book to each Patient in each Emergency Room.

[@mey7579]

I took Mobic for severe arthritis pain for 5 years in my 50s and my kidneys were adversely affected. A nephrologist subsequently told me never to take NSAIDS again. I already could not take aspirin because it tears up my stomach lining. So that leaves me with Tylenol which certainly doesn’t touch severe pain. My doctor gives me Tramadol and I take usually one 50 mg tablet before bedtime most nights and I use it more liberally during severe back spasms. I am not a drug seeker and I never ask my doctor or any other doctor for more painkillers. Some of us can handle opioids responsibly. I suspect most people can. The Chicken Little approach to pain med prescriptions is literally hurting patients. First do no harm, remember? That includes not treating pain adequately as much as it does giving too much pain relief.

[@bestiefswlady5251]

Agreed…. and sometimes muscle relaxants are caught prescribed in order to keep the opioid dose lower…. for example, 10 mg a day of opioid +2 muscle relaxants , spaced apart from each other, of course.

[@michaelsharmapa]

No disagreements from me and I don't think anything in our episode disagrees with you. Opioids are appropriate for many patients. Chronic opioid prescriptions are appropriate for many patients. That being said, important for a patient who requires chronic opioid prescriptions to develop a healthy, close relationship with their pain management prescriber.

[@thedoctorpatientforum-dont9836]

The CDC mentioned using gabapentin 34 x in their GL. They pushed it on pain pts and abruptly stopped opioids they were stable on. When pt tells Dr side effects are horrific? Dismissed for drug seeking. When will you address 2024 and what is happening in pt care

[@martykimble9999]

good grief