Question for you... How many times have you treated a pt who has Degenerative Disc Disease but has presented with new onset of sx which are severe pain and numbness/weakness in one arm? How have you treated? Do you see this often?
We had a pt come in, had all of the above, couldn't get in to see her ortho for another week and was clearly in pain. I wasn't too thrilled with the docs attitude in relation to the pt as she's been in twice before with ovarian cysts (4cm+) and he acted as though she was seeking. Ordered an xray and saw some degeneration (as she stated, C-5 - C-7) and ordered IM Toradol. After 45 minutes, pt stated no relief and dr VERY reluctantly ordered IM 1mg Dilaudid. Pt had relief at that point. He insinuated to me and another nurse that DDD couldn't be "that painful", but as someone who also suffers from it, I couldn't disagree more. He said the Toradol should have been sufficient, plain and simple. So I'm wondering, if you've had a pt with the above (suspected cervical radiculopathy), were your drs as callous as this? And what was your tx?
Thanks in advance!