Drug Seeker Antics and Dramas - page 7

They are an everyday event in almost every ER around the country. What is the drug of choice in your area? I've noticed around here it is Vicodin. Our latest little treasure was an ex RN... Read More

  1. by   Kayzee
    Quote from fab4fan
    Let me see if I can keep "the rules" straight:

    1. Don't be too "familiar" with names of medications (esp. it it's a pain med).

    2. Make sure you know the name of the med that works for you; don't be coy and "pretend" not to know.

    3. Make sure you puke your head off.

    4. Don't puke...if you can puke, that means you were able to eat, so you couldn't have felt that bad.

    5. Make sure you wear sunglasses in the ED; you can't have a real migraine if the light doesn't bother you.

    6. Please skip the melodramatic stuff like wearing sunglasses in the ED.

    7. Please don't bother the ED with something like a migraine...there are people out there with "true" emergencies, and you just hold us up from taking care of them.

    8. Stop being so judgemental by assuming that all ED nurses think that migraine patients are a nuisance.

    9. It would help to expedite things if you bring in a letter from your primary care doc that outlines a plan for when you have a severe migraine.

    10. Please do not do something as lame as bringing in a plan for when you have severe headaches...it's probably bogus, and even if it isn't we still think you're a seeker.
    Great response!!!!
  2. by   jlmurbach@msn.com
    i get migranes as well. i have found that when i feel them coming i have 5 minutes to take action or i am sick for days. well when i was in highschool (puberty) i found myself getting them very often. my mom would have to take me to the er when they became to bad to handle, unfortunatly demeral is that only thing they would give me. but since i came in asking for shots of demeral (remeber been in pain for 12hrs by then) i would have to sit for 3-4hrs and wait so they could be sure that i was not just looking for a great high. now i am imune to demeral and doctor look at me like i am insane when i ask for percaseds
  3. by   teeituptom
    Had one last night
    I will be a lil vague for hippas sake

    pt c/o renal colic
    got IV, labs,ct
    No renal colic
    ED Md refused pain meds

    then pt walked out and across the street
    called EMS to take the person to a different ER
    we are the base station, We called report, The ER nurse said is < first name> coming to us.
    recognized pt by history..
  4. by   LTC_LPN
    I have had migraines since my daughter was born in 1988 (c-section w/epidural). I've only been to the ED twice in the last 3 years, tho, but each time I couldn't help but feel as if the nurses were "rolling their eyes". And it doesn't help when they stand just outside your doorway talking to each other about your "complaints". Last time I went, my BP was 130/78 with a scale of 8/10 for pain after 2 hours onset. (I have tension headaches on a regular basis and take either Fioricet or Lortab when a really bad one hits.) But the migraines, with the classic N/V, lights, etc. do me in. last trip, I had Toradol and Phenergan, repeated x 1, then Demerol 50 and 25 more of Phenergan. Not to mention I have no health insurance - working for a local nursing home, and I don't go to the ED unless I'm DESPERATE for relief. But still, even going to the doctor's office c/o headaches is bad. As a nurse, I hesitate to even ask for pain relief because everyone suspects everyone else to be a seeker. (thank you, small town America...) My last visit to my doc, I actually asked for an RX for Lortab, as the Fioricets weren't helping much. He wrote the prescription, but afterward I felt worried....as if "state" was gonna come knock on my door and drug test me. That's my biggest fear - testing positive on a drug test. I don't drink, don't smoke. No past HX of drug use. Even though my meds are legal, I still don't like taking them...but how else can I deal with the pain when it hits? Also, I have macular degeneration in my R eye and other vision probs which don't help with my situation. I just hate that I feel so bad... and have to feel worse just to get better.
  5. by   kids
    Quote from canoehead
    Perhaps the patients and the nurses should go play seperately on different threads? Both sides have a need to vent- but not to each other.

    You know what they say- if you don't like what's being said on one thread, start your own, but hijacking someone else's thread is considered rude.
    Bumping this with a reminder that the purpose of this thread is to provide an oppertunity for ER nurses to vent and having to defend their feelings while doing so is NOT appropriate.

    Education is good in the right environment, this is not it. I would suggest that someone start a migrainers support thread where those who feel they have been labeled or had other negitive experiences when dealing with the ER.
    As is been done with this thread the moderators will make every attempt to keep it on topic and avoid hijacking as is being done here.
    Last edit by kids on Jun 23, '04
  6. by   RNin92
    Quote from kids-r-fun
    Bumping this with a reminder that the purpose of this thread is to provide an oppertunity for ER nurses to vent and having to defend their feelings while doing so is NOT appropriate.

    Education is good in the right environment, this is not it. I would suggest that someone start a migrainers support thread where those who feel they have been labeled or had other negitive experiences when dealing with the ER.
    As is been done with this thread the moderators will make every attempt to keep it on topic and avoid hijacking as is being done here.
    Muchas Gracias..Many Thank Yous
  7. by   teeituptom
    Quote from kids-r-fun
    Bumping this with a reminder that the purpose of this thread is to provide an oppertunity for ER nurses to vent and having to defend their feelings while doing so is NOT appropriate.

    Education is good in the right environment, this is not it. I would suggest that someone start a migrainers support thread where those who feel they have been labeled or had other negitive experiences when dealing with the ER.
    As is been done with this thread the moderators will make every attempt to keep it on topic and avoid hijacking as is being done here.


    Thats so sweetly said
  8. by   flashpoint
    Sigh...over the past few months, I've been in the ER five times with sever abdominal pain. Gall bladder labs, US, and HIDA scan are negative. UA is negative. KUB is negative. EGD and colonoscopy are negative. IVP is negative. There is no logical reason for the pain. Doctor thinks it might be "something female," but he's just not sure. Am seeing a surgeon in a couple of weeks...seeing a gyn the same day. But...when I become diaphoretic and my B/P shoots up to 206/142 and I actually get weepy, they see fit to intervene with pain meds. The first two times they insisted on Demerol (after the GI cocktail didn't work)...Demerol made me very, very happy, but did nothing for my pain. Got total pain relief with Toradol. Next three times, they tried the GI cocktail (which again didn nothing but make me feel drunk) and finally just gave me the freaking Toradol. I was concerned that my doctor would think I was seeking, but he laughed and told me seekers generally don't ask for Toradol. :chuckle

    So now that I've had a million dollar work up and they've found nothing, I am nervous about going to the ER for pain because I know how I feel about the people who seemingly have nothing wrong coming in and asking for pain meds. The true seekers have screwed things up for all of the normal people with either chronic or frequent pain!

    So...if any of you have any suggestions as to what could be causing the pain, I'd appreciate it. My butt hurts from all those pokes from the Toradol shots!
  9. by   hogan4736
    Quote from cotjockey
    Sigh...over the past few months, I've been in the ER five times with sever abdominal pain. Gall bladder labs, US, and HIDA scan are negative. UA is negative. KUB is negative. EGD and colonoscopy are negative. IVP is negative. There is no logical reason for the pain. Doctor thinks it might be "something female," but he's just not sure. Am seeing a surgeon in a couple of weeks...seeing a gyn the same day. But...when I become diaphoretic and my B/P shoots up to 206/142 and I actually get weepy, they see fit to intervene with pain meds. The first two times they insisted on Demerol (after the GI cocktail didn't work)...Demerol made me very, very happy, but did nothing for my pain. Got total pain relief with Toradol. Next three times, they tried the GI cocktail (which again didn nothing but make me feel drunk) and finally just gave me the freaking Toradol. I was concerned that my doctor would think I was seeking, but he laughed and told me seekers generally don't ask for Toradol. :chuckle

    So now that I've had a million dollar work up and they've found nothing, I am nervous about going to the ER for pain because I know how I feel about the people who seemingly have nothing wrong coming in and asking for pain meds. The true seekers have screwed things up for all of the normal people with either chronic or frequent pain!

    So...if any of you have any suggestions as to what could be causing the pain, I'd appreciate it. My butt hurts from all those pokes from the Toradol shots!
    Any history of being abused in the past? (physical/sexual) or any abandonment issues (divorced parents, dad that was absent)


    Sean
  10. by   NurseyBaby'05
    Quote from cotjockey
    Sigh...over the past few months, I've been in the ER five times with sever abdominal pain. Gall bladder labs, US, and HIDA scan are negative. UA is negative. KUB is negative. EGD and colonoscopy are negative. IVP is negative. There is no logical reason for the pain. Doctor thinks it might be "something female," but he's just not sure. Am seeing a surgeon in a couple of weeks...seeing a gyn the same day. But...when I become diaphoretic and my B/P shoots up to 206/142 and I actually get weepy, they see fit to intervene with pain meds. The first two times they insisted on Demerol (after the GI cocktail didn't work)...Demerol made me very, very happy, but did nothing for my pain. Got total pain relief with Toradol. Next three times, they tried the GI cocktail (which again didn nothing but make me feel drunk) and finally just gave me the freaking Toradol. I was concerned that my doctor would think I was seeking, but he laughed and told me seekers generally don't ask for Toradol. :chuckle

    So now that I've had a million dollar work up and they've found nothing, I am nervous about going to the ER for pain because I know how I feel about the people who seemingly have nothing wrong coming in and asking for pain meds. The true seekers have screwed things up for all of the normal people with either chronic or frequent pain!

    So...if any of you have any suggestions as to what could be causing the pain, I'd appreciate it. My butt hurts from all those pokes from the Toradol shots!
    Has your doc thought of treating you for IBS. Had the same million dollar workup and found nothing. Was put on anti-spastics for my lower GI and Prevacid for my GERD. Made a big difference. And when stress is bad anti-depresants. I'll have an occasional bad day, but I'm a million times better than I was. No more ER!:hatparty:
  11. by   teeituptom
    Quote from cotjockey
    Sigh...over the past few months, I've been in the ER five times with sever abdominal pain. Gall bladder labs, US, and HIDA scan are negative. UA is negative. KUB is negative. EGD and colonoscopy are negative. IVP is negative. There is no logical reason for the pain. Doctor thinks it might be "something female," but he's just not sure. Am seeing a surgeon in a couple of weeks...seeing a gyn the same day. But...when I become diaphoretic and my B/P shoots up to 206/142 and I actually get weepy, they see fit to intervene with pain meds. The first two times they insisted on Demerol (after the GI cocktail didn't work)...Demerol made me very, very happy, but did nothing for my pain. Got total pain relief with Toradol. Next three times, they tried the GI cocktail (which again didn nothing but make me feel drunk) and finally just gave me the freaking Toradol. I was concerned that my doctor would think I was seeking, but he laughed and told me seekers generally don't ask for Toradol. :chuckle

    So now that I've had a million dollar work up and they've found nothing, I am nervous about going to the ER for pain because I know how I feel about the people who seemingly have nothing wrong coming in and asking for pain meds. The true seekers have screwed things up for all of the normal people with either chronic or frequent pain!

    So...if any of you have any suggestions as to what could be causing the pain, I'd appreciate it. My butt hurts from all those pokes from the Toradol shots!

    Havent they heard of Toradol IV
  12. by   jaimealmostRN
    Just got home from my per diem tech job (sigh, I truly love the ER) and I thought I'd share. We have a ff who is always grinding teeth, figity, etc. One time admitted to cocaine use but always denied after that one visit. I don't think she is a seaker so much as a free-mealer. I was in triage with the RN and when she got up there was a wet spot on the chair. And we both smelled urine and inquired as to whether she'd like to use the bathroom that was literally 2 feet from triage (she knows this-ff). She says, "oh well I couldn't hold it..." no hx of fistulas or incontinence. She just didn't feel like going to the bathroom! Yuck!
  13. by   southern_rn_brat
    Quote from cotjockey
    Sigh...over the past few months, I've been in the ER five times with sever abdominal pain. Gall bladder labs, US, and HIDA scan are negative. UA is negative. KUB is negative. EGD and colonoscopy are negative. IVP is negative. There is no logical reason for the pain. Doctor thinks it might be "something female," but he's just not sure. Am seeing a surgeon in a couple of weeks...seeing a gyn the same day. But...when I become diaphoretic and my B/P shoots up to 206/142 and I actually get weepy, they see fit to intervene with pain meds. The first two times they insisted on Demerol (after the GI cocktail didn't work)...Demerol made me very, very happy, but did nothing for my pain. Got total pain relief with Toradol. Next three times, they tried the GI cocktail (which again didn nothing but make me feel drunk) and finally just gave me the freaking Toradol. I was concerned that my doctor would think I was seeking, but he laughed and told me seekers generally don't ask for Toradol. :chuckle

    So now that I've had a million dollar work up and they've found nothing, I am nervous about going to the ER for pain because I know how I feel about the people who seemingly have nothing wrong coming in and asking for pain meds. The true seekers have screwed things up for all of the normal people with either chronic or frequent pain!

    So...if any of you have any suggestions as to what could be causing the pain, I'd appreciate it. My butt hurts from all those pokes from the Toradol shots!
    Have you ever heard of Acute Intermittent Porphyria? You might ask your doc to do a porphyria workup next time the abdominal pains start.

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