SocratesJohnson

SocratesJohnson

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All Content by SocratesJohnson

  1. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I love that stuff. It's really good at relieving pain in many cases.....Including mine when I had a kidney stone. It's what I said about the Dilaudid stupor is still true.....There are some patients...

  2. Let's Define "Addiction"

    SocratesJohnson replied to SocratesJohnson's topic in Addictions

    There is, of course, complete hogwash in the world of addiction in academia. http://www.medicalnewstoday.com/articles/232841.php In many cases outward actions are all we have to go on.......Intense...

  3. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I hate doing that but sometimes there is no choice. If a Dilaudid stupor doesn't cause the report of pain to drop below 10 there is good reason to think that nothing else will do it. Some people rate...

  4. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    That is very true. It was only part of my assessment of the patient in this example. That's not a bad idea. The thing is that I can't really do that. I'd have to have the cooperation of a...

  5. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    That is very true. Our pill culture is by no means limited to opioids. Pills are the fix for everything.....Of course some work and some are just

  6. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I get suspicion.....I remember the first time I got wind of the current pain control theories being put into practice almost 20 years ago. I was at a talk one of the Hospital Dr's was giving and he...

  7. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    Oh yeah! That's very cool! Thanks! Some very well thought out answers have been trickling in. At first I was getting responses that seemed to be more about resentment of the questions than...

  8. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I agree. My premise is that patients deserve pain relieve whether they are addicts or not....The cause of my concern has to do with the extreme difficulties involved in treating their pain. The...

  9. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I am asking that. We're talking about discharging a person who reports their pain as "10". Given that the experts say: "A patient's pain is ALWAYS what they say it is" I'm curious about how to...

  10. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    It not a question of withholding ordered pain medicine.....It's a question of going to an Anesthesiologist and asking them to increase a dose limit of Dilaudid that is already very high. I'm not...

  11. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    My "axe" has to do with the extreme harm that the current epidemic of overprescription has caused. In the abstract I don't care if people are using medication to get high........If it's not doing...

  12. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    It can work wonders. It doesn't always and it can't always be given. There is evidence that it inhibits bone growth slightly so there is a case to be made that it shouldn't be used after major...

  13. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I don't remember and the histories we get, written and oral, aren't reliable enough to be the basis for an involved pain assessment....It's common for a patient to say that they almost never take...

  14. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    Thanks.......Hospital work has gotten more brutal over the years and I'm getting older which doesn't

  15. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    Those are very good ideas in most cases. In this case the patient's stated goal was to get a lot of pain medicine. Anesthesiologists won't order more medication for someone who is close to being in...

  16. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I need the job. Thanks for your post by the way......You have a good understanding of what is going

  17. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    An anesthesiologist had been consulted in both

  18. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I did. I defined it as physical and psychological dependence. That is the definition found in the OED. Your basing that on the fact that I used the Oxford English Dictionary definition of...

  19. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    The patient was a jovial fellow who seemed to enjoy engaging in a certain amount of honesty. That's a valid response. The thing is that you still have to chart his pain as a 10/10 which doesn't...

  20. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I knew that. I did it on purpose based on a suggestion. I don't see how calling me a troll constitutes rational discourse. My opinions are as valid as anyone's here. I'm well educated and I've had a...

  21. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I'm not suggesting anything of the sort. The example of the patient who was smiling after 4 mg of Dilaudid and boldly stating: "I'm going to say my pain is a 10 because I like pain medicine" seems to...

  22. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I'm seeking guidelines from pain experts in how to manage difficult pain control problems that I've experienced. In response I've recieved personal attacks which is odd...... I thought I might get...

  23. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I'm the same person and I'm being obvious about it. I went with a pseudonym at your suggestion. I don't troll and I can't understand why you're lying about the matter. If you can show that I'm wrong...

  24. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I don't refuse to hear that. I have said that several times. The ones who go in for the one size fits all are the pain experts with their: "The patient's pain is ALWAYS what they say it is"...

  25. Two Big Questions For Pain Experts

    SocratesJohnson replied to SocratesJohnson's topic in Pain Management

    I've been reading Nursing Magazines for years and years. They frequently get questions on how to manage different situations with patients. It's not as if I'm the only person who has ever written a...