HAHAHAHAThat's basically all of Michigan with as many cheeseburgers he eats, isn't it?
They added pain as a vital sign in the 90's and I think now health insurance requires a pain number on medical documentation for any visit. In school, we've been required to ask each patient their pain score even though most doctors tell us it's pointless. A good provider will look at the overall story and context instead of some random scale.I can see asking in the ER but every time I go in to the doctor they ask.
What was the dose of Mirtazapine you were using? A little secret I learned was that the lower doses, 7.5 mg or 15 mg, typically has a more sedative effect instead of the anti-depressant dose of >30 mg. Mirtazapine seemed to work the best from my experience compared to ambien and trazodone , so you might want to give that a try. Other option you can talk to your doc about is doxepin, its a tri-cyclic anti-depressant but lower doses used for insomnia. However if you have a history of cardiac or seizure issues might want to steer clear.Chronic insomnia sucks. I've been on Ambien, Trazodone, Mirtazapine, Xanax, Clonodine, and on and on. The only thing that helps a little is the Mirtazapine. I haven't tried are the old school barbituates but it's difficult to find a doctor that would actually prescribe one of them. Getting 4 hours of sleep over 3 days makes you want to blow your brains out.
Ya'll in Tuco 's hood, aren't ya?
Most of the patients who arrive in the ER point to 10. These patients are also on their phone and look comfortable. The pain scale absolutely does not work one bit except for certain cultures -- stoicism -- (Asian) as it is easily exploitable. People just want the D.
That they do. I've spoken to people who claim to be having 11/10 pain but sounded perfectly normal except for maybe a touch of desperation in their voice when they mentioned having something called in for them.
I've only had dilaudid once, when I was in the ER for appendicitis 6 years ago.That was probably #2 all time for pain. Got a chuckle out of the PA when I told him my pain level was about a 9.5, but my scale is logarithmic so there was plenty of room between 9.5 and 10. That stuff works nicely though.
This was in pittsburgh. I can't remember the restaurant but it was really good and I couldn't walk after I ate it all.HAHAHAHA
That Ice Burn gonna make me donate, LOL
Also, I know I have no room to talk when it comes to eating, but this pic mystifies me
What was the dose of Mirtazapine you were using? A little secret I learned was that the lower doses, 7.5 mg or 15 mg, typically has a more sedative effect instead of the anti-depressant dose of >30 mg. Mirtazapine seemed to work the best from my experience compared to ambien and trazodone , so you might want to give that a try. Other option you can talk to your doc about is doxepin, its a tri-cyclic anti-depressant but lower doses used for insomnia. However if you have a history of cardiac or seizure issues might want to steer clear.
I just read Tylenol as Tyenol. Think I'm at a 3/10 just sitting here reading this thread
yea, when my dad was fighting cancer, they'd come in every 6 hours and ask from 1 to 10, he'd say 6, then one time he said 7, finally i got close to the nurse (i just sat there for an entire day) and said "he's at a 9 now, he told me b4 he fell asleep).Most of the patients who arrive in the ER point to 10. These patients are also on their phone and look comfortable. The pain scale absolutely does not work one bit except for certain cultures -- stoicism -- (Asian) as it is easily exploitable. People just want the D.
so I wouldn't give myself a cold injury, LOL.
I absolutely hate morphine and throw up on it every time. Tylenol with codeine is the max I do. Vicodin and Oxy always get thrown out after the first day when they prescribe it. Well one time I left it on my porch ...
Chronic insomnia sucks. I've been on Ambien, Trazodone, Mirtazapine, Xanax, Clonodine, and on and on. The only thing that helps a little is the Mirtazapine. I haven't tried are the old school barbituates but it's difficult to find a doctor that would actually prescribe one of them. Getting 4 hours of sleep over 3 days makes you want to blow your brains out.
The first time they gave me the dilaudid, they mentioned I was getting something for nausea as well, zofran I think. Even with that it still made me queasy for a while. Thankfully they only needed to give it to me once more before I went in for the appendectomy. It worked well for the pain, but it's definitely something I'd rather not need to take again.