05 December 2008

What the hell

I'm about two-thirds of the way through a night shift and it's driving me up the wall. I've seen sixteen patients at this point, and of them, three have been "legit" patients (a fractured humerus, a kidney stone, and an MI). The other thirteen have been completely bogus. Worse, of the sixteen, nine by my estimation were addicted to or dependent on narcotics (including the kidney stone: argh). This is just painful. No pun intended.


  1. Oy.

    This is going to sound sarcastic but I'm not being sarcastic.

    If you took some measure of regional or national economic well-being like GDP (X axis), and then you plotted that against the proportion of ER patients each month on drugs or alcohol (Y axis), I bet you'd see a lagged, inverse relation. Yes indeed.

    There could even be an article in that, but I don't know whether it's been done before.

    My 2 cents.

  2. Welcome to my world, dood.

  3. One of the scariest things currently in our occupation is watching the oncomming disaster of prescription drug dependence and not being able to stopit. It is not the fith vital sign, its a boo-boo. You don't need dilaudid for it.

  4. Only 9 of 15 patients with drug seeking behavior?
    That's a good night for me ...
    PS - Are you sure the blood in the kidney stone guy's urine wasn't fictitious?


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