I have lot of patients who have degenerative disc disease/ mild spinal stenosis hugely well informed- say they can not tolerate Naprosyn, two Tylenol # 3s don't do anything for them. They want 60 of them a month and preserve asking for refills. What you all do? I imagine some just sell the meds or are addicted.
Answer:   

Mosquito bit my eyelid!?

Offer them a rx for 600mg of Ibuprophen. You can donate Tramadol in there as economically.

You tell them straight up, if you want narcotics they I'm not the one to give them to you. You will want to be seen by a pain-managment clinic. They have docs contained by there who have see all sorts of problems like yours and you may involve, epidural nerve blocks or PT.

You say, I am not helping you buy giving these to you..."May I suggest you sort an appointment with..Pain Management"/

Then it is all rotten of you.

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My boyfriend is suffering from constipation?

I agree about the 600mg of Ibuprofen or offer them Ultram instead. Perhaps skelaxin (I know it's a muscle relaxer). It kill me when we see patients who come in and they're allergic to Toradol, Morphine, Tylenol, Motrin and the only point that they can take is Dilaudid (um, hello? A morhpine derivitive??) We're supposed to take their dull pain at face value because culture have different tolerances to pain, but there's also physiological signs to look for. Do they hold a masked face of pain? Are they guarding? What other alternatives own they tried? (Heat therapy, chiropractic, etc...) And I also agree that if they're absolutely miserable with you not prescribing narcs, then refer them rotten to a pain management specialist who may know how to do cortisone shots or an epidural. Perhaps to an orthopedic surgeon to have it fixed for once and for all.

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Pain contained by ear near mild audible range loss?

Pain is one of the central signs now, so if a patient say they are in pain, they are within pain. That said, if you do not feel comfortable Rx'ing opiates, refer them out to a Pain Management MD. You can bestow them a one month Rx for an Opiate, but insist they see someone who deals with chronic twinge on a regular basis. There are other modalities a Pain Doc can utilize (nerve blocks for one). PT and Massage Therapy are also alternatives.

Also, while you are giving opiates, randomly peak them by doing a blood test to see if the opiate is in certainty in their system at the proper dosage. If they are selling, that may tell you for sure. I read aloud blood test instead of urine as they can always bring contained by someone else's urine if they suspect they may be drug tested. Further, have them sign a narcotic contract.

I hope this helps!!

Me

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Bumps surrounded by my vein when I apply pressure to my arm?

Pain is the fifth essential sign. A patient's pain is what they say it is.

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How do i seize my stern to stop bothering me?

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Beta Glucan's?
Hospital pop in?
Hiii ear infection!?

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