Podcast – Opioids, Narcan, and a colonoscopy

My pain is a 25…

  I need my Dilaudid and turkey sandwich. Working a surgical floor, I have heard this more times than I care to think and usually from a patient who is so snowed, that they are slurring words and barely staying awake.  It is, however, a lot more common than you would think it is. Pain, the fifth …

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Please don’t diagnose addiction…

Let me say this situation is the latest in a stream of crap that has rolled by me in my professional life. So tonight, a patient presented in the ER, that was reported to the ER physician by his wife and his bishop, as having a substance use problem. For those of you not in …

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