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They Won’t get you Narcs Either

By Dr Killpatient | Filed in Drug Addicts, Dumb People

Throwing a pathetic pseudo-seizure on the floor of the ER in front of the Nursing Station is not going to get you Dilaudid any faster than faking back pain.

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Never Ceases to Amaze Me

By Dr Killpatient | Filed in Drug Addicts, Lessons and Such

Sorry, been off my posting game lately.

Anyway, what always amazes me is when I see an elderly person coming in for drug OD or even just with a positive U-tox.  I guess Marijuana is not such a big deal in most cases but I’m shocked when I see Cocaine or Meth.  How does this happen? I imagine they are not just suddenly picking up a hard core drug habit when they are eligible for Medicare, but probably have done the drugs for a long time – and never put them down.

Then that always surprises me when I wonder how they survived that long while doing drugs that have such a high incidence of cardiac-related complications which are additive to the regular DM, HTN, and CAD that many people develop.

Still, they do die on occasion from it.  It’s sad when an old guy strokes out when doing blow or when he seizes and then has a v-fib arrest all because of something that should have been addressed years before.  Remember, not everyone is Keith Richards!

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Should I have called 911?

By Dr Killpatient | Filed in Downer, Drug Addicts, Surprising Encounters

I actually did wait to see that he was breathing….

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Down the Line

By Dr Killpatient | Filed in Drug Addicts, Lessons and Such

Here was the order of medications to which I gave a patient with chronic migraines. See if you can guess which one finally worked?

1. Reglan

2. Imitrex

3. Decadron

4. Toradol

5. Depakote

6. Dilaudid

Ding, ding, ding!  If you guessed #6 you get a gold star!  Not that this was a hard question….

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