tag:blogger.com,1999:blog-7675087351939177300.post3489749089248176432..comments2023-08-15T09:39:41.235-05:00Comments on Sutured for a Living: "My Worst Nightmare"rlbateshttp://www.blogger.com/profile/15236331355857884458noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-7675087351939177300.post-66367683818172453482008-03-03T08:48:00.000-06:002008-03-03T08:48:00.000-06:00Most of my patients do have ports, so we don't hav...Most of my patients do have ports, so we don't have to deal with too much iv anxiety. Although a port (as opposed to a Broviac or Hickman central line) still requires a needle stick. This can be awful for the little kids, but most older kids learn to deal with it pretty quickly. Much better than the anticipatory nausea.Doctor Davidhttps://www.blogger.com/profile/05561641468831789428noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-79538592112585442282008-03-03T06:46:00.000-06:002008-03-03T06:46:00.000-06:00Dr David, what about the anxiety of it hurting to ...Dr David, what about the anxiety of it hurting to put in an IV? Though I guess most of yours have a port. <BR/><BR/>I see it with suture removal too. Some patient's are so sure it will hurt when you remove the stitches, they keep putting their hands in the way or take a pain pill before they come (even though the surgery pain is gone). Most of them (most) don't even feel the removal and are surprised when I tell them I am done.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-50027542583863018232008-03-02T23:42:00.000-06:002008-03-02T23:42:00.000-06:00Nice post. I work with many surgeons, and I'm not...Nice post. I work with many surgeons, and I'm not sure most of them (even the ones I like very much) have as much patience as you do.<BR/><BR/>What I truly found interesting was the concept of anticipatory pain. I hadn't encountered that before, but it doesn't surprise me since I routinely deal with anticipatory nausea. My chemo patients often (and this is a particular problem in teenagers) are so sure they are going to be nauseated and vomit that they become physically ill before I even give them chemo. Sometimes before they even leave home to come to the clinic. I had one teenaged patient once who needed Ativan just to get into the car to drive to clinic on a chemo day. Other days, he was fine.Doctor Davidhttps://www.blogger.com/profile/05561641468831789428noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-1860871795402392982008-02-29T06:39:00.000-06:002008-02-29T06:39:00.000-06:00Enrico, I think you give me too much credit, but t...Enrico, I think you give me too much credit, but thank you.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-21768634272584743832008-02-28T21:24:00.000-06:002008-02-28T21:24:00.000-06:00You are a gem of a physician, RLB. Willing to be t...You are a gem of a physician, RLB. Willing to be the primary rx for anxiolytics in the outpatient setting post-operatively specifically as an adjunct to pain control is not an easy find these days. To boot, you employed some sneaky cognitive therapy, having her face her fears "rationally," employing a two-pronged approach. Brava!Enricohttps://www.blogger.com/profile/08544256228237038990noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-72770091057096396362008-02-28T20:43:00.000-06:002008-02-28T20:43:00.000-06:00Pk, well put comment. ThanksPk, well put comment. Thanksrlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-27886954243116058232008-02-28T20:41:00.000-06:002008-02-28T20:41:00.000-06:00I wish I'd read this earlier today. My perspective...I wish I'd read this earlier today. <BR/><BR/>My perspective is a bit different. I'd heard about docs Rxing xanax to help the pain killers. <BR/><BR/>I have xanax for panic attacks and nightmares as well as a specific anxiety (food related) <BR/><BR/>I was out, with a friend and my pain became unbearable (stupid health issues) <BR/><BR/>I went to take a darvocet ...and shocked myelf by not having any ... I'm not supposed to leave home without them or my Mestinon ..neither were in my purse! Can we say oops. <BR/><BR/>All I had was the xanax. Well ... I'd read a few things about the combo ...so I took it ...in hopes it would help. <BR/><BR/>Nope ... not at all (although, lunch was easier to eat ;) ... remarkable ..that actually worked like my psych said it would!!!) <BR/><BR/>Now, reading this, I realize it's more for anxiety that comes with pain (been there, done that ..especially after surgery) <BR/><BR/>Did nada for the lupus pain. *rolling eyes*Dreaming againhttps://www.blogger.com/profile/15717590226520457326noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-3132737300320309402008-02-28T13:43:00.000-06:002008-02-28T13:43:00.000-06:00Femail Doc, thanks. I hope my patients see that "...Femail Doc, thanks. I hope my patients see that "patience". I try, but not sure I always manage it.<BR/><BR/>Mark, thanks. I think each area of medicine has one of those "discussion topics".<BR/><BR/>Take care.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-8226925332467055812008-02-28T09:04:00.000-06:002008-02-28T09:04:00.000-06:00Nice post. Reminds me a bit of the discussions I ...Nice post. Reminds me a bit of the discussions I have with my patients regarding the difference between dyspnea and hypoxia.mark's tailshttps://www.blogger.com/profile/08097539019772913051noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-66179954080939871002008-02-28T08:09:00.000-06:002008-02-28T08:09:00.000-06:00You have an admirable well of patience. Nicely ha...You have an admirable well of patience. Nicely handled!denverdochttps://www.blogger.com/profile/09574453567392165275noreply@blogger.com