Or - Never trust a “Family Medicine” “MD”.
This was not covered by this one’s med school.
Or - somebody’s got to pull up the rear of the graduating class.
You take a lot of medications don’t you?
Morphine, like many medications, is removed from the body primarily via the renal system. This does not mean that these meds can’t be given to those with kidney problems. It means you have to adjust the dosage based the the kidney function of the specific patient. Morphine, fentanyl, dilaudid and oxycodone are all excreted partially or primarily through the urine. So if patient with kidney failure needs narcotic pain control you have to use something that’s renally cleared.
And what’s with the scare quotes around family medicine and MD?
Hmm, are you outraged at a particular incident, OP?
Monkeys who wear the white lab coat (or relevant garb in reader’s location) have a positive obligation to not harm the other monkeys. See: Hippocratic Oath.
When one uses her protective coloration to harm another monkey, she sacravices (screw spell check) her position for the rest of her live.
In such cases she ceases ti be regarded as a trusted practioner of the medical arts.
-OR- nothing like 5 days between life and death (and actually voicing the opinion that death would be preferable) with a goddamned tube up one’s dick to clear the mind.
I was sent home with a fentyle patch on my back and ekg attachment points with instructions (thoughtfully high-lighted by nurse) reading 'DO NOT TKE THE MOORPHINE. IF YOU TAKE THE MORPHINE YOU WILL DIE".
and - DRIVING THROUGH THE NIGHT STARING IN WIDE WONDER AT all the things the clever monkeys had bilt for themselves.
That and having to hard to remember words and truly appreciating the color-coding of the monkeys who attended to me for quick recognition.
The hand that this monkey drew one god-awful night for my mother in 1949 has a few gaps and a few screw-up by others have deprived me of some bad some incredibly fortunately abilities. Most of the monkey still works but the teeth are all rotted and I haven’t had a single sleep cycle without some drug or another since middle school (we called it “junior high”).
It’s called puberty-induced insomnia and it is a god-awful bitch tto live around
I have of course, taken a few days without taking the pills to see how long it would take to sleep without them. Previously, I (why do we monkeys use the capital “I”?") established a 4 day run without sleep. And no, I didn’t I took the damned pill.
One week seems to be my limit. For the first time a few days ago, I fell asleep without help.
Did I mention that the hospital was the group who has been responsible for my physical health since 2009?
That they have a record of every drug presciribed?
The the hemotologist (at least I can’t yet spell it) had the record of ever drug I’D TAKEN. But did not see the notation: Class 3 renal failure and MORPHINE.
As much as we spend on health care wew sould get competand help. Yeah, “sometimes, no matter how careful we are, one will fall through the crack”
This money was the one that fell through the crack (noticed the ‘monkey’ came out ‘money’) and it hurts - a whole bunch it hurts.
did i mention i am out of sleeping pills? and they prescription shows a “refill not available” or some such - the heavy lift drugs are all flagged (on walgreen’s records) as “locked” It’s telling me there is no force in theuniverse by which they will provided.
You can’t sleep now, and you will never sleep again" is NOT what you tel a person who is reduced to age level 3 - I now know what it is like (not just from reading about it) to be a brand-new human monkey.
Utterly fascinating - know what the next monkey is going to do by looking at the colors.
skin coloration is wonderful way to say “Hi - I come from ______________” it is a sin of the highest possible scale to use it as a pretext for our innate need for “us v them” and creating hatred based on the greastist evolutionary development. Your “don’t need to tell where your line of monkeys developed” sign is NOT meant for hate mongering (yeah, one more for the “I don’t believe in Heaven but sincerely hope for a hell”.
Bad monkey! no banana!
another plus - i am now confident to write the Great Human Body Owner’s Manual
and, at 90% time elasped, I think I am ready make a baby.
there was a power failure at some point and all my clocks are blinking
the hospital room s a wonder of “it’'s broken - when it comes back, it will want” - a huge clock right where a clock should be and the date on the white board directly opposite the pillow.
Food is still un-something - the “meat” ended back on the tray after being tried and found wanting.
A member of the “indoor voice? ain’t no such thing” family next door, and the young child finding solace in screaming an attempt at song should both be housed on another planet.
mre later - including yet another “suggestion box” for updates to the human body.
“puberty ONSET insomnia”
I suffer from excruciating non-stop back pain, and am unable to take ANY painkillers, due to stage 3 kidney disease (the only ones I can take have no effect whatsoever). I was put on morphine one day last year, for an unrelated problem. No back pain for one day. There are times when I feel I’d rather chance kidney damage, just to get rid of the pain. Where is Dr. Kevorkian when you need him?
…are you drunk?
That’s my Sunday Afternoon spoilt.
Going to guess either sleep deprivation or drugs related to the medical incident. Maybe both. Hopefully it all gets straightened out. Sounds like it was a scary incident.
:dubious: :dubious: :dubious:
That’s certainly denigrating a very vast category of dedicated, knowledgeable hard-working people, myself included. AND I graduated in the top half of my class. As did probably half of those who went into the specialty of Family Medicine.
Yes, it IS denigrating a large class of monkeys (would you prefer I capitalize “Monkey”?).
Fuckin’ A it is denigrating a large class of people.
And you can believe I am in possession of all the experiences to make the statement.
Suck it, Doc
Let’s ease up on the hostility in this thread.
panache -
We both have the identical problems.
Advice:
1., 2., 3.: See new doc bone surgeons and oncologists know pain.
- After Family, kidney and ENT all missed it, the ER docs found it. As I was moaning “Morphine” non-stop, they guessed that “No Meds” was not going to fly.
Solution: Fentenyl patches on sore spot - over #4 vertebrate with Dilaudid (hydromorphone) for back-up.
The patch was rated for 3 days; after 4, I suddenly remembered it.
It does work for me, and, after all the pain meds which have never worked, this is a trick.
What actually worked was a bottle of dilaudid I found.
Kidney tricks found on WebMD:
Itch - gabapentin 300 mg 1/day PO.
Muscle cramps (real ones, kids) - magnesium.
Changes noted after 5 days to clear morphine:
Don’t need reading glasses after all
The immediacy of death planning greatly reduced
Ears no longer crust over every 3 days
Taste and smell changed
Long-term memory impaired - this one is going to cost somebody big time.
Chronic diarrhea clearing
Urine was orange/brown
Can almost always pee standing again
As to morphine + kidney disease as an exit strategy:
Not reliable, incredibly painful and, after 10 days, continues to be terrifying regression to 3 year old. The 3 yr old thing is almost worth it as a “was just going to die anyway”, but STAY THE FUCK AWAY UNTIL THEN
25 years of uncut hair destroyed.
There will be more noted
I still do not have sleepers, so I get about 4 hours of rest a day.
Kitty and i have a brand-new relationship - I now spend all day in bed with her
She is a Maine Coon, which have great coat colors.
Snow white on bottom, almost black and black top. Result is near invisibility in dark.
She has a white blaze up her muzzle. It makes a wonderful “arrow” pointing to spot to stroke. If this kind of thinking is worth nearly dying over, it still is a horrible idea.
Get another doc. NOW. I was going over Internists when i was so rudely interrupted
And now all the in-hospital test results have been removed from my account - i don’t even know by rBC, let alone important stuff
oh - docs at hosp. think i shouldn’t sleep either
Acct to pCP, they are to blame for the lock on the sleepers
temazepam, for the kids playing along
Panache - I seem to be joining your club - as soon as you can’t sleep either
Last i knew, it was 2/23
Aren’t I at least entitled to a massive drunk if II am going to lose time like this?
I had never heard of a test called “Complete Urinalysis” - and now it’s gone before I got to read it.
Q: you have a dying man who cannot talk. How do you have any idea what is killing him?
stick a tube up his dick and test, tests, test.
Are you at home? You imply that by talking about your cat, who I assume they wouldn’t randomly allow into the hospital with you. I genuinely think you shouldn’t be at home alone right now, because you are making absolutely no sense. Is there someone you can call?
I - don’t - think - so.
As bobkitty said, you need to call someone who can be there with you.
i’ve lived alone for 40+ years. I hope to have the courage to die as i have lived.
whatever.
if a 3x3" patch of pain-free will help, get the fentenyl patch.
sorry to insult your condition by comparing it to mine.
found the hospital test results.
last time my hemoglobin was this low, i was offered Last Rites. and given 4 units of reds.
long strange trip/
Found the first bmp from 2/16 - I didn’t know that many flags could be flipped without an assist from death.
any GFR below X is 'kidney replacement". I was at 33 (stage 3 by 3 points).
That time, the test was 13. it does note the result is useless for “very ill”.
The creatine and urea blood do not vary
If you want to know what is meant by “kidneys shut down” (meaning "dead within 24-48 hours) I can now get you the numbers.
Do wish i had a working printer - I want that test framed