Tuesday, January 21, 2014

I worry about the patient, that doesn't complain...

An ED secret, perhaps? 

Pain is subjective, I know.  I have experienced pain.  My abdominal pain caused by appendicitis, as a seven-ish year old, was a 10/10!  My back pain caused by a herniated disc, was an 8/10.  Both required surgery to fix.  My dislocated thumb, self-resolved after a motorcycle accident, was a 4/10... the sting of air on my road-rashed arms, for a short 2 mile ride into a town... 15/10!  Almost considered an overnight stay... H2O2, a few bandages, and a new jacket, got me home the same day.

Yet, it is the 'quiet' patient... that waits for hours, without ever asking "how much longer?"  Just the look of relief, when there name is called, and a hand is raised...  the one that you have to go get a wheelchair for, just to get them back to the treatment area.


Perhaps I am biased.

Adults, are not that different from babies.  I like crying babies!  They have the energy, reserve to continue, and are generally pissed off that they are being poked, prodded and bulb-suctioned... that means they are generally healthy and will fair well...  It's the lethargic, pick them up and they don't care, don't cry from the separation from parents, kind of thing that alarms me!



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