|
|
God, I can not believe that Americans are debating human torture .... I'm dreaming or what?
In July 1779 G. Washington rode to find 6 of his men, including 2 officers of beating and whipping a British officer. Washington, the men stopped and told him they were trying to get information ANGERLY him in Washington said: We're better men than this! Torture has never worked, the report and study after study has proven this over and over again. God, here we are debating in 2007 whether to torture human beings .... what has happened to us? America used to be a shining city on a hill if we continue this barbaric behavior gives our enemies to torture our soldiers justification. No SAVE American lives .... people under torture will say anything to get them to stop .... information is almost always wrong. I ask you today as Washington asked for many years, SON'd better men than this????
It is a sad and unfortunate moment in history of our nation, I think we are at our lowest point since we debated the morality of slavery. Remember, there are logical arguments against allowing marriage between racial voting rights of women, including the right to take a bath. America has been hijacked by terrorists (and I do not mean Al Queida). Pray for a sweep Democratic next November is our only chance retgain no respect in the world.
Officer Shin
[affmage source="amazon" results="4"]KEYWORDS[/affmage]
"Ma'am I understand your situation. I know it hurts every day. I know you from doing things they love to do, and I know you're getting from depression constant pain and disability, but my hands are tied because your doctor has placed a message in your file that you are not having more spare parts of Oxycontin, unless he, personally authorizes it. " I know that this scenario is probably familiar to many of you. On the side of the prescription, I must say that would be medically irresponsible for me to continue writing prescriptions and the perpetuation of a bad situation. Just look at the news today, and you can see the professionals doctors and pharmacists in the serious hazard to patients participating in drug abuse.
Everyone has different thresholds and tolerances for certain levels of painful stimuli. This is partly because each individual unique physiological makeup, where a person can only withstand a higher level of pain or because I can not feel as bad as someone else, or they can ignore it while someone else might be in tears.  Another factor is the learned response to pain and its effect on the response individual. This sage can vary as a result of different parental feedback to their children while making one of his first fall, and cultural and social influences. Working in emergency medicine, I am surrounded by more people in chronic pain most of the day I am as guilty jobs. like the kind that comes when greeting some patients with a smile while in my mind I'm thinking, "Gee, Western medicine has really created a generation Wimpy people, and I hope you could tell them to go home and bear it. "Do not get me wrong, I hate to see anyone in real pain, and if they are really in agony, which deserve pain relief.  No one should have really suffer. But as we all know, many people who come for their Vicodin Spares are not really in the pain to justify the chronic drug use. With this in mind, let's look at a different approach to pain control.
Pain is an idea. Yes, the pain is a nerve impulse that recognizes processed as an uncomfortable feeling. When you think about it, a nerve impulse is actually an electrical signal traveling through a cable, nothing else. It means nothing while you're away from the receiver of the afferent nerves, to the brain. It is up to the brain sorts out and recognizesÂ, and sends it to the cerebral cortex, that you realize something that hurts! Are you with me? Therefore, if we believe that pain is just an idea How can we change the mind of the patient? Â. How can we change the patient's perception of that idea?
Some people with chronic pain have been treated with antidepressants such as Neurontin, but often this medicine is slow to work and has limited effectiveness. is also not appropriate for acute pain or a higher level of pain as a migraine?  In the good old days, simply give them a shot of Demerol or morphine. The patient was happy, (if not is asleep) and not getting into an argument with them because they give them their rightful shot. These days, however, most legal and medical liability trials, abuse of ER, and the search for drugs simulators, there is a rapid increase in policies that apply in emergency departments of hospitals to use an alternative class of medication for treating high pain. This is especially true if the initial dose of narcotic medication seems to have little or no effect.
I love those old movies where a psychotic patient would be subjected to psycho in clean white suits, and you could hear the doctors say: "Nurse, give 50 mg of Thorazine, STAT!" the nurse would give the shot, and the patient immediately stop fighting mad, and Crump on the floor. Â Â After you throw him in a straitjacket. Â These days, as you know, the kind of phenothiazine drugs have many more applications, then an antipsychotic simple. Drugs like Thorazine, Haldol, Compazine, Phenergan, and the like, are usually administered intravenously and seem to work magically for poorly controlled pain.
As a result, a patient with a blinding headache miraculously remove your sunglasses, up from the couch without pain, and requested the nurse if they can leave. with back pain, which minutes ago postures and twists, literally, out of bed, put on his pants and is ready to dance a dance!  Now, this can not be the ultimate solution for the patient's suffering, but may disrupt the cycle of pain long enough for the patient to sleep a good night. "Change your perception of the idea of pain, change your altogether. pain sometimes, that's all it takes.
Richard Fan is a practicing emergency/trauma physician assistant in a busy Southern California ER, and an medical officer on the national disaster response team, DMAT CA-1. Routinely treating victims of assault, rape, and robbery, he has developed a passion and expertise in Personal Safety Thru Smart Technology.
Please visit OnlineFirstAid.org where you'll learn basic first aid and prehospital intervention techniques. You can also check out my FREE online Video e-Course on Basic Suturing at HowToSuture.net
