Comments on: It Just Hurts http://trismus1.wordpress.com/2008/09/09/it-just-hurts/ My experiences as an ER doc Tue, 08 Dec 2009 19:37:38 +0000 http://wordpress.com/ hourly 1 By: Bianca Castafiore http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7394 Bianca Castafiore Thu, 18 Sep 2008 13:16:06 +0000 http://trismus1.wordpress.com/?p=285#comment-7394 Retired Educator, here. Making and imparting sense is obviously something of import to me. So I was brought up short recently when, while in the hospital for some drastic, but successful, surgeries, I was trying to explain my pain to my superb orthopedic surgeon. He sat with his head cradled gently in his hands, and it occured to me to inquire as to whether or not I was making "any sense." "Not really," he replied, "but it doesn't matter." Ouch. I can only imagine the response from a lesser medico... You poor folks have to deal with the "It just hurts" population, as well as with my type of narration -- made up of what my long ago freshman comp professor called "too many words." Retired Educator, here. Making and imparting sense is obviously something of import to me. So I was brought up short recently when, while in the hospital for some drastic, but successful, surgeries, I was trying to explain my pain to my superb orthopedic surgeon. He sat with his head cradled gently in his hands, and it occured to me to inquire as to whether or not I was making “any sense.”

“Not really,” he replied, “but it doesn’t matter.”

Ouch. I can only imagine the response from a lesser medico…

You poor folks have to deal with the “It just hurts” population, as well as with my type of narration — made up of what my long ago freshman comp professor called “too many words.”

]]> By: cynic http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7366 cynic Thu, 11 Sep 2008 05:11:39 +0000 http://trismus1.wordpress.com/?p=285#comment-7366 Thin the herd! Thin the herd!

]]> By: …it just hurts! « HealthSkills Weblog http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7354 …it just hurts! « HealthSkills Weblog Wed, 10 Sep 2008 19:27:36 +0000 http://trismus1.wordpress.com/?p=285#comment-7354 [...] through some of the headlines on my MedWorm feed this morning, when I stumbled on a headline saying ‘It just hurts’. I had to click on it and here is what I read: Me: “Hello, so you’re having some chest [...] [...] through some of the headlines on my MedWorm feed this morning, when I stumbled on a headline saying ‘It just hurts’. I had to click on it and here is what I read: Me: “Hello, so you’re having some chest [...]

]]> By: VJ http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7352 VJ Wed, 10 Sep 2008 02:17:12 +0000 http://trismus1.wordpress.com/?p=285#comment-7352 it hurts and I need that stuff... you know.... p... per.... perca.... percasomething.... it hurts and I need that stuff…

you know….

p…
per….
perca….
percasomething….

]]> By: TK http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7351 TK Wed, 10 Sep 2008 00:10:21 +0000 http://trismus1.wordpress.com/?p=285#comment-7351 Eye Vay! I cannot stand it when people can't even get it together to even give one smidgen of useful history. Eye Vay! I cannot stand it when people can’t even get it together to even give one smidgen of useful history.

]]> By: Nurse K http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7350 Nurse K Tue, 09 Sep 2008 23:26:29 +0000 http://trismus1.wordpress.com/?p=285#comment-7350 Every day in triage: How would you describe your pain? "A ten!" No, I mean, how does it feel? Sharp, stabbing, throbbing, achy? "A really bad pain!" Where does it hurt? In my stomach! Your stomach is up here, is that where it hurts? No, way down here by the crotch. Okay. Any pain with urination? What's that? Peeing? Well it's itchy down there... But does it hurt? I said it's itchy. And so on until I just decide "not serious" and move on. Every day in triage:

How would you describe your pain? “A ten!”

No, I mean, how does it feel? Sharp, stabbing, throbbing, achy?

“A really bad pain!”

Where does it hurt?

In my stomach!

Your stomach is up here, is that where it hurts?

No, way down here by the crotch. Okay.

Any pain with urination?

What’s that?

Peeing?

Well it’s itchy down there…

But does it hurt?

I said it’s itchy.

And so on until I just decide “not serious” and move on.

]]> By: ee http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7349 ee Tue, 09 Sep 2008 17:24:26 +0000 http://trismus1.wordpress.com/?p=285#comment-7349 You wanna know what my CP is caused by? Not talking to a buddy in awhile...damn you. :P Re: the post Dude, just give him some Demerol already! You wanna know what my CP is caused by? Not talking to a buddy in awhile…damn you. :P

Re: the post
Dude, just give him some Demerol already!

]]> By: Dr. Greenbbs http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7348 Dr. Greenbbs Tue, 09 Sep 2008 17:12:30 +0000 http://trismus1.wordpress.com/?p=285#comment-7348 we have a lady like this who comes in from dialysis. every time during dialysis, she says "i've got chest pain", so they stop her dialysis and send her in. never has it turned into anything...but when you ask her what it's like, it's "it just hurts". we have a lady like this who comes in from dialysis.

every time during dialysis, she says “i’ve got chest pain”, so they stop her dialysis and send her in.

never has it turned into anything…but when you ask her what it’s like, it’s “it just hurts”.

]]> By: batguano101 http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7347 batguano101 Tue, 09 Sep 2008 16:46:14 +0000 http://trismus1.wordpress.com/?p=285#comment-7347 Similar rhetoric to above. Pt rips the ER cubicle divider down thrashing. Think kidney stone in an inarticulate patient. Similar rhetoric to above.

Pt rips the ER cubicle divider down thrashing.

Think kidney stone in an inarticulate patient.

]]> By: GuitarGirlRN http://trismus1.wordpress.com/2008/09/09/it-just-hurts/#comment-7346 GuitarGirlRN Tue, 09 Sep 2008 16:01:44 +0000 http://trismus1.wordpress.com/?p=285#comment-7346 I think I had this guy as a patient when I was in nursing school. He was a recently extubated young guy who was on dialysis and had a zillion medical problems. And every time you talked to him he had chest pain. Pt: Nurse, I have chest pain!! Me: What does it feel like (stabbing burning aching)? Pt: LIKE PAIN! Me: Can you rate it on a scale of 1-10? Pt: IT HURTS! Me: Does it move anywhere? Pt: MY CHEST HURTS!! Me: Does anything make it worse or better? Pt: NO IT HURTS! CHEST PAIN!! Turns out it was GERD. While intubated, he hadn't eaten anything via the normal route for two weeks, and was not following his prescribed diet--he was sneaking orange juice (SO not on a dialysis pt's diet) and cold toaster pizza whenever the staff was out of the room. I think I had this guy as a patient when I was in nursing school. He was a recently extubated young guy who was on dialysis and had a zillion medical problems. And every time you talked to him he had chest pain.

Pt: Nurse, I have chest pain!!

Me: What does it feel like (stabbing burning aching)?

Pt: LIKE PAIN!

Me: Can you rate it on a scale of 1-10?

Pt: IT HURTS!

Me: Does it move anywhere?

Pt: MY CHEST HURTS!!

Me: Does anything make it worse or better?

Pt: NO IT HURTS! CHEST PAIN!!

Turns out it was GERD. While intubated, he hadn’t eaten anything via the normal route for two weeks, and was not following his prescribed diet–he was sneaking orange juice (SO not on a dialysis pt’s diet) and cold toaster pizza whenever the staff was out of the room.

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