A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Docs you hope you never have to go to... - sm

Posted: Jan 12, 2015

I have had a dictator who always downgrades whatever pain score someone gives. For example, he says things like, "The patient says his pain level is 7/10, but I think it is really only a 3." I have really never heard him agree with a patient's pain score, and I thought the point of pain scores was to find out how the patient was feeling, not how you thought s/he should be feeling. It's kind of funny, but I would not want him for my physician. Just wondering if others have had similar experiences with dictators.

not with dictators but with a OB delivering my baby - nana7

[ In Reply To ..]
completely natural and I was starting to lose it and HE came around the bed and said "Oh come on now it's not that bad." He had a very colorful tie on of what I could see of it, so I grabbed his tie, pulled him down to my face and screamed as loud as I could "And when was the last time you gave birth, so how do you know how this feels." Never went back to him again.

After I had my daughter I heard the nurses telling him what a mistake he made and they were sure he would never make that mistake again and he laughed at them.

Similar experience - clyde

[ In Reply To ..]
I have a very high pain tolerance (well, until I'm like an 8, and then suddenly it's excruciating). When I was delivering my first, the doctor came and checked on me and told me I was at a 3 and asked about my pain. I said I was fine and didn't need anything for it. An hour later, I pushed the call button and unfortunately it was right in the middle of a contraction, so I yelled that I felt I needed to push. The nurse came in and said to me, "If you were having pain, you should have said something when we offered it to you." I very calmly said, "At the time, I wasn't in pain. Now, I need to push." She shook her head and in an exasperated way told me "fine, if it'll make you happy, I'll check...but you have a long way to go. You might want to get an epidural." She checked and all the color left her face and she said "whatever you do, don't push! The doctor isn't in the hospital anymore." I told her, "Well, then you better put on some gloves!" She delivered him 5 minutes later. She said never again would she tell a patient she wasn't in pain or that she didn't need to push.

pain levels - rock bottom

[ In Reply To ..]
The provider are supposed to ask you what you think the level is. The provider is supposed to also independently assess your level of pain by your behavior.

Unfortunately, some providers have never had bad pain.

The numbers, oh yea, don't mean anything because my scale goes up to 12, they tell me it can only go up to 10.

1-minimal.
8-get me something.
10-get me everything now.
12-get me everything or get me a gun, your choice.

They determine 10 to be the worst pain you have ever had that you could bear.

They don't include pain you cannot bear on that scale.

Sadly, there are lots of people who exaggerate their pain level to get stronger meds.

So that's why they evaluate your pain level independently.

LOL! 12-get me everything or get me a gun - clyde

[ In Reply To ..]
Thanks for the chuckle!

Yes, I'm completely 100% behind your pain scale!

What really bothers me are doctors who won't - give adequate pain meds to - sm

[ In Reply To ..]
patients who are terminally ill, or at the end of life. They keep saying they don't want the patient to "become addicted." Well, so what if they do? They're dying!

That's why, when the time comes someday for me, I'm seriously considering packing up and moving to Oregon, where easing a patient out of this life and into the next one is legal.

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