OK, I am getting sick of this growing group of drug seekers I have been seeing. Most notably, those with recurrent shoulder dislocators.
Of course this is not an new thing. Dislocating your shoulder is a great way to get drugs. After all, you now have an objective physical (and radiographic) finding that IS painful. However, once you have popped it out a dozen or more times, the pain is not nearly as bad but you can easily exaggerate it.
In the past, we had few options. People would fuss and scream until they got multiple doses of Narcs and Benzos and then because they were so habituated to it, they would be able to fight your efforts to pull the damn thing back in. By the time you were done, they would get 6 of Dilaudid and 4 of Versed. And of course go home with an Rx for Percs.
But now, we have the solution. The Michael Jackson Death Drug ™, Propofol. No one can resist it. They are powerless. They simply go limp within 15 seconds and you can pop the shoulder back in so easily you don’t even need anyone to apply counter traction. Then, they wake up all nice and lucid and ready to be dischareged. With an Rx for Naprosyn of course. The main problem with it is that patients have to wait 6 hours after eating or drinking anything but water before they can get it. That means that for several hours you have have to sit there with them and endure their demands for nacs. I of course refuse this and have had a few people sign out AMA before their shoulder is back in. Big deal. Hit the road. You can probably pop it back in yourself if you really wanted to.