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	<title>Comments for ER Stories</title>
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	<link>http://erstories.net</link>
	<description>Real Life Tales from the Emergency Room</description>
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		<title>Comment on Symptoms to Watch for in an Aortic Dissection by Doc</title>
		<link>http://erstories.net/2012/02/symptoms-to-watch-for-in-an-aortic-dissection/comment-page-1/#comment-32322</link>
		<dc:creator>Doc</dc:creator>
		<pubDate>Thu, 09 Feb 2012 18:39:39 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5476#comment-32322</guid>
		<description>It&#039;s tragic.  It&#039;s often very hard to diagnose. It mimics many other things some of which are benign. 
Generally it comes with chest pain going through to the back.  It can have passing out, abdominal pain, low back pain, numbness or weakness in the legs suddenly, and sweating.
But often the symptoms are vague or mild so it&#039;s often missed.</description>
		<content:encoded><![CDATA[<p>It&#8217;s tragic.  It&#8217;s often very hard to diagnose. It mimics many other things some of which are benign.<br />
Generally it comes with chest pain going through to the back.  It can have passing out, abdominal pain, low back pain, numbness or weakness in the legs suddenly, and sweating.<br />
But often the symptoms are vague or mild so it&#8217;s often missed.</p>
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		<title>Comment on Symptoms to Watch for in an Aortic Dissection by Melanie</title>
		<link>http://erstories.net/2012/02/symptoms-to-watch-for-in-an-aortic-dissection/comment-page-1/#comment-32321</link>
		<dc:creator>Melanie</dc:creator>
		<pubDate>Thu, 09 Feb 2012 17:47:05 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5476#comment-32321</guid>
		<description>I just had a friend die of Spontaneous cardiac artery dissection in October.  What can you do to look out for that?</description>
		<content:encoded><![CDATA[<p>I just had a friend die of Spontaneous cardiac artery dissection in October.  What can you do to look out for that?</p>
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		<title>Comment on Symptoms to Watch for in an Aortic Dissection by Doc</title>
		<link>http://erstories.net/2012/02/symptoms-to-watch-for-in-an-aortic-dissection/comment-page-1/#comment-32320</link>
		<dc:creator>Doc</dc:creator>
		<pubDate>Thu, 09 Feb 2012 13:04:35 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5476#comment-32320</guid>
		<description>It was diagnosed later when someone CT&#039;d her looking for a possible lung mass.</description>
		<content:encoded><![CDATA[<p>It was diagnosed later when someone CT&#8217;d her looking for a possible lung mass.</p>
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		<title>Comment on Not Steve Irwin (RIP) by Doc</title>
		<link>http://erstories.net/2012/01/viewer-submission/comment-page-1/#comment-32319</link>
		<dc:creator>Doc</dc:creator>
		<pubDate>Thu, 09 Feb 2012 13:03:24 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5405#comment-32319</guid>
		<description>People generally don&#039;t use Phenergan to get high as far as I know. But it has more potential side effects than Zofran and generally not as effective.</description>
		<content:encoded><![CDATA[<p>People generally don&#8217;t use Phenergan to get high as far as I know. But it has more potential side effects than Zofran and generally not as effective.</p>
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		<title>Comment on Blood Brothers by Somebody</title>
		<link>http://erstories.net/2012/02/blood-brothers/comment-page-1/#comment-32317</link>
		<dc:creator>Somebody</dc:creator>
		<pubDate>Thu, 09 Feb 2012 08:00:32 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5484#comment-32317</guid>
		<description>Sign I have been reading blogs like this too much- laughing hysterically! I hate blood but this is just so funny</description>
		<content:encoded><![CDATA[<p>Sign I have been reading blogs like this too much- laughing hysterically! I hate blood but this is just so funny</p>
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		<title>Comment on Not Steve Irwin (RIP) by Lindsay</title>
		<link>http://erstories.net/2012/01/viewer-submission/comment-page-1/#comment-32316</link>
		<dc:creator>Lindsay</dc:creator>
		<pubDate>Thu, 09 Feb 2012 06:43:19 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5405#comment-32316</guid>
		<description>I have a question about the gastroparesis post you made.

I ended up with a concussion last weekend, and declined the Zofran the doctor wanted to give me for my nausea, because IV Zofran makes me vomit even more profusely. I asked him for Phenergan instead, since it&#039;s what my GI prescribed me. He refused, claiming that he won&#039;t prescribe it because people take it to get high. I hadn&#039;t taken my PO until that moment because it does contain a sedative, and I wanted to have my head cleared before I took any of my nighttime medications that can occasionally make me tired (Baclofen, and Zanaflex for the spasms caused by my RSD).

I asked for no narcotics, or even any sort of pain medication (I can&#039;t take advil or aspirin because of the Cymbalta I also take for my RSD), because I actually don&#039;t like the feeling of being high (you can believe that or not), and I&#039;d managed to go two months without having to take any because of the aforementioned RSD. Hell, I even chose my new pain management doctor *because* he doesn&#039;t like giving narcotics. However, this didn&#039;t stop the doctor, who sent his PA to check me out, and didn&#039;t come in until I said no to the Zofran, from labeling me as a drug seeker. Since he won&#039;t give Phenergan, I asked for Compazine, or Dramamine instead, even though they don&#039;t really help as well as Phenergan. He told me I could take the Zofran or nothing at all.

I&#039;m very lucky when it comes to my Gastroparesis (which was caused by a former PM prescribing Cymbalta and Trazodone, and my getting Serotonin Syndrome from it), because I can eat thanks to my pacemaker. However, once I start to throw up, I don&#039;t stop. I spent four hours retching up food, then stomach bile, and then finally blood, because this doctor refused to give me any anti-nausea medications. I couldn&#039;t even take my PO Phenergan because every time I tried to swallow it, the water would make me vomit yet again. It finally stopped today, twelve days later.

Oh, he also informed me that it&#039;s not possible to receive a concussion from a standing position. I asked my General Practitioner about this a few days later, when I went in for my post-concussion check-up, and a Tetanus shot (Cut myself on something in the garage. Whoops) and she was extremely confused.

So here comes my question: What would you have done in my case? Would you have prescribed the Phenergan? 

I was the only patient in the (pediatric) ER, so it&#039;s not like I was wasting valuable time he could be spending with other patients. 

About ten minutes after he left, the IV started making the RSD in my arm freak out, and it started to turn purple, and get bad goosebumps (I get them when I&#039;m in a lot of pain in one specific spot, or when something is touching my legs) on my arm, so I called the nurse in to remove it. I&#039;m sure that made me look like a drug seeker in his eyes, since I was leaving with fifteen minutes left in my fluids.</description>
		<content:encoded><![CDATA[<p>I have a question about the gastroparesis post you made.</p>
<p>I ended up with a concussion last weekend, and declined the Zofran the doctor wanted to give me for my nausea, because IV Zofran makes me vomit even more profusely. I asked him for Phenergan instead, since it&#8217;s what my GI prescribed me. He refused, claiming that he won&#8217;t prescribe it because people take it to get high. I hadn&#8217;t taken my PO until that moment because it does contain a sedative, and I wanted to have my head cleared before I took any of my nighttime medications that can occasionally make me tired (Baclofen, and Zanaflex for the spasms caused by my RSD).</p>
<p>I asked for no narcotics, or even any sort of pain medication (I can&#8217;t take advil or aspirin because of the Cymbalta I also take for my RSD), because I actually don&#8217;t like the feeling of being high (you can believe that or not), and I&#8217;d managed to go two months without having to take any because of the aforementioned RSD. Hell, I even chose my new pain management doctor *because* he doesn&#8217;t like giving narcotics. However, this didn&#8217;t stop the doctor, who sent his PA to check me out, and didn&#8217;t come in until I said no to the Zofran, from labeling me as a drug seeker. Since he won&#8217;t give Phenergan, I asked for Compazine, or Dramamine instead, even though they don&#8217;t really help as well as Phenergan. He told me I could take the Zofran or nothing at all.</p>
<p>I&#8217;m very lucky when it comes to my Gastroparesis (which was caused by a former PM prescribing Cymbalta and Trazodone, and my getting Serotonin Syndrome from it), because I can eat thanks to my pacemaker. However, once I start to throw up, I don&#8217;t stop. I spent four hours retching up food, then stomach bile, and then finally blood, because this doctor refused to give me any anti-nausea medications. I couldn&#8217;t even take my PO Phenergan because every time I tried to swallow it, the water would make me vomit yet again. It finally stopped today, twelve days later.</p>
<p>Oh, he also informed me that it&#8217;s not possible to receive a concussion from a standing position. I asked my General Practitioner about this a few days later, when I went in for my post-concussion check-up, and a Tetanus shot (Cut myself on something in the garage. Whoops) and she was extremely confused.</p>
<p>So here comes my question: What would you have done in my case? Would you have prescribed the Phenergan? </p>
<p>I was the only patient in the (pediatric) ER, so it&#8217;s not like I was wasting valuable time he could be spending with other patients. </p>
<p>About ten minutes after he left, the IV started making the RSD in my arm freak out, and it started to turn purple, and get bad goosebumps (I get them when I&#8217;m in a lot of pain in one specific spot, or when something is touching my legs) on my arm, so I called the nurse in to remove it. I&#8217;m sure that made me look like a drug seeker in his eyes, since I was leaving with fifteen minutes left in my fluids.</p>
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	<item>
		<title>Comment on Symptoms to Watch for in an Aortic Dissection by Steve</title>
		<link>http://erstories.net/2012/02/symptoms-to-watch-for-in-an-aortic-dissection/comment-page-1/#comment-32310</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Wed, 08 Feb 2012 14:04:41 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5476#comment-32310</guid>
		<description>Just out of curiosity- in your patient with the persistent cough, how was the dissection diagnosed?  Was it on a CTA that was looking for PE or was it something else that had you go down that route?</description>
		<content:encoded><![CDATA[<p>Just out of curiosity- in your patient with the persistent cough, how was the dissection diagnosed?  Was it on a CTA that was looking for PE or was it something else that had you go down that route?</p>
]]></content:encoded>
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	<item>
		<title>Comment on Blood Brothers by MC</title>
		<link>http://erstories.net/2012/02/blood-brothers/comment-page-1/#comment-32309</link>
		<dc:creator>MC</dc:creator>
		<pubDate>Wed, 08 Feb 2012 09:38:48 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5484#comment-32309</guid>
		<description>Ha ha ha, families. I once had a husband and wife come in on Valentines Day together for screening EKGs.</description>
		<content:encoded><![CDATA[<p>Ha ha ha, families. I once had a husband and wife come in on Valentines Day together for screening EKGs.</p>
]]></content:encoded>
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		<title>Comment on Blood Brothers by C</title>
		<link>http://erstories.net/2012/02/blood-brothers/comment-page-1/#comment-32308</link>
		<dc:creator>C</dc:creator>
		<pubDate>Wed, 08 Feb 2012 06:58:15 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5484#comment-32308</guid>
		<description>The family that bleeds together......</description>
		<content:encoded><![CDATA[<p>The family that bleeds together&#8230;&#8230;</p>
]]></content:encoded>
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	<item>
		<title>Comment on What Makes you Think? by Tina</title>
		<link>http://erstories.net/2012/01/what-makes-you-think/comment-page-1/#comment-32304</link>
		<dc:creator>Tina</dc:creator>
		<pubDate>Tue, 07 Feb 2012 22:53:08 +0000</pubDate>
		<guid isPermaLink="false">http://erstories.net/?p=5451#comment-32304</guid>
		<description>you go girl...tell it like it is Liz ;-)</description>
		<content:encoded><![CDATA[<p>you go girl&#8230;tell it like it is Liz ;-)</p>
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