Comments on: Pain. http://orthodoc.edublogs.org/2006/07/03/pain/ ORTHOPAEDICS :: WEBS :: INDIA :: UBUNTU Wed, 02 Dec 2009 22:07:02 -0500 http://wordpress.org/?v=2.8.2 hourly 1 By: orthodoc http://orthodoc.edublogs.org/2006/07/03/pain/comment-page-1/#comment-109 orthodoc Sat, 08 Jul 2006 17:42:45 +0000 http://orthodoc.edublogs.org/2006/07/03/pain/#comment-109 By the way, my patient suggested a more simpler solution. She peeled the tapes herself. Though she squirmed is pain, I think, the pain levels were more acceptable. I remember having seen our paediatricians do the same with kids. Since they are an apprehensible lot, they get to peel off their own dressings! Next time around I am going to apply the same for my 'sensitive' patients. By the way, my patient suggested a more simpler solution. She peeled the tapes herself. Though she squirmed is pain, I think, the pain levels were more acceptable. I remember having seen our paediatricians do the same with kids. Since they are an apprehensible lot, they get to peel off their own dressings! Next time around I am going to apply the same for my ’sensitive’ patients.

]]> By: orthodoc http://orthodoc.edublogs.org/2006/07/03/pain/comment-page-1/#comment-102 orthodoc Thu, 06 Jul 2006 02:21:02 +0000 http://orthodoc.edublogs.org/2006/07/03/pain/#comment-102 Moof: I feel better already! Drain tube removals are done in the ward without any premedication. It stings a little ...when I say that most of the patients would agree, but this lady kept on correcting me that it was not little. Yes I should have gone a ''bit beyond'' with ''her'', and I agree with that. However I failed to recognise or maybe accept that she had low pain tolerance. I kept confusing my response witht hat of hers. Scanman: Yup, we have been called carpenters before. But I don't particularly hate that. I have seen patients walk away extremely satisfied with the work we did. And that brings me immense pleasure. Moof: I feel better already! Drain tube removals are done in the ward without any premedication. It stings a little …when I say that most of the patients would agree, but this lady kept on correcting me that it was not little. Yes I should have gone a ”bit beyond” with ”her”, and I agree with that. However I failed to recognise or maybe accept that she had low pain tolerance. I kept confusing my response witht hat of hers.

Scanman: Yup, we have been called carpenters before. But I don’t particularly hate that. I have seen patients walk away extremely satisfied with the work we did. And that brings me immense pleasure.

]]> By: scan man http://orthodoc.edublogs.org/2006/07/03/pain/comment-page-1/#comment-99 scan man Wed, 05 Jul 2006 05:30:07 +0000 http://orthodoc.edublogs.org/2006/07/03/pain/#comment-99 Good to see you back Ortho Doc. Honestly my first reaction to your post was stereotypical. Blame the orthopedicians, who are typified as crude clinicians, compared to carpenters, not sensitive enough to patients' needs and pains, etc. But your questions reveal how wrong such stereotyping can be... Good to see you back Ortho Doc.
Honestly my first reaction to your post was stereotypical. Blame the orthopedicians, who are typified as crude clinicians, compared to carpenters, not sensitive enough to patients’ needs and pains, etc.
But your questions reveal how wrong such stereotyping can be…

]]> By: Moof http://orthodoc.edublogs.org/2006/07/03/pain/comment-page-1/#comment-98 Moof Wed, 05 Jul 2006 01:46:15 +0000 http://orthodoc.edublogs.org/2006/07/03/pain/#comment-98 Orthodoc! Good to see you again! I was beginning to wonder where I should send the flowers ... ;o) Now, I have no idea what that sort of pain would be like, and I'm thinking that if I were in the same position as either of the two patients you've mentioned, it wouldn't do any good to ask what I'd prefer - I simply would not know. However ... I think that some people demonstrate a lower pain threshold overall, as your elderly patient seemed to be doing. Perhaps taking extra care to premedicate her with something a bit stronger (or different) would have been a good idea, rather than simply trying to remove the drain with a fast or slow technique ... I think it was excellent that you were honest with her - and told her that it would hurt. Being told that something isn't going to hurt, and then having it impact you like a sledgehammer leaves a real bad impression. That's a hard one to answer, Orthodoc ... I would say that perhaps you might just need to go "a bit beyond" with certain patients who have a low tolerance for pain ... or who react like they do. Can't be easy getting it all sorted out ... *comfort* Orthodoc! Good to see you again! I was beginning to wonder where I should send the flowers … ;o)

Now, I have no idea what that sort of pain would be like, and I’m thinking that if I were in the same position as either of the two patients you’ve mentioned, it wouldn’t do any good to ask what I’d prefer – I simply would not know.

However … I think that some people demonstrate a lower pain threshold overall, as your elderly patient seemed to be doing. Perhaps taking extra care to premedicate her with something a bit stronger (or different) would have been a good idea, rather than simply trying to remove the drain with a fast or slow technique …

I think it was excellent that you were honest with her – and told her that it would hurt. Being told that something isn’t going to hurt, and then having it impact you like a sledgehammer leaves a real bad impression.

That’s a hard one to answer, Orthodoc … I would say that perhaps you might just need to go “a bit beyond” with certain patients who have a low tolerance for pain … or who react like they do.

Can’t be easy getting it all sorted out … *comfort*

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