s****8
发帖数: 8 | 1 从来没被病人骂过，即便是非常难缠的病人，但今天例外。
一中年女性因为“剧烈头痛”被夜班受入院，CT，LP，MRI 以及其他检查全部正常，对
MORPHINE 有“过敏”， 夜班开了DILAUDID。我看她时，她在和别人打电话， 谈笑风
生，听护士说，她在不停地吃东西，走路/搬东西(她的包)一点没问题。我告诉她所有
的检查阴性，神经科会诊后如果没问题就可以回家了，所以我要停掉DILAUDID，给她
PERCOCET。她当时火冒三丈，说“我在急诊室等了几个小时为了什么？！就是为了这强
的，快的药！要不我来这儿干嘛！我家里有VICODIN，PERCOCET 等等(但是她自己报的
HOME MEDICATION LIST 上没有一种止痛药)， 你没有权力停掉DILAUDID！我说我是根
据我的JUDGEMENT 做的决定，为出院作准备，总不能让您在家里也用IV药吧。总之，
LONG CONVERSAtion.最后她说“have you ever been in my shoes before?”. I
answered "no, but I have seen so many patients | s****8
发帖数: 8 | 2 跟大家SHARE一下神经科会诊的记录吧，看看累加怎样很含蓄的描述的 ： )
HPI: The patient is a XXX-year-old female who presented to
the emergency room last night with headache of about two weeks duration. She
states that she has a headache that started about two weeks ago, and she
describes it in a very nondescript way. It is bifrontal, facial, temporal,
occipital, neck and into the shoulders and upper thoracic region. The
patient's description is very vague, and there is a lot of emphasis on the
severity rather than any descr |
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