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	<title>Comments on: Nurses hit by car in hospital parking lot: by (Alleged) Drug Seeker!</title>
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	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: Dr. G</title>
		<link>http://gruntdoc.com/2005/05/nurses-hit-by-car-in-hospital-parking-lot-by-alleged-drug-seeker.html/comment-page-1#comment-2045</link>
		<dc:creator>Dr. G</dc:creator>
		<pubDate>Sat, 02 Jul 2005 19:30:55 +0000</pubDate>
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		<description>I rarely do this but I want to bitch about this.  There is so much bad press about doctors and how they don&#039;t care, the whole treat them and street them mentality.  But I swear to god, no one thinks that one of the unfortunate things that I have to spend I&#039;d say up to 20% of my medical decision making time on is whether or not the symptoms are real- or worse that my patient that I&#039;m supposed to be developing a theraputic alliance/bond/relationship, whatever you want to call it, is BSing me to score some narcotics or sleep medication or viagra (a movable item here).

Yeah it&#039;s bad that people are gunning for staff in the parking lots and at their homes, and that you feel freightened of your patients, but what&#039;s worse is that sometimes you mess up- you let the young man with tatoos everywhere walk out of the ER with a subclinical subarachnoid hemorhage. Or the girl who comes to the ER in a bikini top asking for benzos really does need all those psych meds that she&#039;s pushing for.  

80% is hisotry taking- they tell you that.  Well, 5% of my patients I can&#039;t believe what come out of their mouths.  At that point they&#039;re essentially equivalent to a patient that cames in speaking a foreign language.
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		<content:encoded><![CDATA[<p>I rarely do this but I want to bitch about this.  There is so much bad press about doctors and how they don&#8217;t care, the whole treat them and street them mentality.  But I swear to god, no one thinks that one of the unfortunate things that I have to spend I&#8217;d say up to 20% of my medical decision making time on is whether or not the symptoms are real- or worse that my patient that I&#8217;m supposed to be developing a theraputic alliance/bond/relationship, whatever you want to call it, is BSing me to score some narcotics or sleep medication or viagra (a movable item here).</p>
<p>Yeah it&#8217;s bad that people are gunning for staff in the parking lots and at their homes, and that you feel freightened of your patients, but what&#8217;s worse is that sometimes you mess up- you let the young man with tatoos everywhere walk out of the ER with a subclinical subarachnoid hemorhage. Or the girl who comes to the ER in a bikini top asking for benzos really does need all those psych meds that she&#8217;s pushing for.  </p>
<p>80% is hisotry taking- they tell you that.  Well, 5% of my patients I can&#8217;t believe what come out of their mouths.  At that point they&#8217;re essentially equivalent to a patient that cames in speaking a foreign language.</p>
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		<title>By: Dr. Bob</title>
		<link>http://gruntdoc.com/2005/05/nurses-hit-by-car-in-hospital-parking-lot-by-alleged-drug-seeker.html/comment-page-1#comment-2044</link>
		<dc:creator>Dr. Bob</dc:creator>
		<pubDate>Sat, 07 May 2005 01:55:11 +0000</pubDate>
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		<description>I know how you feel. I&#039;ve had angry refused narc seekers threaten to come to my house &amp; beat me.  A little hair raising in a small town where everyone knows where you live.  I live in a larger city now &amp; talked to the phone company to make sure they didn&#039;t list my address in the phone book.</description>
		<content:encoded><![CDATA[<p>I know how you feel. I&#8217;ve had angry refused narc seekers threaten to come to my house &#038; beat me.  A little hair raising in a small town where everyone knows where you live.  I live in a larger city now &#038; talked to the phone company to make sure they didn&#8217;t list my address in the phone book.</p>
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