Tonight I had the dubious pleasure of taking care of a 36 year old fibromyalgeur. She was also unemployed, obese, a 2 PPD smoker, with a history of COPD and hypertension. I was surprised to find that she doesn't have diabetes and CHF, too. Give it time.
She predictably has "allergies" to all non-narcotic pain medications, several antidepressants, a couple of psych meds, and methadone.
Her current prescriptions include:
- MS-Contin 30 mg Q 4-6 hrs
- Lortab 10/500 Q 4-6 hours PRN (apparently her allergy to Tylenol is tempered by the hydrocodone)
- Celexa 40 mg/day
- Lyrica 225 mg BID
- Ativan 1 mg TID
- as well as various HTN and COPD meds.
As per usual, her workup was stone cold normal. Well, as stone cold normal as an obese non-compliant hypertensive COPD-er could be.
Unfortunately, her "chest pain" just wouldn't go away. "Hey, Doctor, could I have some of that Dil...Dilad...Dila-something medicine?"
Eventually she turned into an admission for observation, mostly because she was giving the ER doc chest pain.
When I took her upstairs, as I pushed her wheelchair into a semiprivate room, past a gorked-out, snoring-like-a-lumberjack old lady, she said, "You mean I don't get a private room?"
I said, "No ma'am, there are no private rooms on this floor." I had to practically shout to be heard over the lumberjack in the next bed.I smiled all the way back downstairs.
The ER doc laughed out loud when I told him.
That Karma, sometimes she is a bitch.