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Horrible Treatment of an Abscess at a Hospital
Found this one on youtube. This doctor has quite possibly one of the worst bedside manners I’ve ever seen. This poor guys pain is so out of control and she is scolding him. Apparently, he has seizures and this clusterf*ck almost brought another one on.
For the doctors, nurses, LAWYERS, etc. on here: Please give them some advice on youtube. I don’t think they are educated people. They need to be reassured that that doc was not following best practices.
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RIGHT ON, Ramone! It’s embarrassing how ridiculous we in the US have become about pain control! Years ago I had a chronic pain problem, too, and more than once had nightmarish treatment in the ER. If you have severe pain, you ARE a drug-seeker to more and more healthcare providers—who have become mind readers. If you ask for relief, some workers think that gives them license to be arrogant, insensitive, suspicious and just plain mean. She was being “firm” with him? True, we don’t know what had happened before the camera began recording, but I agree with the RN who said that there is never an acceptable explanation or excuse to behave toward a patient in the way this doc (?) did! It also looked to me as though her hand was shaking at times as she repeatedly stuck a needle into the middle of the gaping sore itself and emptied the syringe. If we want to assume the patient is a drug addict, let’s go ahead and accuse the doctor of the same thing. It looks clear to me that the area, for whatever reason, was NOT numbed. The chronic pain sufferers in America are often shamed—especially in the ER. With the lack of insurance (job loss, crappy employer, etc.), the ER, while not the place to go for ongoing problems, is sometimes the only option people have—and they certainly are charged massive sums of money for any treatment. It is SO ignorant to treat people in pain the way we do. I think medical personnel should wise up and get out of the anti-pain-drug obsession with which the U.S. healthcare system is infected, and give people alternatives to drug treatment when possible. Why are providers allowing themselves to be mandated (and morally indoctrinated) right out of their ability to adequately treat any number of health problems their patients seek help for? We’ve sued to the point that many good, caring doctors can’t even afford to practice because malpractice insurance is so prohibitively high. What a mess. There are so many problems beyond our control, but some things we can change, starting with our own attitudes and behavior. Stop making assumptions about people in pain! I really, really hope that none of us finds ourselves in this patient’s situation. This poor man…
I agree with most of that. I’ve never seen a grown man beg like that before in my life. First, it was an infected abcess (I don’t think it was an infected sebaceous cyst because of it’s location) in an area where the skin probably rubs together when he walks (I’m not calling him fat, but he is a big guy as we can see) causing irritation and the infection to spread since no oxygen can get to that area which makes it a breeding ground for bacteria. That doctor knows damn well lidocaine not only burns when injected, but provides hardly any numbness to the infected area. It looked like she inserted the needle into or very very close to the opening of the abcess! It also looked like she was rushing through the process. There is absolutly no way he could control his reflex to the pain. It’s in involuntary reaction and she had no reason to blame him and be rude like that. Even though the pain would not get any better if she stopped for a moment as the patient begged, she could have at least let him catch his breath before she started again. I’m astounded that he did not pass out. His blood pressure was probably sky high and yes, he could have had a stroke or a heart attack believe it or not but it sounds like she didn’t even consider that as she scolded him. And near the end you can clearly see the pain was so bad that he was actually twitching even though she was done applying pressure. I sincerely hope the person who that doctor answers to saw this and spoke to her about it. I’m dying to know if they filed a complaint. With or without insurance, a doctor is obligated to treat them the same. Even if she was working a triple shift at the hospital she should be repremanded for how she treated that patient since she took an oath to first do no harm.
This woman clearly had no compassion towards this man. She was aggravated and impatient and it showed. I also live with chronic on going pain, and have found that through the years to receive adequate pain relief is almost imposable. As a doctor l would love to see her medicine cabinet, and other doctors private medicine cabinets at there homes. Lets see what they have on hand if they are in need of almost anything like for pain relief or antibiotics , in other words all the things that you would need prescriptions for, l’m sure they are stalked and want for nothing when in pain or ill.
BTW, I no longe have chronic pain, and don’t use/abuse drugs.
One more thing–it’s gratifying to read the comments posted by medical professionals like Jontx and others who haven’t lost their respect and compassion for those who seek their help!Thank you, and you should be proud.
Can you tell this topic is a red-button one for me? Sorry, all.
I too live with chronic pain. I have all but given up on any kind of relief. I fear that I will be viewed as a “drug seeker”. Having said that, I would love for just ONE day my doctors to feel my pain at it’s worst. This guy was, no doubt, in serious pain. Think about that part of your leg. It is a very sensitive area! This is probably why he let it get so bad.
This is one of the reasons why bedpans are not heavy metal anymore. ‘Cause had this been me, she’d have been wearing one around her head..what a b*tch.
You know what really never ever ever helps me feel better when I’m distressed or in pain? when someone says “you’re okay” or “it’s okay”.
I am new to commenting, but have followed this site for a while. I have been a zit fanatic all my life I lova da PUS!!!! Any way here is my view on this vid. I have four Tats in that area of my thighs, yes it hurts like a biotch!!! This guy needs to toughen up!!! it is not the doctors job to coddle you!!! Yes they should be some what empathetic, but the Dr. has a job to do. This is a serious infection and it would hurt, but it needs to come out and the longer he waits the more he is going to work himself up. So suck it up get it done fast.
But she’s a doctor, not a tattoo artist. She had a job to do, but it’s the patient she should be focused on too instead of just the wound. Getting inke is nothing like having an infected abcess. I’ve had both several times. A tattoo needle doesn’t get inserted into a hole in your body with a massive bacterial breeding ground. I’d rather get inked for straight hours than have an abcess like that again.
wow. this comment thread is telling: many of us are harboring serious psychic wounds from contact with the monolithic medical establishment and/or are feeling under attack as part of that establishment.
this doctor has come to represent the changes many perceive as “hard-heartedness” within medicine. for a long time — way too long — doctor/nurse/hospital functioned, on some level, as part of a system of “care.” the doctor, the nurse, the hospital cared for us in a touchy-feely way; they comforted, catered, assuaged; their function was parental.
I think that in the last 20 years or so, it became clear that this relationship was untenable and didn’t have anything to do with maintaining physical health. it may even have been unhealthy. the shift toward treatment by specialists, high tech procedures and pharmacology, the discovery that there was little practical value in lying in a hospital bed versus camping out at home — and suddenly, we were “abandoned.” the pcp fell under the thumb of managed care, and so on and so forth. costs — all the way around — sky-rocketed… and nothing poisons a relationship like money troubles!
i really have given this a lot of thought [duh] –as i had to examine why it mattered to me that i feel “cared for” by the people treating me, so long as they were treating me appropriately and conscientiously! i was telling one doctor how angry i was about a comment a surgeon had written in my chart (that i had left the hospital to go smoke — when i had quit a decade earlier and was in a freaking coma at the time i was purportedly sucking on a cig). he looked kinda askance and said, “the guy is an idiot. what do you care what *he* thinks? why do you worry about what i will think of you after reading one entry in a chart? forget about it. i had, until you brought it up again.” he told me he was shocked, daily, at how preoccupied patients are with how they are perceived. an incredibly important and intense (painful) experience for me, as a patient, is (thank god) a matter of rote for the specialist. i think that the vast majority of doctors and nurses do understand our pain — but that doesn’t change the algorithms and protocols for appropriate care.
the relationship now is a transactional one. the medicos have expertise that i do not. but i am given more responsibility for my own health, just as we all are now considered more accountable and complicit in situations, say, where lifestyle choices or compliance seriously matter to our physical health. that’s about it, really.
it would surely be a lie for me to say that i don’t want the compassion and, yes, sometimes, the sympathy, of my caretakers. i am lucky enough to have assembled a marvelous team with whom i have a very human, caring relationship.
but i have also been in the ED actually actively dying often enough that i see situations like this poor guy’s differently. there are things more important than appeasing me, and 90% of the time, i am ignorant of what is so pressing, finding out only when the crisis has passed.
chronic pain-eurs are often in a difficult spot but some common sense makes things easier. leave histrionics at home, don’t make the medicos reinvent the wheel of your complicated medical history, don’t tell them to “call my doctor, she knows what to do,” don’t decide that while you are having that i&d of a boil to announce that you had chest pain a few days ago, don’t rate your pain 12 on a scale of 10, and NAME your fears at the outset (as in: “i don’t handle the pain of surgical procedures well; i am scared; please tell me in advance everything you are going to do, can my friend stay with me? etc.”)
this is just me, but i never go to an ED for pain management of a chronic condition, even when that pain is severe. right or wrong, it isn’t the appropriate setting for a pain workup, something that is, or should be, in depth and involved.
it hurts to hear it, but most of the time, such pain is not an emergency.
i have made it sound like being nice, friendly, and appropriately supportive is not important but that’s not what i mean to say. the intangibles matter and support the success of the tangible measures.
i just am fed up with having to be with patients who are screaming (yes, they do) and crying (o lord, yes) because “you don’t care about me.” i won’t complain about frequent flyers and drug-seekers, because i cannot imagine that frustration. also, because it looks like meaningful reform that might address those problems looks to be dead in the water.
to this man: i am sorry you hurt so terribly. (and the doctor torturing you is right! if you would focus on your breathing, it would be amazingly easier…!)
so much would be solved by even a half-assed effort to follow the golden rule.
OM goodness, I am so thankful you wrote such a compelling, articulate reply to express my feelings about this vid! There are so many factors that cannot be known surrounding this vid. As a nurse, I am more on the side of the “medicos” in this scenario, obviously, and have my own thoughts and experiences to form my opinions regarding this patient. One major factor is a gross abuse of emergency services in this country. Did you know that we insurance-carrying individuals have to pay a copay to set foot in the ER but, those on Medicaid do not? That is why I resent the person stepping foot in my ER at 3:00am with a sore throat for a week. They may not get the full scope of my empathy at that time because I know they just don’t want to pay the copay required in the clinic to be seen at an appropriate visit! I have found that these can be people in a long line of abusers…I think the secret is passed from generation to generation on how to bilk the system for all it’s worth. Some seem to have an air of entitlement and are rude and unappreciative for anything we do for them. I do my best to treat them with respect when faced with their presence in my ER but do resent their attitudes. I will vacate my soapbox now.
…and I do agree with what you said about expectations patients have for their health care providers and how those have changed in the past few years. Chronic pain should not be handled in an ER setting but with the ongoing care of one’s primary care provider who can formulate a plan as to how to best accomplish pain relief.
Hee heee. JonTx You Rock Balls.
this is why a doctor should not allow procedures to be filmed. A three minute video has prompted this much discussion.
Perhaps this patient was told his options and opted for this. Perhaps he is a recovering drug addict and does not want anything but the lidocaine. Perhaps not. Bottom line…..a three minute video allows for so much speculation!!
I stand by my post–and disagree that what’s in someone’s chart/record (including possible errors) does not affect the treatment given and medical workers’ attitude toward a patient. There are negative, difficult patients–that can certainly go with illness or injury–and this should be remembered. You as a provider know this and also know you need to remain professional (or even apply a little pertinent humor to the situation if you can do so in a way that would break the ice and possibly turn everyone onto the better track (been there many times…night-into-day). My experience with ER (and other patients) is that if they aren’t drunk or otherwise chemically impaired, they will generally do what you ask of them—no matter what that is. People in the ER want as pleasant an experience as possible and are often frightened—or at least very intimidated in the ER, and don’t know what’s going to happen so a bit of warmth, explanation (nicely given) and understanding goes a long way (just as a rude, insensitive attitude will somewhat make a horrible time even worse). I’ve rarely had a patient who was just a wuss/baby looking for a mommy (or whatever the perception here seems to be). It is proven fact that kindness, information and pain relief make for a faster, easier recovery (and home IS best, if possible).
It’s amazing how two can see the same thing and interpret it so differently. Do you all think that the stress from overwork and the shortage of assistance for healthcare providers may help explain the different perspectives (and experiences) here? Well, I’m finished (at last, eh?). No one is likely to change his or her interpretation or beliefs, but we do try to explain our thoughts—and do a pretty good job most of the time! imho
Reread Jontx last post here…oops–I don’t agree so much after all. Well, bye all!
Regardless of past situations the guy is in pain *now* If the freezing was not supposed to do anything or hardly anything then why administer it all? I assume if this guy was a junkie in there looking for a fix then he probably could have come up with a better plan than to work up a festering staph infection for months to finally come into an ER and get his fix…how about ” i gotta sore back” ~That would have most likely got him his fix.
I know she has a job to do but she is doing a piss poor job. Part of being a doctor or nurse is CARING for your patients, both physically and emotionally.
As for pain threshold none of us can judge that. I have sat through a 6 hour tatty and pushed an 11 lb baby from my loins, does that mean any of you who couldn’t are “pussy’s”? Doubtful! Peace..
oh, god. i sure sounded like a pompous ass. my brother the english prof (prof-ing is a family tradition: we were born with a red pen in our mouths) likes to scribble at me: “too many words!”
if i am gonna agree with anyone, i think it’d be…. cyst face — we each got to invent whatever we wanted out of these 3 minutes, because we have ZERO context.
Great I saw it they put it on another site so we can see it. wow she is firm alright I think if it were me I would have hit her
I think the doctor could have been a little bit nicer as well and could have done a little more to decrease his pain(epidural?. When I went to the dentist to get my teeth pulled. They gave me novacaine and nitrous oxide. But when they started pulling, I could feel pain. When it comes to my mouth, I have a very low pain tolerance and can get a little anxious. I expected the dentist to stop and give me more novacaine. But they did not. Instead they said the weirdest thing. “He’s a thinker.” What? Um, do you think I’m crazy? I was shocked. They told me to breath and so I rapidly hyperventilated. I don’t know if it was the NOS but the experience was sort of surreal. I wonder if thats what that guy felt.
They gave you what’s called ‘Twilight’ for the procedure. It’s where they keep you sedated but concious during the procedure. I’m shocked that you started hyperventilating but didn’t stop the procedure, NO2 is serious stuff and the faster you breathed in, the more your heart rate/BP would have risen. Someone should have been monitoring it throughout the procedure. I hate to suggest it, but it’s possible the dentist thought the NO2 made you loopy and were referring to being able to still feel the pressure and tugging since the NO2 and Novocaine should have been more than enough to numb you up.
Wow. Some mentioned perhaps his history, or him being an addict was the reason he experienced such horrible treatment. No matter what…clearly he isn’t “pill-seeking” claiming a bad toothache, dear lord, look at that thing!
If it is b/c of his history, patients should NOT be denied pain management for painful procedures! Punish the guy in my mind, whatever…be judgmental. If his abscess is b/c of shooting up, it doesn’t matter, it’s a SERIOUS medical problem that needs immediate treatment!
If the DR is all high and mighty and judgmental b/c of a so called history…call in a social worker and get him a freaking referral to treatment facilities.
To the person who said, “see them and street them” thus not allowing for certain medications to appropriately treatt this…then ADMIT THE PATIENT! Even gen. surg could use “twilight” give him pain meds in the hospital (controlled, distrubuted, scheduled, managed, and given to him by his RN) get him stable, discharge him on antibiotics. His pain would then be resolved, and their worry about him pill seeking would be a non issue.
I’ve worked in a hospital as a social worker. I’ve seen I&D’s admitted. And just because a patient is an active user, or heck…this guy could be a recovering pill popper, he should NOT be denied appropriate medical care b/c of THAT reason. It’s no wonder those with addiction, current or past, do not disclose this to medical professionals. Judgment, assumptions, especially for recovering addicts is TOXIC. No wonder he waited so long, if he’s perceived as a junkie peice of s*it.
Give him the appropriate humane treatment…call a social worker if that is the issue, and get off your high horse.
Sorry, i it were true that the man were an opiate addict – an odd assumption given we know NOTHING about him unless it’s on YouTube, ONE PILL can trigger relapse, which is the cruelist thing to do – there are non narcotics to treat pain.
There is support to get for people with history of opiate addiction or dependency after a time it is necessary to use opiates, such as a tooth extraction or surgery.
This “doctor” is a class A Douche Bag….if I EVER had someone treat me like that in the same situation, I would have punched her in her prissy little face. What a rag!
I agree with the sane, empathetic, and simply put….kind-hearted people that have commented here….( xoSunshineAngelxo, chuckster2.0, here_kitty…etc.). There are ”beliefs” and then there is ignorance. Why was this Dr. in such a hurry? She’s at Work !! What about ”first do no HARM” ?
What ever happened to lidocaine? I understand that she is doing her job and has to be firm but could she just give him a sedative or use lidocaine? Why wouldn’t she?
What a b!tch.
JonTX:
“BLUEBOY- you are a total tool. By the way, is your board name a reference to your sexuality?? If you don’t know what I mean, ask a grownup.”
LOL! Let’s see, you started with name-calling, then moved on to some kind of sexual accusation. What if I really was gay, as you spinelessly suggest? Are you a homophobe? LOLOL!!!! Oh yeah, you’re a real pillar of maturity, Cowboy.
Then comes your oh so scientific analysis, “From a medical standpoint: that doctor sucks.” LOL!! Is that your preofessional opinion, doctor?
But my favorite is your random, paranoid presumption, “I wonder if she hates all men, certainly seems to.”
LOL!!! Yeah, cowboy, you awe me with your sterling intellect and razor sharp reasoning skills.
BTW, you shouldn’t stay up that late on a school night. For shame.
I helped my mother with a groin abscess about two inches further down the leg towards the knee than his is. A staff overgrowth had been causing large boils on her legs and bottom for 4-5 months. The latest tennis-ball-sized-abscess had come to a “head” while we were out of town. She tore open the thin skin of the head from the friction of her legs while we were out shopping and was leaking pus. So, we picked up some latex gloves on the way home and since my dad is a wuss, I had to step up.
The groin area can be unbelievably tender, as I know from personal experience with an as-yet-to-be-cured recurrence of smaller boils. I’ve gotten to the point where I just lance my own boils and take care of it, stabbing pain or not–so I was not prepared my mother’s inability to handle her pain.
She was in a great, great deal of pain while I pushed the puss out but I knew I had to persist to get as much puss out as possible, avoiding regrowth of the bacteria (and further pain). I had to press quite hard on the more dense outer edges of the abscess. I only had a vague impression that pockets within an abscess need to be broken up to be effectively palpated, and no tools with which to do it. I was just going on my own experience, knowing my mini-boils recurred if the cavity was not totally emptied.
My point is, my mother was screaming and jerking up off the couch worse this man. She’s usually VERY stoic about pain, to the point that she won’t mention the pain from a four inch hernia or from appendicitis until several days later. She has also had a condition for 23 years which creates chronic, systemic pain.
In this case, I tried to help her “manage” the pain by coaching her. I was trying to be firm but reassuring, telling her what I was doing and why I was doing it. I felt that if I could talk her down from getting hysterical, it would just be a few minutes of intense but necessary pain, and we could put it in the past. However, I soon learned you cannot talk someone out REACTING to very extreme pain.
It got so bad for her that I had to stop several times to let her catch her breath. When pressing on a deep, impacted pocket of the boil (which I had intended to quickly and firmly eradicate), my mother’s screeches of “Stop, stop, owww” turned into “Stop! I’m going to throw up!” Her torso heaved about a foot off of the couch. I was shocked by her body’s response. She wasn’t being melodramatic, she was simply reacting.
It was incredibly traumatizing for me to have to hurt her to help her. She was very happy with the results and it healed over the next week with no packing. I wish we had just gone to the ER. I’m sure that’s what brought me here to this site.
What a soft cock, I have helped mates who have been shot on active service and they just dealt with it, Joe public is so soft these days, did he get a lolly pop when he went home?
i recall my time when i stepped on a nail went all the way through my foot,dad took it out with pliers, he was a doctor,i cried less then this fella.lol but that is a tender area ,ouch!
I was on the guy’s side for most of the video–as a chronic pain patient, I’ve had doctors doubt my pain level and/or malinger about giving appropriate meds–but when he started jerking as if he was having a seizure but stopped as soon as the doctor said something about “you don’t want us to stick a big ol’ tube down your throat”, my opinion of the guy changed IMMEDIATELY, and I backed up to the beginning and re-watched the video.
On second viewing, it became obvious that the doctor was TRYING to numb him up. She was doing the pattern block, and he kept pulling away as she was trying to numb the upper part of the abscess. He would NOT hold still so she could stick it in, and the second time he jerked, he came very close to getting an unplanned needle stick with a needle that was being inserted in and around an ugly, pus-filled abscess. At that point, the doctor probably thought, “O.K., I can try holding him down while I try YET AGAIN to stick it in him, and he’ll probably jerk away, and I might end up sticking myself accidentally. Forget that noise–he doesn’t want to hold still for the numbing meds, he can just deal with the pain.” It’s similar to the situation where the doctor says “If you can handle a little bit of pain, it’s faster and less painful if I just [insert quick procedure here like stapling a wound] than if I have to stick you a whole bunch of times to numb you up and THEN [insert same procedure as above].” Patient not holding still for numbing meds = Doctor deciding to just get it over with and start draining the wound.
Yes, undoubtedly, the groin abscess HURT. I had bartholinitis last year, and I can tell you for a fact that abscesses in that area HURT. But I took the needle like a big girl and let him cut the area open and drain it. Now, my GP sprayed freezing spray on the area first so that when the needle went in, it wasn’t quite so painful, but I could still feel the blanking thing going in, and I still felt pressure on my crotch when the pus was being squeezed out. But because I was a big girl and didn’t jerk around and cause my doctor to nearly get an inadvertent needle stick, I was rewarded with a much-reduced pain experience.
So, while the doctor could have handled it better–freezing spray, gel, ANYTHING to numb the skin a little bit–the guy was jerking around and nearly caused the doctor to stick herself with that infected needle and DID NOT LISTEN when she told him he had to hold still to get the shot, so I don’t have a whole lot of sympathy for his pain when he was the one who wouldn’t take the lidocaine like a man.
So, that’s my opinion, FWIW.
Following up what knitwit says.
He did say, no more needles.
Also I’m fat and have been since I was a kid.
When I as about 12 they were trying to get some blood out of me, but my veins kept collapsing, I think that’s what they said. They tried in both wrists and both inside parts of my elbow.
They must have stuck me 8 times and finally started to wiggle the needle around inside trying to find the vain.
Next thing I know they were done.
I had passed out.
I didn’t make a peep. So that bullzit about fat people having a low threshold for pain is bullzit.
I think it’s the way you are raised, like being babied all the time, making a big deal out of every little bump. That doctor was treating him like his parents should have when they were raising him.
Um, where in knitwit’s post do they say fat people have low threshold for pain??
The bedside compassion of a chainsaw…….
As an EMT I can say that it really looked like he was having a seizure there at the end. He also looked postictal. The nurse and even the doctor got worried when he stopped fighting and was twitching. Some people have no pain tolerance and extreme conditions can induce seizures. I would have asked for another doctor because that one lost her compassion a long time ago to treat a patient like that.
i have have 17 surgeries and several ‘surgical’ procedures (no general anesthesia) in which there was only locals used. and, i have had docs that are very concerned about what i was experiencing and those who seemed to have been late for a hot date. at first, when i experienced the latter, i never said anything – just a grin and bear it attitude. but, one occasion made me very angry and i made the statement that i was a human being and not a cadaver that he was practicing on. the doc had a whole change of attitude and i even got an apology. shocking, i know.
from that moment, i decided that any doc that appeared to not look at me as a human being, i would make them do so. and, i have found that it works very well. including my doctor that i had for over 20 years until i relocated. i found that by reminding them that you a person who is going for help to them and not a case number they kind of wake up from being a professional to being a professional with compassion towards their patients. i think too many of us going into a doctor’s office/presence and appear to be subservient in our attitudes. yes, we may not be doctors but we know our own bodies. as i put it a new doctor: you are the mechanic; i am the owner’s manual.
in regards to chronic pain issues, i deal with that. and, yes, some docs do not understand the issue and are very conservative in their treatment. my advice – get another doc.
now, i digressed down a whole other path than the video. to that i say, the doc was a little removed from the patient’s pain but she was correct in breathing. and correct that she needed to pack it. however, threatening him with the need to put a plastic tube down his throat if he didn’t get it together was counterproductive. she needs to go back to class. and he needs to get a little bigger set when undergoing a procedure. the only way to totally avoid pain is to be knocked out. or a little demerol wouldn’t hurt.
I saw nothing wrong with how the doctor handled herself. She also had a nurse beside her trying to calm him and talk him through. I think he was treated very well.
where to start…I can see an arguement for both sides
We don’t know this guy, he may be a frequent flyer who is non compliant and difficult to deal with. Sometimes the only way to manage people like that is short and to the point, not catering to their crap.
Some procedures do hurt no matter what is given except of course a general anaesthetic. Have to be cruel to be kind.
He seems totally phobic about needles and was bargaining like a 3yr old. Yes I’m sure it hurt but for crying out loud, toughen up pal. I have looked after kids with worse issues than that and didn’t whip themselves into a frenzy.
Rather than pain relief he needed a great big dose of valium to calm down or happy gas to suck on. He was shaking from adrenalin surges because he was in fight or flight mode which was not realistic to his situation.
As a paed nurse, when yucky procedures have to get done I get in and do it. Don’t give time to stew over it because it makes it worse. If we give in to bargaining and not do the job that needs to be done, the whole thing is pointless. Giving this guy another 5-10 minutes to freak out would have been horrible….for him. The doctor was firm, trying to do her job, we all know they don’t have time to sit at the bedside holding hands and mopping brows.
He seemed to have major anxiety comtributing to a low pain thresh hold. A calmative and some gas could have made it easier for everyone. Again we don’t know the circumstances.
Personally I’d like to zit slap the guy and point out he is hardly pushing a 9lber out his loins. I don’t have patience for adults who behave worse than kids…that’s why I stick to the kids lol.
omg poor guy my mom has seizures my mom would have probably had one getting this done the doctor was being a little well alot pushy i actually could feel the poor man’s pain great find loveit smooches hugs and audie bear loves
Wow! whatta lotta long-winded posts, and so much sharing! I swear, pus brings out the BEST in us!
“My brain is not accepting this” poor Chris : (
The poster asked for a comment on YouTube from docs, nurses etc. After seeing other opinions, I feel quite comfortable remarking as well: I’m an RN with 8 years in the ER, but more importantly 4 years as a hospice/palliative care nurse, where pain management is a main part of my job. I also had a MRSA abscess for a full year at the waistline that I did not accept opiates for. (Had I known about PTZ, I would have recorded all the explosions and 7 debridements)
Personally, having seen dozens of these, the patient appears histrionic but so what? that does not excuse unkindness. I thought that the doc needed to be sure that she injected non-intact skin with the local, it hurts so much less. She needed to wait until it took full effect. The doc would always leave and come back, leaving the nurse with the patient.
She needed to make sure the skin was numb after that and if not reinject the local from any part the was numbed on outward. That part all takes patience. Once the skin was numb, then you proceed, but that once you get in deep, there’s not much you can except deeper injection but those tend to hurt more than the evacuation of the infection. Even debridement is not that painful, and I was debrided to the abdominal wall.
As far as pain meds or something for anxiety or both (which I would have hit him with – it’s not just the pain, it’s the anxiety that goes with pain that really gets people and why opiates like percocet/oxycodone are so beloved – in treats the anxiety too, there are better pain relievers.), perhaps rather than assuming his history, he was drunk. THat would explain the over the top behavior and the fact they would not give him anything for pain – it could harm him.
If he were an addict or had an opiate dependency (a thought was that the infection was from a ‘skin popper’ a subcutaneous heroin injection that often get gangrenous, which is done when veins are shot, and explains why he had no IV’s running – you’d think he’d have antibiotics even if he were taking them at home), the cruelest thing you can do is give even one opiate pill – it can trigger a craving which can lead to the person getting a supply again and then someday going through the hell of withdrawal again.