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what do you think of er???
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<blockquote data-quote="susiestar" data-source="post: 417799" data-attributes="member: 1233"><p>By all means go to the ER if you are in severe pain or distress. Do not expect them to order MRI's, bone scans, nerve conduction tests or ANYTHING to diagnose this long term problem. They will likely do some basic bloodwork that may show infection or inflammation, etc.... </p><p> </p><p>ER's are NOT designed to diagnose complicated problems and they really do not want to. They are there to deal with immediate, life/death kinds of things. You will be stabilized there, maybe given medications to help the pain or swelling or whatever for THAT DAY and maybe a couple more of them. They may or may not give you some idea fo what they think is going on, most likely will not. Once you are "stable" they will send you home. Emergency medicine is not set up to do complicated diagnosis, regardless of the equipment they have on hand. If there is something serious that they can see, they MIGHT admit you and get your reg doctor or a staff doctor to do something. But you will likely ahve to stay for a couple of days to do that. The MRI dept, and other depts, are usually minimally staffed after business hours, and they are usually so booked up that it has to be a true emergency to get one via the ER.</p><p> </p><p>You need a doctor who can follow you on a regular basis. A nurse practitioner can be good as some listen more than the docs. Not all are that way, but usually they are not as busy as the doctor. You need a new patient appointment and a long one. It sounds like fibro/myofascial pain syndrome (my pain doctor says they are close to the same thing) or chronic regional pain syndrome. You MUST see a reg doctor and get a paper trail started so that you can tehn be referred to a pain mgmt doctor. </p><p> </p><p>If you go to the ER asking for all of this, you are likely to be disappointed. but maybe they will be slow and someone will be interested and help a bit.</p></blockquote><p></p>
[QUOTE="susiestar, post: 417799, member: 1233"] By all means go to the ER if you are in severe pain or distress. Do not expect them to order MRI's, bone scans, nerve conduction tests or ANYTHING to diagnose this long term problem. They will likely do some basic bloodwork that may show infection or inflammation, etc.... ER's are NOT designed to diagnose complicated problems and they really do not want to. They are there to deal with immediate, life/death kinds of things. You will be stabilized there, maybe given medications to help the pain or swelling or whatever for THAT DAY and maybe a couple more of them. They may or may not give you some idea fo what they think is going on, most likely will not. Once you are "stable" they will send you home. Emergency medicine is not set up to do complicated diagnosis, regardless of the equipment they have on hand. If there is something serious that they can see, they MIGHT admit you and get your reg doctor or a staff doctor to do something. But you will likely ahve to stay for a couple of days to do that. The MRI dept, and other depts, are usually minimally staffed after business hours, and they are usually so booked up that it has to be a true emergency to get one via the ER. You need a doctor who can follow you on a regular basis. A nurse practitioner can be good as some listen more than the docs. Not all are that way, but usually they are not as busy as the doctor. You need a new patient appointment and a long one. It sounds like fibro/myofascial pain syndrome (my pain doctor says they are close to the same thing) or chronic regional pain syndrome. You MUST see a reg doctor and get a paper trail started so that you can tehn be referred to a pain mgmt doctor. If you go to the ER asking for all of this, you are likely to be disappointed. but maybe they will be slow and someone will be interested and help a bit. [/QUOTE]
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