Emergency room physicians are generally well trained and competent to handle life threatening illnesses. However they can become flippant with what they consider minor illnesses.
In Texas, I cannot excuse the physician who saw that Ebola patient and did not take a proper history. It was his job to ask about travel history! I still remember one of my professors (I guess McGill was a better school) saying that history was 90% of medicine; and MD stood for Medical Detective!
I often see patients who have come from the ER or an orthopedist on very potent and addictive narcotic drugs for pain that could be controlled better with non-narcotics. Without proper follow up these physicians do not realize how many patients can become drug seekers.
In a recent survey of US emergency rooms, researchers discovered that narcotic drugs were prescribed for headaches 35% of the time in 2010, as opposed to 21% in 2001. In addition, most recommendations would have that number at 10% or less.
When I had hernia surgery in the 80's I received a bottle of 30 percocets - I used 3. When I had knee surgery in the 90's I received prescriptions for 90 narcotic pills; which I never ended up using. Without my medical knowledge I might have taken them thinking they were important in recovery.
This kind of activity needs to stop, and if you are given narcotics please use them sparingly
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