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I'd be surprised if the urine tox screen came back positive for nearly NOTHING. The evasiveness of family can be a tell too. I'd be very surprised if the kid didn't know that mom was taking LOTS of drugs.
Today's last call.
- Thread starter NomadicMedic
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OP
OP
NomadicMedic
I know a guy who knows a guy.
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The kid was pretty stoic. She was working on getting Mom to go to the ED with us, but wasn't saying anything substantive.
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Yeah, not that kid's first rodeo with Mom.
OP
OP
NomadicMedic
I know a guy who knows a guy.
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Yep. My thoughts as well.
meatanchor
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It sounds like the treatment she really needs is for all of her caregivers to be alerted to her drug issue and work on weaning her down or getting better supervision over her treatment. And a social worker or similar tactful person probably needs to sit down and make sure her daughter knows she's not going to have a mommy much longer if this continues (especially if she's covering for her).
How good are ERs at this sort of thing?
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Frankly, they suck at this sort of thing. What the Mom needs is for her primary care providers to NOT enable her by providing her with a ton of meds. If anyone bothered to take a look at her Narcotic history (everyone prescribed this stuff has a file) she probably is getting a bit more than she otherwise should get. She's probably NOT in a formal pain management program and therefore is probably doctor/ER shopping to get her meds and then she probably accidentally overdoses because she doesn't realize how much/little it takes to do it in a polypharm situation and ends up in the hospital.
I'm sure her "usual" caregivers know but they're not likely paid staff.
It gets interesting seeing people's reactions when the ER Doc tears up a prescription when he/she realizes that a patient is drug seeking (especially if it's for sale), and does it right in front of the patient.