Quote:
Originally Posted by varmint
go through your office and rip out all the florescent lights.
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this is interesting, it is going to be illegal to buy anything but fluorescent in a year or two in Kalifornia
Legion, I am a physician.
I trained a patient to give himself nerve blocks a while back, before the pain doctor thing became more commonplace, thanks in large part to a cat locally by the name of Harvey Rose MD.
When you go into any hospital in Cali and see a sign that says you have a right to having your pain adequately addressed you can say a little prayer thanking Harvey, who recently passed away. He was THE guy who pretty much told the DEA to fuch off and let him take care of his patients when they started dogging him for writing too many narcotics prescriptions for his terminal patients way back when.
Changed medicine in California, in a good way if you ask me
The injection is pretty much subcutaneous, not intradermal like the TB test. Shoot a wheal of lidocaine, about 0.5 cc right over the occipital protruberance, right and left. I have spoken to some about it and they like putting a little dexamethasone phosphate in there too, but I have not found this necessary. Got this technique from a crazy, new age Family Medicine gal, but it works so WTF. BTW, it hurts like a MFer getting an injection in your scalp, but if you are giving the shot to somebody having a migraine, they don't even squeal a bit. Those things must be pretty killer, I suppose pain severe enough to cause vomiting would have to be pretty bad.
For the intra-nasal, it is not so much lidocaine drops, you draw up a few cc's lidocaine without epinephrine in a syringe and squirt it up there The up the snout method I got from my mother, a retired anesthesiologist, who used it to good effect for decades.
I thought the lidocaine deal was common knowledge, my bad. Nothing special, just some plain old, fifty cents for a bottle, lidocaine plain. I think the occipital injection works because you are doing a nerve block, don't know why it would work up the nares but it does.
The wife has not had much success with other stuff, stadol, imitrex, demerol, morphine, though dilaudid seems to help. She has something wierd in her biochemistry though. You can give her all the Valium or Versed(all those BZD drugs) and it has no effect. I saw her get 15 mg of versed and never even blink. You give me one of versed and I start sounding like Dudley Moore in that flick "Arthur".