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canada goose store We were in California, many miles from home, many miles from my father (a doctor), who always knew what to do. At the time, I was early in my medical school training, although I knew all the intricate details of my mother’s medical canada goose outlet store montreal history and realized she needed to get medical attention. canada goose store

When we arrived at the local emergency room in an affluent neighborhood, my mother was placed in a wheelchair and taken to the waiting room. She curled up on the cold barren canada goose coats uk hospital floor, the only position she could find comfortable. Although my mother usually puts on lipstick and high heels to go to the grocery store, this time, her hair was unkempt and her pajamas worn out. Her knees were tucked into her chest and her belly was distended.

canada goose black friday sale It should have been clear to onlookers that she was canada goose jacket uk in agonizing pain, but people were hesitant, skeptical even. canada goose black friday sale

Canada Goose sale “Ma’am,” someone yelled. “Ma’am, we can’t have you lying on the floor. Get up.” Canada Goose sale

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canada goose deals They helped her back into the wheelchair. canada goose deals

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Reluctantly, they put her in a stretcher and prepared to place an IV in her arm. To convince them the http://www.mycanadagoosejacket.org pain was real, we asked them to call my father, who could fill in all of the medical details: her multiple prior hospitalizations, surgeries canada goose outlet belgium and diagnoses.

We knew what they had canada goose victoria parka outlet not yet discovered: She had another blockage in her intestines.

My soft spoken mother has suffered from Crohn’s disease, a form of inflammatory bowel disease, for nearly four decades. To her, hospitals conjure images of nasogastric tubes and surgical scars. So understandably, she avoids these places canada goose outlet in usa until she canada goose outlet black friday cannot any longer.

cheap Canada Goose But here official canada goose outlet she was, vulnerable and asking for help. cheap Canada Goose

buy canada goose jacket cheap Now, nearly a decade later, I have completed medical school and my residency in internal medicine. The opioid epidemic has taken over canada goose outlet online uk our country, and I think back often to that day with my mother. buy canada goose jacket cheap

canadian goose jacket We canada goose outlet michigan are cautious about prescriptions, as the number of fatal opioid overdoses has increased dramatically. We have state registries to see what prescriptions people have received before granting a new one. We also have canada goose factory outlet vancouver increasing treatment options and programs. canadian goose jacket

Canada Goose Outlet In response to some of these regulations as well as manufacturing problems, some hospitals are facing shortages of intravenous opioids. This limits the patients who can receive intravenous pain medications, canada goose kensington parka uk which are notably faster to work and more effective. Canada Goose Outlet

canada goose clearance Therefore, it sometimes seems as if doctors must determine who “deserves” opioids for their pain. Layered on top of this is an informal curriculum about the “drug seeking patient.” Certain patient behaviors are considered suspicious, and often it is perceived as a weakness canada goose premium outlet on the physician’s part to “give in.” But it is not always easy to tell drug seeking behavior from a legitimate desire canada goose outlet 2015 for pain relief. As physicians, we have a duty to heal and to treat pain. canada goose clearance

Not surprisingly, our rationing of opioids may play out along lines of implicit bias. Racial ethnic canada goose outlet authentic disparities in prescriptions of opioids in emergency rooms have canada goose outlet us been demonstrated at national levels. I can only imagine how the situation may have been worse if canada goose outlet los angeles my mother were not white.

canada goose clearance sale Furthermore, pain experienced by women is often treated differently than that of men. Studies have shown that in men and women reporting similar levels of pain, women were less likely to receive any pain medication and less likely to receive opiate medications. In addition, women waited longer to receive such canada goose outlet ontario medications. Similarly, women are nearly twice as likely as men to receive an “emotional or mental diagnosis” compared with one canada goose uk site for a physical ailment when showing the same symptoms. canada goose clearance sale

Yet pain does not discriminate. Pain makes you vulnerable. Pain is the great equalizer.

buy canada goose jacket My mother was subsequently admitted to the hospital for a few days. A tube was placed through her nose into her stomach to remove air and gastric contents. We waited for her bowel obstruction to resolve. Fortunately, this time it did without surgery. buy canada goose jacket

At that point, I had little insight into the larger health care system. But I knew my mother. And she knew the system’s canada goose outlet store near me flaws better than I did.

Canada Goose online “They must have thought I was drug seeking,” my mother said to me a couple of days into her hospitalization Canada Goose online.

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