3. TIL Drug overdose deaths, driven largely by prescription drug overdose deaths, a...

TIL Drug overdose deaths, driven largely by prescription drug overdose deaths, are now the leading cause of injury death in the United States – surpassing motor vehicle crashes.

I'll just do a quick response. First: We are an Emergency department. We generally are not interested your pain as a pain, we are concerned with what is causing your pain, and if what is causing the pain will endanger your life. Over half of all visits to the ER have a chief complaint of pain, but pain in itself is not an Emergency.

If this is chronic pain, whatever that person has at home is probably stronger than anything we can prescribe out of the ER by law. What we prescribe, if anything, is enough to get you through until you can see your home doctor, who has more flexibility with what they can give, and knows you better. No, we cant refill months worth of multiple prescriptions for chronic pain for you.

As for your bronchitis comment... no. Just no. There is a reason people go to school for as long as they do to be doctors. The associated body systems, rationale, severity, and underlying conditions all need to be considered. Google is not a replacement for any of that. You get surface info googling things, but you are missing so much more needed information to make decisions like that.

As for people screaming in pain point: That happens all the time. Some people scream because they have a tiny cut, others sit silently as they have open fractures. I had one guy screaming at the top of his lungs a few months back about abdominal pain. Doctor saw the name, opened the curtain and told him he wouldnt be getting opiates or narcotics and the guy instantly stopped, said "ok" and calmly walked out of the ER.... Its actually an ER joke that the people who need pain meds the least are the ones screaming about getting them.

We do have ways to control pain meds, its called clinical judgement. Certain medications are indicated for certain injuries and pains. We dont have to give anybody anything. This makes people angry because they feel entitled to things like morphine or dilaudid for their muskuloskeletal pain, and we give them Tylenol because thats whats indicated for what they described.

Drugs should be OTC....again...just no. If you mean like regulate narcotics for people so they dont overdose as much...sure, make it more safe, but having all drugs be available otc is ignorant on so many levels.

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