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Dr.Wagner -> RE: First time for me... (February 25, 2008 10:34:16 PM)
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Well, this didn't just start hurting today, clearly this is chronic. I mean, sorry guy but you snort vicodin, now life sucks. I will treat you like I treat all post surgical ENT patients, if you can't swallow your saliva, you stay in the hospital. Otherwise you get Decadron IM (steroid) and education on clear liquid diet. I spoke to ENT about admission vs follow up. They preferred follow up...because they are surgeons (surgeons only want good surgical candidates...surgeons are not humanitarians).
He was not a good candidate for drug rehab UNTIL his nose and throat healed. He is appropriate for outpatient rehab, where he could recieve dissolvable pain meds from only ONE source (ie not me)
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