TSR Med Students' Society Part VI

Anyone seen this piece in the NY Times? An account by an American in Germany who didn't get vicodin (co-codamol) post-op, but rather got ibuprofen.

Wonder where we land on the opioids scale. Feel like most would probably get some morphine or co-codamol?

As a O&G SHO, where I work we tend to just give paracetamol and ibuprofen post op. Occasionally co-codamol but very rarely and even less so as a TTO.

Even women post-LSCS mostly just go home on paracetamol and ibuprofen.

Most women go home within 24-36 hours

Lap hysterectomy I'd prescribe regular paracetamol + ibuprofen with prn codeine + oramorph/oxynorm. Don't know what patients actually get out of that lot when they go to the ward/home though.

For a TAH I'd usually offer a spinal with diamorphine, probably stick the codeine on the regular side (with laxative). PCA if they don't want spinal or it's a particularly difficult op.

All of them would get morphine/oxycodone IV in theatre and prescribed as rescue analgesia for recovery.

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Even women post-LSCS mostly just go home on paracetamol and ibuprofen.

I was admitted to ENT with tonsillitis and a quinsy, was in hospital for 2 days and had it drained - got paracetamol, ibuprofen and 60 30mg codeine tablets as my TTO. Bit ott amirite.

I was admitted to ENT with tonsillitis and a quinsy, was in hospital for 2 days and had it drained - got paracetamol, ibuprofen and 60 30mg codeine tablets as my TTO. Bit ott amirite.

Did u need the codeine though?

Always curious if we're unknowingly going down the US opioid crisis pathway...

Corrected that for you. And I'm in complete (and sad) agreement.

I can understand why some people don't want to mention it. It does agitate some people, especially the trolls who come out of their holes to argue and tell you you're wrong and that if you don't like it "go back to your own country".

My all time favourite is that NHS should employ local doctors and not the ones who come from abroad and they don't even realise she was Leicester graduate. If her name was Dr Jessica Smith half of these comments wouldn't be there.

My all time favourite is that NHS should employ local doctors and not the ones who come from abroad and they don't even realise she was Leicester graduate. If her name was Dr Jessica Smith half of these comments wouldn't be there.

Oh I don't know that her name would change so much at this stage; they'd see a black face and a scarf and be just as outraged. There's being British and there's being "British" for these people.

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It’s not just daily mail though is it. A friend made the interesting comparison with the Oxford student who stabbed her boyfriend but got basically let off because she showed immense talent and promise.

It’s interesting that the courts will take account of personal circumstances when deciding sentancing but seem to ignore the systemic failings that happened in Leicester.

In other news, apparently Trump was bragging about getting 30/30 in the MoCA lol