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Some days I feel like I practice medicine in a 3rd world country. #7113510 03/16/18 07:32 PM
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In the last few years, I've had shortages of all kinds of medications. Most recently, IV fentanyl, IV hydromorphone (Dilaudid), IV bicarbonate, IV Reglan, and Normal Saline, LR. have all recently gone into shortages.

In addition, I've gone through shortages of propofol, cefepime, Zosyn, and succinyl choline. I'm tired of it.

/rant over

Usually, I can use something else but for crying out loud. Some of these things are really simple and old. Normal Saline is salt water. . . .

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113573 03/16/18 08:20 PM
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Originally Posted By: Chris42
Normal Saline is salt water. . . .


So whats a gallon of ocean water sell for these days? I might move to the coast and start bottling this stuff up for sale. Its clearly in demand! clap

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113581 03/16/18 08:26 PM
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Are these common medications?


GET A MORTGAGE HERE AND GET A FREE YETI!
Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113585 03/16/18 08:29 PM
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This is a medical test. Female, Fat, and forty?


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113592 03/16/18 08:37 PM
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You can probably blame that shortage on the "procurement" person. If he/she works for the hospital I use, you can tell him/her that I think he/she is an IDIOT. I would like to take said IDIOT and return them in an ambulance to their ER.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: bill oxner] #7113600 03/16/18 08:44 PM
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Originally Posted By: bill oxner
This is a medical test. Female, Fat, and forty?


The triple f for gall bladder problems.


Press for an AMERICAN.
Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113609 03/16/18 08:54 PM
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Apparently most saline for IV use was produced in Puerto Rico and they haven't come back on-line completely yet.


Recycle! Be an organ donor!

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113635 03/16/18 09:19 PM
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Thatís some serious meds youíre talking about....maybe the junkies hijacked the load. grin

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: dogcatcher] #7113659 03/16/18 09:31 PM
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Originally Posted By: dogcatcher
You can probably blame that shortage on the "procurement" person. If he/she works for the hospital I use, you can tell him/her that I think he/she is an IDIOT. I would like to take said IDIOT and return them in an ambulance to their ER.

Those are all on National back-order. We're short of the majority of those as well. I always wondered how we could have a shortage on NS.
I think it's due to D.C. blocking new medication companies to make sure their buddy's co. stays the one & only providing certain drugs (i.e. monopoly but since it's big pharma they can't be touched).


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113673 03/16/18 09:44 PM
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Do you work at a local hospital in Temple, if so which one so I go to the other one laugh

Just as long as there is not a cold beverage shortage will will make it some how.

On a side note, good luck Doc hope you get what you needup

Last edited by Stub; 03/16/18 09:45 PM.

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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113684 03/16/18 09:58 PM
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Gettin closer every day...

Correction...was gettin closer

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: LFD2037] #7113688 03/16/18 10:03 PM
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Originally Posted By: LFD2037
Originally Posted By: dogcatcher
You can probably blame that shortage on the "procurement" person. If he/she works for the hospital I use, you can tell him/her that I think he/she is an IDIOT. I would like to take said IDIOT and return them in an ambulance to their ER.

Those are all on National back-order. We're short of the majority of those as well. I always wondered how we could have a shortage on NS.
I think it's due to D.C. blocking new medication companies to make sure their buddy's co. stays the one & only providing certain drugs (i.e. monopoly but since it's big pharma they can't be touched).


The only one on his list that I use is saline, but that and my other supplies are ordered as needed and they come from a company in Colorado. As long as I have 2 of each item on hand, I am happy, because when I show up at the ER, neither of the 3 hospital ER's in town will have the correct stuff.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113781 03/16/18 11:32 PM
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You can trace a lot of it to a shortage of IV bags due to manufacturing plants being shut down in Puerto Rico.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113813 03/16/18 11:54 PM
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Another reason to allow full Medical Testing of cannabis and it's extracts.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Ramsey] #7113836 03/17/18 12:16 AM
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Originally Posted By: Ramsey
Are these common medications?


Yes, all very common.

I know of the impact of Puerto Rico, but I experienced shortages before then. Most of the IV fluids are available. The IV opioids are usually more annoying that anything. We have plenty of IV morphine, but the patients prefer the other, usually have bogus allergies to it, and the pharmacists go into seizures if the patients have even mild renal impairment.

mrmo. . . no.

Last edited by Chris42; 03/17/18 12:25 AM.
Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113846 03/17/18 12:25 AM
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It's kind of worked out nice for us in the ER.
"I'm allergic to every pain medicine accept dilaudid." Well, that's unfortunate. There is a national shortage. Have some tylenol. cool

We have other options for people who really need it. The saline thing is a pain in the rear.


"Men occasionally stumble over the truth, but most of them pick themselves up and hurry off as if nothing happened." Winston Churchill
Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7113861 03/17/18 12:42 AM
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Why does the 22 shortage come to mind.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7114022 03/17/18 03:41 AM
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Are you a brain surgeon? Wife says my brain might need a little readjusting. If you are a brain surgeon do you offer a THF discount nidea

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7114067 03/17/18 05:38 AM
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Drug companies are masters of economics. yingyang

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7114071 03/17/18 05:55 AM
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Mmmmmmmm..............Dilaudid.

I understand heroin addiction much better since Iíve had that drug.

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: texretvet] #7114103 03/17/18 11:23 AM
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Originally Posted By: texretvet
Mmmmmmmm..............Dilaudid.

I understand heroin addiction much better since Iíve had that drug.


I'm with you on this one. Fast acting sleepy time.


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: HOF] #7114119 03/17/18 12:13 PM
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Originally Posted By: HOF
Originally Posted By: texretvet
Mmmmmmmm..............Dilaudid.

I understand heroin addiction much better since Iíve had that drug.


I'm with you on this one. Fast acting sleepy time.


After 11 busted ribs (some broke in three places) and a crushed collar bone that was the ONLY thing that would touch the pain....they tried giving max doses of morphine before this....no comparison. Next time I'll ask for the good stuff first.

Last edited by topwater13; 03/17/18 12:14 PM.
Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7114121 03/17/18 12:14 PM
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If the folks running this country is any indication, this sure feels like a third world country..


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Re: Some days I feel like I practice medicine in a 3rd world country. [Re: Chris42] #7114272 03/17/18 03:39 PM
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Man I thought this was just a Veterinary problem. We constantly have stuff unavailable. Fluids, cattle dewormer, pain meds you mentioned, euthanasia solution.

Re: Some days I feel like I practice medicine in a 3rd world country. [Re: txshotgun] #7114325 03/17/18 04:35 PM
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Originally Posted By: txshotgun
Apparently most saline for IV use was produced in Puerto Rico and they haven't come back on-line completely yet.

Lot of pharmaceutical companies down there still off line.....


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