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Opiates & the Acute Abdomen

Holmes John trauma-list@trauma.org
Tue, 15 Apr 2003 08:40:45 +1000 

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You're wrong - I work in an extremely collaborative environment.  But then
my surgeons are enlightened and see the valid need for analgesia.
 
Dr John L Holmes
Director Emergency Medicine
Mater Health Services
Brisbane,  Australia 
 
-----Original Message-----
From: Douglas Geehan [mailto:geehand@umkc.edu]
Sent: Tuesday, 15 April 2003 2:38
To: trauma-list@trauma.org
Subject: Re: Opiates & the Acute Abdomen
 
ED PHYSICIAN:   Yeah - but you know what Dr Sturgeon is like - needs to
convince himself that the pain is real - remember the gods of surgery don't
listen to mere mortals like you and me. . . . . . . . . . . . . . 
John
Dr John L Holmes
Director Emergency Medicine
Mater Health Services
Brisbane,  Australia


Lighten up a bit doc....sounds like you need to find a more collaborative
practice environment....

;)
Doug


-- 
Douglas Geehan, M.D.
Associate Professor
Department of Surgery
University of Missouri-Kansas City
geehand@umkc.edu <mailto:geehand@umkc.edu> 
 

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<div class=3DSection1>

<p class=3DMsoNormal><span class=3DEmailStyle20><font size=3D3 =
color=3Dmaroon
face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial'>You&#8217;re wrong &#8211; =
I work
in an extremely collaborative environment. <span style=3D"mso-spacerun:
yes">&nbsp;</span>But then my surgeons are enlightened and see the =
valid need for
analgesia.<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle20><font size=3D3 =
color=3Dmaroon
face=3DArial><span style=3D'font-size:12.0pt;font-family:Arial'><![if =
!supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span></p>=


<p class=3DMsoAutoSig><!--[if supportFields]><span =
class=3DEmailStyle20><font=20
color=3Dmaroon face=3DArial><span style=3D'font-family:Arial'><span =
style=3D'mso-element:
field-begin'></span><span style=3D"mso-spacerun: =
yes">&nbsp;</span>AUTOTEXTLIST=20
\s &quot;E-mail Signature&quot; <span =
style=3D'mso-element:field-separator'></span></span></font></span><![end=
if]--><b><font
color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue;font-weight:
bold'>Dr John L Holmes<o:p></o:p></span></font></b></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dblue face=3DArial><span =
style=3D'font-size:
12.0pt;font-family:Arial;color:blue'>Director Emergency =
Medicine<o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dblue face=3DArial><span =
style=3D'font-size:
12.0pt;font-family:Arial;color:blue'>Mater Health =
Services<o:p></o:p></span></font></p>

<p class=3DMsoAutoSig><font size=3D3 color=3Dblue face=3DArial><span =
style=3D'font-size:
12.0pt;font-family:Arial;color:blue'>Brisbane,<span =
style=3D"mso-spacerun:
yes">&nbsp; </span>Australia <o:p></o:p></span></font></p>

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<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D2 =
color=3Dblack
face=3DTahoma><span =
style=3D'font-size:10.0pt;font-family:Tahoma;color:black'>-----Original
Message-----<br>
<b><span style=3D'font-weight:bold'>From:</span></b> Douglas Geehan
[mailto:geehand@umkc.edu]<br>
<b><span style=3D'font-weight:bold'>Sent:</span></b> Tuesday, 15 April =
2003 2:38<br>
<b><span style=3D'font-weight:bold'>To:</span></b> =
trauma-list@trauma.org<br>
<b><span style=3D'font-weight:bold'>Subject:</span></b> Re: Opiates =
&amp; the
Acute Abdomen</span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3
face=3D"Times New Roman"><span style=3D'font-size:12.0pt'><![if =
!supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'margin-right:36.0pt;mso-margin-top-alt:auto;
mso-margin-bottom-alt:auto;margin-left:72.0pt'><font size=3D2 =
color=3Dmaroon
face=3DArial><span =
style=3D'font-size:10.0pt;font-family:Arial;color:maroon'>ED
PHYSICIAN:&nbsp; &nbsp;Yeah &#8211; but you know what Dr Sturgeon is =
like &#8211; needs to
convince himself that the pain is real &#8211; remember the gods of =
surgery don&#8217;t
listen to mere mortals like you and me. . . . . . . . . . . . . . =
<u1:p></u1:p></span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</p>

<p class=3DMsoNormal =
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size=3D3 color=3Dmaroon face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;
color:maroon'><u1:p></u1:p><u1:p></u1:p>John<u1:p></u1:p></span></font><=
/span><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</p>

<p class=3DMsoAutoSig =
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class=3Demailstyle17><u1:p></u1:p><font size=3D3 color=3Dmaroon =
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/span></font></span><!--[if supportFields]><span=20
class=3Demailstyle17><font color=3Dmaroon face=3DArial><span =
style=3D'font-family:Arial;
color:maroon'><span style=3D'mso-element:field-begin'></span><span=20
style=3D"mso-spacerun: yes">&nbsp;</span>AUTOTEXTLIST \s &quot;E-mail =
Signature&quot;=20
<span =
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if]--><b><font
color=3Dblue face=3DArial><span =
style=3D'font-family:Arial;color:blue;font-weight:
bold'>Dr John L Holmes<u1:p></u1:p></span></font></b><font =
color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</p>

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size=3D3 color=3Dblue face=3DArial><span =
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color:blue'>Director Emergency Medicine<u1:p></u1:p></span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</p>

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size=3D3 color=3Dblue face=3DArial><span =
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color:blue'>Mater Health Services<u1:p></u1:p></span></font><font =
color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</p>

<p class=3DMsoNormal =
style=3D'margin-right:36.0pt;mso-margin-top-alt:auto;
mso-margin-bottom-alt:auto;margin-left:72.0pt'><font size=3D3 =
color=3Dblue
face=3DArial><span =
style=3D'font-size:12.0pt;font-family:Arial;color:blue'>Brisbane,&nbsp;
Australia</span></font><font color=3Dblack><span =
style=3D'color:black;mso-color-alt:
windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoNormal style=3D'margin-left:36.0pt'><font size=3D3 =
color=3Dblack
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;color:black'><br>
<br>
Lighten up a bit doc....sounds like you need to find a more =
collaborative
practice environment....<br>
<br>
;)<br>
Doug<br style=3D'mso-special-character:line-break'>
<![if !supportLineBreakNewLine]><br =
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<pre style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'>-- </span></font><font =
color=3Dblack><span
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre><pre
style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'>Douglas Geehan, =
M.D.</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre><pre
style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'>Associate =
Professor</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre><pre
style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'>Department of =
Surgery</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre><pre
style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'>University of Missouri-Kansas =
City</span></font><font
color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre><pre
style=3D'margin-left:36.0pt'><font size=3D2 color=3Dblack =
face=3D"Courier New"><span
style=3D'font-size:10.0pt;color:black'><a =
href=3D"mailto:geehand@umkc.edu">geehand@umkc.edu</a></span></font><font=

color=3Dblack><span =
style=3D'color:black;mso-color-alt:windowtext'><o:p></o:p></span></font>=
</pre>

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