I am a very complex patient. One look at my chart and you can see I have several issues, TPN dependent, g tube issues, severe gastroparesis with non functioning stomach, high dose steroid taper causing extreme withdrawal of pain all over body in every joint and every muscle. On top of my everyday awful stomach pain due to bile just poooing in my stomach causing ulcers, bleeding and has completely changed the cellular structure of my stomach. On top of that I now have hemorrhagic gastritis.  I suffer from severe anxiety and medical depression. From the moment I stepped in to the ED I was made to feel like I was there as a pain seeker. I couldn't stop shaking because of the anxiety and was crying and in pain. I tell them I took my prescribed Ativan early that morning but it really does nothing for me since I've been on it so long. I also told them I am no longer taking tramadol Because it just isn't helping after so many years. My stmach isn't digesting pills. They give me an antihistamine for anxiety which did absouktley nothing. I asked for something for pain and they want to give me Bentyl for my stomach which I am Fine with by the pain is in my whole body all my joints my back has huge knots and bruises from the steroid taper.  She then recommends toradol. I know torodal Is a great drug as I am a nurse by trait but it also causes stomach bleeding and I already have that and ulcers and am on blood thinners for blood clots.  So I didn't take that either. The APC then comes in and is very blunt and says she is not giving Ativan since I took it already. I said that was early in the morning and it was like 8pm. She then says we are not prescribing you opioids, we just are not doing it and my attending agrees. I have never felt sooo embarrassed in my life. You can see I have real pain issues and the most I was taking was tramadol which is nothing for someone who can't even metabolize the med. I also found out that they did a drug screen and alcohol screen all Came back completely negative. Even the Ativan was no longer in my stomach proving my stomach doesn't metabolize medications like an average person and I need iv form. I wish more people would understand this disease.  You feel like a drug seeker and I work for this organization. I feel bad and wonder how others are treated.  So after being there several hours. I got some blood work. Never addressed my wbc count is still high from presumable infection in g tube and maybe need more antibitotics and the only medication I received was an antihistamine when I went in with 9/10 pain, extreme anxiety and depression. Oh and I guess because I was shaking from Anxiety they also ran an alcohol level….zero of course.  First time I felt like I was a piece of garbage and just trying to go for meds. I have a pcp who is generally caring and helps me with pain so it's not like I was trying to get a fix! I was trying to feel better with the hundreds of medical conditions I have that make my life miserable everyday. 
AMCMP ED