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Thanks Noah. I can see that I will be calling on you quite often now that I am in my pharmacology classes. In fact it is quite funny how they teach us to "trust our patients" and believe their complaint of pain, and then turn around and we see on our patient's chart a standing order for Tylenol 325mg q4h and nothing stronger for a patient that may be undergoing chemo. There may be a reason for a doctor prescribing a mild pain reliever for cancer (some cancers may not elicit pain, etc). I'm a first year nursing student so I am still very niave and inexperienced. I just find it all very interesting (and in some situations, sad). I had a patient in the hospital last quarter who was admitted with sob and chest pain. He complained of "hurting all over" and told me several times that he wanted to die because he was tired of hurting. His doctor had him on regular strength Tylenol. It just made me wonder. If they could control his pain, would he still want to die?

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