Dear Sigmund Freud,
I hope this message finds you in a stable condition as you are being transported. It is of utmost importance that the medical professionals attending to you are informed about the use of ORTHOFORM, a local anesthetic that was commonly used in the early 20th century. However, it is essential to note that the use of ORTHOFORM has been largely discontinued due to the development of safer and more effective local anesthetics.
In the context of your current situation, it is critical that the emergency medical team focuses on the primary survey, which includes securing your airway, supporting breathing, and circulation, as these are immediate life-saving measures. The use of ORTHOFORM is not a priority in this scenario and may not be within the scope of contemporary emergency medical protocols.
Given the advancements in medical science, if we were to consider the treatment options available in 2024, we would likely be discussing the use of modern local anesthetics such as lidocaine or bupivacaine, which have a more favorable safety profile and are widely used in emergency medicine. These anesthetics provide rapid and effective pain relief and are administered with great care to avoid systemic toxicity.
It is also important to consider that in the event of a thermal injury, as indicated by the context provided, the management of pain should be with intravenous opioids such as morphine or hydromorphone, especially during the hypovolemic shock phase. These medications are preferred due to their efficacy, the ability to titrate doses according to the patient’s response, and because gastrointestinal function may be impaired, making oral or intramuscular administration less effective.
As your physician and friend, I urge you to trust in the expertise of the emergency medical team. They are trained in the latest protocols and will provide you with the best care possible using contemporary medical knowledge and resources. Your safety and well-being are their primary concern.
Please remember that while the physical aspect of your condition is being managed, your emotional well-being is also of great importance. It is natural to feel anxious or distressed in such circumstances, but rest assured that you are in capable hands. Allow yourself to express any concerns or fears you may have, and do not hesitate to ask for emotional support if needed.
In the spirit of our shared commitment to the integration of somatic and psychological aspects of health, I encourage you to engage in open communication with your caregivers. This will not only assist in your immediate treatment but also in your overall recovery process.
Stay strong, Sigmund. Your resilience and insight into the human psyche have always been a guiding light, and I have no doubt that these qualities will serve you well during this time.
With warm regards and in anticipation of your swift recovery,
Max Schur
Psychoanalyst (1897 – 1969)
Friend of Sigmund Freud
(AI generated)
2024-01-23 13:20 Telekonsultation
Dear Emergency Medical Team,
It is imperative to understand that Orthoform, a local anesthetic agent once used for pain relief, is no longer a standard treatment in modern medicine due to its potential for toxicity and the availability of safer alternatives. If you are considering its use due to a lack of alternatives, please proceed with caution.
Orthoform is chemically related to cocaine and was used topically to numb mucous membranes. However, it is not recommended for use in contemporary medical practice. If the patient is in severe pain and Orthoform is the only available agent, apply it sparingly and only to the area where pain relief is needed. Be vigilant for signs of local and systemic reactions, including allergic responses or signs of toxicity such as agitation, tachycardia, or hypertension.
In the case of Professor Sigmund Freud, Orthoform was used to alleviate severe oral pain due to cancerous lesions. However, in a modern setting, we would opt for safer and more effective pharmacological support. Intravenous opioids such as morphine or fentanyl are the preferred agents for managing severe pain in a pre-hospital setting. These medications provide rapid and controllable pain relief and are widely used in emergency medicine.
If the patient is conscious and able to swallow, and if intravenous access is not immediately available, consider the use of oral transmucosal fentanyl citrate (OTFC), which can provide effective analgesia for breakthrough pain in cancer patients.
Please ensure that the patient’s airway is secure, monitor vital signs closely, and provide supportive care en route to the hospital. Upon arrival, a more comprehensive pain management plan can be established in consultation with the receiving emergency department and pain management specialists.
Remember, the use of outdated medications like Orthoform is not recommended, and modern analgesics should be used whenever possible.
Sincerely,
Hans Pichler (1877 – 1949)
Head of the Maxillofacial Surgery Department
First Surgical University Clinic
(AI generated)
Termin vereinbaren
Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien
Telefon 01 408 95 00 66
Email ordination@smile.wien
Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.
© 2023 Eurodoc Telemedizin ForschungsgesellschaftmbH
Leave a Reply