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Asking Eric: Why would nurse label me ‘tough guy’ for turning down pain meds?

Dear Eric: I was recently in a pretty bad car accident. I was knocked unconscious among other things.

My first memory is waking up in the hospital, not knowing what was going on, and having a nurse ask me if I wanted anything for the pain. I said no. Then the nurse stepped out in the hallway and yelled, “he’s a tough guy; doesn’t want any pain meds.”

This was brought up to me later in my two-week hospital stay, that I was trying to be a tough guy. I don’t even know how to respond to that; nor do I think I’ve ever had a high tolerance for pain.

— No Pain

Dear Pain: It’s clear there was a miscommunication there. It behooved the nurse to treat you with respect and care. And let’s say that your response was more brusque than you’ve characterized it here — you also had a head injury, so you may not have been fully yourself.

Empathy and clear communication go a long way, especially in the realm of pain management.

Many people find that their pain is underreported or downplayed in some medical situations. Studies have shown that elderly people, women, and non-white people experience undertreatment of pain at a disproportionate rate. So, it can be helpful to have a loved one or friend with you to help advocate and communicate on your behalf.

Empathy is also needed in the reverse. According to a survey conducted by National Nurses United, the nation’s largest union of registered nurses, a shocking 81.6 percent of nurses experienced workplace violence in 2023.

When we show up on our worst days at a hospital or urgent care, it’s crucial to remember that nurses and other healthcare workers are the remedy, not the cause of our pain. And they work incredibly hard, often for far less money than they should.

If a patient isn’t feeling heard or respected, that’s the time to bring in another person—another member of staff, a loved one.

Dear Eric: In response to “Avoiding Condo Boorishness,” who was having trouble navigating some difficult personalities and disrespect as the secretary of the condo board, can I offer some advice I received from my dad when I joined my condo board at just 24 years old?

At the time I was struck by the “Big Fish, Little Pond” phenomenon and he told me that the best thing I can do in those moments is to think, “I’m so sorry that this is the most important thing in your life.”

Over the years, across service on several personal and professional boards, I have found that to be an incredibly useful way to get through the pettiness that seems to be specific to these situations.

— Over Board

Dear Board: I love an internal mantra that doesn’t create conflict but can help to right-size a difficult situation.

(Send questions to R. Eric Thomas at eric@askingeric.com or P.O. Box 22474, Philadelphia, PA 19110. Follow him on Instagram and sign up for his weekly newsletter at rericthomas.com.)

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