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Gen Hosp Psychiatry · Nov 2002
Case ReportsSickle cell disease -- when opioids and physicians fail.
- Stephen Malach, Tomer Levin, Stephen Saravay, Robert Martin, Sandyha Rao, and Deborah Horowitz.
- Hillside Hospital, Long Island Jewish Medical Center, Department of Psychiatry, Glen Oaks, NY, USA. smalach@yahoo.com
- Gen Hosp Psychiatry. 2002 Nov 1;24(6):442-7.
AbstractAn interview with a 32-year-old male with sickle cell anemia and multiple sequential admissions for vaso-occlusive crises, receiving high dose narcotic analgesics, is presented. The subsequent clinical discussion outlines psychiatric, psychosocial and treatment issues. Management of acute vaso-occlusive crisis is summarized along with a discussion of the value of comprehensive care for sickle cell disease patients. This article will be useful to physicians and consultation-liaison psychiatrists treating patients with sickle cell disease as well as policy makers developing service delivery models for this population.
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