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Only when the pain demonstrably cannot be managed with maximum

Ask your students what color pine trees usually are. Then ask them how they look different during a snowstorm. On a short nature walk, have students collect some fallen pine branches. The goal of painkiller prescriptions is always to reduce dosage as much as possible. Every med student learns about opiate rotation and the pain ladder: You start with paracetamol or an NSAID. Only when the pain demonstrably cannot be managed with maximum dosage of those things are you allowed to move on to weak opiates like codeine or tramadol..

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