Quote from brillohead
I totally get what you're saying, and I agree with you about the over-dramatizers.
But I'm one of the lucky ones who is physiologically doomed to be a "power-retcher". I have an esophageal disease that results in my lower esophageal sphincter not opening, which means that the stomach has to REALLY push to power on through the LES and up the esophagus. In the past 25+ years, I've never had a bout of vomiting that didn't result in burst blood vessels in my face and eyes. So if I'm ever in your ER and I'm gasping for breath and have tears streaming down my face, please take pity!
Oh yeah, and bring me a garbage can -- I'll projectile right up and over the edge of a wash basin, and don't even think about a standard emesis basin. When I say I need a bigger bucket, I really mean it!!! At home I use a 16-quart stockpot, and sometimes I hit the end of that so hard that it splatters back on my face. If I were a super-hero, my super-power would be POWER-PUKING! Hey, at least I could use my super-hero cape to wipe the vomitus off my face! LOL
We now return you to your regular programming....

Wow, and this entire time I thought I was the only one! The first time I threw up from drinking I burst a huge blood vessel in my eye that stuck around for weeks. I always get petichiae on my face and chest. Oh, and I can projectile like a mad woman...I once threw up out a car window and hit the pavement without hitting the car...THAT is skill!
As for the topic at hand, I'm with Altra - new, surprise CA diagnoses. I'm not an ER nurse but those patients come to us on the medical floor and it's just so...awful. We see a lot of "pneumonia" that failed oral abx and turned out to be lung CA, or bad stomach bugs that were pancreatic CA, or new onset "migraine" that turns out to be a brain tumor. A lot of times these are pretty advanced cases, too. And the nicest people!