What was the MOST ridiculous thing a patient came to the ER for? - page 102

and do you have to treat them? I am just curious. Your stories always seem to either crack me up or shake my head in amazement. Thanks for sharing :)... Read More

  1. by   RetiredTooSoon
    Quote from rph3664
    He was about 14 years old and didn't tell his mom.
  2. by   Virgo_RN
    Quote from rph3664
    He was about 14 years old and didn't tell his mom.
    That is really sad.
  3. by   sharpeimom
    Quote from retiredtoosoon
    and he didn't go see his family doctor, a walk-in clinic, free clinic or podiatrist because...? an ingrown toenail does not warrant a trip to the emergency room, barring a diabetic whose foot suddenly is turning black where it was pink yesterday.
    not an er nurse but i do live in a town of 4,000. many have no insurance or medical assistance. because no pcp or ob/gyn or other m.d. other than one elderly pedi will treat them, they end up in our 99 bed hospital's er for virtually every problem. the closest free clinic is almost 50 miles away. our town's one podiatrist is recovering from an m.i. so he's currently unavailable.


    what the heck the answer is, i have no idea. none. none at all. most of these people don't want to use the er that way, but have no practical alternative. as one woman i overheard said, "it's embarrassing to have no choice in the matter."

    kathy
    shar pei mom
  4. by   rwright15
    Quote from rph3664
    He was about 14 years old and didn't tell his mom.
    This was not the case here. This guy was in his mid 30's, and perfectly capable of seeing one of the NP's at the 500,000+ minute clinics in middle tn. Not having the $60 is no excuse to me when he had a pack of Marlboro's hanging out of his shirt pocket and brand new tennis shoes on. My hospital is community based non-profit and cannot refuse anyone, even losers like this. We will never see a dime of that money. Meanwhile, someone comes into the waiting room with abd pain and has to wait while we finish cutting this guy's toenail out. If I were the practitioner, I would have gave him a handfull of cotton balls to place under the toenail and tell him to let it grow out. When my 12 yr old son came to me about a month ago with an infected ingrown toenail, this is what I did for him. I am fortunate enough to know how to treat it. Before becoming a nurse, I would have took him to the pediatrician or a podiatrist for his first visit, not the nearest ED. If it's been "festering", as you put it, for some time, why all of the sudden is it emergent enough to rush him to the ER?

    Also, I had a woman come in on Christmas night for a "gassy" like pain. When asked how long she's been experiencing this, she says "for a while". I say "how long is a while", she then tells me "like a year or longer". When asked if she'd been treated for this year long condition prior to coming to the ER on Christmas night, the answer of course is no. I mean COME ON.... Why come to the ER by EMS on Christmas day for pain that is the same pain you've been having for over a year? Why is it all of the sudden an emergency? Like I said, a total waste of resources. I try hard not to develop prejudices, but it's hard when you repeatedly see situations such as this. My all time favorite has to be a gum chewing toothache pt with multiple narcotic scripts filled in the past month, who brings 3 of his "buddies" with him into the room. Um yeah, you're getting tramadol...
  5. by   Pixie.RN
    Quote from rwright15
    When asked if she'd been treated for this year long condition prior to coming to the ER on Christmas night, the answer of course is no. I mean COME ON.... Why come to the ER by EMS on Christmas day for pain that is the same pain you've been having for over a year? Why is it all of the sudden an emergency?
    I see a lot of patients do this in the context of seeking attention from friends and family; they're the ones that like to be able to tell their peeps that "It was so [bad/painful/horrible], I had to be [taken/rushed] to the ER [on Christmas/on Thanksgiving/during a blizzard]." You know, those fun patients who call everyone on their shiny new cellphones the minute their behinds hit the mattress, exclaiming, "OMG, I've been admitted to the ER!" *snort* That's no feat ... we take everyone!
  6. by   LorieB
    A sore throat that slightly bothered her. She spent the whole time on the phone in the exam room.
  7. by   JWaldron
    Quote from LunahRN
    I see a lot of patients do this in the context of seeking attention from friends and family; they're the ones that like to be able to tell their peeps that "It was so [bad/painful/horrible], I had to be [taken/rushed] to the ER [on Christmas/on Thanksgiving/during a blizzard]." You know, those fun patients who call everyone on their shiny new cellphones the minute their behinds hit the mattress, exclaiming, "OMG, I've been admitted to the ER!" *snort* That's no feat ... we take everyone!
    These are the same ones who want to know when meals are, and how soon the TV can be turned on as soon as they get to their rooms, too.http://images.allnurses.com/smilies/angryfire.gif

    ---

    And then there was the guy who arrived by ambulance, got off the stretcher and walked into the waiting room to the vending machine for a sandwich - his whole reason for coming was to get a sandwich from the machine, and he didn't have the $$ for a cab and didn't want to walk! And THEN he wanted the ambulance to take him back home!

    And the teenage girl who came in on...guess...Christmas Day, wanting her earlobe sewn back together - more than a year after she caught her earring with her hairbrush and pulled it thru the lobe, ripping it. She was not happy when the doc told her that was an unrealistic expectation...

    Savvy
  8. by   whichone'spink
    A few days ago, someone came in asking for a CT scan of his kidneys to take for his appointment with his urologist. He and his daughter came half an hour before his scheduled appointment. There may have been some sort of misunderstanding or something because the patient spoke no English and his daughter spoke broken English. They were sent off very quickly, no CT done. After all, his appointment was in half an hour.

    Another time a patient came for the sole reason of getting admitted to the hospital. His doctor has admitting privileges but sent this guy through the ED, ticking off the doctor I worked with that day.
    Last edit by whichone'spink on Jan 1, '10 : Reason: Editing out curse word
  9. by   rwright15
    I have a good story and I promise this is so true. EMS brings this guy in one night. CC, self castration! I promise, no lie. The report I got was he just didn't want to have sex with his wife anymore. EMS report says this. Pt went to Tractor Supply, bought some type of lidocaine product for horses and a scalpal, went home, laid plastic then towels on the bathroom floor and proceeded to cut his testicles out, one then the other. After much blood loss, he called in the wife to the b'room, who called EMS. She then did what her culture believes will stop uncontrolled bleeding and packed the wound with coffee grounds. EMS got there, said it looked like someone had been killed. The actual pt, who spoke very little broken english, pointed to a towel. The paramedic unfolded the towel to find 2 perfectly round detached testicles... That's Nuts!!! (LOL, that's actually what the doc said.) Anyway, it was a mess. Coffee grounds were everywhere. And we had to get him ready for emergency surgery to stop the bleeding. No hope for reattaching anything. The charge nurse actually had the opinion that this guy was of sound mind. I was like, what? Sound mind, seriously? Most ppl will just say "I have a HA". This was big for our dept. Everyone was stopping by to peek in on the drama.
  10. by   JWaldron
    Quote from rwright15
    I have a good story and I promise this is so true. EMS brings this guy in one night. CC, self castration! I promise, no lie. The report I got was he just didn't want to have sex with his wife anymore. EMS report says this. Pt went to Tractor Supply, bought some type of lidocaine product for horses and a scalpal, went home, laid plastic then towels on the bathroom floor and proceeded to cut his testicles out, one then the other. After much blood loss, he called in the wife to the b'room, who called EMS. She then did what her culture believes will stop uncontrolled bleeding and packed the wound with coffee grounds. EMS got there, said it looked like someone had been killed. The actual pt, who spoke very little broken english, pointed to a towel. The paramedic unfolded the towel to find 2 perfectly round detached testicles... That's Nuts!!! (LOL, that's actually what the doc said.) Anyway, it was a mess. Coffee grounds were everywhere. And we had to get him ready for emergency surgery to stop the bleeding. No hope for reattaching anything. The charge nurse actually had the opinion that this guy was of sound mind. I was like, what? Sound mind, seriously? Most ppl will just say "I have a HA". This was big for our dept. Everyone was stopping by to peek in on the drama.
    Awful. When I still worked in the ED, we had a self-castration too. Guy felt that sexual thoughts were the work of the devil, and he was going to see to it that the devil couldn't drive him to sin. Extremely religions man, by all accounts. Somehow, I don't think this is what God wanted him to do... I was not on that day, but he apparently did a pretty nice clean surgical job! It's hard to imagine what kind of inner voices drive someone to do such a thing. I have a schizophrenic family member and have a great deal of sympathy, but sure can't say I understand!

    Savvy
  11. by   ThrowEdNurse
    "That's nuts!" Ha ha!!!

    We had a psych pt who used a knife to cut into the side of a coke can to make a sharp tool out of the aluminum to cut his off. It didn't work but did make a huge mess. Still don't get the logic....
  12. by   Tonjia
    had a guy come in with sudden onset of blurred vision in his left eye. when the tech took him to the machine to check his visual acuity she picked up his glasses and guess what? The lens in the left side of his glasses was missing!!! He didnt bother checking, he just ran to the ER as fast as he could!

    Left with his broken glasses and an ER bill. Think the Insurance company will pay for this visit?
  13. by   rwright15
    Quote from Tonjia
    had a guy come in with sudden onset of blurred vision in his left eye. when the tech took him to the machine to check his visual acuity she picked up his glasses and guess what? The lens in the left side of his glasses was missing!!! He didnt bother checking, he just ran to the ER as fast as he could!

    Left with his broken glasses and an ER bill. Think the Insurance company will pay for this visit?

    LOL, bet he felt like a loser. That's what happens when ppl start using the ED as their pcp...

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