What was the MOST ridiculous thing a patient came to the ER for? - page 141

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   Anoetos
    Had a girl come in the other night with a tooth ache. No big deal, I get it...the likelihood of getting an oral surgeon on a Sunday morning is nil, but we can give ABX and pain control. Tooth aches hurt like hell, I get that.

    So, I start a line, infuse clinda, etc. She gets 5-325 Norco. Doc tells her he'll write a scrip for Norco and let her go if she's going to see her dentist/oral surgeon on Monday, but that she should take Motrin 600 regularly for additional pain control and swelling.

    Before we discharge her, her mom, who is with her, asks the doc to write a once order for Motrin 600 before they leave so she doesn't have to stop at a drug store.

    So, she got a dose of NSAID for a couple hundred bucks to her insurance that she could have gotten by making a five minute stop for several doses at $8 or $9 .
  2. by   rheath222
    My story:

    My ex (who is a idiot may I add) was convinced my daughter (who was 3 at the time ) had ringworm. Her socks were on too tight and left a red mark for x2 days. He thought it was because I had dogs. OMG if you google ringworm it looks nothing like a sock mark.
    Rushed her to the er, against my advice.

    Another time, he was convinced she was having a reaction from her shots, no fever, a stuffy nose (that was there before her shots). That was a er trip too. OMG.
  3. by   Anna Flaxis
    Even if it was ring worm, that's no reason to go to the ED.
  4. by   schnookimz
    Quote from Anoetos
    Had a girl come in the other night with a tooth ache. No big deal, I get it...the likelihood of getting an oral surgeon on a Sunday morning is nil, but we can give ABX and pain control. Tooth aches hurt like hell, I get that. So, I start a line, infuse clinda, etc. She gets 5-325 Norco. Doc tells her he'll write a scrip for Norco and let her go if she's going to see her dentist/oral surgeon on Monday, but that she should take Motrin 600 regularly for additional pain control and swelling. Before we discharge her, her mom, who is with her, asks the doc to write a once order for Motrin 600 before they leave so she doesn't have to stop at a drug store. So, she got a dose of NSAID for a couple hundred bucks to her insurance that she could have gotten by making a five minute stop for several doses at $8 or $9 .
    The docs around here seem to always write scripts for Motrin so that the insurance covers it. That way the patients can pay 8-9 dollars OTC or have the option to pay 3-5 dollar copay at the pharmacy. Why is this bad?
  5. by   Sassy5d
    Quote from schnookimz
    The docs around here seem to always write scripts for Motrin so that the insurance covers it. That way the patients can pay 8-9 dollars OTC or have the option to pay 3-5 dollar copay at the pharmacy. Why is this bad?
    They write scripts so Medicaid will pay for the Motrin. No copay.
    frequent flyers go to ER (free) for treatment, food, phone, ride home.. And then rx for OTC for free so they don't have to use cigg money for meds
  6. by   ChristineN
    Quote from Sassy5d

    They write scripts so Medicaid will pay for the Motrin. No copay.
    frequent flyers go to ER (free) for treatment, food, phone, ride home.. And then rx for OTC for free so they don't have to use cigg money for meds
    I have even had docs give pts a Rx for condoms, supposedly if you have a script you can get them for free with Medicaid
  7. by   TSgtRodrigues
    Keep in mind this is a MTF (military treatment facility) so we have our own ambulance personnel etc. Ambulance personnel are ED techs.

    A call comes in, it's a lady calling complaining of pain in her foot. When the ambulance arrives they discover she also has her 2 kids, so they come with the 2 kids. We're slammed so off to the waiting room she goes. She throws a huge hissy fit, blah blah blah. Bring her back. She's had the pain for 2 days. 10/10 pain. She can walk, no limp, no fall, no twist, nothing dropped on it etc. Tells dr it's worse than labor pains. Order an X-ray...her kids are running a muck in their half of the room (split to hold 2 pts) I felt sorry for the person next to her! X-ray is perfectly normal. Dr says nothing looks to be wrong. She goes on about how it hurts so bad yada yada. He says "well I'll give you Motrin 800. Go home & ice it." Then she goes "but I have my kids. I need something to ease the pain so I can function to help them." Trying to be fair & give her the benefit of the doubt he says he'll put in for Tylenol #3. She goes "That doesn't help me. I need a shot of fentanyl 50mcgs now and Percocet to take at home. That's what works for me." He said he could not do that as she had her kids a & b it wasn't warranted in the least bit. I suppose it was a last ditch effort or something but she finally says "Can you at least give me perks (her word usage!) to take at home? I snort them rather than take them by mouth this way it doesn't affect me & make me high."

    Uhhhhh! So she got nothing! Her husband (her sponsor) got a call & family services was given a call. This is still a WHAT THE ACTUAL EFF!
  8. by   sissiesmama
    Quote from nikidyo
    Keep in mind this is a MTF (military treatment facility) so we have our own ambulance personnel etc. Ambulance personnel are ED techs.

    A call comes in, it's a lady calling complaining of pain in her foot. When the ambulance arrives they discover she also has her 2 kids, so they come with the 2 kids. We're slammed so off to the waiting room she goes. She throws a huge hissy fit, blah blah blah. Bring her back. She's had the pain for 2 days. 10/10 pain. She can walk, no limp, no fall, no twist, nothing dropped on it etc. Tells dr it's worse than labor pains. Order an X-ray...her kids are running a muck in their half of the room (split to hold 2 pts) I felt sorry for the person next to her! X-ray is perfectly normal. Dr says nothing looks to be wrong. She goes on about how it hurts so bad yada yada. He says "well I'll give you Motrin 800. Go home & ice it." Then she goes "but I have my kids. I need something to ease the pain so I can function to help them." Trying to be fair & give her the benefit of the doubt he says he'll put in for Tylenol #3. She goes "That doesn't help me. I need a shot of fentanyl 50mcgs now and Percocet to take at home. That's what works for me." He said he could not do that as she had her kids a & b it wasn't warranted in the least bit. I suppose it was a last ditch effort or something but she finally says "Can you at least give me perks (her word usage!) to take at home? I snort them rather than take them by mouth this way it doesn't affect me & make me high."

    Uhhhhh! So she got nothing! Her husband (her sponsor) got a call & family services was given a call. This is still a WHAT THE ACTUAL EFF!
    That's CRAZY!!!!!!!

    Anne, RNC
  9. by   TheGooch
    Quote from Sassy5d
    They write scripts so Medicaid will pay for the Motrin. No copay.
    frequent flyers go to ER (free) for treatment, food, phone, ride home.. And then rx for OTC for free so they don't have to use cigg money for meds
    I don't know where you got the idea there is no co-pay with Medicaid because there is.
  10. by   TSgtRodrigues
    Quote from TheGooch
    I don't know where you got the idea there is no co-pay with Medicaid because there is.
    A lot of people with MediCAL not MediCARE/CAID do not have a copayment. I think they simply got them mixed up. Most on MediCal have zero copay.
  11. by   morte
    I think it would depend on the state....
    Quote from TheGooch
    I don't know where you got the idea there is no co-pay with Medicaid because there is.
  12. by   TheGooch
    Well, here in Colorado there is a co pay for services and prescriptions in you have Medicaid.

    I don't judge people who are on it like some people do. There's a saying I like to pass on to those who do-there but for the Grace of God go I.
  13. by   Sassy5d
    It was simply in response to why doctors/PA/NP prescribe so much over the counter medications.

    There are government funded/sponsored 'health plans' that have no copay's. Some do, some cost $1.. Others differ.

    My insurance does not cover medications that are available over the counter.

close