What was the MOST ridiculous thing a patient came to the ER for? - page 68

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   oceania
    20 y/o with a "foreign object" in her. Doc did the exam, it was a used
    condom!!
  2. by   tddowney
    Quote from JessicRN
    just had 2 people come tonight "I am hungry give me food'
    It seems one of them comes every day for the same thing and we stupidly feed him and off he goes until the next day. Why spend money on food ( he lives in a shelter go figure) when you can buy alcohol .
    And then we wonder why people continue to make choices that are harmful to their health.
  3. by   teeituptom
    Quote from tddowney
    And then we wonder why people continue to make choices that are harmful to their health.

    I dont wonder atall anymore
    decided that worrying about things was giving me grey hair
  4. by   JWaldron
    Quote from errn1968
    ok, that's a really goog one, gotta tell my er buds. As we er rns all know about 1/3 of our visits are for goofy stuff. Gotta love the dialysis, pulmonary edema patient who needs his Viagra refilled after we have spent thousands of $ diuresing him because he missed his dialysis. Wonder where he was" Using up Viagra? I wonder if it dialyzes out? No wonder he needs refills all the time. Same guy got his own nursing policy at our hospital, no joke, because he came to the ER too much. I also like the other names people have for ailments "vomiking" for vomit. Gotta think of some more.
    There's always 'bad bronicals'. Surely someone has come in w/ that!

    Savvy
  5. by   Natkat
    I think there is a thread in here somewhere for goofy names for medical conditions. I tried finding it but couldn't. Maybe someone else would have better luck.
  6. by   goats'r'us
    Quote from RNin92
    20-ish female...
    Transported to ED by rescue...
    CC...

    Cut herself shaving.

    Swear.
    No One could make this stuff up.

    Primary assessment?
    Couldn't even find the scratch.
    although this is a totally ridiculous reason to come to emergency, i can sort of understand..

    the first time i cut myself shaving, i seriously though i'd need stitches or something! it was a decent cut, and what with all the hot water running over it it stung like a bi*ch and just kept bleeding! add to that the water mixing with the blood, making it look like blood was pouring out of me, and you get one very distressed pre-teen!

    that said, i was a pre-teen and had the sense to just put a band-aid on it..
  7. by   JessicRN
    We have 5-6 patients that come to the ED by ambulance every single day anywhere from 0nce to 6 times in a day always "overserved" One of them averaged 5 times a day for 7 days straight when she comes in she is hitting and sreaming at the staff demanding food when we don't give her food immediately she flopps on the floor if we give her food she finishes it then says she needs a cigarette then goes out for a cigarette and elopes only to return for the next meal. Usually she comes in with c/o of abdominal pain (hx of pancreatitis)or difficulty breathing (she has COPD) we give her nebulizers and work her up only to have her take off before the results are back. We tried getting her section 35'd and she made such a ruckess in the court the judge threw her out saying don't come back! The other one comes back almost comatose desaturating to 80 when not on a rebreather.She just sobers up enough to stand, then off she goes to get drunk again. Another also comes for the lunch meal then screams and yells after eating that he wants to leave. He is so obnocious the staff lets him go if he can stand.
  8. by   jojotoo
    Why do you keep feeding these people? My thought is, if you have money for alcohol or drugs - you have money for food.
  9. by   charebec65
    Amen to that... It would be cheaper to for hospitals to hire a couple of PA's and triage all these stupid things to them. Make them wait a few hours, have the PA instruct them on how to deal with the problem themselves and send them packing. The ER is not a restaurant. Insofar as those who use the squad, send the obviously nonemergent cases through to the PA, after several hours.....

    If there were mandatory copays UP FRONT for everyone, even those on welfare insurance (medicaid, etc) then this problem would lessen. I personally think medicaid recipients should have to pay copays just like I do. My insurance costs us over $14,000 a year and we have copays from $25-$200 depending on the service on top of that $14,000.

    We have a new urgent care center in our town. I love going there as they do not take medicaid so they're not extremely busy and you can see a doctor in a very reasonable time.

    Quote from jojotoo
    Why do you keep feeding these people? My thought is, if you have money for alcohol or drugs - you have money for food.
    Last edit by charebec65 on Aug 18, '06
  10. by   husker-nurse
    We have Urgent Care clinics in town that are open till 9pm; however, they don't seem to get used much, the same people keep showing up at the ER. I truly believe that some of them actually ENJOY being an inpatient, cuz they fight like He** to get a room!
  11. by   charebec65
    Quote from husker-nurse
    We have Urgent Care clinics in town that are open till 9pm; however, they don't seem to get used much, the same people keep showing up at the ER. I truly believe that some of them actually ENJOY being an inpatient, cuz they fight like He** to get a room!
    Of course there are those who loving being an inpatient....they're being waited on hand and foot. I do believe there is a place for welfare, medicaid, etc. but it's way too loosely regulated and way too abused.:angryfire Many will go to the ER to get scrips for OTC meds so they can get tylenol and robitussin free instead of paying $1.95 for a bottle of off brand acetaminophen. If they had prepaid copays, that would alleviate a lot of that.

    It really makes me angry to go through the checkout at the grocery with a $100+ grocery that I had to scratch for and the woman in front of me is paying for a crapload of junkfood, seafood, steaks, etc. with foodstamps....and she's wearing Abercrombie/Hollister/American Eagle clothes and jewelry there's no way I can afford. I was in a local UDF and the person in front of me had used the Ohio Direction Card (food stamps). They had a nearly $500 balance left on the card near the end of the month. I was shocked and mentioned it. The cashier laughed and said, "Yeah, she came in here and bought sundaes and milkshakes for her and her friends. They do that stuff all the time."

    I was in the ER earlier this year. I only went to the ER instead of urgent care because I knew uc wouldn't have a CT scanner. I was sure I had an ovarian cyst that was about to burst and knew the CT would be needed. I was right. However, I sat for over an hour waiting to be seen and ended up being after a woman with a child with a very mild rash that had already been there for the rash the day before.
  12. by   JWaldron
    Quote from charebec65
    Amen to that... It would be cheaper to for hospitals to hire a couple of PA's and triage all these stupid things to them. Make them wait a few hours, have the PA instruct them on how to deal with the problem themselves and send them packing. The ER is not a restaurant. Insofar as those who use the squad, send the obviously nonemergent cases through to the PA, after several hours.....

    If there were mandatory copays UP FRONT for everyone, even those on welfare insurance (medicaid, etc) then this problem would lessen. I personally think medicaid recipients should have to pay copays just like I do. My insurance costs us over $14,000 a year and we have copays from $25-$200 depending on the service on top of that $14,000.

    We have a new urgent care center in our town. I love going there as they do not take medicaid so they're not extremely busy and you can see a doctor in a very reasonable time.

    BUT: ERs have to treat all, regardless of ability to pay. Urgicenters don't. Sounds to me like a job for a social worker in conjunction w/ ER staff, maybe a PA. But there will always be abusers like this. And they are very good at making big scenes so that everyone around can hear and see and think "Oh, those heartless hospital people..." and not recognise the abuse for what it is.

    Savvy
  13. by   jojotoo
    No, the ER does NOT have to treat everybody. We are only required to provide a medical screening exam and if an emergency exists, stabilizing treatment. So if more doctors refused to treat non-emergent problems, rashes, colds, and some of the more ridiculous things that people come to the ER for, and refer them back to their PMD / clinic, we wouldn't have so many ERs going broke and having to close.

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