Here it is. The threat.
One of our beloved patients called today with concerns regarding a finding at his doctors. Why would he go? Because "she wanted too!~" The MD found the patient tachycardic in the 150's. No chest pain. NO shortness of breath. Nobody including the patient wanted "agressive ER". Except the cardiologist. He suggested 911.
This conversation took place at early am. Patient and family wished to have NO aggressive treatment but needed a visit. Instructed them I'd be there between 1200 and 1300. Arrived at patients home at 1245 and found heart rate 60's irregular, but that is standard findings. Found out though patient has what appears to be a bad respiratory infection, possible pnuemonia... congested.
Patient tended too. New orders, training, all disciplines notified. Called family from out of the area. and.. they said they called the hospice at 1230 telling them if I didn't show up asap that they were going to call 911. I reviewed that threat and found that the family had no intention of doin 911. But "knew it would get me out there faster".
OI vey.. the day is done thank god.