Published
ATTN ER Staff!
I am writing a "paper" on the dumbest reasons/stories that people show up/come to ER. Would appreciate ANY input ANY of the ER staff out there has for me.........................IF you'd like a copy of the FINAL draft, please let me know and I'll forward it.
Thanks much!
PS. My winning entry so far is a Mom who brought 1 month old infant in at 2:30 AM because "it wouldn't look her in the eye. It doesn't recognize me!"
Not making this up
I was orienting in ER the other day and had a patient whose wife brought him in, said he was having an allergic reaction right after eating lunch. I reviewed his meds and he had just gotten started on niacin, heh heh, he was having a niacin flush. I told the doctor that it sounded as if he was having a niacin flush. The flushing started to subside and since the people didn't have insurance, the doctor recommended they go AMA so they wouldn't have a huge ER bill. They were grateful for that.
the hospital doesn't bill amas?
depends on what they got.
if they left before being seen by the doc/pa, we called them "left without being seen" and they only got billed if they had labwork or xrays done as part of a protocol.
a true "ama," seen by the provider and all, would have gotten a bill.
it sounds like in this case, the doc didn't "officially" see the patient.
and i've seen patients for the niacin flush reaction, too. some of our pcps are dropping the ball on the education front with that drug.
Friend of mine works in an ER in NYC. Male patient, mid twenties came in with a family "friend" complaining of no bowel movment x5 days.
His abdomen was huge and they asked him all of the normal assessment questions, one of them being was there anything he had put in his rectum (like glycerin suppositories) to help get things "moving".
His response was "NO, I'm not gay"....which my friend thought was an odd response for a question that did not have any sexual overtone.
So they took him to CT...and there was a blockage in his colon.....
A small bottle of Mrs. Butterworths syrup, perfectly outlined.
When the patient was asked if he knew how that got there, his reply was "I fell on it"....LOL
Rectum...damn near killed em.
Once when i worked triage at a small community hospital, we were on "Code Influx Level 3" status - meaning mass casualties (2 city buses crashed into each other with lots of injured people). One of the victims, who was driven to the hospital by a friendly motorist, was a ambulating normally and had no visible signs of bleeding. He was a young man in his early 20's wearing SPICE GIRL platform shoes and a very short provacative skirt (with no underwear mind you ). His chief complaint was an ingrown hair on his scrotum that he said was a direct result of being thrashed around on the bus.
He goes down as one of the more interesting patients i have seen in the ER.
WOW is all I have say!
One of the best I've seen was back when I was working night shift. A middle age male was brought in by ambulance at 0700. His complaint? "I haven't been able to pee since 3:00 this morning!" When I asked him if he'd had anything to drink, he got offended and started yelling "Damnit, I already tried that! I had a glass of orange juice this morning! Now are you going to fix me or not?" I politely left and wordlessly handed the chart to the doc, who raised his eyebrows at me. He wrote something on the order sheet and handed it back to me.
"24oz of H2O, PO Stat."
Well, the patient damn near came unglued when I brought the water to him, but drank it after I explained the miracles of foleys to him.
An hour later, and what do you know- he was cured!! I was sure to tell the doc how impressed I was with his diagnostic skills, hehe!
babygirl87
11 Posts
OMG I will never look at barbie and ken the same!!
