What was the MOST ridiculous thing a patient came to the ER for? - page 8
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 :) https://youtu.be/f4xwqlhhyLo... Read More
Jul 13, '04Occupation: RN - College Health Specialty: Geriatrics/Oncology/Psych/College Health ; Joined: Jun '02; Posts: 6,584; Likes: 70Quote from reksterI think we have a winner. Judges?This is completely true, a couple of weeks ago it was around 0200 on a Sunday morning. It was actually not too busy. Man arrives with his wife with him, she is sitting in the waiting room and he comes in to triage and says he wants "to have my wife checked out to see of she has been sleeping around" (he didn't use the word sleeping). Stated they were "doing it" when he put his head "down there" and thought he could smell a condom. Wants the doctor to check her out to see if she has been unfaithful. All the while the wife is just sitting in the waiting room, patiently. I told him that my physician was not going to examine her for this complaint and that maybe they needed to seek some counseling for this concern, opened the door and said "have a nice day". I have received numerous laughs over this one.
Jul 13, '04Occupation: nursing Specialty: 8 year(s) of experience in med-surg ; Joined: Mar '02; Posts: 240; Likes: 8We had a patient present to the ER with a piece of aquarium tubing stuck in his penis; he had been advised to do this by a "physician" of questionable reputation. Needless to say, this gentlman spent a long period of time as a patient and almost lost his penis to the infection. "always ask for a second opinion if you are uncomfortible (ouch!) with the first!
Jul 13, '04Joined: Jun '04; Posts: 379; Likes: 25Quote from SWFloridaI work for an HMO, so the patients only have to pay their co payment-usually $50-100--and they still complain about the "high cost" of an ER visit.These trivial complaints are generally not covered by any form of insurance and even medicaid is cracking down on non emergent visits. The patients are usually very angry when they receive a bill for $600.00 in the mail. More and more hospitals are becomming more and more aggressive at collecting on these bills also. The way to treat under educated consumers who utilize a resource for the wrong reasons is to hit them in the pocket book. Paying a huge bill will get them to think about visiting their primary care physician first or trying home treatments. People just dont want to think any more. They'd rather go crying to "Mommy" aka the "ER" than to try to take care of it themselves. We've created a very dependent society.
Jul 13, '04Occupation: Nursing Supervisor Specialty: 28 year(s) of experience in ICU, ED, Transport, Home Care, Mgmnt ; Joined: Sep '03; Posts: 289; Likes: 5517 yo came to ED with "blue legs". Had been worked up at another ED and they couldn't find out what was wrong. She felt so bad she had her dad bring her to us. I looked at her legs and swiped them with an alcohol wipe, the blue came off. She swore she hadn't worn any new jeans or pants. She still felt bad, poor baby, so we had a doc see her and street her.
Man called 911 for stubbed toe at 0300. Poor medics climbed out of bed to bring him into us, he had to find his own way home.
Jul 14, '04Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566Lady came in by EMS for chief complalnt of a "Black Tongue"
Dx pepto bismal over usage
Jul 14, '04Joined: Mar '04; Posts: 7; Likes: 9Medi Cal patients come in to the ER because, according to them, they don't have a copay, but if they visit their physician they have a copay.
Anything can be a suppository if enough force is applied.
Jul 14, '04Joined: Jun '04; Posts: 379; Likes: 25Quote from Medic946RNLOL- had one of those last night. I suggested they might want to try the med that was prescribed to them and that they hadn't had filled, before they went to the ER. (just a suggestion of course)I always seem to get the ones who come to ED for routine illnessess, chest colds, strep, etc that have just come from their doctor's office. You see the doc examined them and gave them an rx but they want a second opinion, or they don't feel any better yet. Never mind they haven't gotten the script filled or even taken a pill yet. I'd love to say "Lemme see what Dr Jones gave you. Yep, looks like the proper course of treatment for bronchitis to me." Rings little bell. "Thank you. Next!"
Jul 16, '04Occupation: lecturer, clinical instructor Joined: May '01; Posts: 34; Likes: 9Our hospital is just the block opposite of the university campus.one morning, one male 21 yo nursing student is rushed to E.R. for attempting suicide . he has his wrist lacerated for a futile attempt.He kept on crying so loud and kicking so hard and we can't talk to him.I called his parents on the phone from the number his classmates gave to me.But before that, I tried to interview his best friend gal on what might had led him to decide taking his life.I got nothing for one that is reasonable.So as I tried my way on giving advises and leading questions to one of his pal, I observed that the more he cried louder and kicked stronger even after a dose of one ampule diazepam. So I had a very hard time telling him not to do it because many times I also put back the mattress in its place because it also fell down on his kicking it. ?And just before the time I want to give up maybe close to an hour his parents arrived.And informing t hem what happened and I asked them if they might know of something that might have caused him that decision. His mother immediately replied, "Brotherhood" what do you mean brotherhood? I asked her back. You know that guy your talking to, I said yes,They have a year gay relationship and he doesn't want to let go beacause the guy opted for an opposite relationship in which the girl is also in the room.All the doctors and E.R personnels are shocked of the development of the history taking. Because both of them are with a star struck quality t hey are both handsome and on the level of some of the celebrated star here in the philippines. I didn't know of what has happened t hat even all floors has come to know about it and that a lot came down to E.R. even some of the ambulatory patients just to give them advice and the E.R. was just like theres a party going on. It is a very weird thing to see. What it seemed to be so weird an incident happened has help the student a lot to stand straight and go home like nothing happened at all.
Jul 16, '04Occupation: Home Health Nurse Joined: Jan '03; Posts: 8; Likes: 4I'm sure everyone has about the same story. But just about two weeks ago we had a person call the ambulance to bring them to the ER for a broken fingernail, now I am not talking about I ripped the nail out of the cuticle thing. I mean literally had broke a fake fingernail. I know it can be painful but come on, a ride in the ambulance and then an ER visit. Man they just kill me sometimes... Then wonder why it takes so long to be seen. I have many, maney more
Jul 16, '04Joined: Mar '02; Posts: 1,888; Likes: 117Quote from FiestaRedYa know--this almost seems reasonable, when you consider that they are on a fixed income and struggling with poverty (I know, I KNOW, there are the ones that are struggling with the choice of whether to buy crack or cigarettes, not how to stretch a loaf of bread and a can of tomato soup to feed 5 kids.....)Medi Cal patients come in to the ER because, according to them, they don't have a copay, but if they visit their physician they have a copay.
Anything can be a suppository if enough force is applied.
Medicaid should change the co-pays like HMOs do: my own (Kaiser) charges a $5.00 co-pay to see your PCP. Go to the ER though, and you must pay $50.00. Makes one think twice about abusing the system, or it certainly should.
When I was in the Navy in the '70s, , and people used the ER as a convenience clinic (mostly dependents and their babies for "fever and vomiting"--never active duty people, who could be on their deathbeds before they'd see a doc--) they put up a sign one year that said:
"Is this a TRUE EMERGENCY?"
It then listed various TRUE EMERGENCIES.
Last line said, "If this was a TRUE EMERGENCY--You would not have had time to stop and read this sign."
Sure enough, people who read it (not all, mind you, but a fair number) looked at each other, turned around and left, apparently realizing that they should call and schedule an appointment during regular clinic hours, instead.
Don't know if that would work in today's health care arena, but might be worth a try.
Jul 27, '04Occupation: Critical Care Nursing Joined: Jul '04; Posts: 34; Likes: 3I had a stone removed when I was 21 that I couldn't pass and the horror of it all is that they had to take the stone out through cystoscopy and to this day I still have stress incontinence (with sneezing and coughing). I had two other stones, the next at 23 and then at 25...fortunetatly i was able to pass those as they were smaller. Now they do this great thing called lithotripsy.....thank goodness I haven't had anymore yet....the worst pain in my life. I've been drinking a lot more water every day and I think this has helped.
Quote from JUSTYSMOMNow why in the world would you even think that it would be silly to go to the ER for that? I had a kidney stone years ago. It was probably the worst pain I ever felt in my life!
Jul 30, '04Occupation: ER-Charge Nurse Joined: Jan '04; Posts: 456; Likes: 127Quote from hipab4handsYa know, when I first read this one I thought...man what are people thinking!?The Dad, who brought his kids to the ER for their school vaccinations. School was starting the next day and the children would not be allowed to attend until they were up to date on the immunizations.
The problem was that Dad had all summer to get them vaccinated, and kept putting it off. He was really P.O.'d when the ER staff told him they do not do school vaccinations in the ER and to call the clinic in the AM.
But at least they are "lay people"...
Had one of our attendings come down last week...
Asked if we had "Tetanus...and those other shots" (and those would be....?)
I said, yea, we have Tetanus...did you get hurt?
I thought maybe he wanted a "free" TD...but "those other shots"???
Oh no...he's not hurt...
His kid is going back to school...
Can we give him his boosters...and will the ER doc sign his physical?
And his sports physical form?
Are ya kiddin' me or what!!!!!????!!
Aug 2, '04Joined: Aug '04; Posts: 11; Likes: 5My favorite "brainiacs" are the self inflicted wrist lac's that come in the ED and ask "will it hurt when the doctor sews this back up?" And will he please numb it first?
Can not forget the drug seekers that come in and tell you flat out that they are allergic to everything, except...NARCOTICS (BIG SHOCKER!!!)
Then you always have the "I only had 2-3 beers story, and their ETOH is 296. The chest pains that have never used drugs but show positive for cocaine, benzos and pot.
I am sure all ED's are similar when it comes to "ridiculous visits". What is so upsetting is that it takes away time from patients that are truly sick and need help.