Published
Ever wonder how/why some can even be admitted?
Maybe it's a small hosptial thing?
One of our Docs admitted an old guy with: Fear of back pain.
Does insurance even reimburse for that??
I am a military nures in Japan. Another good lame admission dx, that I seen by our stellar physicians (NOT!) was: a Marine that went out to dinner for sushi. After he stuffed himself with sushi and proceeded to drive back to camp, he remebered that his mother told him he had an allergic reaction reation to fish when he was very young. So he went to the local military ER and checked himself in -just to see if he should take something. With no sysmptoms, they gave him 125 mg of Solumedrol IV, 50 mg of Benadryl IV, 50 mg of Zantac IV, and started him on a epi gtt at 2.5 mcg. The ER doc then sent him up to the ICU for the Internest to admit him for an Airway Watch, Anaphylaxis Prophylaxis. The Marine had a BP of 200s/100s and a HR of 160s (from the epi of course). He said he felt so much better before he came in to the hospital. Needless the say, when the Internest came in, he was so pissed. He d/c'd everything and sent him back to duty 8 hours later.
One of our local nursing homes sends over patients with"altered mental status" .How can a mental status alter when the resident has been unresponsive for years? Looks to me like any alteration would have to be an improvement.
We have had one women admitted for "eructation and flatulence". I think the doc needs to check his codes!!
Yeah, we get a lot of "change in mental status", too, where you kind of say, "how can you tell?"
Within the last month, I had a patient in his 30's admitted with "Pharyngitis". Sheesh... I get pharyngitis every year or so and I realize airway problems can be a potential concern, but this guy looked healthier than me! I was thankful for him, though, since he was my easiest patient that night.
CseMgr1, ASN, RN
1,287 Posts
:angryfire How about this one: "Flu Syndrome". The treatment?: IV Dilaudid q 2 h. This patient was a drug addict, who finally wound up in Drug Rehab...and the prescribing Dr. had his license suspended, for injudicious prescribing of controlled substances....