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My trip to the ER

Nurses Article   (15,296 Views 40 Replies 1,088 Words)
by 3ringnursing 3ringnursing, BSN (Member)

3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

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I'm one of those people who would rather tough out just about anything at home, writhing in misery until it passes, then go to the ER. I once tried to ride out cholelithiasis - insisting it would pass ("Tis just a stomachache! I'll be fine.") before riding to the ER via EMS transport, hollering like I was having my leg sawed off 3 days later. You are reading page 2 of My trip to the ER. If you want to start from the beginning Go to First Page.

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I also had to get rabies vaccines and antibiotics for a feral cat bite. There is ONE ER that does rabies vaccines out of the 12 hospitals in my area. And every shot had to be done through the ER.

All I can say is wait til you get that bill. Immunoglobulin is EXPENSIVE. My minivan, bought new, cost less than the total of this cat bite.

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3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

1 Article; 542 Posts; 8,392 Profile Views

I hope you provided your praise directly to the hospital as well! :) It's always nice for the ER staff to hear positive feedback.

I had to return to the hospital's infusion center today for rabies shot #2 (they were just as awesome as the ER staff). When I checked in I got the director's name & contact info.

The ER staff will also be enjoying chocolate dipped strawberries later, my treat. I'm not a wonderful cook always, but I dip a mean chocolate strawberry!

Edited by 3ringnursing

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3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

1 Article; 542 Posts; 8,392 Profile Views

I also had to get rabies vaccines and antibiotics for a feral cat bite. There is ONE ER that does rabies vaccines out of the 12 hospitals in my area. And every shot had to be done through the ER.

All I can say is wait til you get that bill. Immunoglobulin is EXPENSIVE. My minivan, bought new, cost less than the total of this cat bite.

Oh Geezus! Noooooooooooooooooooo!

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kkbb has 1 years experience.

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About a month before I started my job (and therefore had insurance coverage), we got a new dog. Said dog cornered one of our cats. Dog had slipped her collar, and I knew I shouldn't get in front of her because I didn't really know her and didn't want to get bit. Dumb move #1: I picked up the cat to remove him from the situation. He hooked his claws into me and held on for dear life. Didn't think much of it and took him to another room to set him free. Sounded logically at the time. Dumb move #2: I let him go. He attacked my head (missed my face) and got my hand a few times while I protected myself.

Dumb move #3: I knew my cat was current on vaccinations and it was late, so I opted to not seek treatment thinking I could keep it clean. Fast forward a couple of days and at 8pm on a holiday I notice that one bite on my hand is hot, swollen and I can't really move the joint. Off to the ED I go. Doc there only writes a script for antibiotics (doesn't even really look at it) and sends me on my way. Good news, antibiotics work. All in all, it cost me over $2,000 and would have only been about $150 if I had just gone to urgent care when it happened, or $0 if I just left the darn cat alone.

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TriciaJ has 37 years experience as a ASN, RN and specializes in Psych, Corrections, Med-Surg, Ambulatory.

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Loved the article and the ensuing thread. But I'm still waiting to hear if you liked your turkey sandwich. You did get one, right?

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3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

1 Article; 542 Posts; 8,392 Profile Views

Loved the article and the ensuing thread. But I'm still waiting to hear if you liked your turkey sandwich. You did get one, right?

Turkey sandwich? Do you work in ER? Is this standard refreshment for ER goer's?

Damn! No, I didn't get one (I actually turned down all proffered tasty treats) but I'm sure theirs were deee-licious! Maybe next time? :cat:

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Both the first and second times I was bitten by (confirmed) rabies positive kitties, I was SOOO glad I had been vaccinated. Only had to have boosters at the local hospital's infusion center (and PO abx). And even they were...not fun.

I had a bad bite (non rabid) once that I thought I had cleaned thoroughly...nurse Oranges thought she knew how to clean a deep puncture wound at home...?!?! Yeah, right.

A full week in the hospital on multiple IV abx and 2 surgical consults later I was finally ready to admit that NO cat bite should go untreated. EVER.

Pastuerella is nothing to screw around with. Glad you are ok!!

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Pixie.RN has 18 years experience as a MSN, RN, EMT-P and specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN.

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Turkey sandwich? Do you work in ER? Is this standard refreshment for ER goer's?

Damn! No, I didn't get one (I actually turned down all proffered tasty treats) but I'm sure theirs were deee-licious! Maybe next time? :cat:

Yep, it usually comes with a Shasta or Ginger Ale, depending on your region. :D

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3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

1 Article; 542 Posts; 8,392 Profile Views

Both the first and second times I was bitten by (confirmed) rabies positive kitties, I was SOOO glad I had been vaccinated. Only had to have boosters at the local hospital's infusion center (and PO abx). And even they were...not fun.

I had a bad bite (non rabid) once that I thought I had cleaned thoroughly...nurse Oranges thought she knew how to clean a deep puncture wound at home...?!?! Yeah, right.

A full week in the hospital on multiple IV abx and 2 surgical consults later I was finally ready to admit that NO cat bite should go untreated. EVER.

Pastuerella is nothing to screw around with. Glad you are ok!!

Okay, if you are admitting you thought you could clean it, then I will admit since it wasn't a deep bite (I've had deeper into my right wrist and the nerve in that spot - which feels like being hit by lightening) I actually harbored some hope it wasn't too bad - or that I even mistook nail punctures as a bite. I knew I was fooling myself that night though, the unmistakable slit in the skin is a dead give away for a fang puncture.

I was laying in bed the next morning thinking, "This isn't so bad" - then I bent my knee ... Ow, ow, ow, OWIE!!!

It's funny how sometimes we try to convince ourselves something isn't quite so bad (like when you are holding your amputated finger - just kidding!). :D

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171 Posts; 4,821 Profile Views

Ok, since we are being brutally honest 3 ring, let me take it one step further - I LET SOMEONE PUT PEROXIDE ON MY BITES.... I know, I know. I'm shaking my head in shame as I write. In my defense, it was many years ago, before they took peroxide out of the EDs, but, still. I should have known better. I was in "shock" (emotional shock) as I had been clawed on the face, neck, chest, arms, and bitten on the hands, BUT...that was no excuse to let them douse me with a substance that I KNEW delays healing, promotes scarring and promotes infection by killing healthy tissue.

I am not proud, and I wear the scars (even on my face) to this day. Never again.

Edited by Apples&Oranges

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3ringnursing has 25 years experience as a BSN and specializes in ICU; Telephone Triage Nurse.

1 Article; 542 Posts; 8,392 Profile Views

Ok, since we are being brutally honest 3 ring, let me take it one step further - I LET SOMEONE PUT PEROXIDE ON MY BITES.... I know, I know. I'm shaking my head in shame as I write. In my defense, it was many years ago, before they took peroxide out of the EDs, but, still. I should have known better. I was in "shock" (emotional shock) as I had been clawed on the face, neck, chest, arms, and bitten on the hands, BUT...that was no excuse to let them douse me with a substance that I KNEW delays healing, promotes scarring and promotes infection by killing healthy tissue.

I am not proud, and I wear the scars (even on my face) to this day. Never again.

You are not the only one my dear A&O. I have done some truly spectacularly duffus things myself (case in point, letting down my guard near feral cats who were in the process of getting a mad-on).

Once in my very early 20's when Retin-A first came out on the market I used my mother's Rx on a pimple. It was extremely high dose, and Rx'd for her wrinkles (she was in her early 50's then - by the way, she didn't have any wrinkles!). Anyway, it's supposed to be used judiciously in very small amounts, and on a completely dry face.

Well, not only did I disregard the dry face part, but I used a HUGE amount over a series of days because it wasn't vanishing as fast as I thought it should (my thoughts then were if a little is good, then a whole lot is even better!).

It ended up eating a hole in my face! I no longer had a pimple to worry about, as now I had an actual wound 3x's the size of the original pimple. It was like a small crater actually.

It scabbed over and took a few months to completely heal (plus, my mom was furious I used half the tube of her expensive Rx Retin-A). She forbid me from ever touching it again - which was fine by me because it caused me great damage, and I still bear the faint pitting scar to the right of my chin to this day.

On a side note, my PCP wanted to Rx Retin-A cream to me recently for a lesion near my eyebrow. A parade of images flashed through my mind's eye and I freaked - I ended up opting for liquid nitrogen treatment at the dermatologist's office instead (who is making a mint off of me lately due to numerous superficial skin CA's inflicted from dumb decisions involving sunbathing, also in my early 20's).

I'm pretty secure in saying I think we have all caused ourselves more harm than good at least once trying to treat something.

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390 Posts; 10,222 Profile Views

Oh Geezus! Noooooooooooooooooooo!

Haha, also, I feel totally ripped off as I received nary a sandwich nor drink of water in more than 30 hours of ER time getting these shots.

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