Oh, honey.

Specialties Emergency

Published

In our line of work we experience truly life changing moments. Saving someone who surely was seconds away from death had they not arrived on your doorstep is something to remember; as is the loss of a life you fought hard to keep.

But once in a while you end up remembering a patient not for something life changin, but for saying/ doing something that makes you want to pat them on the shoulder and say "Oh, honey..." as you internally grimace at what a ridiculous story they are telling. You want to clap your hand to your forehead and groan at how horrific their lie is.

For example: Patient in early 30's comes in with small abscesses forming to the anticubital area of both arms. Also of note are a multitude of track marks in varying stages of healing along both forearms/hands. As I began to attempt cleaning this patients arms and to initiate a saline lock for the IV antibiotics this person will certainly need, I enquire as to what has caused the massive infection to their AC area. Patient responds (completely straight faced) with a harrowing tale of how they were opening their window to let the clear, fresh, spring air into their home when a rabid wild animal (maybe a cat? Or possibly a raccoon?) leapt into their home and scratched them right in that exact spot on each arm! The nerve! How horrifying! When i asked about the other marks on the arms, patient proclaimed that they are a horticulturist specialising in cacti and frequently gets scratched while watering them.

10 points for creativity. While relaying this history to the doctor who is already groaning while waking to their room, I couldn't help but think that this has to be one of most ridiculous fibs I have ever heard!

And now I want to hear yours :)

Specializes in Pediatrics, Emergency, Trauma.
It's not, it was the baby's. He was holding it for a friend.

:roflmao:

Specializes in ED.

My ALL time favorite "how'd that get in there" story is from a 30ish male that came in saying he had a FB stuck in his rectum. Of course we HAVE to ask how it got there. With a straight face this guy says, "I was at home and these big guys came into my house and put chloroform over my face and made me pass out. Then they stuck a can of Vienna sausage in my butt."

I actually had to excuse myself for a minute to gather my composure before returning to his room to ask him how he knew it was a can of Vienna sausage. He, of course, had no answer for me.

Asthma pt, only smokes "three cigarettes a day" while the mostly-empty pack of Marlboro is sticking up out of the purse and the smoke odor is so strong it give me a headache and you can see the smoke cloud around her. Yeah, three cigs a day--apparently all at one time and on the way in our door!

Specializes in Pediatric/Adolescent, Med-Surg.
Asthma pt, only smokes "three cigarettes a day" while the mostly-empty pack of Marlboro is sticking up out of the purse and the smoke odor is so strong it give me a headache and you can see the smoke cloud around her. Yeah, three cigs a day--apparently all at one time and on the way in our door!

Did I say 3 cigarettes? I meant 3 packs of cigarettes

Actual conversation:

Patient: But...I haven't had sex for 6 months

Nurse: Well, according to ultrasound you are 5 weeks pregnant. I assure you, you are indeed pregnant.

Patient: I don't understand, how can this be?

Patient's boyfriend: Is it possible she got pregnant without semen?

Specializes in ER, Addictions, Geriatrics.

You have got to love the "I don't understand how this could happen!" Patients when you tell them they are indeed pregnant.

Specializes in Emergency, Telemetry, Transplant.
This is why I cover every object in my house smaller than a 2liter bottle with vasoline or KY. I have avoided this tragic accident so far in my life but it happens to so many people so often, I can't help but fear I'm going to fall over some day and SPLUNK-right up the ole orifice something will go. I figure it will be a lot less traumatic if I keep everything in my house lubed up just in case.

:no:

That is all ;)

GoldenRoya, I have had that happen to me too. After going out of my way, above and beyond the standard care, really feeling like you had a great rapport with the patient and feeling good about the excellent care you have given them...... Then they slam you to the next shift or worse, to one of their family members and they come find you to give you heck about the treatment of their loved one. Yeah I learned a long time ago that you could kiss a patients feet and be their personal servant and they would still tell others that you didn't try to help them at all. Gotta just figure some people are just nasty no matter how nice you are to them. That goes for patients and coworkers too.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

Patient discharged from the hospital with a Ventricular assist device, and pages and pages of skills checklist signed off as taught and demonstrated by patient and family, including daily drive line dressing change. Readmitted to the hospital a few weeks later with raging sepsis from drive line infection. Swears up and down he took excellent care of his drive line, and changed the dressing every day as he was taught. When I get a look at the dressing, it is dated for the day before discharged and has MY initials on it. In MY writing. Yep, he changed his dressing all right. Just saved the old one so he could wear it back to the hospital?

Specializes in Pediatric/Adolescent, Med-Surg.

I had a pt a few weeks ago that was dx'ed with herpes as well as PID. As I am discharging the pt and providing education including the importance of using condoms when having sex, the pt informs me she has never had unprotected sex...:banghead:

Specializes in Emergency.
I had a pt a few weeks ago that was dx'ed with herpes as well as PID. As I am discharging the pt and providing education including the importance of using condoms when having sex, the pt informs me she has never had unprotected sex...:banghead:

So now we've gone from the immaculate conception to the immaculate reception to the immaculate infection....

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I had a pt a few weeks ago that was dx'ed with herpes as well as PID. As I am discharging the pt and providing education including the importance of using condoms when having sex, the pt informs me she has never had unprotected sex...:banghead:

She got it from sitting on a toilet seat, duuuuuh!

+ Add a Comment