Published
Sigh, I can sympathize. Here is a 1000mg horse pill of politically correct healthcare to shove down your throat. Oh, would you like some water to wash that down? That will cost you.
The fact of the matter is, people are creatures of habit. You just have to cling to the 2% of your patients that you helped changed for the better. You can educate until you are blue in the face but , for instance, if your contraception challenged patient had a mother/relatives/peer group etc... that spit out kids without discretion , your words may have little effect. I'm sure you know this, but there is some value in pointing it out.
I know you are venting, but keep your head up and try to find the humor in some of these situations. It's unfortunate that a child is suffering from lack of immunizations due to a mother's excesses and excuses...maybe you could offer a syringe with a Gucci or Prada insignia on it, or better yet, a pure platinum bevel. :wink2::wink2:
-Cheers:heartbeat
Sigh, I can sympathize. Here is a 1000mg horse pill of politically correct healthcare to shove down your throat. Oh, would you like some water to wash that down? That will cost you.The fact of the matter is, people are creatures of habit. You just have to cling to the 2% of your patients that you helped changed for the better. You can educate until you are blue in the face but , for instance, if your contraception challenged patient had a mother/relatives/peer group etc... that spit out kids without discretion , your words may have little effect. I'm sure you know this, but there is some value in pointing it out.
I know you are venting, but keep your head up and try to find the humor in some of these situations. It's unfortunate that a child is suffering from lack of immunizations due to a mother's excesses and excuses...maybe you could offer a syringe with a Gucci or Prada insignia on it, or better yet, a pure platinum bevel. :wink2::wink2:
-Cheers:heartbeat
Why don't people want to take their kids to the health dept. for their shots? It used to cost nothing...the doctor's offices get it free and the pt. pays for the administration by the nurse.
But I agree, the parents who scream the loudest about the price of kiddie tylenol have the most "nonessentials" while the kids look raggy.
Guess it is because there seem to be alot of people who get things free in our society who don't appreciate them. It's been my experience that those of us who work hard to care for our families appropriately cannot benefit from the things are government offers free to people who abuse the system. It would be nice to reap the benefits that some take advantage of.
I was down in the ER "looting" their Dibold for meds we were out of (3 in the morning, and our pharmacy has banker's hours, grr....), when a parent brought in a 5 year old kid. No big deal, million times a day, until the charge nurse comes up and asks if I'd been anywhere near the kid. Luckily, I hadn't. Kid had strep throat, "didn't like to take his medicine" so the parents didn't make him, and now the kid's getting airlifted because his heart's packing it in, fever was over 105 -- and dad's the county ambulance chaser.
They've got a "court clock" up in the ER breakroom, where everyone's picking a day/time for the papers to be served on the lawsuit.
I'll just quickly chime in on the "I'm broke" bandwagon ...
Young male pt. c/o chest pain. EKG is fine, but hx of HTN so he bought himself a whole cardiac workup, which is all negative. Dx of bronchitis. Given first dose of abx and tomorrow's dose to take home, and Rx for remaining course of abx.
Pt: "Don't even give me that, I won't fill it. I'm broke."
(this was immediately after extended conversation about how his 2ppd smoking habit will perpetually put him at risk for every respiratory infection that comes down the pike)
Nurse: "This is an older abx - it may very well be on the $4.00 plan at Wal-Mart, CVS, etc."
Pt.: "I ain't doing that."
Pt. walks out with discharge instructions but leaves Rx on the bed. Stops at the vending machine on the way out ...
I must admit that on many occasions, I've asked how they afford the cigs in their pocket and cell phone attached to their hip, but can't get some generic ibuprofen for $3.
And as much as they don't like to hear it, I'll also say something about the link between ear infections and smoking, esp when the poor kid is crying in pain, but has had no meds, and mom/dad drag the kid outside to smoke while waiting to be called.
ER-RN2
61 Posts
I have been in the ER for 5 1/2 years, yet people still completely shock me with their stupid comments. So 3 vents for me....
1. "I don't have the money" when I asked WHY the child was 2 years behind on shots..Yet, the mother had a Blackberry, Coach purse, VERY nice nails and clothes. And tylenol and motrin (according to her) are the same thing and cost a lot of money. WHAT?!?!?! I just don't understand WHY these people even have the nerve to say "I don't have any money" when clearly they have money for things they WANT and not what the child NEEDS! She looked at me like I had 15 heads when I told her there are TONS of free clinics, etc.
2. "I'm allergic to Latex so that is why I have a ton of kids." OK--first of all, I'm just asking "are you allergic to latex" not if you have a ton of kids. So I bounced back with the comment "There are non-latex condoms." VERY quickly he said "They are too much money." PRETTY SURE KIDS COST MORE!!! But then again, I'm "paying for them"....
3. Patient comes in for a follow up..stating he didn't have a ride to the specialist follow up appointment...so HOW did you get to the ER???
Clearly these people need a wake up call, but no one wants to do that...We just baby them / spoon feed these people over and over. I work all of the time to pay for everything I have...and I still don't have half of what these people bring in with them that are saying "I don't have the money."
Craziness is all I can think of when I'm leaving work....