Published
"I was raped by an octopus."
"I have severe, severe, severe, SEVERE, SEVERE cold sores!" (five severes, I counted. And one cold sore visible.)
Discuss.
Phone triage call--Pt: I'm (gasp) having (wheeze) an (gasp) ast(gasp)ma (wheeze) attack!
Me: Do you have your rescue inhaler?
Pt: (Gasp)No! It (wheeze) ran (gasp) out (wheeeeze) three months (gasp) ago
Me: Have someone drive you to the ER or call 911
Pt: (Wheeze) I'd rather (gasp) make an (wheeze) appointment.
Me: You need to go to the ER
Pt: (Wheeze) I've been (gasp) short of (gasp) breath for (wheeze) three (gasp) days and it's (gasp) not any (wheeze) better
Me: GO. TO. THE. ER.
Pt: I'm (gasp) on my (wheeze) to you (gasp) office.
Me: You're driving right past the hospital, go there.
Pt: No. (wheeeeze). I (gasp) don't want (wheeze) to wait (gasp) in the (gasp) waiting (wheeze) room for (wheeze) 3 (gasp) hours.
Me: All we can do is give a nebulizer tx and shot of epi
Pt: Can I come (gasp) in at 2:30?
Me: It's 11 a.m. If you're not going to the ER then come straight here.
Pt: I can't make it in (gasp) until 2:30. Work won't (wheeze) let me off.
Me: Tell your boss to call 911 if they won't let you go.
FYI--pt came on in and we treated then admitted to the ER.
In a high school health office
Good-Can you help me get my clothes washed, my mom cooked garlic and my clothes reek
Bad-In a high pitched, squeaky voice
Teacher "Does my face look swollen?
Me " yes, are you allergic to anything" all the while assessing SOB and swelling and calling for help
Teacher " Well, I was eating some almonds and my throat began to close up"
Me " Do you have a nut allergy?"
Teacher " No I have eaten them my whole life"
Me "Not anymore I think, here take this liquid benadryl and I am going to give you a shot of EPI until the FD arrives
She goes to ER via ambulance and has another Epi and multiple infusions of prednisone/zantac
Shocking
Studentexplains she has stomach pain/cramping Is pregnant but not due for another week or two. Parent called and on the way.
Student advises she feels "wet". Looks loike she passed her mucous plug. Mom picks her up and taking her in active labor to ER. (I had done a limited visual exam to make she sure she was not crowning before she went to hospital)
Me-I call OB office to give them a heads up that she is on her way.
Office-Is really in labor?
Me -Well she is contracting @3-4 mins apart, her water has broken and she was in a LOT of discomfort.
Office -Well she should have come here FIRST! You dont know of that was her plug
Me- Nope I have no nitrazine paper but she is gonna deliver sooner than later (have prev OB office experience)
Office-Whatever, we'll end up seeing her here anyway, Clunck down goes the phone in my ear
End of story She delivered with in 30 mins of arrival to ER
I love these stories. They're exactly why I don't want to work ER, but I do enjoy reading them.
On the other hand, I took my 16 year old daughter to the ER when a stick was under her great toe nail. She'd been washing her car with flip flops on, and literally embedded a small stick. Not a splinter. I remember the looks on the nurses' faces until they saw the stick protruding.
I knew I'd get the eye rolling, nonverbal contempt at the window when I explained why we were there. It did my heart good when they quietly removed the tweezers they brought to the room.
My husband offered to get the needle nose pliers from the truck, after several attempts with several different clamps didn't dislodge the stick.:)
BostonTerrierLover, BSN, RN
1 Article; 909 Posts
"If I am going to be here much longer, could I get a tray?"
-an "Intractable Emesis" and "N/V/D" patient I picked up at ER report who had been in 27 minutes.
"OH!!!!...and do you think my Nausea Medicine is due yet?" (Same :))