Why why why don't people understand...

*headdesk*

I've got one even better....A young (20ish) Pt. comes in with positive flu test 3 days ago, has been on Tamiflu since then with Tylenol q4 hours. Still running a fever of 102, body aches, chills, sweating, dehydrated, hasn't eaten anything in 48 hours. Doc wants to admit him....Pt. and father start "bargaining" and asks for a Z-Pak and chest x-ray. Took some convincing but he did agree to be admitted for IV fluids.

I thought antibiotics should be prescribed for a pt with suspected pneumonia aka bronchitis,you know usual give away symptoms fever,sweats,chest pain with breathing.

It's the same people who wonder why, after having surgery, they are having pain.

Really? Really? I mean--really?

and their answer is, "Had I known it would be this painful, I wouldn't have had it done."

Really? So living with a necrotic appendix is an option?

Really?

*shakes head*

Maybe she thinks antibiotics will help if she has sinus infection.......just a thought.

...that the nursing and medical staff aren't trying to be mean to your kid when they ask you to hold your child so testing can done, shots can be given, weights can be obtained, etc. Also, that we don't have time to stand around while you bargain with your two-year old about the same reasons given above. :angryfire

It doesn't help that on the news they keep saying "contact your doctor right away if you have flu like symptoms so you can start antibiotics immediately". I sit here and yell at the TV each time I hear that!

you don't get antibiotics for a runny nose. I have a patient's daughter (who's a nurse!!) demanding the doctor prescribe antibiotics for her mom who has some nasal congestion. The doctor evaluated her yesterday and did not want to treat because her symptoms were so mild.

*face palm*. I guess she didn't pay much attention during class and clinicals.

Maybe we should have a face palm smiley.

It's the same people who wonder why, after having surgery, they are having pain.

Really? Really? I mean--really?

and their answer is, "Had I known it would be this painful, I wouldn't have had it done."

Really? So living with a necrotic appendix is an option?

Really?

*shakes head*

Hysterical isn't it!!!!!!!!! I love that...

Magic pill = Sudafed.

Ahhh.

A lot of it depends on how the message "you aren't getting antibiotics today" is delivered. I've been with providers who just flat out say it like I wrote it and they don't take the time to present this properly. I've also been with providers (I'm an NP student) who sincerely and genuinely take an extra 5 minutes to explain to the child and the parent WHY and the response is overwhelmingly positive. When people learn about the real risk of antibiotic use from a provider who genuinely cares and reflects that in a patient-centered discussion, the patient response is usually MUCH more positive.