"Any patient who has >= 5 drug allergies warrants a psych consult"
Thoughts?
Thoughts?
"Any patient who has >= 5 drug allergies warrants a psych consult"
Thoughts?
inb4 some IM flea lectures us on multiple drug allergic patients
inb4 some IM flea lectures us on multiple drug allergic patients
I thought only dinosaurs used "fleas" anymore.
True, it's a tad antiquated. But I still like it.
I've never really been a fan of what seems like "forced" slang in medicine. Other examples are "shop" instead of "hospital/emergency department" (used solely by emergency medicine physicians) and "med stud" (used by residents everywhere).
Guess I'm weird like that.
I've never really been a fan of what seems like "forced" slang in medicine. Other examples are "shop" instead of "hospital/emergency department" (used solely by emergency medicine physicians) and "med stud" (used by residents everywhere).
Guess I'm weird like that.
I tend to agree with you. There is natural medical slang, and forced medical slang. Fleas falls into the latter.
That seems a bit ridiculous. Plus are you only counting legit allergies or "I had a flu shot and it made my arm hurt" ?
That seems a bit ridiculous. Plus are you only counting legit allergies or "I had a flu shot and it made my arm hurt" ?
So.. I've noticed that some people say they have an allergy to lasix but that they're on lasix. I'm confused.
You'll find that ~90% of "allergies" listed in patient charts are either expected side effects, or completely unrelated and coincidental symptoms.
And yet we live in such fear of litigation that we go to extreme lengths to deal with these faux "allergies", up to and including using expensive alternate medications and placing patients in intensive care for desensitization protocols.
Only the narcotic allergies that knock out every possibility except dilaudid (IM of course)That seems a bit ridiculous. Plus are you only counting legit allergies or "I had a flu shot and it made my arm hurt" ?
Now, now. Someone has to take care of the patient's heart and circulation to get Ancef to the bone. That's the purpose of the heart and blood vessels right?inb4 some IM flea lectures us on multiple drug allergic patients
Now, now. Someone has to take care of the patient's heart and circulation to get orthocillin to the bone. That's the purpose of the heart and blood vessels right?
The term shop has always annoyed me for some unknown reason.I've never really been a fan of what seems like "forced" slang in medicine. Other examples are "shop" instead of "hospital/emergency department" (used solely by emergency medicine physicians) and "med stud" (used by residents everywhere).
Guess I'm weird like that.
Can I have "shop" used in a sentence? Can't say I've ever heard that in a medical setting.
"Bro at our shop we work 8s plus usually an extra hour to tie up loose ends and finish charting"
2 of my favorites:
Prednisone causing weight gain
Oxygen causing nausea
I get annoyed when attendings use the expression, " 'Oh, nothing, just talking shop' with the residents/med student" to the patient. It's like a bad Dad joke.The term shop has always annoyed me for some unknown reason.
We use a crazy probability scale. Weighted items include:
> 5 allergies
> 3 phone notes
> 3 surnames/hyphenated name
Also points for presence of any of the following diagnoses:
-Fibromyalgia
-Chronic fatigue syndrome
-Restless legs syndrome
-Gluten intolerance
-CRPS
Quotes from the SDN EM forum:Can I have "shop" used in a sentence? Can't say I've ever heard that in a medical setting.
Meh. That doesn't bother me at all (probably because I say it too).I get annoyed when attendings use the expression, " 'Oh, nothing, just talking shop' with the residents/med student" to the patient. It's like a bad Dad joke.
Yes, and it sucks bc it then becomes a part of your vernacular. lol.Meh. That doesn't bother me at all (probably because I say it too).
I get annoyed when attendings use the expression, " 'Oh, nothing, just talking shop' with the residents/med student" to the patient. It's like a bad Dad joke.
Quotes from the SDN EM forum:
http://forums.studentdoctor.net/threads/what-is-the-admission-rate-at-your-shop.895435/
http://forums.studentdoctor.net/threads/sexual-assault-exams.1068407/#post-15180957
http://forums.studentdoctor.net/threads/lets-talk-about-marijuana.1046897/#post-14732980
and so on. A search yielded 13 pages with threads that contained the word "shop". I've heard it rarely in other specialties; it seems to be an EM thing to refer to their "department/room/office" etc.
You see my pain. 14 years of reading those posts. I don't know why it annoys me.I started out "meh". Now I'm "ugh". Stupid ED.
You see my pain.
Stop. Reading. Now.Four posts in and my BP is rising...
"There's really no downside to admitting people on the fence"
Stop. Reading. Now.
First the NYT and now this. Its not safe to continue.
I did after I reached the post by an ED attending with a personal adult admission rate of greater than 40%. GAH.
I also resisted reading the comments section of the NYT article. I need to maintain what little sanity I have left.
it's like they speak a totally different language. One ED attending stated "it must be heaven" to work somewhere that admits 30-40%…
The one resident talk about their admission rate being "horrible" at 15%. I think I'm done for today.
Or complete lies, like everyone ever being allergic to tramadol.You'll find that ~90% of "allergies" listed in patient charts are either expected side effects, or completely unrelated and coincidental symptoms.
2 of my favorites:
Prednisone causing weight gain
Oxygen causing nausea
For you entertainment: sexually transmitted allergic reactions
http://www.ncbi.nlm.nih.gov/pubmed/17583107
wait I don't get the joke. why would it be atypical for a steroid to cause weight gain? or is that the joke
it's like they speak a totally different language. One ED attending stated "it must be heaven" to work somewhere that admits 30-40%…
The one resident talk about their admission rate being "horrible" at 15%. I think I'm done for today.
Well, if I didn't make this thread, I wouldn't have been able to laugh my ass off at this:What thoughts are you looking for?
Obviously getting a psych consult is an exaggeration but obviously you also have to think about what the patient considers as an allergy.
I have seen plenty of patients (as an intern and in Derm) Who have "allergies "to Benadryl.
"Nah doc, I'm allergic to that."
"Oh? What happens when you take Benadryl?"
"That **** makes me sleepy."
"Good, take two of them."