Annoying Tidbits

[VienneseWaltz]

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How about being forced to give anti hypertensives just so a patient can meet arbitrary goals for the floors.

Arrgh! Floors and transfers to psych facilities.

The funniest thing I had happen, however, was patient who had really high automated BP cuff readings, to the point that we put in an arterial line, which showed that his BP wasn't all that bad (he had other reasons for coming in), so he met the BP requirements for the floor. But patients who have art lines can't go anywhere but the unit. But if we took out the art line we were left with the cuff readings, which were too high for the floor...HAHAHAHAHAHA!

...he went to the unit...

 

[Hamhock]

How about being forced to give anti hypertensives just so a patient can meet arbitrary goals for the floors.

I've started getting on the phone directly with the floor nurse to let them know the sbp was 230 and is now 170 or whatever it is an.

That sounds like a recipe for a brain bleed.

Why would you ever talk with a floor nurse (assuming you are an ED doc)?

Admit the patient. Direct all phone calls to the admitting doc.

Stupid 'house rules' for floor admissions?
Direct all questions to the admitting doc, your director, and the AOD (hopefully a nurse -- yes, sarcasm)....if that fails, tell the nurse to call the intensivist at home -- that will go well.

HH

 

[TrumpetDoc]

Oh!
When they come in for something, anything, an I go through the plan and they pull out:
"well, I just had labs done at my doctors office"
When?
"last mo" or even better "a few mo ago"

 

[EM2BE]

I don't want any tests done (labs, imaging, EKG) or an IV. Ugh! You are here for elevated glucose (>500 at home) or chest pain or whatever....why did you come in again?

 

[docB]

Oh!
When they come in for something, anything, an I go through the plan and they pull out:
"well, I just had labs done at my doctors office"
When?
"last mo" or even better "a few mo ago"

Similarly I love the "But how could this have happened? I just had a physical two weeks ago and everything was fine." It's legitimately hard to explain why a routine physical doesn't mean anything when it comes to a subsequent acute condition.

I don't want any tests done (labs, imaging, EKG) or an IV. Ugh! You are here for elevated glucose (>500 at home) or chest pain or whatever....why did you come in again?

I came in for the pill to lower my BP, the shot of insulin to correct my sugar (I'll eat right from now on, I promise) or the EKG to rule out a heart problem. Give me that and I'll be on my way think you very much.

 

[docB]

And another thing: Why do half the people I run across think I am unqualified to do anything (You're not a cardiologist. How can you say I'm having a heart attack?) and the other half think I can do everything (I need you to take out my gall bladder right now!).

 

[EM2BE]

My favorite: I came in to get a hysterectomy.

 

[beanbean]

My favorite: "I came in to get my hysterectomy reversed"

She complained she had pain for 8 years since her hysterectomy and wanted it reversed so she wouldn't have pain anymore. Wanted it done same day and said we were discriminating against her state insurance when we said her plan was impossible.

 

[Daiphon]

My favorite: "I came in to get my hysterectomy reversed"

She complained she had pain for 8 years since her hysterectomy and wanted it reversed so she wouldn't have pain anymore. Wanted it done same day and said we were discriminating against her state insurance when we said her plan was impossible.

Emergency Medicine: spitting in Darwin's face 24/7/365.

d=)

Sent from my DROID BIONIC using Tapatalk

 

[RustedFox]

And another thing: Why do half the people I run across think I am unqualified to do anything (You're not a cardiologist. How can you say I'm having a heart attack?) and the other half think I can do everything (I need you to take out my gall bladder right now!).

Yep. I frequently go between "Messiah" and "Idiot". Multiple times a shift.

 

[docB]

My favorite: "I came in to get my hysterectomy reversed"

She complained she had pain for 8 years since her hysterectomy and wanted it reversed so she wouldn't have pain anymore. Wanted it done same day and said we were discriminating against her state insurance when we said her plan was impossible.

You should have told her "Absolutely Ma'am. Just go over to your Gyn's office and pick up your old uterus, bring it back here and we'll plug it back in in a jiffy."

Only do that if you don't care for the Gyn or his office staff.

 

[8654Marine]

You should have told her "Absolutely Ma'am. Just go over to your Gyn's office and pick up your old uterus, bring it back here and we'll plug it back in in a jiffy."

Only do that if you don't care for the Gyn or his office staff.

Mass hysteria ensues.

 

[wobit]

Parents. As in: "my [four year old] ain't good at giving hisself his albuterol". WTF, lady.

The one area pediatrician who likes to send in 1.5 cm linear lacs for a Pedi Surg repair without admitting to the parents that he has increased the length of their visit by a factor of 4.

 

[EvoDevo]

Pt called the ER the other Sunday wanting an "Emergent Abortion" because she had an elective surgery the next week, and the local clinic wasn't open, and oh btw, it wasn't her husband's baby....


#head-desk

 

[med2UCC]

Families who bring in the family drunk for involuntary admission to detox. It takes a long time to explain to them that detox only works if you a re motivated to quit, and even then it kind of doesn`t work well. Usually, as a bonus, the person is drunk or high. Sigh,
M

 

[StevieStud]

Families who bring in the family drunk for involuntary admission to detox. It takes a long time to explain to them that detox only works if you a re motivated to quit, and even then it kind of doesn`t work well. Usually, as a bonus, the person is drunk or high. Sigh,
M

But can't you convince him/her to stay?

Hey, right. 'cause I got them magical powers.

 

[WilcoWorld]

I had this one tonight.

Me: "Have you had any fevers?"
Patient: "Oh yeah"
Me: "How high"
Patient: "Ranging from 97 to 98.1"
Me: "Hmm"
Patient: "I usually sleep with four fans on me. Last night I slept with one fan, and a blanket."