tag:blogger.com,1999:blog-4363800465522177101.post5283969789309418852..comments2023-10-29T13:53:06.712-04:00Comments on Call bells make me nervous: When the Patient Makes the Wrong Choice...Mahahttp://www.blogger.com/profile/04860979377398925052noreply@blogger.comBlogger20125tag:blogger.com,1999:blog-4363800465522177101.post-54381573251006015602010-09-02T06:25:52.603-04:002010-09-02T06:25:52.603-04:00who cares - as long as he does not come back.
Don&...who cares - as long as he does not come back.<br />Don't bother with these idiots - get rid of them out the door ASAP.<br />.<br />The ones I hate triaging are the sniggering, smart-ass louts, who present at 1 am for their sore hand, and tell me they "fell over" or some other silly story (and then snigger and have sideways glances at each other)<br />when I have been triaging this particular injury since before they were born and know perfectly well, they did it in some intoxicated fight hitting someone or somethingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-63430622893995287302010-08-14T15:04:20.468-04:002010-08-14T15:04:20.468-04:00Even in the midst of this, your compassion shines ...Even in the midst of this, your compassion shines through........Don't let incidents like this make you lose it. For every such a**hole, there are many more grateful for your services.Swami Dilhttps://www.blogger.com/profile/03486227823610436414noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-12662905809864198492010-08-10T20:47:51.908-04:002010-08-10T20:47:51.908-04:00Some people are just too clouded with their pride ...Some people are just too clouded with their pride and fail make responsible decisions. I really do feel sorry for like you since he doesn't really know what he is doing. But, he should know better and respect people like you who are trying to save his life.florida nursing schoolshttp://www.degreescout.com/florida/health-and-nursingnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-51885032552597024002010-07-13T16:04:41.288-04:002010-07-13T16:04:41.288-04:00So just a thought:
I work for government and have...So just a thought:<br /><br />I work for government and have to write things for public consumption which involves a lot of taking complicated things and 'dumbing them down'. Which is not to say making it understandable for stupid people. The fact is, the average reading level for the American public is about 8th grade. But 1 in 5 or so read below a 5th grade level. So when I write, I aim for some place between a 3-5 grade level when possible. Word has a thingy which analyzes what I write and tells me.<br /><br />Anyway, the whole point of that is perhaps some people just have poor comprehension skills in general. And to compensate for this they act like jerks. Or perhaps they are just wary and think you are trying to con them. Maybe you need to 'dumb it down'. It might be worth it to type up an average explanation and run a grade level test on it. Reading level isn't the same as verbal comprehension, but I am unscientifically willing to bet they are close.R. Maynoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-8019991589753347672010-07-10T05:06:25.480-04:002010-07-10T05:06:25.480-04:00Yep, I usually just let people go without a though...Yep, I usually just let people go without a thought - however,when someone seems "normal" and has real emergency, I do try to convince them. Often talking to the spouse/kid/parent helps. Still, whatcha' gonna do....ERPhttps://www.blogger.com/profile/15973334581468131595noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-91571881065911985982010-07-09T11:11:10.001-04:002010-07-09T11:11:10.001-04:00Hey Maha
Great post. Touched on something diffic...Hey Maha<br /><br />Great post. Touched on something difficult with all of our jobs. As long as the person is legally sane and able to make an informed decision, though, we have to respect their wishes. A few months back, I had a twenty year old girl sign out with a trimalleolar fracture! She couldn't even walk but was within her facilities to refuse care. Crutches to go, please! <br /><br />I hope this finds you well.<br />JimStorytellERdochttps://www.blogger.com/profile/14371229500424449124noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-55462646805304629882010-07-08T22:45:54.349-04:002010-07-08T22:45:54.349-04:00One of the comments here leads to a question: if t...One of the comments here leads to a question: if the patient is drunk or high or otherwise impaired, do you take a risk by letting them leave AMA since arguably they aren't capable of making a rational decision?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-23361325936721643722010-07-08T01:33:55.496-04:002010-07-08T01:33:55.496-04:00when he wakes up, it will be an impressive black a...when he wakes up, it will be an impressive black and blue and hurt like hell. He'll turn up somewhere. How did he end up in ED in the first place, if he didn't want to be treated? Also, it was damn polite of him to tear out his own IV- other wise one of you would have had to make a grab for it, because letting them out with IV access creates paperwork.( At least here it does)woolywomanhttps://www.blogger.com/profile/14798060848062776281noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-15892398260822651302010-07-06T00:07:11.747-04:002010-07-06T00:07:11.747-04:00Don't worry - he'll show up at the hospita...Don't worry - he'll show up at the hospital down the road and tell them all about how badly you treated him. Please tell me he was sober when he left though.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-90710650577577280242010-07-04T12:24:13.099-04:002010-07-04T12:24:13.099-04:00I hear what you're saying, and I do hope he ge...I hear what you're saying, and I do hope he gets his arm fixed eventually (and like another commenter wrote, he will when the pain gets bad enough).<br /><br />But, if he wasn't demented, there was no indication he was mentally compromised in any way, then, well, he made his choice. Competent adults are allowed to make bad choices. Freedom of choice is a major tenet of our culture/society/laws. Part of that freedom is the freedom to make poor choices so long as they don't hurt anyone else.<br /><br />He will turn up somewhere and have this injury dealt with...and it will be a longer recovery for him than if he had just had it properly done from the get go. But, it was his choice to make.<br /><br />Ultimately, unless the physician is willing/able to force treatment under the mental health act (in our ER's lingo, "pink" him) then we have to let them go, so long as they are aware of the risk. In this case, this guy was made aware, and chose to leave anyway.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-11640711535257666372010-07-03T23:10:19.382-04:002010-07-03T23:10:19.382-04:00If they left AMA, they left alive.
Wait until you...If they left AMA, they left alive.<br /><br />Wait until you see a relative show up and sign out an unconscious relative AMA. <br /><br />There are enought people who want our help - we don't have to force anyone to take it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-85878307496530496382010-07-03T21:29:14.619-04:002010-07-03T21:29:14.619-04:00Hey :)
I worked in A&E for a while, and you g...Hey :) <br />I worked in A&E for a while, and you get patients like this... often they bring themselves back when it starts hurting... <br />I don't think you did anything wrong. I think you think you could have done more... maybe, maybe not. I wouldn't worry about this pt, just take the experience into the future? And next time you get a patient like that you can remember this experience. And maybe chat to your co-workers about it.<br />But you certainly didn't do anything wrong, and when pts don't listen, ultimately that's not our fault.Piehttps://www.blogger.com/profile/09082317469698568486noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-35174115467901203322010-07-03T19:24:11.607-04:002010-07-03T19:24:11.607-04:00The worst part about this is that he'll be bac...The worst part about this is that he'll be back in three days, and it will be YOUR fault he didn't get help last time.<br /><br />Sigh. You really, really can't fix stupid. Don't let it get to you - you did the best you could to advocate.Lhttps://www.blogger.com/profile/15236693436272479076noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-47644467714651394362010-07-03T13:18:00.028-04:002010-07-03T13:18:00.028-04:00screw him, one less of people like him makes this ...screw him, one less of people like him makes this world one person btterAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-33941229571052442242010-07-03T10:13:58.251-04:002010-07-03T10:13:58.251-04:00Don't take this crap personally. None of us ca...Don't take this crap personally. None of us can help anyone who doesn't want to be helped.Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-31667540395436090552010-07-03T08:30:56.478-04:002010-07-03T08:30:56.478-04:00Remember the cardinal rule of Emergency Medicine--...Remember the cardinal rule of Emergency Medicine--"You can't fix stupid".VetRNhttps://www.blogger.com/profile/06062939631233000383noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-56284808246082086922010-07-03T03:17:30.461-04:002010-07-03T03:17:30.461-04:00I'm wondering. Did he sign a form that states...I'm wondering. Did he sign a form that states he self discharged against medical advice? What a fool...then again you get them.Lhttps://www.blogger.com/profile/10143397669209996122noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-1965993105271462262010-07-03T01:21:41.502-04:002010-07-03T01:21:41.502-04:00“Whatever, we told him the risks, he’s a big boy”
...“Whatever, we told him the risks, he’s a big boy”<br /><br />No, he isn't. or he would have listened and behaved reasonably.Morrisnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-68503286689123597632010-07-03T01:02:28.154-04:002010-07-03T01:02:28.154-04:00Opps, meant to write:
Emergency Medicine: Interfe...Opps, meant to write:<br /><br />Emergency Medicine: Interfering with Natural Selection...<br /><br /><br />...now THAT makes more sense.Canucknoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-63906729248939189912010-07-03T01:01:34.106-04:002010-07-03T01:01:34.106-04:00Emergency Medicine: Interfering with Natural Medic...Emergency Medicine: Interfering with Natural Medicine.<br /><br />'Nuff said.Canucknoreply@blogger.com