Friday, December 18, 2009
Sue Me For What??
33 year old male came in to the ER b/c he felt like he couldn't urinate. He said for the past 2 days he was barely able to pee, and he felt like his bladder was extremely full. I put the ultrasound probe over his lower abdomen, but didn't see a distended bladder.
Next step in a male with this complaint is to do a rectal exam to check for prostatitis. I explained it to him, and he dropped his pants and I proceeded. Normal prostate. He swore, though, that his bladder was full. I was more worried about other things at this point. His abdomen was pretty tender. Was he having an appy with referred pain? Maybe something more serious going on that's causing irritation in his lower abdomen, like diverticulitis? He refused to let me proceed without fixing his "peeing problem." The only thing left to do was to place a foley. We did just that, and very little urine came out. Sit was confirmed that his bladder was basically empty.
But man.....was he pissed! He was screaming that I raped his asshole for no reason and shoved a tube up his penis. I explained over and over that it was all medically necessary, but to every employee that walked by he shouted that I shoved my finger in his ass and a tube in his pisser.
His urine came back with bacteria and mucous...suspicious for prostatitis. But his white count was elevated more than I was expecting (about 18k). So I decided to get a cat scan of his abdomen. His scan showed a perforated diverticulitis...and he needed IV antibiotics and surgery. My shift was over and I signed him off to one of my colleagues. My colleague said that this guy continued to complain to everyone about his rectal exam. He was now determined that since his diagnosis was perforated diverticulitis, he never needed the rectal exam in the first place and that he wanted to sue me for violating him.
I understand rectals are a pain in the ass....I don't enjoy doing the test myself. It's the worst part of my job. But this guy needs to freaking chill. I believe there was a Family Guy episode about this same thing.
Posted by SerenityNow at 1:43 PM