A 30 something year old female visiting from out of town
presented for seizure and knee pain. This was her 3rd visit in 10
days for the same. She was an obvious
drug seeking faker from the start. Her
previous visit stated she demanded dilaudid for her knee pain.
This visit was no different. She said she had 3 seizures,
and banged her knee during the seizures. She said her seizures were due to
stress, and she needed anxiety meds and IV dilaudid or demerol to get her back
to normal. Request denied. I explained IV narcotics for an invisible knee
bruise was a little extreme. I ran some basic blood work…..and of course
all was negative.
When I went in to discharge her, the narcotic requests kept
coming. I told her there was no way. She
tried to have one of her seizures.
During her seizure I asked “are these what your seizures are normally
like?” She replied yes…..during the seizure
mind you. So I told her she was faking
her seizure and to please leave.
The nurses tried to take her out by wheelchair, but she
refused the wheelchair. This was so she could “fall” and have another fake
seizure on the floor. During the seizure she kept screaming “YOUR DOCTOR IS A
MOTHER FUCKIN COCK SUCKER. HE’S A COCK SUCKER. THE DOCTOR IS A COCK SUCKER.”
I have never sucked a cock. But if I did, I would rather my
patients not broadcast it like that.
ER Doc
I mean, you've gotta get your Press-Ganey scores up somehow.
ReplyDeleteYeah, totally normal to talk during seizures...that happens all the time..
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LOLOLOLOL
ReplyDeleteShe gave you her best and yet you denied her her well-deserved Oscar. Oh well, maybe next year when she makes another appearance from out-of-town she will earn it!
Too funny of a post.
Jim
I am al so agree with all above comments really appreciation work here...
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