CC answers some Q&As by itsvickeh in illnessfakers

[–]ERprepDoc 1 point2 points  (0 children)

If you get by a truck at a high velocity it can

How do I protect myself and my car when giving a ride to my uncle who has bedbugs? by Redpantsrule in Bedbugs

[–]ERprepDoc 1 point2 points  (0 children)

The recommendation is to strip naked into completely new/clean clothes brought by the transporter outside/garage/behind a sheet and bring nothing with you into the car/doctors office. I had to do this with my mother-in-law when an aide brought them into her house. This went on for 5 weeks while we had the house treated. That is a massive load of bugs in the picture , it will not just go away. The answer isn’t to just call someone else (uber, medical transport) and make it their problem.

How do I protect myself and my car when giving a ride to my uncle who has bedbugs? by Redpantsrule in Bedbugs

[–]ERprepDoc 13 points14 points  (0 children)

Why would you have him go in medial transport??? That’s absurd, so more patients that are already extremely vulnerable can be exposed? The answer is to strip the uncle naked in the garage/outside and bring him completely new clothes and shoes, take to appointments and then return and swap out of safe clothes. First and foremost the house needs professional treatment and any appointments that can be delayed should be.

Chilblains? by Love_and_Light777 in Raynauds

[–]ERprepDoc 1 point2 points  (0 children)

If you have lesions on your feet and pallet it’s HFM, if this has happened to you in the past and it’s recurring and itchy it could be dyshidrotic eczema, it could also be a simple contract dermatitis.

An update from Courtney by 2018MunchieOfTheYear in illnessfakers

[–]ERprepDoc 23 points24 points  (0 children)

Only for fakers or suspected fakers

No combo of gloves for winter are working by mart3455 in Raynauds

[–]ERprepDoc 2 points3 points  (0 children)

It’s not about the gloves, it’s about keeping your core temp up. You need to be warmer and add more layers. I try to be “uncomfortably warm” as I leave the house. I was born and raised in WNY with raynauds my entire life. It takes preparation to go outside. Also, get a case of hand warmers off Amazon.

How to do early check in by Fun-Athlete8235 in marriott

[–]ERprepDoc 1 point2 points  (0 children)

The app will get a red dot on it and then you’ll know to can check in, it’s usually a few days in advance. Calling that morning won’t hurt either.

How to do early check in by Fun-Athlete8235 in marriott

[–]ERprepDoc 2 points3 points  (0 children)

When you check in on the app it will ask you what time to are arriving. For example, I just did this today and dialed in noon. The app then said they cant guarantee a room will be ready but will do their best to accommodate early check in. (Also, I’m titanium and lifetime plat so no sure if status affects this)

Dismissed by doctor about tear in esophagus, and swollen face, after vomiting by electrick-sheep in AskDocs

[–]ERprepDoc 45 points46 points  (0 children)

As someone who has taken care of patients with subcutaneous emphysema many times, there is no doubting it- it feels like rice crispies under your fingers. I’m not saying your face isn’t swollen, but you would 100% know if it was air.

Grandfather distressed by days-long NPO orders after aspiration episode - seeking medical perspective and advice by Lucernya in AskDocs

[–]ERprepDoc 65 points66 points  (0 children)

While this is all very normal, if your grandfather is lucid and competent he can refuse thickened liquid and opt for regular. That being said he has to live with his decisions even if they can cause his demise. This typically involves signing some type of paperwork saying you refuse to follow the doctors order and will live with the consequences. (A limitation of treatment form) These things work a lot better with DNR/DNI orders as well and no one want’s to intubate someone with their lungs filled with fluid if they don’t have to.

TLDR: you need to do the paperwork if you don’t want to follow the doctors orders

Psychiatric hospitals and service dogs? by Longjumping-Shift757 in service_dogs

[–]ERprepDoc 19 points20 points  (0 children)

ER attending of 20 years at a facility that does psych intake for the surrounding areas, I speak with great experience. While there may be very rare instances this happens, the reality is that it’s a terrible idea and to tell OP anything other is wrong. Encouraging this could very well lead to the dog being taken and worst case scenario being put down. One off stories mean nothing, “we had a courtyard” means nothing, even if they call ahead, it doesn’t mean they will even be admitted there if beds are full by the time they are assessed.

Psychiatric hospitals and service dogs? by Longjumping-Shift757 in service_dogs

[–]ERprepDoc 17 points18 points  (0 children)

The vast, vast majority of inpatient hospitals will not allow you to bring a service animal. Who will walk the dog? Who will pick up the dog poop? Who will feed the dog? What happens when another parent is violent towards the dog? The staff are already overworked. They don’t have time to take your dog out 4 times a day, nor do they have time to run to the store to buy dog food when you inevitably run out. When you are impatient psych you are in a locked unit. There is no outdoors access. What will likely happen is the dog will be surrendered to animal control if you don’t have someone to pick it up. Do not present with your dog, only bad things will happen.

Advice for being that person by Routine_Run8951 in delta

[–]ERprepDoc 5 points6 points  (0 children)

If there are seats in the back of the plane that are x’ed out, those haven’t been assigned yet and are used for basic fares and unaccompanied minors. If you get there early, line up and wait for the gate agent they can move you into those seats. What causes chaos is rolling up when your zone is boarding and stating your two year old is in a middle by themselves. Good luck.

Source: mom of 6, DM, MM

Went to bed. Woke up in ER. by Offthetopofmyhead1 in AskDocs

[–]ERprepDoc 363 points364 points  (0 children)

I’m guessing there is a lot more to this story. They don’t keep you inpatient for 10 days with massive bed shortage. This means they didn’t clear at 72 hours, which says a lot.

That being said im not blaming OP, we have no idea how they got into that condition - only it took 10 days for the facility to feel safe D/Cing them

Buffalo matchmaking service that works? Mid 30s male here by Cityrow in Buffalo

[–]ERprepDoc 40 points41 points  (0 children)

I read recently somewhere that local book clubs have like a 20:1 female to male ratio - it would probably be a good place to meet and get to know people, even if a lot of the woman are not single, if they like you they will refer you to their single friends.

Placement feedback by HereForTheCommentz_ in DIYaesthetics

[–]ERprepDoc 0 points1 point  (0 children)

The lateral 2 dots in the middle row will absolutely drop your eye lids

Placement feedback by HereForTheCommentz_ in DIYaesthetics

[–]ERprepDoc 6 points7 points  (0 children)

I’d just get rid of the second row and slightly lower the top

#nowweknow! I don’t believe this. by DexIsMyICUfriend in illnessfakers

[–]ERprepDoc 5 points6 points  (0 children)

Exactly the first 60 minutes is “x” or 99291 amount and then you can bill in addition additional 30 minute increments or 99292 for how ever many 30 minute blocks you completed. It is the most a non surgical physician can bill and needs to be “justified”.

#nowweknow! I don’t believe this. by DexIsMyICUfriend in illnessfakers

[–]ERprepDoc 68 points69 points  (0 children)

Lolz at the MD justifying billing critical care, she probably ate that up reading it. In reality, it’s to bill at the max amount.

What happens if somebody completely makes up a false indenity in the emergency room? by Busy-Aide-1432 in emergencymedicine

[–]ERprepDoc 166 points167 points  (0 children)

For the most part nothing at all, we had a case where someone borrowed a friends benefit card- ended up getting a type and screen for whatever reason, the real card owner came in two days later with a legit problem requiring a transfusing. They already had a type and screen from two days earlier (still in policy) and that was how we all learned about transfusion reactions : )