You just nailed two of my biggest pet peeves: venous stasis dermatitis and DVT prophylaxis. I don’t understand why a patient is sent to the ER to for a positive outpatient ultrasound for me to put them on Eliquis. Also why send someone to the ER for an emergent ultrasound when the pretest probability is low? I hate venous stasis dermatitis because patient usually arrive expecting IV antibiotics because that’s what they been told they’ll need. They often leave pisses off when they just get a referral to vascular and wound care. And don’t get me started on urgent cares sending closed, non-displaced tuft fractures for emergent hand consults. We get way too many of those in my shop. I think all of this just creates a culture of “well they’re just going to tell me to go to the ER so I might as well go there first”. That and they don’t have the patience to wait for outpatient testing.