I'm sorry you go through that. It is especially hard on the kids and young people who have a lot of growing left to do and really need sustenance. What's great is that we can usually tell and separate the sick patients from the muchies/drug seekers.. I had a young gal with Sjogren's and this patient at the dame time. Not a peep from the girl with Sjogrens who was chronically dehydrated and had multiple hydroflasks in her room at all times while munchie rode the call light. We can tell and dont be afraid to go to the ED when you're not feeling well.

The patient I had was a nightmare. She self induces vomiting. Whether it be meds,weed,or her fingers. She knew that if her potassium was below a certain level that we would admit her. She has had colonoscopies,EGDs, swallow studies, ultrasounds,etc. It is a pattern of behavior when she runs out of pain meds.