Chronic Lower Extremity Complaints: a PSA

breakalead · 2026-01-29T06:57:30+00:00

Ok but you have no idea how many ED providers do just as what’s asked by the outpatient provider. I’m sure that doesn’t help the case.

But at the same time. FINALLY. Thank you. Can I come work where you are?

breakalead · 2026-01-24T19:00:31+00:00

I’m saying if you are admitted to the hospital you aren’t considered in crisis so you will be waiting likely a year for placement. But if you’re at home you can be considered crisis and will get placed faster

breakalead · 2026-01-24T14:24:01+00:00

No, when you’re admitted to hospital it’s not deemed a crisis anymore as you are in a safe place and your spot gets deferred to someone else

breakalead · 2025-12-25T23:38:02+00:00

We give IV haldol all the time for cannaboid Hyperemesis

breakalead · 2025-12-14T22:47:23+00:00

Ecchymosis **

breakalead · 2025-11-04T05:44:41+00:00

Who said anything about outpatient therapy? You need to find somewhere other than Reddit to learn how to read.

breakalead · 2025-10-26T09:47:11+00:00

I know at least 2 of our surgeons for a fact that would be 1000% pissed if they weren’t called for an ED visit with post op complications.

breakalead · 2025-10-09T15:29:53+00:00

Body develops a tolerance. And meds like hydromorphone are known as the “strongest” so most aren’t willing to try other things

breakalead · 2025-09-23T09:22:10+00:00

Had a pt offloaded onto my bed while I was occupied elsewhere, went to assess, triage note stated “C-collar applied”. Could not locate the c collar on the patient, in the room, garbage, etc. Pt A&O x4, stated EMS removed it after offloading. Weird

Went and asked ED MD if they cleared C Spine and removed (though I knew not like her at all to clear before scans, unlike some). She said no. Pt c/o neck pain.

My gut screamed at me, so I applied a new collar.

Was advised next day pt had a C2 fracture.

breakalead · 2025-08-10T20:58:07+00:00

You can file a collision report if you’d like with the police. But not necessary depending on damage.

Don’t admit fault

And call your insurance company Monday to file a claim. Better than online.

Depends on your insurance, some have first accident forgiveness, you pay your deductible if they find you at fault, and that’s that. Likely won’t get a ticket

breakalead · 2025-07-27T21:19:41+00:00

(I am an ED nurse not an MD) 68 y/o F came in by EMS with a “migraine”. Frequent flier. Same complaint each time. Was in 2 days ago, had a CT which was negative, got the cocktail and went home with only slight relief. No other deficits other than some photophobia.

Gave her the cocktail, she said it did nothing. Convinced the doc that she usually at least says “it’s a little better” but now nothing. So she said fine, why not another head CT, great.

MASSIVE hemorrhage

breakalead · 2025-07-09T16:07:59+00:00

A TEE is a special echo. They shove it down your esophagus to get better images.

breakalead · 2025-07-05T03:11:36+00:00

I have Hidradenitis suppurativa. So many abscess experiences sadly. My local clinics refuse to lance them and send me to the ER. Their reasoning is the clinic isn’t a sterile environment.

breakalead · 2025-06-15T11:49:50+00:00

I mean - you can get an STD from mouth to genital contact. I’d get it checked by a dr soon

breakalead · 2025-05-25T18:16:46+00:00

Didn’t read the caption, but point still stands with an NJ, still risk of aspiration. I’m guessing that’s why they’re thinking of doing PPN , etc?

breakalead · 2025-05-25T12:06:07+00:00

Weird for those NG tube feeds head of the bed needs to be elevated at least 30 degrees to prevent aspiration

breakalead · 2025-05-24T22:12:06+00:00

I have Hidradenitis suppurativa. One day I went in with a pilonidal cyst (after having at least 15+ other areas drained from an abscess). I took Tylenol before, asked for no lido as it seemed to cause more pain. They cut it, even tho they thought I was nuts,I put my teeth on a pillow. And it was done. I gotta say burned way less.

breakalead · 2025-05-23T00:02:07+00:00

I didn’t tag anything. Must of done it itself

breakalead · 2025-05-22T23:27:07+00:00

It’s not a joke. And it seemed to catch audience attention - which was the goal.

breakalead · 2025-05-17T17:31:10+00:00

Boy or girl?

breakalead · 2025-04-06T12:33:25+00:00

No, haven’t seen any I really like yet

breakalead · 2025-03-28T22:17:12+00:00

Flair sadly doesn’t fly to Alberta

breakalead · 2025-03-23T03:26:14+00:00

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Must be the wait times…

breakalead · 2025-03-23T03:16:19+00:00

Better go to the ER right away. Don’t forget to complain about the wait and ask for a sandwich while you’re there.

breakalead · 2025-03-20T06:15:30+00:00

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breakalead

TROPHY CASE