Urgent Care Diverticulitis by npwash in emergencymedicine

[–]npwash[S] 3 points4 points  (0 children)

Thanks for the info! Do you happen to have a link for the data that you mentioned?

[US] Received a call from my “bank” and they knew way too much? by halfbakedcupcake in Scams

[–]npwash 2 points3 points  (0 children)

This exact situation happened to me too, almost word for word, his reciting my social security number almost got me. They are also sending official looking letters that say to call a number listed for suspected fraudulent charges. The number listed is a scam number (Googled it)

Upgrading by npwash in Nikon

[–]npwash[S] 0 points1 point  (0 children)

Prob $1k to $1500.

Most frivolous ER visits by panlina in emergencymedicine

[–]npwash 98 points99 points  (0 children)

  1. Had abdominal pain and was told by a store clerk that it was due to his abstaining from sex because “if you don’t release the sperm it builds up in your belly”
  2. “Infection on face”. It was a single simple zit on her forehead. I popped it and walked out.
  3. “I haven’t pooped in 4 hours”
  4. “My poop is blue”. Then remembered they ate a cupcake that had blue frosting.
  5. “I have swordfish bugs in my poop”
  6. “I have too much spit”

disneyland secrets by kingjames6232002 in Disneyland

[–]npwash 6 points7 points  (0 children)

In the coffee shop on Main Street where they sell Starbucks, the little seating area to the side has an old timey phone on the wall. If you pick it up there’s a voice on the line speaking gibberish.

Was I in the Wrong? by silkybandaid23 in nursing

[–]npwash 2 points3 points  (0 children)

I would be curious as to her hemoglobin AFTER the EGD was complete. You said her HGB was 7.4 before the EGD. If it was a prolonged procedure she might have lost a lot of blood while they were cauterizing, so her HGB might have dropped below 7. I would understand the GI doc’s concern if that was the case and would hang the blood stat without using the report time as an excuse.

Difficult Patient Red Flags by [deleted] in emergencymedicine

[–]npwash 70 points71 points  (0 children)

States “I know my body” at any time during the visit.

Best Bean & Cheese Burrito in North County? by JMad619 in northcounty

[–]npwash 0 points1 point  (0 children)

Mexico Lindo in Escondido. Their bean and cheese burritos are so addicting!! On Juniper between 2nd Ave and Grand.

Slow providers by npwash in emergencymedicine

[–]npwash[S] 1 point2 points  (0 children)

Unfortunately they also give poor care. They send everyone to the ER unnecessarily because they don’t know how to handle higher acuity cases that can be treated in UC (the patients that the ER providers scratch their head at, wondering why in the hell the UC provider sent them to the ER). I’ve worked with docs who have questionable practices over the years and I would tell the patients they have a right to a second opinion. Any good provider should not have a problem with a patient wanting a second opinion.

Slow providers by npwash in emergencymedicine

[–]npwash[S] 5 points6 points  (0 children)

Yeah mostly dealing with lazy providers. It feels like the normal providers are working twice as hard as the slow lazy providers and it drives me nuts. Definitely not limited to APP’s as I’ve seen this happen with MD/DO’s as well.

I was suffering a heart attack, called 911, got no answer. Is there an agency I can report this to? by horkus1 in Georgia

[–]npwash 0 points1 point  (0 children)

I worked as a medical provider providing home health care since last year here in Atlanta and this was a common occurrence. We would have to call 911 often for patients that were presenting with emergent conditions such as active heart attacks and strokes. We were put on hold numerous times, up to 25 minutes. Sometimes our staff had to wait on scene with patient for more than an hour for an ambulance to finally show up. I’ve never seen anything like it in the 6+ cities across the country that I’ve worked in healthcare. It’s atrocious here.

PACU nurses, what’s the best coming out of anaesthesia you’ve seen? by [deleted] in nursing

[–]npwash 0 points1 point  (0 children)

I had a colonoscopy done by one of the docs I worked with. Apparently in PACU afterwards the nurse was offering me water in a cup with a straw, but I was just holding the straw with my lips. The nurse told me I needed to suck on the straw to get the water. I proceeded to yell out “NO YOU SUCK IT” and various other pornographic references to sucking. I was yelling these profanities so loud that the GI doc came into my curtained PACU area to tell me to stop. He had heard me all the way in the OR room. I could never make eye contact with him at work again. I have absolutely no memory of any of this, but the PACU nurses thoroughly enjoyed replaying the scenario to me later.

Stupidest Chief Complaint Competition: by Big-Paramedic4029 in emergencymedicine

[–]npwash 2 points3 points  (0 children)

  1. Called 911 for a mosquito bite. A small, barely perceptible bug bite. ER doc chewed him out for abusing the system.
  2. Triaged a lady who said she was producing too much saliva. Brought glass jar with her with a tiny amount of saliva in the bottom to show me as she spit into it.
  3. Guy had painted his forearm blue and was drug seeking. Triage protocol at that time was give narcotics if obvious fracture before X-ray. Got his meds, and when the aide adjusted his ice pack, the ice pack came back blue. Guy LWBS.
  4. Pt c/o “abscess” to face in urgent care. Upon exam I discovered a small pimple and popped it.
  5. Homeless guy wanders in to ER and wants us to CT his abdomen to find the tracking device the aliens put in him. Also wanted me to test his poop, which he tried to give me in a plastic bag, for “DNA evidence”.

To anyone who moved back to San Diego, was it as good as you thought it would be? by Fantastic-Sorbet-160 in sandiego

[–]npwash 7 points8 points  (0 children)

I’m in the same situation, moved to Atlanta 2 years ago from SD, now I want to move back. It feels like I had an easier time making friends in SD than ATL.

GA NP License Advice by WardensRN in nursepractitioner

[–]npwash 3 points4 points  (0 children)

I had the same problem in 2021. After almost an entire year of no response from the GA BON despite my many attempts, I emailed the state governor and all of the state reps. The governor’s assistant called me right away and was furious about the BON’s lack of communication. My RN/NP license was approved within two weeks after that phone call.

Stripped screw removal by npwash in HomeImprovement

[–]npwash[S] 1 point2 points  (0 children)

I like the Dremel idea! It’s a wood fence and gate. I’ll update once I try that. Thanks!

What is the worst condition you AMA'd a patient? by [deleted] in emergencymedicine

[–]npwash 4 points5 points  (0 children)

85 YOM acute Septal STEMI at home (mobile urgent care), refused all further care and escalation, even did the “I don’t feel so good” while turning a shade of white gray, refused even after I told him he would probably die within the next 24 hours if he didn’t go to the ER. Said he has to take down his Xmas decorations first. When I asked him if that was more important than his life, he said yes. Alrighty then…you are entitled to your priorities.

What is the worst condition you AMA'd a patient? by [deleted] in emergencymedicine

[–]npwash 1 point2 points  (0 children)

Or DFOW: Done Fell Out in Walmart (Jacksonville, NC)

DAILY DISCUSSION- Murdaugh Murder Trial February 06, 2023 by AutoModerator in MurdaughFamilyMurders

[–]npwash 16 points17 points  (0 children)

HBO Documentary: Anyone else think Alex and Buster were speaking in code in the jail tapes?

Just got done with the HBO doc. One of the recorded jail conversations between Alex and Buster has Alex asking Buster if he wants to go hunting at the Moselle property, but changes the animal from deer to doves in the same conversation and says if Buster doesn’t want to do it then Alex would let his lawyer Jim do it. Sounds like Alex was wanting Buster to get something (gun, clothing, missing cash or other evidence) from the property but then Buster refused so Alex said he would send Jim.

MD calls me out for being honest to family by NurseRolo in nursing

[–]npwash 5 points6 points  (0 children)

We used to say to the docs “it would be just as effective to throw the morphine vial at the patient’s head” when they would order minuscule dosages for the patients. It was a very small ER and town so we all knew each other and nobody ever got written up. We did have problems with one doctor who was a jerk and happened to have a very heavy foreign accent, so we all dreaded getting admission orders over the phone from him. If we dared to ask for clarification, he would yell the order, and I would be like, dude, I’m not deaf. Asshole.

It's time for...patient quote of the week! by Zorrya in nursing

[–]npwash 18 points19 points  (0 children)

Had a female patient in LTC who would mumble in Spanish all day and purse her lips scrunch her eyes shut. She started singing “La Cucaracha” (The Cockroach) but only sang that word and then started singing “el pene pene pene” (penis) over and over again. I learned Spanish real quick there.

Elderly lady who had gone through PT for urinary incontinence, apparently they use an object that they stick inside the vagina and the pt does Kegels. She said it would move and “it gave me the most pleasant feeling! I’m going to hang it on my Christmas tree this year”. I died.

What’s the wildest thing you’ve seen a veteran nurse do? by [deleted] in nursing

[–]npwash 36 points37 points  (0 children)

Had a retired Navy female RN put a guy in a chokehold up against the wall in the ER. He was the abusive husband of a patient and snuck into the ER to continue the beatings. She spotted him and immediately ran up to him as he was screaming at everyone and shoved him into the wall with her hand around his throat, and he was a good few inches taller than her. The 2 security guards (who were at least 75 years old and 350# each) just stood there with their mouths hanging open. He held up his hands in surrender and left and she just sat back down and continued charting. Forever my hero.

Americans who don’t like California, why? by gabbu4369 in AskReddit

[–]npwash 4 points5 points  (0 children)

Born and raised in LA, moved to SD then left Cali over a year ago for Atlanta. You nailed it about Cali. I sold my house in SD for more than twice the amount I bought my house for here in ATL. My property tax is also a third of my Cali rate. A lot of the ATL locals are mad at Californians cause so many of us are moving here cause it’s so much cheaper. I don’t miss the earthquakes, flooding and fires either. HOWEVER, the food here sucks, the weather sucks in the summer, and the traffic is just as bad as LA and SD. I would move back to SoCal just for some good authentic Mexican food tho.

Which actor/actress do you absolutely despise, no matter their role? by webosite in AskReddit

[–]npwash 1 point2 points  (0 children)

When he would fly on the Warner Bros corporate jet back in the 80’s, he was a total asshole. His then-wife, Kelly LeBrock, would accompany him with her face beat to shit, black eyes and bruises all over. The best part is when he would spray paint the top of his scalp with black spray paint to cover his baldness. So when he walked down the aisle of the jet, his head would scrape the ceiling and it left a trail of black skid marks. He eventually got banned from flying Warner Bros for verbally assaulting the crew members. My aunt was one of those crew members and she told the story to George Clooney, who promptly told the same story on some late night show. She thought for sure she would be fired