Quick rant here. I read with expected horror yet another article about how religious (and many political) conservatives mostly clustered in Southern states (what a surprise) have been introducing and pushing educational bills through their various state legislatures which champion “theories” of intelligent design, creationism, as well as questioning global warming. Probably spurred […]

The other day I was about to discharge a psych patient who had been signed out to me from the night before. The psychiatrist had evaluated a woman with a long history of cocaine and ETOH abuse who had come in seeking psych admission. It was evident to the doctor that the patient was […]

When you call up the ER secretary and proceed to scream and yell at her, threatening to “come on down there” with your lawyer, you better have a damn good reason to gripe and behave like a dick-wad. However, when you then tell the secretary in obscenity strewn language that your anger is […]

I am sorry but there are no words to describe how disinterested I am in your complaint tonight. It is the middle of a snow storm in the middle of the night yet you decided to call EMS and come to the ER for “bug bites” for several days. Your mildly pruritic eruption is of […]

Can someone please explain the doctor’s thinking who wrote the following prescriptions for a healthy woman with no past medical history in her 40’s with severe sciatica and feeling “hot” (but no real fever measured or present in the office), no cough or sore throat, no dysuria, no GI symptoms, or URI things going […]

Well, actually I can. Which is the scary part.  Almost nothing seems to amaze me any more.
A woman came in for a Lupron injection. Not “I want a Lupron injection” but “I need someone to give me my Lupron injection”. She had it with her.  She claims (and I believe her since she and her […]

Here is an easy way to have a prolonged, unpleasant, and inconvenient ER stay.

Call ahead, demand to speak with the doctor, and then yell and scream at her spewing out foul language.

Arrive and become verbally abusive with the triage RN.

Wait in a room, then yell at the PA that went in to see you, demanding […]