mytopeka Posted March 3, 2011 Share Posted March 3, 2011 These two records are unofficial but will treated as records in our little ER: 1. A blood sugar of 2075 2. A 22 month old male, perfectly healthy and no underlying health problems, with 46 visits to the ER, never once even being close to really "sick". How do these compare with all of you in the Major Leagues? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 3, 2011 Moderator Share Posted March 3, 2011 record #1 impressive. record #2. not even close. we have several pts with > 100 visits/yr for several yrs. I work several different jobs in town and 1 of these pts I saw 3 times in the same 24 hrs for the same chronic complaint. " so how is your pain different than when I saw you this morning and this afternoon?" Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 3, 2011 Moderator Share Posted March 3, 2011 #2 - local drug addict that the ER providers insist on treating with dilaudid 2mg has been in for 2 year every other day - 150+ visits per year!!! Admin just does not get it and neither do the PA's....... Link to comment Share on other sites More sharing options...
medic25 Posted March 3, 2011 Share Posted March 3, 2011 Connecticut has a law that anyone found publicly intoxicated needs a medical evaluation, meaning we have a huge volume of ETOH patients. Some of our homeless guests are routinely scooped up 1-2x/day. It's not unusual to get one of the regulars signed out to you, discharge him when he's sober, and then get him back again before your shift is over. We've got multiple patients with visit numbers in the triple digits. Link to comment Share on other sites More sharing options...
Just Steve Posted March 3, 2011 Share Posted March 3, 2011 I was not aware that blood sugar could go that high...while the volume for #2 is low at face value, I am pretty impressed that they are only 22 months old...that adds a spin to things that on a visceral level is a bit nauseating to me. Poor kid is doomed on so many levels Link to comment Share on other sites More sharing options...
just_me Posted March 3, 2011 Share Posted March 3, 2011 we had a guy that had been to our ER so many times all he had to do was sign in with his first name. Oh and every christmas and on his bday the staff would give him a gift. I think it started when his medicare was approved but by the time I started he was already 80 so Im not sure how many visits he had racked up Link to comment Share on other sites More sharing options...
deborah212 Posted March 3, 2011 Share Posted March 3, 2011 2. A 22 month old male, perfectly healthy and no underlying health problems, with 46 visits to the ER, never once even being close to really "sick". Kind of scary for Munchausen by proxy. Link to comment Share on other sites More sharing options...
medic25 Posted March 4, 2011 Share Posted March 4, 2011 we had a guy that had been to our ER so many times all he had to do was sign in with his first name. One of our most frequent drunks (call him John Doe) came in so often as a trauma response (fell, altered, bleeding from head), that the radiologists had a dictation macro set up for him. When they dictate studies they have the pre-written macro forms for the most common studies, so instead of dictating a completely normal abdominal CT they just say "Macro normal abdomen". The radiologist would just say "Macro John Doe", and it would fill in the usual "encephalomalacia, no acute traumatic injury". Link to comment Share on other sites More sharing options...
cobramarty Posted March 4, 2011 Share Posted March 4, 2011 100+ visits to your ER and probably 100+ visits to the ER across town. I've worked at multiple ERs and saw a patient at one ER and the next day saw them again at a different ER- boy were they surprised. Link to comment Share on other sites More sharing options...
mytopeka Posted March 4, 2011 Author Share Posted March 4, 2011 It's the 22 months that get me on this patient. The drunks and drug seekers with multiple visits don't suprise me. Link to comment Share on other sites More sharing options...
Devildog Posted March 17, 2011 Share Posted March 17, 2011 That's Awsome!! LOL Link to comment Share on other sites More sharing options...
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