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The ER Is For Real Emergencies, But These 46 Doctors And Nurses Reveal What Kind Of People Don’t Realize This
The emergency room is, well, for actual emergencies. If you’re badly hurt or your life is in danger, you must go to the ER. Otherwise, if you’re fine, you shouldn’t tie up doctors’ and nurses’ valuable time when they have serious cases to rush to. It sounds like common sense. But unfortunately, common sense is far too rare.
In a brutally honest online thread, medical professionals shared all of the things that they wish people would stop coming to the ER for. Scroll down for their work experiences, from the serious and heartbreaking to the bizarre.
This post may include affiliate links.
#1
People falling on common household items. In this day and age, you can have things specifically designed to go up there shipped discreetly to your home.
They will feel way better and not get stuck up there. There is no excuse to still be shoving the bottle of Tylenol up there. You don't want to end up in the hospital...or with autism.
Nat Rich 2 weeks ago
It's my fear that one day I will legitimately fall on something and noone will believe me lol
Khavrinen 2 weeks ago
"Falling on", they claim. Repeatedly, despite how obvious it is that it's BS.
*beep*b00p! 2 weeks ago
"How did you fall on a light bulb? Did gravity reverse?"
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and_a_touch_of_the_’tism 2 weeks ago
At the very least use something with a flared base. Sigh.
KatWitch57 2 weeks ago
You say that but, a radiographer friend of mine has told tales of things found in the bladders of women! Eurrgh.
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KatSaidThat 2 weeks ago
My doc asking for a chaperone after a patient got fruity with a lime... we sent her to A&E so radiology could have a good time.
Brian Droste 2 weeks ago
Especially cucumbers. I read number of times people co,ING into thevER with cucumbers stuff up their bums.
Angela C 2 weeks ago
Use butternut squash instead... That has a flared base /s
Load More Replies... Daniela Keks 2 days ago
But please, if you do "fall" on an household item, get medical help. It doesn't get better on it's own.
RELATED:
#2
I see these way too often
1. Stop buying your kids trampolines. They have never been, and never will be, safe.
2. Electric bikes are motorcycles. Wear a helmet at the very least.
DramaDoc 2 weeks ago
The people behind me installed an above-ground pool this past summer (about 3.5' deep)--and then put their trampoline right up against the wall of the pool. About 2.5 weeks later, I noticed that they moved the trampoline away from the pool and that one of their kids had his arm in a cast to his shoulder. I'm not 100% sure about the sequence of events, but I can take a wild guess...
kzys59pcrp 2 weeks ago
My four year old broke his leg on a trampoline when his older brother landed on him.
WindySwede 2 weeks ago
on other news: electric chainsaw are also chainsaws, use protection, and pref also a Safety Tie 🙃
JK 2 weeks ago
I dunno, sometimes I think we should just take warnings off all these things and let stupid remove the problems 😂
Load More Replies... MonsterMum 2 weeks ago
I bought a trampoline for my ASD child, it's great for helping them regulate. It is built into the ground so they can't fall off.
Jane Doe-Doe 2 weeks ago
I have been saying that for years about trampolines, if I see a child on one I am worried sick
Upstaged75 2 weeks ago
Almost every doctor will tell you a trampoline is a bad idea.
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StretcherBearer 2 weeks ago
I dislocated my knee at 19 on a trampoline and I have stiffness and pain 30+ years later. They are a nuisance.
#3
When my kid's appendix burst, and we were checking in to the ER, this horrible couple came barging in, just freaking out and screaming and tried to go in front of us because their infant had eaten a grape. The baby was showing no signs of distress, but the mom's grandmother was allergic to grapes, so obviously, their baby was too. We were like, "I think we got dibs, lady."
WindySwede 2 weeks ago
was grandmother a cat? (no disrespekt ment but if baby was not anaphylaxis nor strange breathing it was prob no worry for that hurry)
If you feel that your life is actually in danger, you must go to the emergency room. However, if your health problems are minor and can be solved by phoning your doctor or seeing them in person, talking to a pharmacist, or by yourself at home, you shouldn’t bog down ER workers with your issues. Of course, some situations can be in a bit of a grey area. Or you, as a patient, might not be educated enough to know what counts as a real emergency.
For example, Concordia University states that you should immediately seek emergency help if you suffer severe physical trauma after an accident, lose consciousness, have sudden chest pains, severe abdominal pain (especially combined with a fever), are short of breath, or have sudden strong headaches.
You should also go to the ER if you experience sudden numbness in your arms or legs, have blurred vision, or have a rapid pulse while resting when not emotionally stressed or after exercise.
#4
Children's ER for a common cold, but make sure you wait until after the game is over on a Sunday night. It wasn't an emergency until after the game, not all day Sunday when urgent care was open.
🙄.
#5
STOP!!!! Calling EMS THINKING THEY ARE GOING TO TAKE YOU STRAIGHT TO AN ER ROOM BECAUSE YOU THOUGHT CALLING 911 AND TAKING THE AMBULANCE GETS YOU STRAIGHT BACK TO A ROOM. YOU TOO CAN GO STRAIGHT TO THE LOBBY AND TRIAGED THE SAME AS WALKING THROUGH THE DOOR. This has been a public service announcement from EMS in defense of all ERS across the nation and around the world.
Billo66 2 weeks ago
Strange. I went by ambulance and got right in. I wasn't breathing and needed nine units of blood but still...
Con O Cuinn 2 weeks ago
Once again, will it get you treated faster? No. But you'll be brought straight through to triage and the difference between being on a trolley vs being on a chair in the waiting room is night and day for a lot of people. This was literally the advice of the hospital, call an ambulance so my dad wouldn't be left in the waiting room for hours.
tameson 2 weeks ago
But it will get you treated faster. The first responders will start treatment the minute they walk into your home. And they will be on the radio with the hospital telling them what to expect.
Load More Replies... tameson 2 weeks ago
We lived up in the mountains and the local emergency response people told everyone to call for ambulance rather than try to drive yourself. That's because the EMTs can start treatment at your home versus the 20-30 minutes it would take you to drive to an ER.
tameson 2 weeks ago
Just realized that is also true where we live now. We have three fire stations within a few minutes of our home vs. a 20 minute drive to the closest hospital.
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SkippityBoppityBoo 2 weeks ago
Thank gosh for 111 in the UK. It's the NHS Freephone Helpline. Phone, describe your symptoms and they'll assess you over the phone as in - Do you need an ambulance? Can it be treated by a doctor at your local surgery? Can it be treated at home?
#6
To get a pregnancy test. Because they don't want the embarrassment of buying one.
IllNopeMyselfOut:
This is crazy to me. How is having it tested by other people at the ER less embarrassing than buying or especially if you can buy online?
Firstname Lastname 2 weeks ago
You can get a pregnancy test at the blood drawing clinic where I live if you don't trust the at home stuff. It's like 60 and didn't require a doctor, just a nurse and a needle.
Colleen Glim 2 weeks ago
You can literally buy one at the dollar store. They are one of the most frequently stolen items
StrangeOne 2 weeks ago (edited)
You have to get a pregnancy test when you go to your doctor after finding out your pregnant, anyways, so they have their own confirmation.
Ace 2 weeks ago
Well no, you are not obliged to see a doctor at all. Advised, of course, but there's no law saying you must do so.
Load More Replies... SkippityBoppityBoo 2 weeks ago
If they're embarrassed about buying a pregnancy test?... How are they ever going to cope when a human being comes squishing outta their Ho-Ha? 🤔
Trashy Panda 2 weeks ago (edited)
That must not be America because nobody here will pay hospital rates for a pregnancy test!
Con O Cuinn 2 weeks ago
Because cashiers don't have a duty of confidentiality. Not saying it's right, but I'd wager this is the reason.
A sudden amount of pain or a rapid deterioration of your health is probably an emergency, and you should be safe rather than sorry. However, being slightly uncomfortable is not an emergency.
As per Concordia University, you should not go to the emergency room in situations when your life is not in danger, like when you have a mild cold or flu, small burns, cuts, or scrapes, or minor aches or pains. You also should not head to the ER to get your prescription filled.
At the end of the day, if you’re unsure of what (not) to do, get in touch with your family doctor, a pharmacist, or your health insurance company.
#7
Hunger. It's just terribly sad.
K-Tanz:
This one is wayyyy more common than people think. Usually people will beat around the bush and have some fake complaint, but every once in a while someone will just straight up tell you in triage "I'm hungry". That and exposure to the elements. I've worked ER in Denver in winter and Phoenix in the summer and there's constantly someone there for "man, it's just too hot/cold out there".
KatSaidThat 2 weeks ago
Homeless people committing petty crime in winter to get warm and a meal.
AreYouSure 2 weeks ago (edited)
Here in our city, we have a Rescue Mission. If someone is hungry, all they have to do is listen to a 45 minute "message". If they need a place to sleep or stay for several days? All they have to do is be sober, on time & shower before donning the provided pajamas. That's it. Everything is paid for by donors. No judgement, just caring for men, women & families. (EDIT: The showers are on-site. They also provide free services from the other State Services so they get every help that they need.)
#8
I want them to stop coming BACK to the ER. All the time we had people come, wait the long wait, see the doctor, get a prescription, go home, and come back the next day without ever picking up their prescription. We already helped you! We already did what we could! You have to do your part too by *telling us the correct pharmacy* and then *going to that pharmacy* and then *taking your medication!*.
Saber4 2 weeks ago
Depends on how much it costs and if insurance will cover it. More than one viewpoint.
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Jane Doe-Doe 2 weeks ago
‘ telling us the correct pharmacy’ .. what? Americans have to use a specific pharmacy?
Multa Nocte 2 weeks ago (edited)
They mean you need to tell them the pharmacy you usually use that's the closest to you so they don't send your prescription to some unknown pharmacy or one that is across town that you might not be able to get to.
Load More Replies... #9
Work notes when they know they are well. It's not because of the patient, its the employers requiring them too. I don't blame the patients at all.
geezeronthehill 2 weeks ago
Usually about a 2 week delay on getting in to see the gp.
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Ozymandias73 2 weeks ago
I missed like 5 days of work bc of this. Had to have my GP do an impromptu physical on me to show I was well enough to come back to work. Had a quad bypass back in April and a couple months ago, had some pains in my shoulder and chest. I didn't go get checked out just went home and slept. I work 2 jobs. I felt fine the next day. But....HR for one job wanted me to get a Dr's note. Of course, it was some holiday weekend and all the docs at my clinic were either booked or gone. This was on a Thursday. I had to wait until TUESDAY to be seen. Couldn't go back until Thursday as Wednesdays are my scheduled day off from both jobs. Luckily, this was the lesser paid job so I was still able to work the other one during this time.
We’d like to hear from you, Pandas. What is the biggest medical emergency you’ve ever experienced? On the flip side, have you ever seen anyone in the ER who most certainly wasn’t having an emergency? Have you ever gone to the ER only to realize you panicked over nothing? What about the opposite, where you thought you weren’t in danger when your life was actually at risk?
Meanwhile, if you’re a medical professional, we’d also like to hear some of your best and worst work stories. Feel free to share yours (anonymously of course) in the comments the bottom of this list.
#10
The sniffles, so many adults and children in the er with head colds. Started 12 hrs ago haven’t taken any meds, walk into the er and demand to be at the front of the line. These are the entitled idiots clogging up the er. Each of them has to be registered and seen by a medical professional and takes up valuable time and energy away from truly sick or injured people. But the hospital won’t say anything about it because well that’s an easy er bill.
KatSaidThat 2 weeks ago
Rich people wanting to pay us £245 to tell them face to face to drink a lemsip.
Mike F 2 weeks ago (edited)
A what? ETA: I looked it up, it's essentially Theraflu.
Load More Replies... #11
Hangovers. You do the crime, you do the time.
Snazzy Smurf 2 weeks ago
My best hangover cure was a large Orange Hi-C and an egg mcmuffin from McDonald's.
Cthulhu Kitty 2 weeks ago
Banana bags are super helpful, but make friends with a medical professional, don't clog up much needed resources
#12
I wish we had a functioning healthcare system where people had options -besides- the ER for non-emergency stuff.
FlamingoPanda 2 weeks ago
This. I have gone to the ER for a tetanus shot that could not wait until the doctors opened on Monday. I felt terrible wasting their time with something so trivial but tetanus is not something to mess around with. In South Africa we do not have urgent care and we have a very hit and miss government run health care system so any government clinics that are open on a weekend are massively over capacity. Private ER (which thankfully I have medical insurance to cover) was my only option.
Cindy Bohacek 2 weeks ago
A tetanus shot can wait until Monday. You can also get them at Urgent Care or many parmacies
Load More Replies... Mike F 2 weeks ago
I have been in the ER twice in my life, first when I had a quarrel with a tow truck winch cable and lost, lots of lost skin. Then when my lung collapsed and they weren't sure initially if I was having a heart attack or what because the symptoms were similar. I have been to walk-in clinics several times and the wait times were actually shorter there.
CatD 2 weeks ago
You're lucky. Infected kidney stone, dying torsioned ovary, supra ventricular tacky, pyloric valve stenosis causing massive vomiting...
Load More Replies... #13
I take people to the ER.
The worst are the ones who call 911 because they think they'll get into the ER faster. Sorry, triage exists for a reason lol. Enjoy your 6 hour wait.
Con O Cuinn 2 weeks ago
My dad has had to go to hospital countless times over the past few years. Coming in an ambulance absolutely gets you in faster. You might still be waiting to see a doctor, but you'll be in a trolley or bed in triage, not sitting in a plastic chair in the waiting room. That makes a huge difference to infirm people.
Debby Keir 2 weeks ago
So, in the UK, if you come in by ambulance, the ambulance staff have to stay with you until you're triaged. Urgent cases do get straight in, but others less unwell may have to wait several hours, with the ambulance staff with them. Their protocol is that they must do a handover to a qualified member of staff. So every A&E has maybe a dozen crews at the hospital at busy times, and there are no ambulances left on the road. Seriously, if you're in the UK at the moment, get yourself to hospital if you can - taxi/friend/anyhow, so that you don't waste the valuable time of the ambulance crews. You'll be seen according to your needs, however you get there.
Load More Replies... #14
My son calls 911 when he’s going through a hangover so they will give him an iv and meds. He’s done this 4 times in 2 months.
Svenne O'Lotta 2 weeks ago (edited)
You should probably have considered some of that newfangled "parenting" that everyone is talking about at some point before he was old enough to get hangovers.
Julie Rogers 2 weeks ago
I think there are people who were good parents but still have children who grow up to be adult and make bad decisions.
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Big Chungus 2 weeks ago
there are literal businesses now that administer IV's to help with hangovers and wellness, do that
#15
Oh, so many things. Bringing their child to the ER because they have to have immunizations to go to school so let's get them in the ER at three in the morning.
Bringing both your kids to the ER because one is getting a cold and the other one is surely going to get it soon. They want both of them to be treated. Neither of them will get any treatment if it's just a cold.
One guy told me when I asked him what brought him to the ER, that he had a hangnail on his toe. I guess I did a bit of a double take and he said, defensively, "my feet are important to me."
basically, treating the ER as a minor clinic and refusing to set up a relationship with a primary care doctor.
Helena 2 weeks ago
On that last point. I've been trying to get a primary care doctor for 2 years. Everyone is booked and no one calls back. I am in the US
Nils Skirnir 2 weeks ago
And if you don’t have any insurance or the wrong kind of insurance you won’t be able to get a GP or even go to urgent care.
Load More Replies... #16
#People who come into triage, walk out AMA, and then ambulance themselves in thinking it gets them seen faster. HOSPITAL STAFF ARE NOT MICHELIN STAR CUSTOMER SERVICE SUPPORT AT YOUR BECK AND CALL.
No, we do not know how long the doctor will be before they see you. *No, it does not* mean staff do not care about you.
You’re going to wait.
You absolutely DO NOT WANT to be the first priority immediately taken back to a room, cath lab, or operating room. Those patients are gonna be popular real quick because their last minutes could potentially be in that ER without **immediate** intervention. It’s one of the *most emergent* emergencies.
No matter who you voted for, our current HHS system’s deliberately harmful policy changes have absolutely messed you up, me, your mom, healthcare non-professionals ^yes ^they ^are^ professionals, and anyone else who needs healthcare.
Papa 2 weeks ago
I've been in the ER twice, and I can vouch for them seeing the people who need it first. The first time I walked in crying like a baby with the worst migraine I have ever had. They had a man come in about the same time with a heart attack. It was an hour or so before they could help me, and I completely understood. The second time I went in with chest pain. The person at the admissions desk told the nurses in the back that there's a 63-year old man here with chest pain, and my b**t had barely hit the seat in the waiting room when they called me in, although there were a number of people there ahead of me (it turned out to not be anything serious, and after a bunch of tests I went home the next day).
Dilly Millandry 2 weeks ago
Yep, gone in a couple of times with my husband who will persist in trying to chop off bits of himself or, another fun time, get pneumonia. When you are leaking a lot of blood you do get whisked past others and glared at! Though, as per this thread, many will not really need to be there. The pneumonia one was the worst, when triaged the nurse seeing him stuck him in a wheelchair and RAN to the A&E section. Was hard keeping up and just a wee bit scary! Glad your chest pain wasn't anything serious.
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Dilly Millandry 2 weeks ago
I was, thank you. One of those times when I know I did know really but my brain wasn't coming up with the goods! I blame a spot of unusual lunch-time drinking as had a Christmas meal with some friends today. Didn't go nuts with the booze but I don't drink often and very rarely during the day!
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Emilu 2 weeks ago
Yup. The only time I was seen immediately in ER was -- and I actually don't remember it, even though I was apparently conscious -- when I was rocking a blood glucose level of less than one (you're meant to be between 4-7) and got taken to ER by ambulance (which I also don't remember). Later, one of the doctors that initially treated me said that I'm lucky I didn't die that night; they were very close to code blue-ing me at several points.
#17
Some “highlights” of my 12 year career…
Booked in as a head injury, was actually dandruff and was an emergency because they couldn’t sleep.
Abdominal pain ongoing for 20 years, no change in severity at all. Turned out to be trapped wind.
Took Nytol and got drowsy…
Step parent had a massive heart attack and they wanted to make sure it doesn’t run in the family
A blister on their foot from poorly fitted high heels.
JK 2 weeks ago
Ok, whilst the step parent one is a bit dense, its also kinda sweet that they immediately assumed them as family
KatSaidThat 2 weeks ago
tbf, cardiac can be genetic - for your own blood relatives though.
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Daisydaisy 2 weeks ago
Dandruff??!!! Should there not be a system of fines or something for wasting hospital time, like wasting police time? Some of these stories are just criminal!
Lady Eowyn 2 weeks ago
I often have to be persuaded to go to the ER. It's been over a year since my last visit. Which I hope will be the last, but at my age it might not be. Last year August I got stung by multiple wasps, and I'm allergic. And after you use an epi-pen, you need to go to the ER.
#18
I had to be driven to the ER because we thought my appendix had burst. It hurt so bad I couldn’t think and hardly breathe.
There was this family ahead of me with a baby, maybe 1-? Showed no distress. They were talking about what was wrong with it, saying it could have been “all that shrimp” she ate, or maybe the lobster or crab meat.
#19
○ a "fever" of 99.1
○ you or your child has a low grade fever. you have not tried tylenol
○ you had a stomach ache yesterday, but now the symptoms have gone away (why are you here???)
○ you know you have acid reflux. you ate taco bell, now it is worse (this has happened with TWO PATIENTS now, both stated that it got worse after TACO BELL. what did you expect???)
○ your toe hurts. you didn't drop anything on it and don't think it's broken.
○ you need a medication refilled
○ you are having normal, mid-cycle cramps
○ you have a charlie horse
○ you are not sure why you're here, you just 'thought you should come' (this happens more frequently than you'd expect)
○ you have a small, superficial cut. the bleeding is under control. you cut yourself with something like a non-rusty kitchen knife.
○ you want a pregnancy test (you can buy one at the store)
○ you just got a positive pregnancy test... nothing else.
Ace 2 weeks ago
Apparently, "a chsrlie horse" is a leg cramp. Is that a common expression in the US? I've never heard it before.
Papa 2 weeks ago
Yes, it's a common term for a leg cramp. However, I'm of the opinion that if it doesn't go away, and regular clinics are closed, going to an ER to get relief is not unreasonable. Those things HURT.
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azubi 2 weeks ago
On BP they learn to always trust their gut, and now you blame them for following the thought that they should come to the ER. Can't do it right either way.
Emilu 1 week ago
... whoever leapt from (no pun intended) "I have a leg cramp" to "my leg is falling off, I need the ER"?
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#20
Parents that bring in their child that have an earache or when they’re sick but still drinking and playing.
It’s really hard on the parents but it can wait until a medical clinic opens in the morning. You’re just exposing your child to all the gross bacteria of the ER for nothing.
V 2 weeks ago
This one is hard, because your kid can have a high fever, and be lethargic so you pack them up to take them to the Dr, then by the time you get there the fever has gone down and they are back to balls of energy. I have been there.
LakotaWolf (she/her) 2 weeks ago
It sounds stupid to compare the two, but I've done the same with my pets - I have taken my pets to the emergency vets in the wee hours when I've had major concerns (high fevers, vomiting, etc.) Once my ex was walking one of my dogs around midnight, and dog ate something off the sidewalk - my ex thought it was a chicken bone (ya got me why there was a chicken bone on the sidewalk at 12am) - ex called me, we decided to take dog to the emergency vet. Dog ended up being fine - x-rays showed no chicken bone, so who knows what he ate XD With my pets, I'd honestly rather be safe than sorry and I'm fortunate that I have pet insurance. I imagine parents of human children can feel similar panic when their helpless little ones have high fevers and are vomiting - I know I do when my pets are that sick :(
Load More Replies... #21
My mother once took niacin and got a niacin flush. She freaked out and insisted i take her to the er. I tried explaining to her and showing her the bottle that described the exact symptoms she was having that said its normal. She still wanted to go. We went. They told her she was having a niacin flush and she's fine.
Cat servant 2 weeks ago
For those that don't know high dose niacin has been prescribed to treat high cholesterol. The niacin flush is a common side affect.
#22
My sister in law used to work as a nurse in a DC ER. SO MANY tourists would come in because they got bit by a wild squirrel they were hand feeding and want to get tested for rabies. SIL would tell them squirrels cant transmit rabies to humans. The tourists would then demand to speak with a doctor. The doctor would say the exact same thing, then charge them a couple hundred bucks for a consultation and band aid.
Im mostly for universal health care in the US, but if you pull this, you gotta pay up. Call it a stupidity tax.
TLDR: dont feed squirrels, theyre rats with fluffy tails.
Tucker Cahooter 2 weeks ago
Being in rabies-free Australia (touch wood), I wouldn't have known that squirrels don't transmit rabies either. Just like if I got bitten by a snake in Australia, I wouldn't pull out a copy of "What Snake Is That?" and start leafing through it; I would see medical attention ASAP
Ace 2 weeks ago
Quite so. And even if you did know that they don't carry rabies - and I would not have known either - there's still going to be a fair chance that a bd bite could get infected. Cats are a lot worse, and I have actually needed to attend our local walk-in urgent care clinic for them a couple of times.
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Nils Skirnir 2 weeks ago
Squirrels DO carry rabies. From NIH “ While the risk of rabies from squirrels is low, it is always best to exercise caution and seek professional help if you suspect a squirrel may be rabid.”
June 2 days ago
Also here in france they will likely give you a tetanos shot if you got bitten by an animal, even if not wild (had a bad rat bite a couple decades ago, that's what I got, and also antibiotics)
Load More Replies... KatWitch57 2 weeks ago (edited)
Please people - if it's wild let it be! A fur coat, or pretty colours, it's NOT nature saying "pet me. pet me". The world and wildlife are not there to make humans happy. And teach your children; it it's not yours, do not touch.
Jane Doe-Doe 2 weeks ago
Non American here, while I wish for America to have affordable healthcare I agree that if it’s something stupid and someone is wasting hospital time and resources then they should be charged
#23
UNMEDICATED FEVERS. Please, please give your poor kid some Tylenol.
ETA: Kid vomited one time and is now acting normal. What do you want us to do?
The kid “felt warm” so you brought them in to one of the busiest ERs in the country at 0100?? Just for us to check the temp and usually the kid is afebrile.
LakotaWolf (she/her) 2 weeks ago
If you have a child, you should own a thermometer. Hell, I have PETS and I have a thermometer just for checking their temperatures when I'm worried they might have a fever. And it's more complicated (and gross) to take a cat or dog's temperature, I assure you XD
Drema Dixon 2 weeks ago
My 11 year old was horrified that as a new born we had to do rectal temps. I told him this as he had a thermometer in his mouth. Not the same one but he didn't know that 🤣
Load More Replies... #24
I spent 8 hours in hospital with my friend yesterday just for the doctors to tell him exactly what I told him. You have the flu. Go home and go to bed.
Cat servant 2 weeks ago
But if you are in the USA you need a doctor's note to miss work. Depending on the job you may not have paid sick leave anyway but if you miss 3 days without a doctor's note you can be fired.
Mike F 2 weeks ago
That's not always true. If we had a driver call out we just told them they were off the schedule until they called and said they were OK to drive. Not EVERY employer has horns and a pointed tail.
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#25
Not me, but a friend is a nurse who worked in the ER. Men come in for being constipated because they haven't gone to the bathroom in 36 hours.
Ace 2 weeks ago
36 hours? No, that's well within the bounds of normal bodily function.
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#26
Head lice.
Upstaged75 2 weeks ago
Definitely not worth an ER visit. And please stay out of public areas until you've gotten rid of them! It just takes some stinky shampoo and cleaning. My whole 2nd grade class had it at one point. 😫 All through grade school I remember doing monthly lice checks by the nurse.
#27
Diaper rash that has been ongoing for several weeks on Sunday night at 11:00pm. And oh by the way, can I have a doctors note to not work tomorrow?
Leah Brown 2 weeks ago
Maybe they should use more rash cream? Especially on the days before they have to work?
Robin Roper 2 weeks ago
Unless the diaper rash resulted in open sores on the adult parent, why would it warrant a sick day?
#28
From my dad (ER doc) throughout my life I’ve heard quite a lot. The thing that made him angriest and that he most often vented about, as the most frustrating and demoralizing thing imaginable, that he dealt with regularly; the casual cruelty of a system where issues that could have been treated successfully a long time ago weren’t, because people couldn’t afford it, had no insurance and/or were simply scared to risk official contact. People come to the ER for those kinds of issues when it’s finally apparent to them that there’s no choice, it’s an actual emergency. That’s usually way *after* whatever is wrong *actually* crossed the line into being a legitimate emergency. These patients quite often lose limbs to uncontrolled infection, will develop and endure permanent issues, become critically ill (ICU sick), and/or even pass away. Painfully and unnecessarily, in a hospital that pays the CEO more in a year than the average lowest paid full time employee will make in several lifetimes.
The ER, and associated departments like trauma surgery, must (and should, his problem wasn’t this bit even though his liability exposure to lawsuits was the same) provide at least baseline treatment for life threatening or extremely time sensitive care. This is true regardless of ability to pay, citizenship, or anything else (which thankfully is federal law). Even someone injured during the commission of a heinous crime etc. is entitled to at least this. That said, for profit hospitals won’t provide treatment a micrometer past the exact legal requirement. It’s more common than you’d think; he would see these types of patients pretty often.
As a doctor, he (of course) knew what could have been done earlier, and knew better than was good for him what their likely prognosis was down the road. Typically, that “federally mandated emergency care” cuts off as soon as whatever issue you’ve got isn’t *actively* ending you (and I mean in like in the next few hours, according to the satisfaction of arbitrary factors in some asinine bureaucrat stained flowchart). Next week “isn’t an emergent need until next week”.
For any conditions afterward (complications and/or chronic, debilitating, or progressive issues) there’s no cure, no getting better, and no regular treatment; even things that *can* be cured won’t be, unless of course the patient is literally about to die and the cure is the only, or cheapest, option (which means the treatment, often delayed for as long as possible, also has a much lower chance of success). That leads to an absolutely *horrific* revolving door of slow decline for patients that go repeatedly to the ER in dire straights, and receive only the pitiful amount of treatment “carefully” evaluated as *exactly* satisfying the bare legal minimum of care (not gonna die right now). Then they’re pushed back out the door…until they don’t come anymore. And *not* because they’ve been cured by a miracle; they’re just no longer in need in the most final and unacceptable way possible.
This is also a problem for cheaper insurance; after all, the most profitable client for an insurance company is one that’s fully paid up, but doesn’t survive long enough to use their policy for a large end of life claim and passes without a spent cent. They craft generalized, innocuous sounding rules like requiring multiple rounds of approval for expensive (and time sensitive) procedures that then come too late and aren’t done.
It wasn’t ever so much that he wished those people would stop coming to the ER, it was a wish that those people would never have to come to the ER for things like that in the first place. Things like a simple slipped knife while cooking slicing a deep cut across the palm of an undocumented single mother that works full time cleaning hotel rooms. Without insurance, a for profit clinic visit bill can be food for a week for an entire family, just for a couple simple stitches and a script for amoxicillin. There’s that, or the huge, existentially terrifying risk of going to a free one, since that can mean an unsustainable loss of work stuck waiting at a crowded clinic, or worse; some state funded/run free clinics are legally obligated to, or at least *can*, require their staff to verify the documentation status of patients before providing treatment. This is a woman who chose to push through it, no stitches, no antibiotics, with growing pain in a hand getting more and more impaired while she developed a fever etc, all while continuing to work, bare handing the kind of nastiness that people leave in hotel rooms; wet, soiled and wadded up days old damp towels, dirty stained sheets, garbage cans, toilets, and showers 8 hours a day. After she finally collapsed, she lost most of her left hand to gangrene, nearly died from septic shock, and spent a week in a coma. And yes, she was released from the hospital against her doctor’s advice (which only carries so much legal weight), to be deported as soon as the bureaucratic machine decided she was “stable enough” to travel. Those situations are *rough* things to see year after year. It’s not the injuries themselves (although I’m sure there was enough of that), it’s the sheer despicable waste and callousness that Dad witnessed, experiencing that system firsthand, for decades, from the point of view of a person that, paid well or not, dedicated themselves to helping.
I saw and heard firsthand his frustration and anguish pretty frequently, along with his struggles with alcohol and the depression that he endured while coping with the expected emotional consequences of routine death and loss that a big, high crime and poverty serving ER would have anyway, but with the terrible cherry of top of seeing the terrible consequences of the medical (specifically for profit and insurance organizations) industry’s absolute disinterest in *anything* outside of profit, with special emphasis on ignoring as many vulnerable people as is allowed. I’ve never seen anyone more passionate about universal healthcare.
As much as we all legitimately complain about and vilify idiotic randos wasting everybody’s time trying to get a doctors note for work out of a paper cut, or demanding only the best intensive care and “emergency on call podiatrist” be called in immediately from home (at 3am) for little Timmy and his just *mangled* foot (All while Timmy had just stubbed his toe on a sharp edge, bled slightly, cried a bit, and with him happily tottering around the room giggling). This one is real and it’s absolutely hilarious when dad tells the story. A day full of those is the *best* day, even if it’s infuriatingly dumb, because an eight hour shift of those is eight hours of idiots to tell funny stories about, with nobody suffering.
Dad’s happily retired now. He still has his struggles occasionally, but he’s got his sailboat and my mom and does ok. He still gets viscerally angry when the subject of healthcare comes up though, and I think he’d compulsively rant in rage at the top of his lungs, spit flying everywhere (that is, if he could keep himself from attempting to punch or strangle) if he was anywhere near certain politicians.
FlamingoPanda 2 weeks ago
US healthcare bad. ER doc goes on long rant about why it is bad. Few very rich people profit off many poor people. Poor people have to pass away from horrible and preventable illnesses making ER doc sad and angry.
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nottheactualphoto 2 weeks ago
This is sad, and important. It deserves to be read all the way through.
KatWitch57 2 weeks ago
Thank you to the OP for the post. Thank you to her father for his service to humanity. There must be some way we could all unite in, at the very least, a partial solution which by-passes the idiocy of politics.
gvizzle_ 74 1 week ago
TL:DR People avoided care because of cost, fear, or lack of insurance, so they showed up at the ER only when things were already catastrophic. The system gave them just enough treatment to not die right then, then sent them back out to suffer, decline, or die later. Watching preventable harm and cruelty like that for decades is what broke my dad emotionally and made him fiercely pro universal healthcare.
#29
Being drunk.
I wish cops wouldn't do the 'ER or jail" choice thing.
LakotaWolf (she/her) 2 weeks ago
I went through a phase where I watched a lot of bodycam videos on YouTube, and to be fair, a LOT of the drunks would start yelling about how they were "in pain" the literal second they were detained, even if they hadn't been in an accident and had been talking to the officer for like 10min before getting detained. Many times it's very clearly a sham/ruse (drunk gets handcuffed, immediately collapses against the police cruiser screaming "OMG MY HEART, MY HEART HURTS, AAAAH") but the police have to play it safe and ask if the person wants EMS to come check them out/transport them to a hospital. I assume the drunk driver thinks that, if they go to the hospital, they might somehow avoid getting arrested or something (idk, they're drunk.) I don't think police give drunk drivers the "ER or jail" choice per se - if the drunk person starts screaming about being in pain, the officer HAS to call EMS/give the person the choice to have EMS called.
Jane Doe-Doe 2 weeks ago (edited)
Yeah same, I watch body cam videos on YouTube and they are always like ‘ I want to go to the hospital’ ‘ I’m in pain’ ‘ you hurt me, I need medical attention’ the police officers almost always take them because it’s all recorded and they don’t want to get sued for not taking them, I have seen a few where the police have flat out refused ( saw one today actually) because it was a cut finger or something very minor
Load More Replies... Cat servant 2 weeks ago
Some of this has been caused because head injury patients and brain aneurysm patients have been taken to the drunk tank and died. Before you say well you can smell the alcohol not everyone has a normal sense of smell.
#30
Sports physicals that are due tomorrow “or my kid can’t play”.
#31
Anything that has been a problem for more than a month. The ER is not the place for your 3 month history of shoulder pain.
LilliVB 2 weeks ago
I'm on the fence on this one. If the pain hasn't increased, it's more or less the same situation I agree. But if for example I'm always suffering because of stomach cramps and suddenly one day is not the usual one but an excruciating unbearable pain, I'm going to the ER, above all if I can't talk to or see my doctor. It can be the same problem that's worsened or something new, but I will mention that it's "x amount of time" that I have stomach cramps, but not so terrible like the ones I have now. And I wouldn't feel guilty at all.
Who? Me? 2 weeks ago
That is new/ changed issue then. Not the same as it's been for 3 months.
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#32
I am a former phlebotomist who did a lot of work in an ER. I wish I had seen less DUIs.
Jane Doe-Doe 2 weeks ago
I watch police body cam videos on YouTube and it’s amazing how many drunk drivers have to be taken to the hospital to get a blood draw because they refuse to take a breathalyser, it makes me so angry the amount of valuable time is wasted that hospital staff could be using on patients that genuinely need help
Upstaged75 2 weeks ago
I watch those too. They're @ddictive. 😁 The drunk drivers make me seriously angry. Same with people who cause high speed chases. I have no problem if they off themselves and save innocent people from getting hurt.
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#33
I wish their PCP would stop sending them in for their “critical” blood pressure of 140/80. Probably on the low end in our waiting room, honestly. Same for “abnormal” labs that aren’t abnormal. Oh no, their potassium is 3.4, I literally could not care less.
And the urgent cares need to stop sending people to the ER and lying to them about it. “Oh, we’re calling ahead so they’re ready for you.” Unless they are coming in with something actually critical (which they generally aren’t), they’re going to the waiting room. Even if they’re an appy, probably starting in triage for a minute.
Oh, and Plastics is not going to come down to do the stitches on your face. Depending on the hospital, you may get an intern. Literally the only time I have seen them come down was when it was for one of their friends….
g6fmzpp8d7 2 weeks ago
I was in an a*****e marriage, my husband caused a 3 inch scar on my face, they asked if I wanted stitching in the next ten mins but suggested I wait for max fax surgeon that hour wait made sure I have a neat scar. Theo was UK, I’m so grateful for the NHS
CatD 2 weeks ago
I'm sorry. Nobody should have to have an arranged marriage in this day and age.
Load More Replies... Jude Laskowski 1 week ago
Some residents for plastic will come in to work on uninsured patients just for the practice. These are the ones who will be great docs some day. When I worked in an ER, we had a couple of these residents who shared a tiny apartment across the street from the hospital. We could call them at 0200 (before cell phones) and they would run over in 5 minutes.
#34
Flu symptoms- you’ll be there hours for an Xr Covid flu swab and Tylenol.
Debby Keir 2 weeks ago
And passing it around to all the others there. Only go for flu if you experience difficulty with breathing or a temp over 102f/39.5c more than an hour after Tylenol.
Cat servant 2 weeks ago
Or you are having trouble breathing. Sometimes may need something like a asthma inhaler if you are prone to respiratory problems.
Load More Replies... anne young 1 week ago
People are so stupid. It's caused by a virus nothing they can really do.
#35
Broken toes - nothing can be done.
kzys59pcrp 2 weeks ago
Except when the broken toe is sticking straight up you need to go to the ER to get it set back in place
Big Chungus 2 weeks ago
Unless it is like full on sideways, they will usually just tape it. Even if it is sideways, you can probably get into an ortho pretty fast for surgery.
KatSaidThat 2 weeks ago
They still need to checked that there was not a flake fracture. But yes, nothing but buddy strapping.
Nik Odongray 2 weeks ago
I broke my little toe and it was almost 90 degrees from the rest of my foot.
Lady Eowyn 2 weeks ago
If it's broken but lying in a normal position, there's really nothing to be done. If it's lying at a bad angle, a doctor should check it.
Blue Bunny of Happiness 2 weeks ago
If you just tape it to the one next to it on one side, be prepared for it to permanently have a lean to that side. Source: Fell down stairs in the early hours of Christmas morning, taped to the toe on one side of it. Now have a biggish gap between the broken toe and the one on the side I didn’t strap it too.
Load More Replies... StrangeOne 2 weeks ago
Sometimes it's a break. Sometimes it's a fracture. People don't really know until they know for sure from a doctor. We have sports injury clinics and a clinic that specializes in broken bones and fractures, but you have to go very, very early in the morning. Like before 6am. If you go 8am there's a chance they won't have time to see you that day. It's the only clinic like it in the city, so people are often turned away and the line is loooong.
KatSaidThat 2 weeks ago (edited)
Slipped on the stairs in a busy station near midnight on the Friday. Knew I had a broken finger. Got up early the next morning and packed a book and got some snacks for the anticipated long wait. When I walked in and they asked for presenting complaint, help up finger and said I broke it. They agreed and actually I got seen really quickly due to how fast and simple we all knew it would be.
Load More Replies... #36
Er nurse, I wish family/roomates/etc would stop bringing in their friends/family who is drunk. We won’t do anything for them besides maybe give some fluids/zofran and just let them sleep it off. The number of pts I have where their family will get mad that nothing is done and all we do is let them sleep.
justme 2 weeks ago (edited)
This one shouldn't be shamed. Non-medical people don't know the difference between "very drunk" and "will die from alcohol poisoning if not seen by a doctor". At least I don't know anyone who knows that difference. If my drunk friend/family member is puking and out of it I would take them in just to be safe.
Julie Rogers 2 weeks ago (edited)
A kid I went to high school with died in his second week of college because he drank enough at a party to die of alcohol poisoning. The kids at the party didn't know he was dying; they thought he was just drunk. I bet the person who posted that thing we're responding to expects us all to know how to tell drunk from dying, but we don't.
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#37
Chronic stuff. People who’ve been having back pain for 15 years and decided to get it checked out at the ER today. Like, schedule an appointment with your doctor, Stanley.
#38
1) my grandson has a splinter in his foot.
2) one child has a fever so bring all 4 in.
3) urinary tract infection.
4) "when is lunch?"
5) I think I'm pregnant.
6) sore throat
A lot of things can be handled at an urgent care.
Mike F 2 weeks ago
You don't want to know in a certain Dearborn Michigan hospital, it will be inedible. I had a friend bring me McDonald's.
Load More Replies... Norfolk and good 2 weeks ago
UTIs can cause sudden delirium in older adults so I understand why someone may call an ambulance if they don't know what's going on.
Debby Keir 2 weeks ago
I can understand needing to bring all the kids with (single parent getting a sitter at 2am?) but not for a slight fever.
Cat servant 2 weeks ago
Cash upfront at an urgent care. Area I'm without insurance it could be as much as 2.5 days pay at minimum wage.
Jude Laskowski 1 week ago
Re #4 UTI. Many women over 60 can get a UTI and not know it because it presents differently according to the ER doc I saw. I had been confused and forgetful (a lot!) and saw my doc's PA because my doc was on vacation. The female PA told me to exercise for 15 mins/day, but then I passed out a few times at home. Finally called a cab to the ER and, after several tests, was told I had a UTI, which I never had before. I was given an antibx prescription and one dose in the ER. I had tried to go to an Urgent Care,, but they told me to go to an ER.
Robin Roper 2 weeks ago
UTI is a GP issue unless the patient is hallucinating and close to being septic.
#39
To replace their family MD.
The assumption that we do what family medicine does is both pervasive and unfounded. I have not reviewed basic hypertension or diabetes management in two decades. But, ask me about current DKA or EDKA management, or hypertensive urgency and emergency protocols, and I am your guy.
I often end up giving the following explanation: “We are specialists like any other. You would no more ask your gynaecologist about your heart than you should ask me about the long term management of chronic diseases. There are just over 20 specialties, and the parts we know of each are the parts that are really urgent.”
Similar to this, for patients who ask why we do not continue the non emergent components of their work-up and management but instead discharge them with follow-up instructions, I add: “What we specialize in and what we maintain resources for is precisely what you do not want to have, especially not at an academic institution that treats complex and severe disease. The fact that your ongoing management and investigations can be completed by another specialist as an outpatient is good, not bad, and I would be the wrong person to carry those steps forward.”.
Upstaged75 2 weeks ago
Only in the US. Other countries are more civilized than we are.
Load More Replies... Emilu 2 weeks ago
It's like with law. You don't go to a criminal lawyer to get family law advice. They may (and likely do, or at least *should*) have knowledge of the basic information to give to you about what's happening, but nobody is an expert in everything. Go to a specialist if you need a follow-up.
LakotaWolf (she/her) 2 weeks ago
DKA = diabetic ketoacidosis. Basically a diabetic crisis. EDKA = euglycemic diabetic ketoacidosis. The difference is that in EDKA, one's blood glucose level presents as within normal range (or is actually too low) but they are still in acidosis/a diabetic crisis. Both are very dangerous. Am sadly familiar with this, as diabetes is practically endemic in my family :( I've lost family members to both DKA and EDKA.
Bartlet for world domination 2 weeks ago
Yeah I think I got that but I'm really good with languages.
#40
The sniffles and a cough.
I know you have something viral, you know you have something viral, go take some sudafed and a nap. Or go to urgent care.
I suppose the caveat here is if they’re febrile, but not gently febrile. Like 102.5 and higher. We’ll still treat you the same but we’ll at least rule out bacterial infections. And no, your 99.5 fever is not a fever for you because you run cold. A fever is 100.4 or higher no matter how you run.
#41
I wish people would stop coming claiming they or their kid "have a fever" but they are afebrile, asymptomatic, didn't take Tylenol, and don't own a thermometer at home for measuring... so like, what are we doing here?
Antoinette the Red 2 weeks ago (edited)
Yes, you should. If you don't understand ANYTHING that you are reading or hearing and you have a slight interest, do your research. This is how we ended up with a wanna be dictator, malignant narcissistic, demented racist for a president.
Load More Replies... #42
A whole lot of stuff.
Pregnancy test
Work notes
STD checks
Prescription meds
Diarrhea/vomiting for an hour
Fender bender for insurance/legal
Minor first aid
Etc....
#43
Common cold symptoms, throwing up once or twice but still tolerating fluids fine, STI checks with or without symptoms, minor sunburn, minor head injury in a young person, ingrown toenail without significant swelling or redness, whole family assessments after being in a low speed seat belted car accident, young people with constipation that haven't tried any of the plethora of OTC constipation medications, chronic conditions that people have had for months or years and seen specialists for already but "just can't take it anymore and want answers now".
#44
When they bring all four kids into the er cause they all have cough and sore throat all at once.
Emma London 2 weeks ago
In a one parent household, what are you supposed to do? Leave the kids home by themselves?
Cindy Bohacek 2 weeks ago
None of them probably need to be seen in the emergency department, let alone all four.
Load More Replies... #45
SO many people flood the ER on very hot or very cold nights because they're "disoriented." My local ER, for the most part, doesn't triage.
StrangeOne 2 weeks ago (edited)
If they're disoriented then they're trying to tell you something is up with them they can't explain further because they don't know. On very cold nights, it could mean hypothermia. On very hot days, it could be heat exhaustion or heat stroke.
Upstaged75 2 weeks ago
It's implying they're homeless people trying to get out of the elements.
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Laserleader 2 weeks ago
I went to ER and found out I was pregnant, and allergic to the pregnancy, and had heat stroke with uncontrolled type 2 diabeties, in December in the desert. Had to decide important things while half conscious and very disoriented.
#46
For spinning the roulette wheel of riding a motorcycle
There’s no reason. Period.
LakotaWolf (she/her) 2 weeks ago (edited)
Look, I don't like motorcycles and I think they're incredibly dangerous, and I personally do feel that motorcyclists are foolish for choosing to ride, but when they DO get into an accident, they SHOULD go to the ER, and saying something like "I wish motorcyclists would stop coming to the ER" is a pretty shítty attitude. Motorcycles ARE dangerous - in December of last year, a young man on a motorcycle was struck and kílled by an SUV right outside my family business's office. The cyclist had on a helmet and full-body safety gear, was not speeding, had the right of way, etc., but he still lost his life in the accident. They're dangerous. But the victims still deserve to be seen at the ER if they've been in an accident. Come on.
Cee Cee 2 weeks ago
I love motorbikes and have 2 classic bikes. Yes I know the risks and that mostly they are as a result of others. In saying that I don't line split, am reluctant to ride in the rain or icy conditions, I avoid road paint where possible (slippy when wet) and keep well away from the gutter. 50 years of riding experience makes me cautious. Best time to go out? 6 am on a sunny Sunday morning.
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What do you think ?
BeepBoop is Lonely (she/her) 2 weeks ago
I'm kinda scared to go to the ER, even if I needed to. My doctor told me if I had another week long migraine I need to go to the ER (I have epilepsy and a seizure i didn't notice could be a cause- which is so dangerous lol) and that's so scary, just being written off like nothing is wrong.
Saber4 2 weeks ago
Please look into getting a service dog. They can alert you before you have a seizure
Load More Replies... Auntriarch 2 weeks ago
We've found the 111 number very useful (UK). They can advise whether it's urgent or can wait to see your GP.
Tucker Cahooter 2 weeks ago
Reading all this s**t, no wonder medical costs in the USA are going through the roof. Why the f**k are doctors in ER writing sick notes for work anyway?
June 2 days ago
A woman burnt her chin with her tea, it was slightly red... That's the kind of things we usually adress at a pharmacy in france, they will tell you if you need to see a doctor but nope, this woman went straight to the ER on a 2nd of january at 6pm 😆 they told her that was not an emergency (I was there for a broken ankle, oopsie)
Trashy Panda 2 weeks ago
These must all be outside the US because nobody here is going to pay for an emergency room visit unless we absolutely have to!
BeepBoop is Lonely (she/her) 2 weeks ago
I'm kinda scared to go to the ER, even if I needed to. My doctor told me if I had another week long migraine I need to go to the ER (I have epilepsy and a seizure i didn't notice could be a cause- which is so dangerous lol) and that's so scary, just being written off like nothing is wrong.
Saber4 2 weeks ago
Please look into getting a service dog. They can alert you before you have a seizure
Load More Replies... Auntriarch 2 weeks ago
We've found the 111 number very useful (UK). They can advise whether it's urgent or can wait to see your GP.
Tucker Cahooter 2 weeks ago
Reading all this s**t, no wonder medical costs in the USA are going through the roof. Why the f**k are doctors in ER writing sick notes for work anyway?
June 2 days ago
A woman burnt her chin with her tea, it was slightly red... That's the kind of things we usually adress at a pharmacy in france, they will tell you if you need to see a doctor but nope, this woman went straight to the ER on a 2nd of january at 6pm 😆 they told her that was not an emergency (I was there for a broken ankle, oopsie)
Trashy Panda 2 weeks ago
These must all be outside the US because nobody here is going to pay for an emergency room visit unless we absolutely have to!
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