Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> Comments on: All-Time Worst Non-Emergencies http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/ Emergency Medicine and Education Blog Thu, 09 Sep 2010 13:50:00 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Wen http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11820 Wen Sun, 05 Sep 2010 02:42:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-11820 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have 'brain death'. Did I think that could possibly be his problem? I was so tempted to say yes! 22yo male BIBA one busy evening shift feeling unwell due to URTI/man flu. Had been researching his symptoms on the internet and was very concerned that he might have ‘brain death’. Did I think that could possibly be his problem? I was so tempted to say yes!

]]> By: ATz http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9602 ATz Sat, 10 Jul 2010 15:28:09 +0000 http://lifeinthefastlane.com/?p=7237#comment-9602 Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight... Presented at 0130 on a Saturday morning, finally seen around 0420, a 34 year old male whose complaint is that he is overweight…

]]> By: Bobby http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6518 Bobby Tue, 04 May 2010 14:20:10 +0000 http://lifeinthefastlane.com/?p=7237#comment-6518 24 year old female waited for 5hours on a busy saturday night triage note: Fish bone in mouth, pt states tongue feels uncomfortable Bumped up to triage 3 since she had waited until 4am. She wasn't in the waiting room. 24 year old female waited for 5hours on a busy saturday night
triage note: Fish bone in mouth, pt states tongue feels uncomfortable

Bumped up to triage 3 since she had waited until 4am. She wasn’t in the waiting room.

]]> By: Ian http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-6076 Ian Wed, 21 Apr 2010 15:25:14 +0000 http://lifeinthefastlane.com/?p=7237#comment-6076 Referral from GP went something along the lines of, "Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain." Diagnosis - sunburn. Referral from GP went something along the lines of, “Thank you for seeing Ms X, who feels hot and had a red rash on her face and forehead. I am concerned about cellulitis of the brain.”

Diagnosis – sunburn.

]]> By: UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-3650 UCEM Promotes 'Toughen Up' Pill | Life in the Fast Lane Thu, 18 Feb 2010 03:31:30 +0000 http://lifeinthefastlane.com/?p=7237#comment-3650 [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...] [...] in conjunction with TTFU Pharmaceuticals the release of its new pill which it expects to be in widepsread use in Emergency departments before the end of the day… TTFU [...]

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-9662 Sarah Thu, 10 Dec 2009 11:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-9662 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Sarah http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1786 Sarah Thu, 10 Dec 2009 03:42:38 +0000 http://lifeinthefastlane.com/?p=7237#comment-1786 30 something year old male sent in by PCP from clinic "for lower GI bleed." Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. "Did your PCP do a rectal exam?" "No." So guess who did. And guess what the results were. Discharge! 30 something year old male sent in by PCP from clinic “for lower GI bleed.” Pt gives hx of dark brown stool x1. Sits in waiting room five hours to be seen. “Did your PCP do a rectal exam?” “No.” So guess who did. And guess what the results were. Discharge!

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1219 Eduardo Alvarado Thu, 19 Nov 2009 23:47:17 +0000 http://lifeinthefastlane.com/?p=7237#comment-1219 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Eduardo Alvarado http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12448 Eduardo Alvarado Thu, 19 Nov 2009 23:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12448 A young lady with her 3mo baby comes to the ED on a very busy monday morning... Compaint: baby is not defecating So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate... "He uses the toilet, with help" "all my family has used it since babies", "but he is not using it on the last week" Diagnosis: Normal Baby ... 3 MONTHS OLD age A young lady with her 3mo baby comes to the ED on a very busy monday morning…
Compaint: baby is not defecating

So how long he is not defecating? She answered that on the last 4 days the baby had stools JUST on diapers. I asked about any other way a baby can defecate…
“He uses the toilet, with help” “all my family has used it since babies”, “but he is not using it on the last week”

Diagnosis: Normal Baby … 3 MONTHS OLD age

]]> By: Markiv http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11154 Markiv Thu, 19 Nov 2009 00:49:21 +0000 http://lifeinthefastlane.com/?p=7237#comment-11154 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q</span></span> All-time worst non-emergencies | Life in the Fast Lane http://tinyurl.com/ykmrx4q

]]> By: Don’t make me laugh « Nelly And I http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1146 Don’t make me laugh « Nelly And I Wed, 04 Nov 2009 23:09:11 +0000 http://lifeinthefastlane.com/?p=7237#comment-1146 [...] This one is written by a guy I pulled a shoulder with once [...] [...] This one is written by a guy I pulled a shoulder with once [...]

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1081 Francesca Fri, 30 Oct 2009 03:45:50 +0000 http://lifeinthefastlane.com/?p=7237#comment-1081 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12447 Francesca Fri, 30 Oct 2009 03:45:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12447 "23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP." ************************************************************************ Hmmm... I"m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China. Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient's face and butt. After exam, Dr. Chang looks straight into patient's face and gives diagnosis: I'm afraid it's not good..... You have Ed Zachary disease. Yo face look eggzacry like yo ass. “23 year old male waited 4 hours to be seen on a busy Saturday afternoon. Triage note states ‘Worried about his bowels’. “How can I help you today’ I asked. ‘My farts have changed smell’ He had no other symptoms or signs. After I’d swiftly sent him packing, I wished I’d given him a specimen jar so he could drop a sample of the gas in to his GP.”

************************************************************************

Hmmm… I”m afraid you sent him packing a bit too soon. I, (no one) would have advised consult with Plastic Surgeon Dr. Chang from China.

Dr. Chang, who has an amazing bedside manner, simultaneously examines a patient’s face and butt. After exam, Dr. Chang looks straight into patient’s face and gives diagnosis:

I’m afraid it’s not good…..

You have Ed Zachary disease.

Yo face look eggzacry like yo ass.

]]> By: precordialthump http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-11155 precordialthump Fri, 30 Oct 2009 01:49:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-11155 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)</span></span> RT @fnyc 23 yo pt c/o gas odour changes sent packin' too early. Need to r/o Ed Zachary disease: http://bit.ly/3jobYr <that's not very pc ;-)

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1074 Francesca Thu, 29 Oct 2009 19:47:44 +0000 http://lifeinthefastlane.com/?p=7237#comment-1074 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Francesca http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12446 Francesca Thu, 29 Oct 2009 19:47:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12446 Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum. What can I tell you... If it's gonna happen it will happen in New York. Undisclosed New York Emergency Room: 68 year old male presents with gerbil up rectum.

What can I tell you… If it’s gonna happen it will happen in New York.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1058 Chris Nickson Thu, 29 Oct 2009 04:02:06 +0000 http://lifeinthefastlane.com/?p=7237#comment-1058 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: Chris Nickson http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12445 Chris Nickson Thu, 29 Oct 2009 04:02:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12445 Probably not on the all-time list - but the Saturday evening presentation of 'blocked ear for 5 days' always gets my goat. Probably not on the all-time list – but the Saturday evening presentation of ‘blocked ear for 5 days’ always gets my goat.

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-1056 sthrn Thu, 29 Oct 2009 00:06:25 +0000 http://lifeinthefastlane.com/?p=7237#comment-1056 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]> By: sthrn http://lifeinthefastlane.com/2009/10/all-time-worst-non-emergencies/#comment-12444 sthrn Thu, 29 Oct 2009 00:06:00 +0000 http://lifeinthefastlane.com/?p=7237#comment-12444 23 y/o male presenting 9am on 1st January. 'Went to New year dance party, took lots of drugs and danced my arse off. Now I can't sleep. Can you give me something?' answer = no 23 y/o male presenting 9am on 1st January.
‘Went to New year dance party, took lots of drugs and danced my arse off. Now I can’t sleep. Can you give me something?’

answer = no

]]>