Coronavirus made simple by your friendly neighborhood emergency physician

When should I go to my doctor? The simple answer is when you can’t breathe or can’t hold down fluids. If you are having mild symptoms (fever, body aches, dry cough), stay home, and self-isolate. By going to the doctor, you risk spreading the virus to others, including us. If you go to the ER, we will see you but, if you are only having mild symptoms, you will likely be sent home with no COVID-19 test, no treatment, and a hospital bill.

Lastly, a personal plea. Many people are stuck at home with nothing to do. While alcohol is a disinfectant of sorts, it is not going to treat COVID-19! If you are drinking, have fun, but please wear a helmet and shoulder pads so that when you fall and hit your head, you do not have to come in and see me in the ER. We already see too many alcohol-associated visits in the emergency department. In a related note, drugs will make you feel strange. If you choose to use edibles or try new things because you are idle, please don’t do drugs and come in because you feel weird. I can’t fix that. As I told a patient this week, “You are high. If you don’t like this feeling, then don’t do drugs.”

Coronavirus made simple by your friendly neighborhood emergency physician

Amen.  Entire article is at the link above.

Hot New Model

Predicting 6-Month Mortality for Older Adults Hospitalized With Acute Myocardial Infarction: A Cohort Study

Participants’ mean age was 81.5 years, 44.4% were women, and 10.5% were nonwhite. There were 266 deaths (8.8%) within 6 months. The final risk model included 15 variables, 4 of which were not included in prior risk models: hearing impairment, mobility impairment, weight loss, and lower patient-reported health status

 

Nurse Denied Life Insurance Because She Carries Naloxone — Kaiser Health News

Bloodwork was supposed to be the last step in Isela’s application for life insurance. But when she arrived at the lab, her appointment had been canceled. “That was my first warning,” Isela said. She contacted her insurance agent and was told her application was denied because something on her medication list indicated that Isela uses…

via Nurse Denied Life Insurance Because She Carries Naloxone — Kaiser Health News

There are days when I’m so glad I am no longer in a management role.

Today is one of those days.

20 Things Patients Can Do to Stay Out of My ER

When you’re arguing, do NOT tell your significant other that your life is no longer worth living just to make them feel bad. If they call 911, EMS will bring you to me. I’ll keep you until you’re legally sober, even if it takes a week. I’ll sedate you or tie you down if I have to. Afterwards, you’ll get a mental health evaluation, and we’ll let you go home. By that time, your significant other has thoroughly enjoyed life without you. Speak wisely.

Priceless!

Read the list at this link.

HT – nakedcapitalism.com

What the News Left Out About K2

As a psychiatrist, I have encountered countless individuals in the emergency room who come through and do not want help. “What K2? I don’t use that stuff.” They will deny it, laugh it off, or scoff at me. They threaten to commit suicide if I don’t let them stay the night, and demand extra sandwiches and clothes. These individuals have the ability to decipher their options.  If the person’s thinking suddenly clears and there is no sign of physical instability, he or she can just walk out the emergency room almost minutes after presenting. In the dead of night, I’ve had unconscious patients who wake up abruptly only to demand to leave. I have no choice but to discharge them “home” to no particular address, since none are listed.

Here’s the link to the full article.