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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Op here.

Chest pain that turns out to be anxiety is something I'm happy to see someone for. I prefer when people come to the er to rule out stemi, cva or appy. It's fine if you think you are having an emergency and it turns out that you aren't. I'm thrilled when my possible cvs patient is actually a migraine and they don't need to go through all the hospitalization that a cva would require. I can bring in neuro to follow up with them and get them feeling better. Same with people who are anxious, I can get them the appropriate help to deal with the condition.

What I'm not okay with is when people come in requesting a check up at 1 am. Or the people who have been referred out to a specialist but keep coming to the er expecting something more than comfort measures. [/quote]

Doesn't your ER have a triage and say no to those wanting a check up?  Ours has an triage and you see a nurse who does the basics, including medicating kids with high fevers (she got medicine in my kid gratefully that he refused from us even when we tried to force it).

Be grateful you've never had a bad migrane or any of the conditions you treat.  I have them daily and most have no clue the pain involved.  I gave up going to doctors as most like PP have said give you the blow off and act like you are faking.  [/quote]

Op here. It's not the people in pain who are the issue and I'd never assume someone is faking or make them feel badly about a true concern. you on the other hand do make assumptions because I do in fact know what migraine and other intense pain feels like. Usually when I rule out a stroke or other fatal conditions in a patient presenting with a bad headache, I start to look to the possibility of migraines and then I treat them accordingly and they are usually discharged with reference to a neurologist. We have a lady who comes in frequently for gyn issues and I have no problem treating her because she has pain and other symptoms. I'm not saying her symptoms aren't valid. When you come in and ask for a flu shot is when I get annoyed. [/quote]

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