At work this week, a couple of noteworthy patients.

The first was a woman who brought in her year old baby because the baby had a purple spot on her tongue and about a dozen red spots on her body, just isolated 1mm red dots. The baby’s tongue looked just like this:

This is called purpura, and the ones on the skin are called petechiae. It can be genetic, or can be triggered by a virus that causes the immune system to misbehave and attack the patient’s blood. So I went to go tell the doctor, who ordered a blood test. Sure enough, the baby’s platelet count was 3,000. It should be between 150,000 to 450,000.

The disease is called thrombocytopenia. It can be caused by a number of different things, this will require more testing. No matter what, it isn’t going to be good news. We transferred the baby to a children’s hospital.

The second one was a fine example of how people abuse the system. A woman came in telling me that she had called in sick to work so her and her boyfriend could spend the day smoking weed. She had no medical complaints, but wanted a doctor’s note for work so she wouldn’t get fired for calling in again.

We ( the nurses and doctors) were offended, but the doctor wrote her note. Why? Because payment rates for the hospital for all patients are set by satisfaction scores, according to Obamacare.

On the business front, we began showing the rental finally. There have been two people by to look at it, but no one has put in an application yet.

Categories: MeMedical News


oldvet50 · March 17, 2024 at 6:45 pm

A one year old baby what? Those look like whiskers below the tongue.
I would also like to know what the doctor’s note said. If there were no medical complaints, did the doctor lie or say so in the note?

    Divemedic · March 17, 2024 at 8:55 pm

    That is not the actual patient. HIPAA. Am I looking to get fired? Seriously, tell me that you are trying to be funny.
    Our notes are all the same, again due to HIPAA:
    [Person Named] was seen in the Emergency Department today and may return to work/school on [date selected by person generating note]

Dan D. · March 18, 2024 at 9:12 am

Since I no longer receive Emergency Physicians Monthly I would personally appreciate periodic updates of what patients present with in your ED. It helps me learn a lot.

Comments are closed.