Agree, no more peds or geriatrics.
Peds in the ED is:
1) Cough. Fever. Viral URI. Go home.
2) Cough. Stridor at 2 AM. Dex. Go home.
3) Fell down. Hit head. No CT. Go home.
4) Chronically ill FLK with multiple genetic abnormalities. Try to transfer to quaternary center with no beds and then board in the ED continuing to get stern looks for parents asking if you really know about their super rare disease as they carry around their binder.
5) Cough.
6) Cough and runny nose.
7) Congestion and cough.
8) Second visit. Why still coughing, it’s been 3 days already?
9) Cough, rhinorrhea and congestion for 5 days. The antibiotic from the urgent care doesn’t seem to be working. Now they have a rash!! Is it an allergic reaction? I need a new antibiotic!
10) Cough. Cough. Cough…….soul sucking.
Geriatrics in the ED is:
1) Fell down 2 AM.
2) Weak. But why is my mom weak?
3) Dizzy. Which means anything.
4) Altered from SNF. Nope just the dementia that the new nurse didn’t know about.
5) Want to send them all home, but their family knows something is wrong and last time they were sent home they had to come back and were admitted. Can’t they just be admitted for a day so you can watch them?
6) I don’t know why I’m here?
7) What are my medications? It’s in the compuder.
8) No we didn’t talk about a DNR/DNI. She was so healthy with her end stage cancer and a very active 90 year old. Can’t you do something more?
9) I’m still weak!
10) Whoops, I fell again.
Are you excited yet?