- Joined
- Jun 20, 2014
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Before she deleted it, it was a lengthy post about how she has panic attacks and develops SOB/CP/other symptoms and despite trying to get her Sx under control with her regular PCP/psychiatrist she isn't always able to, at which point she goes to the ED because (like many people) she feels like she's dying when in fact she's just having a panic attack.Concise.
Before she deleted it, it was a lengthy post about how she has panic attacks and develops SOB/CP/other symptoms and despite trying to get her Sx under control with her regular PCP/psychiatrist she isn't always able to, at which point she goes to the ED because (like many people) she feels like she's dying when in fact she's just having a panic attack.
She was basically saying thanks for existing so she can get seen, and apologizing for "wasting our time."
I didn't really know how to respond when I first read it because A: I'm happy she could get the reassurance she needs but B: I wish I wasn't the one being forced to give it.
I think that feeling like you're going to die is a perfectly good reason to go to the ED, even if you know that the last 5 times you did the same you turned out to be OK. If Dr. General Veers can't rule out impending death without an ECG a blood pressure and a pulse Ox (which is about all I'll do on someone with recurrent panic attack symptoms and prior negative work up) than how is someone in the throes of a panic attack supposed to?
Like it or not, we are in the reassurance business. Someone like the OP (at least, as Boarding Doc describes it) is not a thorn in my side. Now, if he/she demands a million dollar workup over and over again for the same symptoms in spite of a compassionate and thoughtful discussion of why it's not needed…that's a very different story.
I'm perfectly fine with blood pressure, and pulse ox. I don't even need ECG to rule out impending death. All I ask is that they tell me this is similar to their prior panic attacks! It drives me crazy when a 40-60 year old patient comes in with c/o chest pain, doesn't say anything about panic attacks, I spend time (and money) doing a 2 hour negative workup, only to find out after the fact that there is a history of these.
At the same time, that's a double edged sword with the potential for anchoring bias with pts that do put that tag line upfront.
Not that we are not confronted with this cognitive landline one a hourly basis
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Gotcha. That drives me crazy too.I'm perfectly fine with blood pressure, and pulse ox. I don't even need ECG to rule out impending death. All I ask is that they tell me this is similar to their prior panic attacks! It drives me crazy when a 40-60 year old patient comes in with c/o chest pain, doesn't say anything about panic attacks, I spend time (and money) doing a 2 hour negative workup, only to find out after the fact that there is a history of these.
Meh, once you hit gold or better status it isn't so bad.I'm a frequent flyer, and I too am sorry.