Be wise. Be brave. Be tricky. (slithytove) wrote,
Be wise. Be brave. Be tricky.
slithytove

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EMS report

3/23/2001 01:23:09    PENNSYLVANIA EMS REPORT   PAGE 3

Del. Co. Memorial Hosp. ALS
 [NAME DELETED]
 81005717
 23003 Upper Darby Township
 SSAN [DELETED]
 TRANSPORT DATE - 08/22/2001
 AFFILIATE UNIT # 2305490
 SERVICE INCIDENT # 7-529

HPI: PT WAS IN PATHMARK IN THE CANDY ISLE EATING THE CANDY WITHOUT PAYING. SECURITY CHASED HER AND THE POLICE CAUGHT HER ACROSS THE STREET WHERE SHE SAID SHE WAS HAVING CHEST PAIN. SHE SAID SHE WALKED OUT OF BRYN MAWR HOSP THIS MORNING AND TO PROVE TO US SHE WAS THERE SHE COMPLETLY DUMPS HER BAG ALL OVER THE GROUND TO FIND HER DISCHARGE INSTRUCTIONS. NOW SHE DEMANDS TO BE TAKEN TO BRYN MAWR AND WHEN SHE IS ADVISED WE CAN'T GO THERE AND LANKENAU IS ON DIVERT SHE BECOMES AGITATED AND SAYS SHE WILL TAKE A CAB. EMS OFFERS TO GO TO DCMH OR FITZ AND SHE FINALLY DECIDES TO GO TO FTTZ. SHE SAYS THAT SHE HAS C/P AND SOB.

PE: FOUND PT LYING ON THE SIDEWALK
PT IS CAOX3, SKIN WM, DRY, NORMAL COLOR, NO RESP DISTRESS NOTED, PULSE OX 100% ON ROOM AIR, B/S C&E B/L, MON PACED NO ABD PAIN, REST OF PE UNREMARKABLE

TX: Hx, V/S, PRI AND SEC SURVEY, PULSE OX, 02 6L. N/C, PT SAYS SHE FEELS BETTER WITH 02, MON, IV 2 ATTEMPTS WITHOUT SUCCESS, ENROUTE TO ER PT STARTS GETTING AGITATED FOR NO REASON
 PT TRANS TO FITZ
PT AND REPT TO   ER STAFF

Dearie, dearie me. This patient visits our ER at least once a week, makes incessant demands that can't be fulfilled, eats as many meals as she can get, and usually leaves cursing at the staff. Sounds like she visits a number of other area hospitals as well. Reading this report, I can almost see the poor EMS guys pulling their hair out.

She's elderly, has real heart disease, and will die of it eventually. But she's such an ornery and unapologetically exploitative old bird, no one knows quite what to do with her in the meantime.

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