r/emergencymedicine • u/Asleep-Palpitation43 Nurse Practiciner • Feb 02 '25

Advice Allergy Olympics

Is it wrong that if I see a patient has more than 10 allergies I IMMEDIATELY assume she's (bc it's always a she) a psych case?

In 24 years I've never been wrong.

You'll never read this in a textbook but add it to your practice today and thank me later👍

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u/HookerDestroyer Flight Nurse Feb 02 '25

If they have a fibromyalgia diagnosis with the long allergy list, then yes.

2

u/WriterBren Feb 03 '25

My rheumatologist said I have fibromyalgia along with my lupus and I said absolutely not! Do NOT put that diagnosis on my list.

1

u/HookerDestroyer Flight Nurse Feb 03 '25

Lupus with fibromyalgia means I’m 100% getting told that “fentanyl doesn’t work, but dilaudid does”.. I’m glad you had your fibromyalgia diagnosis expunged.