r/emergencymedicine 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👍

491 Upvotes

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u/tturedditor Feb 02 '25

Once had a lady in afib with RVR reported allergies to every rate control medication in our armamentarium. I told her to her face I didn't believe her and we were going to push diltiazem.

She of course did not have a reaction.

444

u/TheOtherPhilFry Feb 02 '25

Nobody is allergic to lightning.

7

u/drinkwithme07 Feb 02 '25

Edison medicine is always a correct answer.

2

u/BlackEagle0013 Feb 03 '25

God. I did love that Tesla song growing up.