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/MikeGinnyMD Feb 02 '25

We had that in residency. An “extramural” delivery that still was in the hospital. Mom is a G7P6 at 39+ weeks. They get to the hospital, mom, dad, and security guard/elevator operator go into the dedicated elevator up to L&D. Door opens on the 7th floor not 15 seconds later and out comes mom, dad, a very traumatized security guard, and a baby.

The baby got a different MRN than usual because mom hadn’t been checked in, so it was technically an extramural delivery.

I ran into the guard. “Jonny, you have three kids. Why are you so shaken?”

“Yeah, but I didn’t have to deliver them!”

-PGY-20

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u/Sunnygirl66 RN Feb 02 '25

“And a very traumatized security guard “ had me rolling.

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u/MikeGinnyMD Feb 02 '25

To be fair, that’s not what he signed up for.

-PGY-20

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u/BlackEagle0013 Feb 03 '25

If you can make it, you can deliver it!