Yenta -“i kinda doubt the dirty needle theory. the kid is petrified of needles. he needs EMLA every time for blood draws and come near him with a syringe and he shreeks (some of the meds are on syringe pump…)”
After this tid bit, I think this points to my theory as correct. Being that there wasn’t any rubor, calor, etc. on the outside points to an infection starting on the inside. How does an infection start on the inside? The most probable ways are hematogeneous (guessing on the spelling) spread or direct innoculation. Could be s/o was angry or upset at him and bullied him and hurt him with a dirty needle to get him scared or whatever. You can’t even rule out the parents as the culprits. It’s called child abuse. This would explain his intense fear of needles. Every time he sees a needle it reminds him of the attack.
“the drug seeker had PN and would take n/t PO. IV only abx. docs only ordered tylenol q4 for pain and he wanted stronger. security had to be called a few times to speak to him-basically either stop threatening the docs or be discharged/leave AMA. it was pretty scary. i made my instructor come in w/ me when i gave the meds”
Did he have to be tied down? If not, he was pretty good. The worst violent ones are the elderly. You gotta learn how to duck.
The most fun pts are the ones in custody. This one guy had to go to the bathroom -so the African American cop went in with him & then they got into a scuffle. Of course I was right there with box seats. Anyways the nurse who was Asian-Amer just like the perp decided this was abuse and started screaming and then they called the precinct. An Asian-Amer Sergeant came down and took away this one cop, but left his partner -also African American. With some of these pts, even after they’re tied down -you still can’t get a line until you give them some chemical restraint. This is what makes the medical field fun. As long as you didn’t get slugged, but watch out you will definitely encounter these types, esp. some elderly.