Illegal Mexican family brings their daughter to the ER for hives with unknown cause. Dr orders chewable benadryl.. we don't carry tablets only IM shots,IV dosing, capsules and benadryl elixir with 14% alcohol. These are all unacceptable dosing as this is a very minor minor allergic reaction. Here is my discharge conversation with the parents..
Er Nurse- Hi Mr &Mrs "Lopez"...Do either of you speak English or should I call for a translator?
Mr Lopez- Yo hablo un poquito english.
ERN- Great ......."Maria" is having an allergic reaction, she needs to take benadryl as prescribed on this prescription. You can fill it at 24 hour pharmacy.
MRL- You aren't going to give her something now.
ERN- We don't have chewable, and she doesn't need an injection.
MRL-How am I suppose to get to the pharmacy at this hour.
ERN- You drive.
MRL- I can't drive there I don't have a drivers license. So you need to fill it for us.
ERN-How did you get to this ER ?
MRL- I drove.
ERN- Great now you can drive past the pharmacy on the way home. Have a nice night.
It really amazes me you patients that think I owe it to you to make your life easier. I didn't force you to come to the ER if you had an ounce of common sense, and weren't so frigging lazy your life would be easier and I wouldn't have to work so hard to support the medicaid system.