Hey I'm 911doc, how can i help you?
I've got jiggers and I'm in a lot of pain all over.
Weren't you seen here earlier today?
Yeah, but I prayed and it went away so I left.
Did you just call the ambulance to come in?
Yeah, the pain came back and I got scared and I didn't think I should drive.
My nurse tells me you've had pain for a year?
Yeah, but it's worse today. About six months ago I was supposed to have some kinda scope or something, but that was when I had insurance... I don't have a doctor, I was supposed to have a scope but I couldn't go.
It says here you were throwing up blood?
Earlier I did, at least I think it was blood, it looked brown, I got really concerned, and I haven't had my stuff done.
That scope thing, I didn't do it.
Why didn't you do it?
'Cuz I had a real bad breakup, I was so depressed I didn't go... I did have insurance then, but I don't now. I don't know why I needed that scope anyway... I don't do the anal stuff, so I didn't get all tore up inside, but sometimes when I sit down it really hurts and I want to know what's going on... it keeps going on.
Seems like you are quite comfortable now...
But the pain is coming back and it's in my legs now.
Have you had any vaginal or anal bleeding or discharge?
Are you pregnant?
Have you ever been pregnant?
Yes, four times, but i don't have any children.
I terminated them.
I see. Do you use drugs or alcohol?
No... the pain is so sharp it hurts to go to the bathroom.
You said it hurts all over...
Yes, I have no idea what it is.
Do you have any allergies?
Do you have any other medical problems?
Yeah, six years ago something happened and I was like The Nutty Professor... they said I had angioedema so I had to wear a mask. I was on all kinds of medication, I was on steroids for a long time, years ago, I was having headaches, the pain got really bad so I couldn't sit then I started throwing up.
Hmm.... unless you had a bad allergy to something wearing a mask doesn't make any sense for angioedema.
I had to wear a mask.
Hmm... the most concerning thing you told me is that you had blood in your vomit. We are going to have to find out what it is... if it's blood then we need to get you admitted.
I took two laxatives they didn't work.
Hurting this much is not constipation, besides that, laxatives don't work right away... I need to order some tests...
My stomach is bubbling and I can't go to the bathroom and feel like I'm going to throw up.
How many times have you vomited?
Who is your doctor?
I don't have one because I was on depo.
You don't have a doctor because you were on depo?
Well I stopped taking it because my blood pressure went up and then he wouldn't see me.
When did you stop taking it?
Its been months since I had one.
Are you sexually active?
Then how do you know you are not pregnant?
I just know.
Okay, let's get started.
Diagnosis after CT scan, failed NGT, normal labs, and $3000 of your money? Formication from cocaine abuse.