Social Worker: It takes a strong woman to do that.
Me: To do what?
Social Worker: To admit the patient the way you did it. No consults, no head CT...
Me: Uh, what would most people do in this situation?
Social Worker: Most people would have had him admitted to internal med, then they would have called a neuro consult, ordered a head CT, and ordered an EEG. Probably a prolactin level as well.
Me: He is a 20 year old guy with a history of seizures who had a seizure after being up all night playing computer games. Had I been able to reduce his shoulder down here [in the ER] then I would have sent him home from the ER. The only reason I'm admitting him at all is because we need to go to the OR to do a reduction of his shoulder.
Social Worker: Most people would have done more of a workup for his seizures.
Me: Why does he need a workup? He has a history of seizures. He had a seizure. The last time he had a seizure it was because he was up all night. He sees his neurologist regularly. What is there to work up?
We reduced his shoulder dislocation and I sent him home from the recovery room. Go go modern medicine.