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chrispell

Wierdest on-call calls.

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What are the strangest calls and bleeps people have had whilst on-call? (without breaking confidentiality of course)

I once got a call which came directly through to our doctors' mess from a guy asking if I was a violin shop. I also had another on the same phone from someone trying to order a pizza... :-?

Am I the only one this happens to? Surely not...

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I was once asked if I wanted to see a bowel motion passed by a patient which was apparently 'extremely large but with no blood or mucus'.This happened at 3am

years later, I was on call on new year's eve and was woken up after midnight to see someone who was an inpatient and who was feeling 'tired'.I explained that it's usual to feel tired at night which is why we go to bed

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a friend of mine once had a call from obs & gynae to give his expert opinion on a lady - problem - she had an itchy feeling under her left eye lid , suggestion - scratch sos .

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After looking into an MSU report I had prescribed Trimethoprim for UTI. Minutes later I get an 'urgent bleep' from the nursing staff saying ' The report says the person  is sensitive to Trimethoprim! Why have you prescribed it?!'

It took me the next 15 minutes to try to convince the nurse that it was not the patient who was sensitive to Trimethoprim, but the bug causing the UTI!

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when i was an SHO i was given a call from the Old age ward that one of their male patients had had a TIA!!!!!! wow! i thought what a diagnosis and how did the nursing staff do that at 3 in the morning without much previous exposure.

i went rushing and said how did you get to that diagnosis? the nurse said this guy has been having convulsions. what ?? for how long i askd they said for 2 hours before thy called me. i asked them did he lose consciousness? no he has been conscious through out.

as i was examining him the poor guy had high grade fever and was shivering. i saod he has fever have you given him any paracetamol? they said no he has been having this convulsions (the shivering!!) so no.

asked them to give him paracetamol and or their fantastic diagnosis made them do half hourly PTR. in an hour they said 'convuslions' have stopped can they stop half hourly PTR!!??

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I once went to the ward and all the nursing staff were wearing gloves. I asked why and they said that one of the patient had alcohol induced hepatitis and they were worried they would catch it

Same ward when on call they duty nurse rang me to tell me that a patient had abdo pain and the nurse had rung a 999 ambulance( we were non resident) . I was in the area so immediately came to hospital before ambulance. turns out women had had pain for one week and had been seen night before. Was sitting in the smoke room and lauhing and joking and told me that she was on her period and this was the pain!!

Nurse though it could have been a perforated ulcer.

I told the nurse that he was incompetent and that he would not know what a perf ulcer was if he had it himself

had to see ward manager next day

see agreed that he was incompetent after ambulance driver complained

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I had a patient on Section 136 - a 7 foot burly male brought handcuffed with 10 police officers. He was shouting at the top of his voice and was floridly psychotic. On the ward, they removed his handcuffs but before he could be given i.m. haloperidol and lorazepam, he lashed out - fists flying. It took all the officers to subdue him. Fearing more trouble, back up units were radioed and in minutes .... a dozen officers with helmets and shields entered the ward. Tear gas had to be used. Some officers and nurses were lacrimating profusely! He was finally sedated.

Believe me ... it looked like a war zone out there.

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Hi,

It was indeed hilarious to go through this post. much needed relaxation when one is preparing for exams.

So here is my experience- I was called one day with staff asking for some 'advice'. one of their patients had been diagnosed as having hydrocephalus and the nurse was asking me to prescribe some 'tablets' to 'dissolve' the hydrocephalus.

I thought of telling them to refer them to 'psychotherapy'but refrained from doing so.

I am sure there are a lot of such 'experiences'.

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I once got a call at 1:15am-patient is snoring. I asked if this was a new thing. No, he always snores. Why is this a problem now? Well, tonight he woke himself up with his snoring so we think it's worse. Can you please assess?

In CAMHS: a phone call about a 35 year old with a 'mental age' of 12-would CAMHS please assess?

And way back when I was a medical houseofficer: Please come to ward, patient feeling weak following a liver biopsy today, low BP. Ran to ward in flat panic, mentally running through how many units of blood to X- match etc etc. Asked patient how long he has felt weak. Two years. Looked at abdomen-elastoplast mark on LEFT side of abdomen. Looked in notes, had an ascitic tap 2 days previously. No liver biopsy EVER. Asked (senior staff) nurse what was going on, she pointed to said elastoplast mark and told me that was where he had had his liver biospy. But the liver's on the other side....

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Here goes:

Called to see a patient who could not burp.

Called to advise two patients who had sex on the ward and the female was scared of getting pregnant.

Called to administer an anaesthetic gel to a patient for phlebotomy. He had at least 100 self harm scars. He said he was scared of needles.

Bleeped by nurses to tell me that my pizza had come. Best ever bleep!

Called by a psych SHO from another region at midnight to seek advice regarding the Yorkshire rotation as he wanted to get shortlisted for interview. If you are on this forum, you are a pillock!

I'm sure there are others...need to jog the old memory.

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I once had a call at night telling me that a patient had a low TIBC (total iron binding capacity) and they wanted me to so something about it.

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thanks sands for reminding me about the oncall

again elderly, was called to see a patient 'vomiting blood' she was 84 year old dementing lady who could not speak much either. she had brown specks in her saliva and her BP and Pulse were normal no signs or symptoms of actual haemetemesis either

spoke with the medical registrar who said to continue observations and was happpy to take over if there was any change to the basic obs.

an hour later i was 15 minutes into an assessment when the elderly duty senior nurse bleeped me and said he is not happy with my management of this medical emergency and so he was shiftin her to the A&E as our hospital is purely psychiatry only and had already called the ambulance and the patient was shifter,i didn;t even need to come

i went later on to look inot her notes to document what had happened after i had seen her and in her dietary intake i also observed that she has had a glass of hot chocolate about 3 hours ago. i called the A&E to give them the possibility for the Brown specks we saw in the saliva which was dribbling and never any fresh blood!! then the medics checked for blood in the brown speck mixed saliva to see that there was no blood!! relief and embarassment to US!!

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I was once asked if I wanted to see a bowel motion passed by a patient which was apparently 'extremely large but with no blood or mucus'.This happened at 3am :lol: :lol: :lol: :lol: :lol: :lol: :lol:

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Was asked once to come and see a patient for headache .I advised to give some paracetamol .An hour later they again bleeped me.I advised TPR ,BP hx of vomiting etc.

Finally decided to go n see the patient.As I was leaving the ward after seeing the patient ,the nurse laughed n said do u want to see another of our patient here who has been having an erection for more than 24 hours.

I said u must b joking , they said no he is a superman.I went immediately to see this young man who had priapism n had to be transferred urgently to a specialist surgical team in a  city hospital .The surgical team thought Psychiatrists were dumb n could not recognise Priapism.

I thought later  n the nurses were worried about the headache .

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Had a call when i was a surgical HO from a 'repeat offender' sister at night (3am note) that she had come across a blood form on the floor that was meant for the previous day (routine u/es, fbc) and did i want to write out a new one and take the bloods now. (btw she added the patient was asleep and well).

I am continually amused (although i admit i dont see like that at the time) by calls from 'skeleton' staff on the weekends. Classics include:

'come and clerk this patient in -there's no paper work' - when in fact the patient had been clerked in only minutes earlier by my oncall 'buddy' in another part of the hospital and they couldnt be bothered to call the 'reception' unit for the notes.

'come urgently to assess a head injury' - they slipped and fell very normally on the floor. Ask the about obs 'we havnt done any', change in behaviour 'oh no, they're fine this happened a couple of hours ago' ....so the question did real beg ... 'oh well, we just wanted you to come so that we can write inthe notes that the doctor came to see the patient'. ...hhmmm this from a national npsych unit.

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As an SHO, i was bleeped at 10:30 to ask if I could change the timings of Zopiclone to 08:00 Am from 10:00 pm. Nurse was complaining that patient misses his zopiclone on most nights as patient is asleep by 10:00pm.

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Another one of the reason for the annoying bleeps(which happened very often) was when patient was put in seclusion... Nurse would bleep you every 2 hours to come and review patient (Policy!!!!!!!!).

We all as SHO did have to go to ward and record in the notes that 'patient sleeping' and then drive back home and return after two hours just to record the same. On occassions there were entries upto 7-8 times when patient would be sleeping for 14-16 hours.

Absolutely crazy..... hope things have changed now.........

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well you were lucky to have a non resident oncall! actually if you had a decent nightsite manager ..they would call you at 7am (when they go off) to sign up the past 8 or so hours!! now THATS my kinda bleep!

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once asked to see person who had a fall....

three weeks ago! patient had been home on leave in the mean time

Also asked to see a patient who had a fall. went to see him was 90 and demented with bilateral strokes, and two glass eyes. Also deaf and unresponsive though nursing staff said he was alway like that!

If you have any suggestions of examing someone neurologically like that then you are a better doctor then me

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Once got bleeped at 1a.m that a patient with constipation was about to pass a motion and if i could be around to observe!! :(

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I was once working with a medical registrar when he got bleeped urgently by a staff nurse, frantic that a patients blood results had come through and they had a very low creatinine. The med reg yelled down the phone (deadpan) 'oh no, that's an emergengy, set up a creatinine infusion stat and I am on the way to the ward' and hung up. 15 mins later we went to the ward to find the nurse alarmed that she could not find the creatinine infusion kit............

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Another one of the crazy bleeps: often after 10:00pm... 'doctor just wanted to let you know that Mr X has returned late from leave'. After enquiry it appears that Mr X is Informal, no major risk issues and often comes late to unit from his leave and consultant aware of this......

But reason for bleep is 'Just to let you Know'

God damn it..... i am in another team and don't know a thing about the patient and why the hell are you telling me all this???

Again...... 'Policy'

So glad to have got off such rotas.

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I think policy and protocol have a lot to do with these things. I was once asked to make up an i.v. infusion of antibiotics as there were no trained staff on the ward. I went along, and having never done this before, read the instructions in the antibiotics, mixed them up and set up the drip. As I was doing this it emerged that both the murses on that evening had been on the iv infusion course, had done their 10 supervised and 10 unsupervised practices, but hadn't yet got their certificates through the post, so they were still 'untrained.'

I guess the difference is that we're allowed to use common sense and apply it to problems without fearing that we will get sued for it. Or at least being happy to take responsibility for not sticking to 'protocol.'

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I had a bleep as I was just about to comple my shift about about a patient for whom their team had requested for a routine blood test a couple of days back!

Why now when I enquired I got the reply that it was picked up by the night staff from the notes only now and they needed it done before the hand over.

Well I replied the team SHO will be around in an hour and I will hand it over to him.

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Good fun to read the articles. Must say I have had some strange on-calls to say the least!

I have had calls similar to ones some of you have had with patients complaining of feeling tired at 1 in the morning.

One of the worst ones was a nurse calling me saying a chap couldnt get an erection while on the ward! This was at 2 in the morning!!! They had forgotten to let the previous SHO know.I did not bother to see the chap after waking him up from his deep sleep. I did not have any difficulty in seeing the reason why either??

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