Pt. comes to the ED complaining of dental pain, headache, and ran out of blood pressure medications 3 days ago, and isn't able to fill the Rx until tomorrow. Blood pressure 200/100. Pt wakes up every morning at 3am, smokes one cigarette and states he then smokes weed "all day long." He also has been taking ExLax every single day to "help clean me out."
Treatment: P.O. HCTZ, Penicillin, and Percocet... than discharge
Discharge instructions per MD: "Please take blood pressure medication as prescribed to you", and "STOP SMOKIN THAT WEED."
HAHAHAHAHA.. I read the discharge instructions exactly as written...kept a straight face the entire time. God I love the docs I work with.
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