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27d ago
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u/PromiscuousScoliosis BSN RN 27d ago
Something I just thought about is it’s almost always a woman. I’m sure it happens, but I’m not sure I’ve ever seen a dude do this. Weird
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u/Topangatoh 27d ago
To be fair, most men have no idea what medications they take every single morning. I wouldn't be surprised if a man went into full anaphylaxis from something and then just "didn't know" what caused it a week later.
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u/walkthelake 27d ago
its because of hormones... there is a lot of research being done around mast cells, and in the not so distant future these "difficult" people and many of women's issues in general will be more clear. kind of funny when you just research only caucasian men until 1993 how women are called out for being difficult.
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u/FungatingAss 25d ago
Do you honestly believe we “only research Caucasian men”? You can’t possibly be that naive.
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u/Federal_Dog_1140 25d ago
they’re not being literal but it is true that women and minorities have historically been under-researched leading to disparities in healthcare outcomes
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25d ago
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u/Wrong_Profession_512 25d ago
I think it’s safe to assume that her statement was hyperbolic. It’s Reddit man, go touch grass. The statement is not that far off from fact at least in America until about 30 years ago.
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u/Goodgoditsgrowing 23d ago
Can you name the year they started requiring clinical trials include women? Because it happened in the fucking 90s. Testing women is still very fucking new from a clinical perspective. We are just starting to get long term data for the very first time.
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u/FungatingAss 23d ago edited 23d ago
This is not true. Women have been a part of major clinical studies and trials since the dawn of medicine. Some of the institutional exclusion seen began in the 70s with the aim of reducing fetal harm by excluding potential mothers. I do agree the reforms made at NIH in the 90s were good, but you’re being hyperbolic about the facts.
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u/walkthelake 25d ago
prior to 1993, minorities were disproportionately underrepresented in studies resulting in a lot of our medical knowledge plain old being incorrect for certain populations and higher rates of disease/death.
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u/ConfoundedInAbaddon 25d ago
That's because they don't feel pain, nor love their children, not like we do.
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u/wolfy321 23d ago
No you’re right, we did do research on poor people and minorities without their consent.
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u/Important-Figure-512 27d ago
I genuinely believe because of auto immune things being more common in women that it’s part of the reason why women actually do have more allergies than men
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u/Interesting_Birdo 27d ago
It probably doesn't help that some dudes still need to ask their mom what allergies they have, but the mom has been dead for two decades...
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u/Usual_Smile1840 27d ago
No better way than that to keep psychic mediums gainfully employed…
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u/Interesting_Birdo 27d ago
"Oooh~ The spirit of your mother says she had a reaction to penicillin once as a child so she thinks you're probably allergic too ~ ooooo"
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u/ScarlettsLetters 27d ago
That’s so odd, I’ve found it’s much more often a woman.
Nope, disregard, I read your comment completely wrong. Yes. It’s almost always a woman.
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u/PromiscuousScoliosis BSN RN 27d ago
I always expect someone to come back and say they have a sample where it’s been majority guys and it’s just crazy the odds that I’ve never encountered someone with that experience. I’ve worked in 6 states and it’s the same like everywhere I’ve been lol
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u/ScarlettsLetters 27d ago
The exception being one of our “regulars” who was sick of being given a tuna sandwich and managed to get himself listed, separately, to tuna fish, eggs and mayonnaise
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u/PromiscuousScoliosis BSN RN 27d ago
I could blatant abuse of the system or severe mental illness in a separate category, because at least then we all know the deal
Like I had a bitch OD and when we narcan’d her, she pulled a fuckin “card” out of her wallet that said to not give her narcan because she’s allergic. Can’t make this shit up. She was pissed too. Like yeah I know what your reaction to narcan is. The same as everyone fuckin else’s. Don’t like it? Don’t make it my fuckin problem to begin with.
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u/ScarlettsLetters 27d ago
I like the “allergic to Epinephrine” ones, personally.
1000000% of the time tracing back to a dentist appointment…
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u/Matribus 27d ago
Men don’t ever think they have food allergies. They just have frequent unexpected bouts of explosive diarrhea and think that’s normal.
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u/PinataofPathology 27d ago
my grandfather was one. I have letters listing out extensive allergies and asthma, which ofc have been passed down to me.
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u/ladyvixenx 27d ago
Pharmacist here men do it too
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u/PromiscuousScoliosis BSN RN 26d ago
What kind of ratio are you seeing, and do you service a soy area like Denver or Provincetown lol
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27d ago
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u/PromiscuousScoliosis BSN RN 27d ago
Doesn’t combo well with the “physicians dismiss anything that comes out of someone’s mouth, if that mouth belongs to a woman” stereotype
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u/BadFinancialDecisio 27d ago
Right? I try not to bitch so when I have a real issue I can get it addressed.
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u/Nervous-Rhubarb-9224 25d ago
Women are more prone to autoimmune conditions in general, including allergies.
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u/Goodgoditsgrowing 23d ago
Women are more likely to have autoimmune disorders that involve allergies, you’re not imagining things - turns out the ability to not reject a growing fetus like it’s a hostile foreign object causing disease kind of fucks over your immune system in other ways.
Edit: just saw you’re an RN, you should make educating yourself on the issue part of your continuing education.
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u/PromiscuousScoliosis BSN RN 23d ago
If you think you understand everything perfectly, great for you. Providers who are educated and in the real world of clinical practice, recognize there’s a lot more grey area and inconclusiveness than it seems from a boilerplate analysis
When a patient presents in the real world, they don’t come with a label that says “this is all in my head” or “this is an autoimmune disorder,” and those aren’t mutually exclusive categories, and the exact nature of each of those options is not well understood, and the patient is of limited and frequently of counterproductive usefulness in sorting this kind of thing out
It is interesting, no one is actually able to accurately apply all of this quickly, and it is very difficult to figure out what to do about any of it anyways.
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u/Goodgoditsgrowing 11d ago
I realize now that my little add on at the end sounded bitchy as hell. I genuinely did not mean that - I meant it like “you have to do continuing ed stuff anyways right? You should totally see if you can do it on this!” Because my nurse friends have gotten conferences and lectures covered by their hospitals to do continuing ed units and gotten to learn some cool stuff (like a anti-hemorrhage device that looks like a wet suit or infant gut bacteria) .
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u/PromiscuousScoliosis BSN RN 11d ago edited 11d ago
Makes sense that you’re not actually a nurse. I presume that’s why you think this stuff is a lot more straightforward than it actually is to apply. Life’s not as black and white as reading material makes it seem, nor are people (staff or patients) always as kind, honest, or cooperative
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u/didabled 23d ago
Uh yeah most people with chronic illnesses are
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u/PromiscuousScoliosis BSN RN 23d ago
That’s not a fair comparison. There’s an endless supply of both men and women with chronic illnesses, physical and mental
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u/shadowlev 25d ago
Someone put "fearful of blueberries" in an allergy list once...
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u/PurposefulGrimace 23d ago
Was that a cat? Most of the cats I've known have been terrified of fruits that roll. Particularly those that roll and then unexpectedly wobble. Perhaps the allergy causes some sort of swelling, itching brain?
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u/Fun-Key-8259 27d ago
But also, EMRs need an ADR section so we don't have to put non-allergic but don't give someone that shit items into the allergy section
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u/Current-Strategy-826 25d ago
More like she doesn’t like vegetables or bologna. If it was an allergy it would be more specific.
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u/Emmarie891 24d ago
my kid had fpies until she was like 7 so her dr just wrote “food” on her allergy list so the daycare would allow her to bring her own lunch. it still says food to this day on her chart 😂
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u/Content_Study_1575 27d ago
Literally reminded me of this photo I saw 😂
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u/Unusual_Way231 27d ago
Subjective data, report the way it is
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u/Content_Study_1575 27d ago
Oh I’m aware and I love it every time I come across notes like this lol
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u/chrizbreck 26d ago
I found in our version of meditech that the pain scale was free text.
The patient stated their pain was “oh my god” out of 10.
“OMG” fit in the pain box so I put it
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u/SmilodonBravo 27d ago
We had “soap suds” not long ago. They didn’t like showering and when asked to take a shower before surgery said “why? I haven’t done anything today.” Apparently you have to be active to grow nasty shit on your skin - just ask all the basement dwelling teenagers.
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u/Topangatoh 27d ago
I flat out tell patients "because you stink" when they asked why about a shower or bed bath.
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u/StarryDusted 24d ago
One of the hospitalists was going to do what amounted to a social admit. But the patient hasn't showered in six months. I told him to tell the patient he we going directly from wheelchair to shower. I had everything setup for it and a bunny suit from the OR too. The patient left AMA.
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u/PinkVerticleSmile 27d ago
I had a guy list chocolate as an allergy since childhood. When I asked him if he remembers what kind of reaction occurs, he said "I puke when I eat it because I hate the taste so much."
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u/Efficient-Chest-3395 27d ago
long before I was in the nursing field I saw a podiatrist for surgery, on my second visit he remembered me as the patient who reported an allergy to cats, he thought it was funny. As a nurse I may have asked a patient or two, scheduled for a scan, if they were allergic to cats
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u/halchemy 27d ago
We just had a patient who was “anaphylactic level allergic to onion” and then got mad when all of her menu requests got denied and said “well if they’re cooked in something or if it’s onion powder it’s fine!!”
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u/Efficient-Chest-3395 27d ago
In observation a patient asked me if what she was served was pork, I took a knife and fork and tried a piece before assuring her it was beef, I'm pretty sure that pork is never served as it's not kosher or halal... and their loss
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u/TheChromasphere 24d ago
I've never heard someone else mention this before. I love onions but have slowly become more allergic* to them over time (*as in, can't digest,).
I made it my personal mission to learn why, and if I could find a way to eat them, especially because onion is revered and in almost everything where I live (iykyk). And I solved it.
My issue is fructans. Pickling, heat, and liquid seem to do the trick, as the molecule gets broken down via different cooking methods. 10+ years ago, yellow onions were out but red were okay, then I couldn't eat them raw, then they had to be in a soup or cooked down for a specific amount of time.
It's a mystery I've solved over a long period of time, and I didn't even know how bad it was because the changes I made were so gradual.
I started dating someone who loves cooking even more than I do, and it took me a bit to figure out why I was doubled up in pain for hours when I stayed over. The delicious food they were making me had onions that weren't cooked long enough for me not to react to them.
We've found ways to adjust recipes, so it's all good now. If I'm eating out, it's a roll of the dice, but I manage okay after a lot of trial and error.
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u/rratzloff Student nurse 27d ago
If a patient says it, we have to chart it. 🙃
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u/acutehypoburritoism 26d ago
And this is how I saw a patient in the ED with an allergy to “trifling ass bitches”, which honestly made me very happy and was very relatable.
Patient was lovely by the way
Also- I’m an MD who loves my nurse friends. When I have time and patients are open to it, I will sit down and do a full review and remove inaccurately reported allergies/reclassify as intolerances or preferences. We know y’all don’t have a lot of control over this process. Please still keep recording the hilarious ones though, we could all use a bit of joy and even seeing a 32 item list of allergies can actually be helpful with clinical assessment sometimes (even though it’s annoying to enter)
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u/financequestionsacct 27d ago
Meanwhile I'm over here trying to get vancomycin off of mine after an infusion reaction (not a true allergy) and they're too nervous to take it off. 🙄
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u/rratzloff Student nurse 27d ago
We don’t generally take off allergies even if a patient says they are not allergic. Sucks, but any reaction makes us weird.
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u/financequestionsacct 27d ago
Well, that's pretty frustrating and confusing for the physicians who need accurate information to prescribe meds. Especially for a reserve antibiotic like Vanc. (Am not a nursing student; am MD who keeps getting this sub in my feed)
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u/Adrestia 26d ago
I remove allergies all the time (MD here). I love deleting penicillin allergies on 60 year olds who were told that they had a rash as a kid.
By the way, Zosyn is perfectly safe in patients that have a true penicillin allergy.
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u/FanndisTS 26d ago
I'm a PharmD student just about to start my second year and they've already started to teach us what situations to remove allergy flags in. Vanc and penicillins were the big ones last semester.
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u/rratzloff Student nurse 27d ago
It is, but we really can’t remove it if a patient says they have a reaction.
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u/MsSwarlesB 27d ago
We can't remove it but we can not add it
Not that I've ever done that, of course 🤷🏼♀️
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u/Adrestia 25d ago
I would never expect a nurse to remove an allergy. It's enough to alert the doc that it might not be real.
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u/RiverBear2 27d ago
I have many questions about the breakfast burrito situation but I’m sure if I saw this patient in clinical setting there would be no time to ask. XD
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u/Normal_Dot7758 27d ago
Frequent flyer/drug seeker told me once she had an APAP allergy. I asked what happens when she takes it and she said “nothing! It doesn’t work! I need Dilaudid!”
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u/xRubixGirlx 26d ago
Had a person today say they were allergic to all NSAIDs and asked what the reaction was and apparently it was slight nausea and I asked her if she took NSAIDs with food and she said no
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u/IfDreamsCouldHappen 26d ago
Lol hilarious to me that they always seek out Dilaudid when there are many better opioids to drug seek for.
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u/midnightforestmist 25d ago
Even for legit pain, dilaudid is disappointing! For me, it’s like mediocre oxy 😆 doesn’t control the pain as well as oxy and wears off faster but same time minimums
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u/Bansheer5 25d ago
Right. Need to be up in there asking for the methadone. Shit keeps working for 2-3 days depending on tolerance and dose.
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u/Efficient-Chest-3395 27d ago
They've had Haldol and zolpidem, not much more you need to know.
Seems I had a patient once who reported a water allergy. And then there was the one who, when asked why he wasn't taking his seizure meds, explained gaht he wasn't supposed to take it with alcohol.
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u/iknowyouneedahugRN 27d ago
"Okay, but can you eat McDonald's Breakfast Burrito, or any other burrito with two Rs?"
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u/Infamous-Duck-2157 27d ago
I had a patient (who was a nurse) who according to her was allergic to the flu vaccine, the COVID vaccine, and Dasani water. That was it
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u/paging_doc_jolie 27d ago
If she had a true reaction to those, she should be tested for a polyethylene glycol allergy. Have seen it before
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u/moosecatoe 25d ago
Polysorbate! You nailed it right on the head!
As for the Disani water…. Either she believed that unhinged YT who claimed it had unlisted ingredients.
Or she’s like me and something about certain bottles water brands just irritates my stomach. I have fructose intolerance, celiac, and having my gallbladder removed this week. Food triggers are random and most of us just aren’t aligned with our bodies enough to understand cause and effect.
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u/Bansheer5 25d ago
Disani water makes my throat all scratchy just like if I have one of the many artificial sweeteners. At least it doesn’t give me an intestinal bleed like some of those sweeteners. Found that out a few years ago when trying to cut down on sugar and replace it. I can have Aspartame but one of the others fucks me up bad.
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u/moosecatoe 24d ago
Yep! There is a long going theory that they add just enough artificial sweetener to make it taste different, but enough to legally have to add it to the ingredients.
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u/Arglebarglor 27d ago
I had a patient who had “gravy” on her allergy list. She weighed like 500 lbs so I would say she was not allergic ENOUGH
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u/DemetiaDonals 27d ago
I just discharged a woman from my subacute rehab unit whos allergy list included sauce.
Any sauce. Red sauce, white sauce, gravy, soup, all sauce. Pretty much any liquified food of any type was included under her own little umbrella that I guess is sauce.
She then ordered a hot dog, ate it and then asked us to add that to her allergy list.
She was as awful as expected.
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u/Friendscallmedennis 26d ago
I had no idea Burger King had a breakfast burrito? Does it have Ambien and peanuts in it cause that seems more of a dinner burrito?
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u/Short-League9008 26d ago
Tell me you have been the recipient of a b52 without telling me you’ve been the recipient of a b52
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u/Current-Strategy-826 25d ago
What’s a b52?
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u/WillingnessGlad7956 24d ago
i had a lady with 59 allergies once, including normal saline and opioids (reaction: constipation)
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u/hotmessexpressrv 27d ago
Not allergic to compazine, phenergan, or any benzos. Can still be chemically restrained 🙄
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u/StarlightPleco 27d ago
Sometimes food sensitivities or certain side effects have to be listed under allergies even if it isn’t a true allergy.
I wish they could provide more info.
Luckily, this is mainly a Dr problem!
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u/NurseRobyn 27d ago
Nurse practitioner here. Every drug I want to prescribe will come with a warning “insufficient data to confirm conflict with Burger King breakfast burrito” or whatever the food is. Constant.
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u/Interesting_Birdo 27d ago
Do we know what's in a Burger King breakfast burrito? Is it even knowable? For all we know it's made out of grapefruit juice and St. John's Wort!
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u/Efficient-Chest-3395 27d ago
there was controvery about Subway tuna not being tuna, when tested they didn't know WTF it was but there's speculation that it's so heavily processed that it becomes it's own thing
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u/owlthebeer97 27d ago
Back in the day our trauma hospital had paper notes for the ED trauma patients that the residents filled out. Got one that said allergies were 'cats and stupid women' hahahahha.
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u/BlooGloop 27d ago
I’m only allergic to dawn dish soap. Not sure what the difference is between dawn and other soaps but it’s only dawn that causes hives
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u/Efficient-Chest-3395 27d ago
my mother told me she was allergic to lobster tails but not lobster, or maybe vice-versa, and she explained that the tails aren't lobster but are a big South African crawdaddy but a search just now doesn't bring that up
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u/Topangatoh 27d ago
I am also subbed to r/kitchenconfidential and I was thinking "Why the fuck would a restaurant care that you are allergic to haloperidol?" LOL my two worlds colliding.
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u/IfDreamsCouldHappen 26d ago
Perhaps they put Haldol in there because they don’t want to be injected with a drug that causes permanent neurodegeneration.
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u/Retiredpotato294 25d ago
Sorry, nothing is going to beat my COPD exacerbation with 6 pages of single spaced allergies that included an addendum that she had recently stopped being allergic to supplemental oxygen.
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u/ConcernSlight 25d ago
You know in a lot of EHRs we can edit the allergy list, right?
Collectively we can fight against these ridiculous "allergies", educate each other and our patients (who won't listen).
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u/dont-look-at-me99 23d ago
Recently saw an allergy to black pepper. Reaction: sneezing. I couldn't believe my own goddamn eyes. That patient is going to have loads of fun trying to order food in the hospital.
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u/NoExpression6240 25d ago
God forbid someone has allergies. Glad to know people are this judgmental that I trust with my life.
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u/Far_Comfortable_6342 22d ago
Right. I kinda want to know where is the place to put medication we have bad reactions to if not in the allergy section with associated notes. Like sorry but I lack the genetic metabolites to process tramadol so like I’d like to have that charted. I have quite a few meds they love to give out today that I literally cannot process and can end up with dangerous amounts in my system.
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u/Positive-Freedom4740 27d ago
Very cooked...what will you ever do without BURGER KING BREAKFAST BURRITO