Vangina as a Common Atypical Cause of Chest Pain.

Chest pain is one of the most common and often concerning symptoms for physicians of all training.  Tell a dermatologist you've got chest pain and they're calling an ambulance before they remove the maximum number of moles they'll get paid for in one visit.   Want to come to the emergency department (ED) to get checked for a pregnancy test?   Call an ambulance and tell them you've got chest pain when you take a deep breath in and that your mother just died of a pulmonary embolism.  You get a free ride through triage to the front of the line. The ED will always order a pregnancy test before they order your  CT scan to rule out blood clots.  Before they cart you away to the CT scanner ask them for your pregnancy result, then refuse to do the CT scan and sign out from the ER against medical advice.  Don't worry about whether all this nonsense will get paid for.  It will.  You've got Medicaid. Chest pain is a red flag symptom until proven otherwise.  Missing a life threatening case of acute coronary syndrome or a pulmonary embolism can mean the difference between life and death for the patient and a few million dollars in legal bills for the head doctor in charge.  Tell the ENT doctor you have chest pressure and they'll tell you to hold pressure on your posterior bleed while their nurse calls an ambulance to get you the heck out of their office.   All chest pain goes to the ER these days.  Chest pain is an emerge...
Source: The Happy Hospitalist - Category: Internists and Doctors of Medicine Authors: Source Type: blogs