Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments (1)

A Humorous ER Admission For Marijuana Use

Whenever drugs are involved in a patient’s admission, the outcome is either craziness or comedy.  Methamphetamines and cocaine seem to be the popular drugs of choice requiring admission. These people are usually angry and agitated.  However, it seems like pot humor always adds a little touch of the unexpected to an otherwise boring admission.

Take for example the 27 year old truck driver who was brought in by his roommate for “acting weird’. What happens when you mix a little marijuana and a little alcohol?  You get Happy’s pot humor post of the day.

Tommy:  picking at things and acting goofy
Happy:  Tommy.  You’re acting a bit strange.  What’s going on?
Tommy: I’m not acting strange.
Happy:  Do you know you tested positive for weed?
Tommy:  I don’t smoke dope.
Happy: Do you know why you’re in the hospital?
Tommy:  My friend brought me.  I’m going to kill him.
Happy: Why would your friend bring you to the hospital?
Tommy:  So he could smoke my big bag of pot.
Happy:  I see Tommy. We’ll see you later.

How would I document this interaction?

S)  ROS unreliable secondary to altered mental status
O) BP, HR, O2 Sats normal
Alert but not oriented
Labs:  ETOH 230.  Postive THC screen.  Telemetry tracings reviewed:  Normal
A) 1)  Delirium
2)  Polysubstance abuse
3)  Smoker (pot and tobacco)
4)  ETOH abuse
Sleep.  Reviewed with RN. Haldol, Ativan prn  Intervention nurse for pot and ETOH.  +/- review internet for outstanding warrants.   Discuss tobacco smoking cessation in am CPT 99406

Charge:  CPT 99233, $250  high level hospital follow up.
Expected payment:  Zero.

*This blog post was originally published at The Happy Hospitalist Blog*

You may also like these posts

Read comments »

One Response to “A Humorous ER Admission For Marijuana Use”

  1. Michael Lockhart says:

    What does “acting goofy” mean in clinical terms?

    And what if his roommate really was after his weed? Theft makes a lot of people agitated!

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »