About 6 months ago we had a patient come in for chest pain and they refused everything. I mean EVERYTHING. They refused vitals, the EKG, bloodwork, chest xray, medication, and fluids. So the attending discharged them. This ADULT had then the audacity to throw a tantrum.
They called us everything under the sun and threatened to sue us for negligence. The doctor reminded them they refused total treatment and their response was, “SO?!”. The doctor said, “We’re not Ms. Cleo. We can’t guess what’s wrong with you without a proper work up”.
So the patient let us do what we need to do and guess what? Their troponin ended up being 15,000!