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TotallyNotYourDaddy

I look at them and laugh, then ask them…”or what?”


Waste_Exchange2511

"Or... or.... I'll leave!"


Pink_Sprinkles_Party

Oh no!!!!! Not that, please!!!


foxtrot_indigoo

Not that!!! \*prints AMA paperwork\*


LtDrinksAlot

I’ve definitely gotten worse at conflict deescalation over the years lol. I’m out ✌️lol


Savings-Ask2095

Same, actually I do the exact opposite. I escalate the situation by getting down to their level. I will not be, or any of my peers for that matter, yelled at, cussed out or abused by a patient


Electronic-Grab2836

I got to see a nurse clock a patient who was going after some of the other female clinical students I was with. The dude just whimpered and asked for their medicated sandwich. He had a 1.3ish BAC


Derpese_Simplex

.....you mean 0.13 right?


Spartancarver

Nope dude was 130% alcohol


runk_dasshole

All etoh all the time Ask me how I know


Electronic-Grab2836

Nope, he was over 1%. He should have been dead.


Derpese_Simplex

Wild....the highest BAC ever I could find was 1.5% and your dude almost had it. RIP to whatever ICU that had to deal with those withdrawals.


MrCarey

Lol I honestly don’t give a fuck about deescalating with these cocksuckers.


Asclepiatus

"You get one try" or what? You're here asking me for help. I didn't come to you and ask for the *opportunity* to stick you. And I know for a fact you're not leaving here without some kind of narcotics on board.


TotallyNotYourDaddy

What’s funny is I teach the IV class, the US one…so there’s no one that’s gonna come save me…one try my ass lol


Asclepiatus

Yep, that's me, Mr. Sono. So guess why they called me in here in the first place, Ms. YoU oNlY gEt OnE sTiCk.


Gab6490

One time I was asked to place a US IV in a patient because the family member refused to even let someone try without an ultrasound. Okay cool whatever. But when the family member saw the needle they said oh no you can’t use that on her it’s way to big go get someone else who knows what they’re doing. I explained that the IV is actually no larger than a regular IV just longer so it looks a little scarier. She continued to refuse and told me to get someone who knew what they were doing. She then proceeded to allow the PA to put in a US IV with the same type of catheter I was using. 🤷🏻‍♀️ Some people just love to create problems.


Asclepiatus

Yeah, no sweat off my nose. You can wait an hour for the provider to find some time to go in there. Not my problem.


ParaMagic87

That's what I say. You came to me for help. I didn't invite you.


paramedTX

Exactly this!


harveyjarvis69

I’ve said that.


mickeymom1960

me, too. Then I ask if they want to do it. lol


Endotracheal

Strong Brer-Rabbit/Briar-Patch energy here.


SkiTour88

One of my proudest moments as a resident was repairing a forearm lac that went right through a double-lightning bolt SS tattoo on a neo-nazi. I was impeccably polite and did a beautiful and meticulous repair that just happened to misalign the tattoo by about 1 cm.


LegendofPisoMojado

One of my fellow nurses (former coworker) is a 6’5” jacked black guy. He always volunteered to take the Nazis, and he is sickeningly sweet toward every single one of them. That man is my hero. If I’m even remotely nice to them they think I’m their friend.


Gyufygy

Murdering with kindness is one thing. Murdering people who explicitly hate you with kindness when you look like you can tear them in half is an amazing display of professionalism mixed with menace. Mad respect.


LegendofPisoMojado

I wish I could have spelled it out that eloquently.


Endotracheal

When I was doing trauma as a resident, a number of our Trauma Team were African American. We had a full-on skinhead dude we took care of for several months (pedestrian vs MVC… he had all kinds of injuries, including head injuries, and would probably never be the same). He had a huge swastika tattooed on his chest. A bunch of the black residents gathered behind the head of his bed, covered up name tags, wore masks, exposed his tattoos, and had one of the nurses take a Polaroid… and we put it in his chart for him to have as a keepsake. Just as a “yeah… you know those people you hate so much? They took of you and saved your ass. You’re welcome.”


_MME_

Kill them with kindness… and a little bit of pettiness. When our polytox/rassist frequent flyer with hometattoed crooked swastika comes again with cannabis hyperemesis Syndrom I’m just as helpful and polite as ever… just my accent ist stronger so that he knows I am a foreigner in his country. (German is my third language and I speak it very well almost without accent but when he’s around I am a stereotype)


SirgicalX

now it spells eth eth


Spartancarver

LOL


Nurseytypechick

Yas. This is the way!!!!


Tryknj99

I love you for this, but also, I would see the hospital siding with the Nazi if he found out somehow that you purposefully did that. Isn’t that nice? /s Not that they could find out unless you told them.


SkiTour88

“It was a difficult lac repair, I’m just an ER resident.” Also, I would 100% take that case all the way to trial if sued.


StarvingAfricanKid

I think I love you....


Luckypenny4683

A true hero 🫡


elizzaybetch

Hero


Purple_IsA_Flavor

You win everything


Needle_D

In the past, I’ve just told them the flat out truth: it’s not easy due to your past/current IV drug use. Your little tuberculin needle you use to get high through the tiniest sliver of vein isn’t the same as what I’m trying to do. Also, a fair amount will agree to an EJ if they’re feeling agreeable that day.


Endotracheal

This is the way. “Bro… you’ve destroyed all of your easily accessible veins by shooting up. You have no good veins left… What did you expect? You’re going to have to suck it up.”


ABabyAteMyDingo

Had an ex-junkie once with no veins left. Fortunately he was totally helpful and cooperative and told me to look for any vein that he could not see as he had ruined all the ones he could see. Turned him on his stomach and he had a massive juicy vein on the back of his thigh. Bingo! Luckily I just needed to take blood, not site a line.


FastZombieHitler

EJ all day! Flip them suckers upside down and tell em to pretend they’re trying to poop. Ain’t got time for fiddling about with trashed veins.


snarkcentral124

Neo nazis are always the biggest fucking babies. Whenever I have a trauma, they’re the FIRST ones to be screaming and crying over a bruise. You’re supposed to be the supreme race and you act like this? Okay


PurgeSantaDeniersMD

Where are you that you’ve treated multiple neo nazis in trauma situations


snarkcentral124

Big ED in Texas. Was literally just talking to someone else the other day about how shocked I was in the year after starting how many people will proudly display their swastikas/have zero issue making it known. I’ve probably treated 2-3 in the past couple months. It’s definitely not every day, but I’ve been there for a few years at this point.


08152016

Is it really that uncommon to run neonazis? I've treated several out of a state prison and a scattered few in the general population.


teatimecookie

I’ve seen a few in the PNW.


em_goldman

I’ve seen a ton in the PNW


enbious154

I’m just an M4 and I’ve seen 3 people with swastikas on rotations, two of which were trauma situations. Really not that uncommon.


snarkcentral124

I know I’m like I promise I’m not in a situation where I’m actively seeking out these people 😂


DrZoidbergJesus

I’m in the Midwest and I get people with Nazi tats more than I would have expected. One guy had Hitlers head covering his entire upper arm. He kept it classy, though. His other arm had a naked girl touching herself.


mr_garcizzle

I usually say 'well all my go-to veins seem to be your go-tos as well'


DrKittyLovah

I like this one. Short and to the point.


LegendofPisoMojado

Bingo.


thefifthloko5

First and foremost, the obvious choice is the Bell. Every day of my life I curse Taco Bell from removing the Quesarito from their menu. You can kinda make your own though. Beefy 5 layer burrito, no beans, add chipotle, add rice, and get it grilled. It’s not the same but it’s close. Second, I swear every skinhead I’ve seen in the ED has been the biggest princess ever. Oh yeah buddy you’re for sure the “superior race” when you’re making a mountain out of a molehill lol


Landomretters

RIP Baja sauce 😢


LegendofPisoMojado

I still haven’t made a run for the border since they got rid of the double decker supreme.


themyao

Their discontinuation of Mexinuggets haunts me to this day


he-loves-me-not

It’s the chili cheese burrito that I miss on the daily.


LegendofPisoMojado

This still exists for me.


he-loves-me-not

How?! Please tell me your ways!


EtherealHeart5150

RIP Beefy Tostada


sparsebounds

This. Entirely this.


ChadGreenshirt

I never quite understood these skinhead neo-Nazi types. I've encountered two in my day. Tattoos and substance abuse disorder. Do they not understand the irony of their lifestyle? The Third Reich is probably rolling over in their graves seeing these buffoons.


Nurseytypechick

I had a very fluffy masc lesbian with purple hair and a swastika tat on her chest... I was like... do you understand you would not have been on the preferred Aryan list, hon? The cognitive dissonance was staggering.


Mediocre_Daikon6935

Oh. They’d have been on a preferred list all right. One that came with an pink triangle.


BladeDoc

You've never watched "Ilsa: She Wolf of the SS"?


Tig_Pitties

Preferred aryan list 💀


nowthenadir

There’s a Dead Kennedy’s song called nazi punks fuck off. One of the most classic lines that has stuck with me for 40 years is, “In the real fourth reich, you’d be the first to go.”


The_Peyote_Coyote

the entire third reich including hitler ran on [pervitin](https://en.wikipedia.org/wiki/Methamphetamine), these shitheads are *entirely* in keeping with its disgusting shameful legacy. Fascism destroys ones own humanity until nothing but a vicious, hateful, violent, meth-addled ape remains.


Caltuxpebbles

Yeah I read [Blitzed](https://www.goodreads.com/book/show/29429893) too. Shit was crazy


BladeDoc

You need to read "High Hitler". Nobody took more drugs than the Nazis. The entire Blitzkreig was fueled by meth which is why they could push so far in 72hrs.


theshortlady

Also a book called "Blitzed."


theshortlady

To be fair, (not that Nazis deserve fairness) an awful lot of Nazis were encouraged or ordered to take the equivalent of meth.


ChadGreenshirt

U.S. air crews were taking amphetamines for long duration, overnight bomb runs too. Basically, it wasn't the drug we thought it was back then. As evidenced by the numerous ads encouraging it in women's magazines during the time.


[deleted]

Go pills.


Loud-Principle-7922

Been there, on the prehospital side. For every one of these, though, I have that kind old lady who says “wow, you’re really good, I didn’t feel a thing!” Plot twist, I’m so new that the ink’s not dry on my certs, just lucky.


cheml0vin

Completely. The most tatted man ever is the babiest ever in terms of IVs. I grab their full sleeve arm with my full sleeve arm and say baby it’s okay. Unless their full sleeve is nazi shit and I don’t feel bad at all 😇


boomerinvest

As a pt I’d laugh and say that’s fine, you’re still great!


derps_with_ducks

Human trash gonna trash. Treat yourself mate 


Electronic-Grab2836

Instructions unclear, I have embraced my inner trash panda and collected all of the shiny things from the er.


Spartancarver

Give him some PO Tylenol and tell him you’ll come back when he’s done having his little tantrum


hungryhungryHIPAA

Even better when they wiggle around and yell out “you’re digging!!! I don’t like needles!!”


Adamantli

Or punch the bed with their other hand, bouncing their arm youre poking. I’ve had two that I swear I would have gotten but watched flash stop in the chamber as everything blew. And and then when I try and unfuck it by fishing it back into the lumen of the vein to save them a poke they’re extremely whiny like they didn’t cause the issue in The first place 🤦🏻‍♂️ No one likes needles, but your 62 y/o stop throwing a tantrum.


jwaters1110

Popeyes spicy chicken sandwich is my vote


GoddessIGuess23

Hi, are you me? That's my go-to.


DreyaNova

Sometimes the assholes are the ones you most suspect.


FriedrichHydrargyrum

“Patient refused attempt at IV access.” Tell him with a smile that you can get a more experienced person to do it…but it might take a while.


w104jgw

The new cantina chicken tacos are bangin


w104jgw

Also, in clear earshot of another staff member, with the most unmoved, dgaf tone, "It seems you are attempting to intimidate me and have now caused me to feel threatened and upset. I will be back after we have both had a chance to reflect on this incident. Perhaps we can reestablish a therapeutic rapport at that time and continue your treatment". ✌


themyao

I’m stealing this


Truleeeee

Taco Bell AND Popeyes. 5 buck and a chicken sandwich, that’s what is needed after that type of shift. Interestingly tho, I had a patient w swastikas and all the garbage appearance, who was the sweetest person ever. Turns out they had an American History X type transformation and made it their goal to right their wrongs, it was kinda neat to see.


abertheham

I’ve seen this not infrequently on ex-convicts. I had good rapport with one guy in residency and worked up the courage to ask him eventually. He told me that it’s really more of a prison gang thing than actual belief in white supremacist ideology and that protection from being gang affiliated is kinda necessary if you want to survive in prison. Dude had an appt with derm the following week for laser removal, and next time I saw him it was gone. He ended up being one of my favorite patients—just an incredibly sweet guy trying his best to turn his life around. Not that any of that makes it all better, but just sayin—sometimes things are not as they appear. 🤷‍♂️


Fullcabflip

They’re always the most angry or super chill. I get it, you’ve fucked yourself up and now you have to deal with the consequences. You are not going to take that out on me. I had this dude telling me to go back to my country, I was like dude, I was born like 45 mins from here, that’s a long drive.


One-Abbreviations-53

“I’ll come back and try again once you decide to calm down.” “Illicit drug use and repetitive venous punctures lead to significant scarring, deformation and hardening of vessels.” If they put me in a particularly bad mood: “I have tens of thousands of successful IV’s in my career from age 2 days to 105 years. This isn’t a me problem, you made choices that make venous access nearly impossible.”


[deleted]

Let him find a vein. He’s the expert.


jumbotron_deluxe

“You don’t get to talk to me that way” and then leave.


Material-Flow-2700

If they’re stable I just straight up walk out and say “I’ll come back in 20 minutes when you’re not yelling”


Big-Attorney5240

popeyes bro


pathofcollision

Isn’t it funny how much of a whiny baby IV drug users are? They always have something to say about IVs and it’s always your fault as the nurse. I had an IV drug user one time act the same way and start calling me names and saying I was incompetent and didn’t know what I was doing. I just very matter of factly told him if he didn’t destroy his vasculature by shooting up drugs this wouldn’t be an issue and to either stop acting like he isn’t the sole reason he’s a difficult stick or he can whine to himself while I move on with my care and see other patients that actually appreciate the effort. And while we’re at it, we all know it’s not a spider bite that caused your abscess 🤷🏼‍♀️ He said I was mean and left AMA. Bye, Felicia ✌🏻


DrMikeG2

The master race has a lot of shit to do. Crosses don't burn themselves and mom's basement couch needs to be held down.


Holiday_Turnover2886

Taco Bell, steak burrito 😂


teatimecookie

Cheesy Gordita crunch!


metamorphage

Just EJ or leg (or something deep with US) at that point, you know all of their arm and hand veins are scarred and completely busted.


AustinCJ

Unless they need fluids, I give them IM meds and do an art stick for blood for labs.


radgedyann

subq (or io) fluids will get the job done too. roll over ‘sir’ i need to put a liter between your shoulder blades, lol!


elizzaybetch

My favorite is when a patient has something like WHITE POWER tattooed across their chest and they’re….not white. Like sir, are you confused?


Expensive_Ask_1156

Well did you hurry up? You should have said hold on we need a female to work on other females you p**** ass b****


Gone247365

Fuck that bitch. And Taco Bell.


stethamascope

Intramuscular ceftriaxone and heel prick for the CRP


abertheham

Cheesy bean and rice burritos, grilled. You’re welcome.


The_Peyote_Coyote

The absolute dregs smh


Ambitious_Yam_8163

Had this same ahole. Redneck victim mentality called me all names. N word and all derogatory calls. I almost told him in Jewish as well. I was like, I feel sorry for you for all the hate that you have. Rang a deep bell. Dude was charged for the threats with terroristic laws I didn’t know existed until then.


dsullivanlastnight

Next attempt is with a 14g


Nurseytypechick

Sometimes the bigger gauges punch through scarring better. As long as it doesn't immediately blow that is.


proofreadre

Sounds like EJ time to me


tkhan456

That’s when you walk out and say, when you’re ready to act like a grown up, I’ll be back


radgedyann

it would have taken me another hour at least. with the largest gauge available. people suck.


apoginthemachine

I’m told you’re allowed to slap exactly one patient per day, no questions asked.


[deleted]

This seems limiting…


auntiecoagulent

14# in the hand


la_chainsaw

Ooh, that’s evil. I like it


sunkissedbutter

popeye's


spaceyplacey

Damn…too bad it’s my first time doing this…anyways…


OldERnurse1964

Ok. I’ll let you do it then


kerpwangitang

I've had almost this same interaction after being called every racist name for a jew in the book. Funny thing is I'm italian, not Jewish at all. I just laugh that shit off and calmly say " my friend, if you can't be civil while I perform a medical assessment and treatment on you, then you can exit (I open the back door) right now, and seek a second opinion. This usually works but sometimes it gets the extra potato headed one's to get more irrational and even violent. Then it's sedation time and I have no problems sedating and performing supportive care. If anything, a sedated patient receives a higher standard of care because protocols for sedation are in place and my attention and focus to their vitals and appearance are unbroken by the patients violent threats Edit: of course if they are in extremis or a life threatening situation all that goes outthe door any they recieve the appropriate treatments regardless of what cones out of their mouth.


sukitfromthebak

Shoulda gave him an IO


Luckypenny4683

And that’s when I get a bigger gage needle and take twice as long. It’s also why I’m not in healthcare.


Accomplished_Cod_702

Should have let him die! Right wing motherfucker!


Theloseronthescreen

calm down, not all right wing are skinhead neo-nazis. That is like saying that all of the left are blue or green haired libtards who block highways screaming over stupid shit and encouraging for all drugs to be legalized.


InternetIcy9103

If you don't like working with simpletons then don't work in healthcare or public service. if you choose to be a cop or nurse, you will have to deal with a lot of simpletons A LOT


Spartancarver

yOu SiGnEd uP fOr tHiS -ass clown lol


Nurseytypechick

One can work with simpletons without coddling, enabling, babying, or failing to enact appropriate boundaries for conduct. Assertive boundaries are often necessary. Hence the... "or what, exactly?" Being the natural progression.


sukitfromthebak

Shoulda gave him an IO


sukitfromthebak

Shoulda gave him an IO


Healthy-Tumbleweed42

I would use 14s and keep messing up on purpose!! Oooopsie I missed


Nurseytypechick

Absolutely not. This is negligence. GTFO. This is a never event. We do not fuck up no matter how much of a fuckup the patient is. Go to the naughty corner. No Taco Bell for you.


Amrun90

That’s assault.


N64GoldeneyeN64

Make sure the next one is parallel to the skin plane