u/Kaitempi

Punchline: It was Eliquis.
"I've been having more palpitations and CP so I've been taking it 4 or 5 times a day sometimes. Whaddya mean don't do that? It's my heart medicine. It's what my cardiologist gave me for my heart. It must be good for me. What do you know. You're just an ER doctor."
TBH I've seen this several times in my career including back in the days of Coumadin. I saw several iatrogenic INR>8s. Luckily, and it was just luck, I never saw one with active bleeding. At least that I knew about. I suppose some of the ICBs just couldn't tell me what they'd been doing around the tube.

And 2 of those had no allergies. This did not count seasonal, food, tape and so on. Not a great start.

This shows where patients are coming from, the way they view what we say and if they believe it or not.
I had a patient who came in for constipation x 2 weeks and abd pn. He had been taking laxatives and now had diarrhea. He believed that even though he was having diarrhea he was still constipated as had not passed any formed stool and therefore the formed stools were still in there. The PA who saw him first ordered a CT which showed no constipation. I went and explained that the CT was negative and I would send him home. He would not believe that he was not constipated. I explained the GI physiology to him. That's when he asked "Is that what a test says? Or is that just your opinion?" Even after I told him it was based on the CT results he was still angry and doubtful. It would have been worse if it were just my opinion.