11. Screams For Pain Meds When Not Having A Seizure
“This JUST happened last week, strangely enough. I’ve been a nurse for 4 years now, and this is probably the worst I’ve seen it.
Young adult comes in with seizure-like activity. We’re a neuroscience floor, so we get these a lot. Complains of severe abdominal pain related to her seizures, apparently. They run multiple CTs and MRIs that come back clean. We put her on a 24 hour VEEG machine (video EEG for those who don’t know). She reportedly has 100s of seizures throughout the night, with full body convulsions, drooling, upper extremity contractions, and will not respond to verbal stimuli. Post ictal, she’s not lethargic, just confused. Doesn’t know her own name, the place that she’s in, or what time it is, but the rest of her neuro assessment is benign. No bladder incontinence during, had perfect control of all limbs.
She screams for pain meds when she’s not having seizures, but is for some reason refusing everything they offer her. Tylenol – nope. Percocet – makes her feel weird. Lidoderm patch for her abdomen – it gives her sores in her mouth. I guarantee if a doctor offered Opiates, she would have been all over that.
After 24 hours of being her, $1000s worth of tests being run all coming up negative, the doctors had no choice but to send her home. She become agitated and seizing again, while the doctor is basically explaining that she’s faking it. He says, ‘I’ll wait.’ She immediately stops.
Security had to escort he out, with me in tow, because I was too paranoid that she would throw herself on the floor before leaving and demand to be readmitted. They recommended an outpatient psych consult for her, which made her even angrier. Lord knows, maybe the seizures felt real to her, but she didn’t need a special kind of help.”