Pop quiz: It's 3 am in the morning and raining (no, pouring) outside. You wake up and notice a small rash on both of your arms. It doesn't bother you. No itching, no pain. You are not having trouble breathing. You feel fine, but you have a rash. What do you do next?
A. Go back to sleep, if the rash is still there in the morning then call your doctor
B. Take a Benadryll and go back to sleep
C. Put some lotion or some other something on it and go back to sleep
D. Go to your local emergency room
You guessed it! The otherwise healthy, 34 year old woman got out of bed at 3am and braved flash floods to come to the ER. I really wanted to take her outside and read her the sign above the building; E-M-E-R-G-E-N-C-Y R-O-O-M. In case your wondering, the definition of emergency is, " 1. A serious situation or occurrence that happens unexpectedly and demands immediate action. 2. A condition of urgent need for action or assistance: a state of emergency"
Instead I calmly explained to this otherwise apparently intelligent women that there is nothing that can be done for a nonspecific rash. I sent her home and told her to take Benadryll as needed. Another life saved......whoah! That was a close one.