I've learned not to roll my eyes at a chief complaint when I pick up a chart in the ED. Whenever I have done this it always comes back to bite me in the ass.
Like the time I rolled my eyes when I saw the cc was "sliver". When I called the patient in I could not hide the 'are you kidding me?' in my voice when I asked him about the 'sliver' that brought him to the department.
He calmly rolled up his sleeve to reveal a piece of wood thicker than my thumb just under his skin from his wrist to elbow. Yeah, he worked in a lumber mill and a piece had gone flying off a piece of machinery and into his arm.
So today I picked up a chart and see "blisters on both feet" as the chief complaint.
I am starting my mental diatribe but then caught myself--assess the patient, he probably slipped and fell into some hot oil and has full thickness burns to his feet or something...
He had a blister on each foot from walking. Right on the heels.
I had to ask why it was an emergency.
"Because it hurts to walk on them so I called the nurse line and they told me to see a doctor".
*She throws in the towel and walks away, shaking her head*.