William
Shakespeare said the world was a stage and all the people in it actors, but I
think that some people are more like characters and some of these characters
that arrive at the emergency department, we call “frequent flyers.” They are
the repeat visitors. Some come as drug seekers, some are actually sick, others
want to be the center of interest, even for a few hours, and then there are
those who are just lonely.
We had a
married couple, I think, who didn’t quite fall into any of these categories,
but straddled several. They came very close to being frequent flyers. I think
they came just because they could come to the hospital and would not have to
pay for it. We named them Prince Charles and Princess Dianna. Charles and
Dianna were their real names. But there were no guards from Buckingham Palace,
no British intelligence, or secret service who would come in with them when
they appeared.
The
closest thing to being escorted occurred when Prince Charles came in by
ambulance one night. He was accompanied only by a couple of medical attendants.
He and Dianna carried the “gold card.” Pennsylvania
welfare cards were yellow. You’ve heard the commercial, “It’s the gold card,
don’t leave home without it.” and this couple never did.
Before
anybody complains about my comment, I just want to say, there are people who
are unable to work due to a disability SHOULD have assistance. But there are
those people who are able bodied and intelligent who should NOT be eligible for
those benefits.
I feel
that Charles was one of the latter. He was intelligent and if he can have sex,
he’s able bodied enough to find a job. At an earlier visit he told me while he
was in the triage area, ‘I was teaching the old lady how to play chess tonight
before we came in.” He has to have some smarts to play chess, right.
So, let
me get back to the story. Charles was brought in by ambulance. As he was moved
onto our bed, I noticed that under him was one of the dirtiest, filthiest,
spotted, and stained sheets that I had ever seen or ever hope to see and he was
completely naked. The spots were not the
pattern of the sheet. He told us that he and his wife were having sex when his
“back went out.”
He was
given x-rays, medicated, and discharged. We gave him a pair of pajama bottoms Because
he had arrived “au natural” and a patient gown to wear home. He was to bring
them back, but I doubt that he did. We probably doubled his wardrobe.
He and
Dianna had hardly disappeared behind the exit door, when she came bounding back
into the emergency room. “Where’s my sheet? Where’s my sheet? I need to put it
back on the bed when we get home.”
The
nurses looked at each other thinking the same thought. “Who would put that
filthy thing back onto the bed?” We shrugged, gloved up, and dug through the
dirty linen bag to find her sheet and gave it back to her.