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There was a tremendous pressure to get people upstairs (naturally) and of course there were NO ICU beds.
One younger, sick patient had symptoms typical of meningitis.
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ER residents are inundated with this advice from the moment they start residency. When I was a third year resident, a famous incident occured between the ER and our department.
I want to address specifically the complaint about these lazy internists/hospitalists upstairs and their desire for "completeness". It was a particularly busy winter evening, and during the night, there were so mnay patients in the emergency room, you could hardly walk without stepping over someone.
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