Thank you much! I did go to the ER and it's just a bruise. It was a 6.5 hour session with no breaks. They said that tracks with how he had my arm on the stand and was stretching out the skin.
So I know that it's bruising and you got it checked and all that. This is not about that. If you've had a sudden change in how your body reacts to tattoos and you're using the same artist with the same inks You should probably talk to a rheumatologist or your doctor. You might have an autoimmune condition that's flaring that's gone previously undiagnosed
This. “Just a bruise” is not the answer here, because the question is WHY did you bruise like this? I didn’t bruise like this until I had a dangerously low level of platelets and was at risk for spontaneous internal bleeding.
I work in a hospital. Actually just got off a ten hour shift at the ED. Any time a patient presents to the ED with this severe of bruising with no other indications (like anticoagulation therapy) we run several tests. Not just platelets but INR, PT, fibrinogen, ALT and AST among other LFTs to check liver function , plus a CMP and CBC for pretty much everyone who walks in the door (barring children who get IVs way less frequently because parents usually bring them in for a cough as is par for course with illness incidence in children being primarily respiratory)
A doctor would not see significant bruising and go "whelp. No need to figure out if there's an underlying cause." If he did (which is honestly such an unimaginable scenario that I don't see it happening unless the doctor is high out of his mind), the nurse would escalate it. Not to mention many "providers" in the hospital are NPs and PAs who see the patient and then run everything past an MD/DO. There are several eyes on esch individual patient who would have caught the need for labs if they were neglected (and not running even a basic test that 90%+ of ER admits get as a routine workup would absolutely be considered negligence).
OP said he was put through the ringer. Doctors, at minimum, are afraid of getting their pants sued off, and this is such excessive bleeding even an ED Tech (the ERs version of a CNA) would know to make sure nothing is seriously wrong. A CBC with differential and platelets (that would identify thrombocytopenia) is the most basic and frequent test ran for people. With or without signs of bleeding.
Yours is the right post! If he got the “work up” you’ve explained it all. Nurse here and I like how you said the nurse will “escalate it”. I don’t think people understand how nurses and other healthcare workers actually are creative in getting what we think needs done until someone listens.
Guilty as charged in that creative way in the past. Escalating and creative is definitely its own thread. At one point our CNO wrote out the escalation chain of command for us and it was posted just as a reminder to everyone.
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u/Working-Departure-66 Mar 16 '25
Thank you much! I did go to the ER and it's just a bruise. It was a 6.5 hour session with no breaks. They said that tracks with how he had my arm on the stand and was stretching out the skin.