OpenHealth Q&A

Get answered by medical professionals

Is Returning to the ER Possible After Leaving Early?

3/26/2025, 12:11:12 AMMale25-34

From a young age, I've struggled with substance use, and lately, it's begun to take a toll on my health. I'm experiencing unusual heart sensations and fever-like symptoms, alongside troubling eating habits. A few days ago, I found myself at the emergency room after panicking over thoughts that my drug use could lead to my demise. I sincerely wanted to seek help. However, while I waited in the lobby, anxiety about my fate and the impact on my mom overwhelmed me. In that moment of fear, I removed my wristband and exited the facility. I spent the next day aimlessly wandering before eventually heading home. Last night, the situation escalated when I nearly overdosed, which triggered another panic attack. Now, I feel a strong urge to return to the hospital for assistance. Initially, I thought I could handle things on my own, but I no longer wish to put my life at risk. It’s clear to me that I have much to achieve if I can turn my life around. My concern now is whether I'm still permitted to return to the ER after walking out the first time. I didn't even disclose my real name during my previous visit, which adds to my worries. I’m feeling a mix of fear and confusion about my options. Will the hospital refuse to see me because I left earlier, or am I still able to access their help? I’m terrified that the medical staff will judge me for being a troubled teenager misusing substances, taking up space that could be used by others in genuine need. For context, I’m a 17-year-old female, 5’1”, and weighing 82 pounds. I smoke, drink, and am involved with heroin, crack, and various pills.

InfertilityGynecologyReproductive Medicine

Answers (1)

Cony

3/26/2025, 12:11:25 AM

OpenHealth AI

It's crucial to prioritize your health and safety at this moment, especially considering the challenges you're facing with substance use and the panic attacks you've experienced. You have every right to seek help again, and it’s important to know that returning to the emergency room (ER) after leaving is both possible and the right choice for your situation.

Explanation

When you leave the ER, whether it's voluntarily or otherwise, it does not prevent you from returning for care later. Hospitals understand that people may be feeling overwhelmed or anxious, and their priority is to ensure your safety and well-being. Medical staff are trained to treat individuals in crisis without judgment, and your health concerns are valid and worthy of attention.

Next Steps

  1. Go Back to the ER: If you're feeling overwhelmed, please take a deep breath and head to the emergency room or call for help if you can. Remember, the priority is your safety, and seeking help is a courageous step.

  2. Be Honest About Your Situation: When you arrive, try to communicate your feelings and concerns honestly. You don’t need to provide a fake name; the staff is there to help you, not judge you. You can explain your substance use and the panic attacks openly.

  3. Seek Support for Mental Health: Consider requesting a referral to a mental health professional who specializes in substance use and anxiety management. This can provide you with further options for support.

  4. Identify a Support System: If you have a trusted friend or family member, let them know what you're going through. Sharing your feelings with someone you trust can help ease some of the anxiety you’re experiencing.

  5. Plan for Next Steps: After receiving care, talk about potential support groups or rehabilitation programs that can help you in the long run.

Reassurance

You are taking an important step toward prioritizing your health and future. It’s natural to feel scared or uncertain, but remember, seeking help is a sign of strength. The hospital staff are there to support you, not to judge you, and you deserve assistance on your journey to recovery. If you have any other questions or need further comfort, please reach out for more assistance.

Related Questions

Understanding Bilateral Adrenalectomy

Hello! I’m a 30-year-old female who has recently been diagnosed with Cushing’s disease after a thorough evaluation. My diagnosis followed a series of tests, including morning cortisol levels, ACTH testing, late-night saliva tests, a 24-hour urine analysis, IPSS, and a desmopressin stimulation assessment, all conducted by my endocrinologist. Despite undergoing two surgeries on my pituitary gland, my cortisol levels continue to be elevated. Unfortunately, due to other underlying health conditions, I cannot take medication, which leaves me with the option of a bilateral adrenalectomy. I have an appointment with a surgeon coming up soon. What should I anticipate regarding the procedure? Are there specific questions I should pose to my surgeon or ways to prepare myself? I am feeling quite anxious about this surgery, but I realize that I cannot continue to endure this situation. I feel exhausted, and Cushing's disease has severely impacted my overall well-being. I appreciate any insights you may offer.

ObstetricsGynecologyReproductive Medicine
Male25-34
38 minutes ago

Examining the Safe Use of Narcan in Healthy Individuals

As someone with red hair, I’ve come across studies suggesting that individuals with this hair color may have a higher tolerance for pain. I recently stumbled upon research discussing how an eccentric scientist administered naltrexone to some red mice, resulting in a reduction of their pain threshold to what is considered typical. This seemed to correlate with a gene that influences the body's opioid receptors. I'm curious about trying Narcan to determine if it has any noticeable effects—I'm not concerned about the placebo effect—but I'm uncertain if it would have adverse effects on me since I don’t have any opioid dependency. To give you an overview of my health profile: I’m a 27-year-old male, weigh 160 pounds, stand 6 feet tall, and I’m currently not on any medication nor do I have any history of medical issues. I appreciate any insights!

InfertilityGynecologyReproductive Medicine
Male25-34
6 hours ago

Hydroxychloroquine Prescription Following Low C4 Levels: Should I Continue?

Demographic Information: 19 years old, Assigned Female at Birth. Medical History: Diagnosed with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), postural orthostatic tachycardia syndrome (POTS), reactive gastropathy of unknown origin, obsessive-compulsive disorder (OCD), autism spectrum disorder (ASD), and major depressive disorder (MDD). Some of my healthcare professionals suspect mast cell activation syndrome (MCAS), though I have not been formally diagnosed. Current Medications: I am currently taking 250 mg of clomipramine, 15 mg of memantine, 1 mg of clonazepam, 30 mg of loratadine, 40 mg of famotidine, 30 mg of propranolol, 15 mg of midodrine, 6 mg of naltrexone, and 200 mg of hydroxychloroquine. Additionally, I use iron and vitamin C supplements to address low ferritin levels and take 3 mg of melatonin as needed for sleep. Several months back, I consulted a rheumatologist upon recommendation due to unexplained rashes, joint swelling, and discomfort that couldn't be attributed to my current conditions (I initially believed they were linked to ME/CFS, but my ME specialist had doubts). Despite blood work showing no indicators of autoimmune disorders—such as normal levels for ESR, CRP, ANA, and RF—I was still referred to rheumatology. The rheumatologist conducted further extensive blood testing and subsequently prescribed hydroxychloroquine. He suggested I may have undifferentiated connective tissue disease (UCTD) but did not formally diagnose me. While I value his expertise, I want to ensure that I am only taking necessary medications. My apprehension stems from the fact that, among 18 blood tests performed, complement C4 was the only abnormality, which was recorded as slightly low. The battery of tests included assessments such as creatine kinase, a myomarker panel, HLA association panel (including celiac screening), comprehensive metabolic panel (CMP), complete blood count (CBC), ESR, CRP, anti-CCP, ANA, anti-dsDNA antibodies, anti-RNP antibodies, anti-Scl70 antibodies, anti-centromere antibodies, anti-Sm antibodies, anti-Ro antibodies, anti-La antibodies, and complement C3, alongside C4. I have been on hydroxychloroquine for three months and have noticed some improvements: although my fatigue persists, the rashes on my hands and wrists appear less severe, my fingers look slimmer, and joint pain has diminished. This does lend some reassurance about continuing the medication; however, I am concerned that these benefits could be attributed to either a placebo effect or the low-dose naltrexone rather than the hydroxychloroquine itself. My primary worry is the potential adverse effects of using hydroxychloroquine if it is not warranted for my condition. Are there specific signs I should monitor or indications suggesting that this medication might not be necessary? Should I alleviate my concerns, or is there reason to be cautious? Any insights would be immensely helpful, thank you!

InfertilityGynecologyReproductive Medicine
Male25-34
10 hours ago

Seeking Guidance on Hormonal Treatment as a Trans Man

I am a 21-year-old transgender man (FTM). About a year ago, I began receiving testosterone injections using a product called Testoviron, administered at a dosage of 125mg biweekly. During my most recent appointment with my endocrinologist, we chose to switch to an alternative injection called Nebido, which is a 250mg dose given every 12 weeks. My concern is whether extending the interval between these injections will slow my overall progress. Additionally, I've heard it may be necessary to have a second shot six weeks after the initial one to enhance the effectiveness of the treatment. After reading some online, I noticed that this advice is common; however, I feel uncertain as my endocrinologist appears to have limited experience working with transgender patients. This has left me anxious about the potential effects of the hormonal therapy. I would greatly appreciate any insights or advice on this matter.

InfertilityGynecologyReproductive Medicine
Male25-34
11 hours ago

Inquiry About Conception Timing

The child arrived on January 19. Throughout the course of the pregnancy, several ultrasounds were conducted, which regularly confirmed the gestational age with measurements taken at 25 weeks, 32 weeks, and 36 weeks on various occasions. These assessments led medical professionals to approximate the ovulation and fertility period between April 8 and April 17. It is well known that sperm can last in the female reproductive tract for about five days. Notably, intercourse took place on April 26, a date that falls beyond the predicted fertile period. Considering the ultrasound results and standard ovulation patterns, could April 26 reasonably be identified as a possible date for conception?

Trying to ConceiveInfertilityPrenatal Care
Male25-34
15 hours ago