[EPutnam1863]

Originally Posted by golfing eagles

Answer: There is NOTHING wrong with that, in fact, THAT IS the standard of care nationwide.

Appropriate treatment is to confirm the presence of a renal calculus with a stone protocol spiral CT, then send the patient home with pain meds, anti-emetics, and instructions to hydrate well and strain all urine. The patient should have a follow up outpatient appointment with a urologist 1-2 weeks later. BUT....the patient should also receive strict instructions to return to the ER if they have INTRACTABLE pain, INTRACTABLE nausea and vomiting, or a fever over 101F. Note: intractable means it won't stop, not just a few episodes of vomiting or low-moderate level of pain---they'll just up the meds and send you back home.

While my husband was at a business conference in Germany, he came down with a kidney stone and was literally screaming with pain. He was admitted and treated right away in spite of the language barrier. BC/BS refused at first to pay the claim because it was done overseas but finally paid up.