We had this nightmare of a 16 year old child + her mother who claimed she had fainted 21+ times last night, POTS obviously with a long history of presentations to ED for the exact same thing + anxiety and "CPTSD"
I remember it was 21+ times quite well because before handover she reminded us, during handover she came out to remind us and after handover she also reminded us.
I wanted to feel bad for her but both the mother and daughter had this insane munchie dependency on each other, she spent 8+ hours in cubes being a nightmare coz NPT refused to transport her claiming she was "medically unstable" which required us to wait 6 hours for ABV to transport her to MCH where her cardiologist was. At least it gave me the chance to search prompt for any policies on Munchhausen/Factitious Disorder which sadly turned up no results.
Anyway ABV eventually arrived and step transferred her, just for fun, got her to stand up quickly, and once she was on the stretcher, told her to get off and stand up quickly again, no loss of consciousness observed. I had fun talking to the paramedic who called POTS patients barbie dolls, coz each one is identical, this was the 8th one he had seen in the last month, all female.
Anyway our little chitchat was disrupted by one of the regs who said how super serious POTS was and our joking was super unprofessional, she hates me but idc, everyone else hates her too coz she is the most gullible reg in existence incapable of thinking critically, and has the bleeding heart to admit every sob story for an endless workup.