If I could not have upper GI bleeds as my first call of the day, I'd appreciate it.

Also, GI bleeds who start having chest pains as we enter the ER.

And proceed to have an SPO2 of 67%.

I don't want to leave the ER with the nurse already proclaiming today a bad day and a cardiac team rushing to the room we left just a few minutes before.

Don't wait until they're so sick that they might not survive the trip. Call us when the bleed starts, right after their evening dose of blood thinners. Do not call us a day later and then deny that they're taking blood thinners. Please.