It doesn’t get more blatant than this. And you wonder why health care costs are so high:

18-year old comes in with malaise, mildly elevated fever and body aches. Her head hurt a bit, her belly was a little sore, and her legs were achy along with her back and other muscles. Nothing beyond a couple of days off of work and a little extra sleep.

Work up/treatments:
Head CT to rule out head bleed or tumor
Bilateral venous dopplers to rule out DVT due to sore legs in an 18 year old with no risk factors and no leg swelling
Abdominal CT with PO contrast to rule out…whatever because it was a little sore diffusely
2mg of dilaudid IV push, yes 2 mg (I gave 0.5 only, thanks)
Fluids
Zofran
Full panel of labs
Chest XR
Urine sample