Last month, a nurse of ours arrived at a beautiful house in Jupiter for a standard hangover booking and found a 54-year-old man who looked wrong in a way experienced nurses register before they can articulate it. Gray-ish. Sweating beyond the hangover standard. And when she asked her routine questions, one answer changed everything: the "hangover headache" came with a squeezing feeling in his chest that had started that morning.
She didn't set up the drip. She told him, in the calm voice nurses keep for exactly this, that chest pressure gets evaluated today, now, at an ER — and she stayed while his wife drove the decision home. The booking was cancelled. The cardiac workup he got that afternoon was, his wife later told us, "not nothing."
This is the service we're proudest of, and it doesn't appear on the menu: the no. Here's ours, published in full — because in an industry that will drip anything into anyone with a working credit card, the refusal list is the realest credential we own.
The symptoms that end bookings
Every visit starts with screening questions, and some answers stop everything: chest pain or pressure. Trouble breathing. Confusion or "not themselves." Fainting. High fever. Severe or localized abdominal pain. Blood — anywhere it shouldn't be. The signs of heat stroke rather than heat exhaustion. Dehydration past the wellness line — no urination, altered mental state. These aren't drip customers having a rough day; they're medical patients who happened to call the wrong number, and our nurses' first job is knowing the difference. The redirect conversation — "this needs a doctor, and here's how we get you there" — is free, mandatory, and the part of the job our nurses cite when asked why they work here.
A wellness company that never says no isn't confident. It's unsupervised.
The conditions we screen out
Some clients we decline before any symptoms — because a liter of IV fluid is genuinely dangerous to certain systems: congestive heart failure and significant kidney disease head the list (both manage fluid balance on tight margins that a rapid liter can break), with pregnancy routed through OB-first coordination and a longer tail of judgment calls defined in our physician protocols. This is what the screening step actually does all day — and why a provider who skips it has answered your safety question in advance.
The requests we won't fill
And then there's the no-list for the healthy: doses beyond protocol (the "double NAD⁺, I've built a tolerance" caller gets a physiology lesson instead), frequencies past the weekly wellness ceiling (needing more is a doctor conversation), children (pediatrics is medicine, full stop), drips positioned as treatment for diseases (our line on that is bright and permanent), and the periodic request to "just skip the screening, I'm in a hurry." The screening is the product. Everything else hangs from it.
Screened first, always
Myers Cocktail $249
Every booking passes a health screening and a nurse's judgment — the yes means something because the no exists.
B-Complex · B12 · Vitamin C · Magnesium
Why we publish this
Because the yes only means something if the no exists. Any operator can hang a bag; the judgment about whether to hang it is what you're actually hiring — and the Jupiter client's wife, who sends us referrals with the phrase "they're the ones who wouldn't treat Bill," understands that better than any ad we could write. Ask your provider what they refuse. The good ones have a list ready. The dangerous ones have never thought about it.
This article is for general education and is not medical advice. IV therapy at SurgIV is administered by registered nurses under physician-written protocols, with a health screening before your first visit. Talk to your doctor about what is right for you.
