Why would the docs not check for head injury?

DizzyDesii

My dude was in a car accident Saturday afternoon. Someone ran out in front of him so he turned to avoid hitting them, but flew into a ditch, and his truck flipped upside down. Its completely smashed now. He was trapped inside but eventually worked his way out. People ran over to help him after he got out. Thankfully he is alive and well but is a bit banged up and swollen. He keeps saying his arms are sore. His head has a lump from his tools flying at him. And his knee is swollen from likely hitting the break hard or maybe it hit the steering wheel and he's been limping all Sunday. When the people ran over to him, his head was bleeding a lot but he claims its likely from the screwdriver hitting him and he said the ambulance wiped the blood off. He waited 5 hour at the ER, but said they gave him a shot, tylenol and xrayed shoulders down. Why would they not do a headscan? We’ve seen what happened to Derek Shepard on Greys Anatomy. Is it just because his accident may not have been as bad? Could he maybe have refused treatment? He’s been saying his knee and wrist are swollen and we both know he needs them to work on planes. he's walking with a limp and say it hurts standing and lying flat. He’s expected back at work tomorrow, yet he won't take the advice to elevate his leg nor ice his knee/wrist. He didn't even wanna take the tylenol til i begged nonstop. My moms ex just went through a similar car flip accident and he was stubborn and has now been in a wheelchair for a year.

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Updates
4 mo
Its hard to help someone who won't help themself. He wouldn't go to the hospital when he had the flu nor when he was vomiting blood from drinking too much. I begged him yet it took his friend guys to suggest it days later for him to go. He won’t do an AA meeting despite admitting he may have a problem. he's debating if he’ll do the physical therapy offered for his leg. I wouldn't be surprised if a head scan was offered and he refused it. All he's concerned about is his truck rn 🤦‍♀️
Updates
4 mo
Gosh I’m so over it. So i’m talking to him rn and this idiot spent his DAY OFF at work. He went in for the last half to work and was climbing ladders and shit and the boss of course lets him. I’m just gonna pray for him cause hardheaded af. He still won't even ice nor elevate his leg. He claims the painkiller was enough to make him feel strong enough to work 💀
Why would the docs not check for head injury?
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