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	<title>Comments on: One of My Worst</title>
	<link>http://erstories.net/archives/227</link>
	<description>ER Stories       Real Life Tales from the Emergency Room</description>
	<pubDate>Tue, 16 Mar 2010 18:59:30 +0000</pubDate>
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		<title>By: Erin</title>
		<link>http://erstories.net/archives/227#comment-5119</link>
		<dc:creator>Erin</dc:creator>
		<pubDate>Sat, 25 Oct 2008 22:49:19 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-5119</guid>
		<description>I work at a hospice, and we've had 4 GBMs in the month that I've worked there. Super sad stories, all of them.</description>
		<content:encoded><![CDATA[<p>I work at a hospice, and we&#8217;ve had 4 GBMs in the month that I&#8217;ve worked there. Super sad stories, all of them.</p>
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		<title>By: Jen</title>
		<link>http://erstories.net/archives/227#comment-429</link>
		<dc:creator>Jen</dc:creator>
		<pubDate>Thu, 20 Mar 2008 10:49:37 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-429</guid>
		<description>A few years ago we took my 8 year old daughter in to Emergency for IV hydration, as for weeks they'd told us that she had a particularly virulent form of stomach flu that was going on.  Imagine our surprise when they found 3 tumours the next morning...sometimes things just blindside you. 

(She's fine now- we were lucky.  But I've never seen a doctor look so ill as ours did when the tumours popped out at us- I thought that our wonderful doctor was going to pass out in front of me.)</description>
		<content:encoded><![CDATA[<p>A few years ago we took my 8 year old daughter in to Emergency for IV hydration, as for weeks they&#8217;d told us that she had a particularly virulent form of stomach flu that was going on.  Imagine our surprise when they found 3 tumours the next morning&#8230;sometimes things just blindside you. </p>
<p>(She&#8217;s fine now- we were lucky.  But I&#8217;ve never seen a doctor look so ill as ours did when the tumours popped out at us- I thought that our wonderful doctor was going to pass out in front of me.)</p>
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		<title>By: Drama Mama</title>
		<link>http://erstories.net/archives/227#comment-427</link>
		<dc:creator>Drama Mama</dc:creator>
		<pubDate>Thu, 20 Mar 2008 03:20:48 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-427</guid>
		<description>That is terrible- not what I was expecting at all!</description>
		<content:encoded><![CDATA[<p>That is terrible- not what I was expecting at all!</p>
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		<title>By: William the Coroner</title>
		<link>http://erstories.net/archives/227#comment-426</link>
		<dc:creator>William the Coroner</dc:creator>
		<pubDate>Thu, 20 Mar 2008 02:28:39 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-426</guid>
		<description>When the rumor is tumor, and cancer might be the answer, only tissue will resolve the issue.

Thus speaketh the pathologist.</description>
		<content:encoded><![CDATA[<p>When the rumor is tumor, and cancer might be the answer, only tissue will resolve the issue.</p>
<p>Thus speaketh the pathologist.</p>
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		<title>By: ddx:dx</title>
		<link>http://erstories.net/archives/227#comment-421</link>
		<dc:creator>ddx:dx</dc:creator>
		<pubDate>Wed, 19 Mar 2008 20:52:01 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-421</guid>
		<description>Yup bad news. Gotta handle it all.
I was called from our office Christmas party by the ER to admit a 55 year old with new onset seizure. He was in CT but the description of a Jacksonian seizure(http://www.medicinenet.com/script/main/art.asp?articlekey=7457) was worrisome.
Sure enough, 4 cm mass in the R temporal. Radiologist shrugged," Probably Glioblastoma with the surrounding edema, doubt astrocytoma...hm, could be an abcess but I doubt it."
The patient took it about like I would. "I guess it's over then..." His wife is sobbing. 4 school-age kids. I insisted that tissue diagnosis is critical. 
We need a biopsy.
Why? What's the point?
It's important to be sure of the diagnosis. So we can know how to treat you.
But I'm going to die.
Maybe. But I want to be able to recommend appropriate care and I cannot be sure of my recommendations without tissue.
Two weeks later on open biopsy it is an abcess. A year of abx and he sees his daughter married. Now a grandpa.</description>
		<content:encoded><![CDATA[<p>Yup bad news. Gotta handle it all.<br />
I was called from our office Christmas party by the ER to admit a 55 year old with new onset seizure. He was in CT but the description of a Jacksonian seizure(http://www.medicinenet.com/script/main/art.asp?articlekey=7457) was worrisome.<br />
Sure enough, 4 cm mass in the R temporal. Radiologist shrugged,&#8221; Probably Glioblastoma with the surrounding edema, doubt astrocytoma&#8230;hm, could be an abcess but I doubt it.&#8221;<br />
The patient took it about like I would. &#8220;I guess it&#8217;s over then&#8230;&#8221; His wife is sobbing. 4 school-age kids. I insisted that tissue diagnosis is critical.<br />
We need a biopsy.<br />
Why? What&#8217;s the point?<br />
It&#8217;s important to be sure of the diagnosis. So we can know how to treat you.<br />
But I&#8217;m going to die.<br />
Maybe. But I want to be able to recommend appropriate care and I cannot be sure of my recommendations without tissue.<br />
Two weeks later on open biopsy it is an abcess. A year of abx and he sees his daughter married. Now a grandpa.</p>
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		<title>By: HospiceDoc</title>
		<link>http://erstories.net/archives/227#comment-420</link>
		<dc:creator>HospiceDoc</dc:creator>
		<pubDate>Wed, 19 Mar 2008 20:20:26 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-420</guid>
		<description>Unfortunately, I see such horrific things all the time.
The words "pediatric hospice" make everyone cringe.</description>
		<content:encoded><![CDATA[<p>Unfortunately, I see such horrific things all the time.<br />
The words &#8220;pediatric hospice&#8221; make everyone cringe.</p>
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		<title>By: Nick Brasher</title>
		<link>http://erstories.net/archives/227#comment-418</link>
		<dc:creator>Nick Brasher</dc:creator>
		<pubDate>Wed, 19 Mar 2008 17:56:21 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-418</guid>
		<description>GBM has been working on me for 2 years now.  I have one tumor in my corpus callosum and one in my occipital lobe.  
I am fortunate to be young, 36, so the prognosis is better than most because I'm better able to tolerate the chemicals.  I have 3 young children myself...of whom don't have the intellect or coping skills to understand what the future likely holds.  Luckily, outside of frequent seizures, I've been able to enjoy modest stability.</description>
		<content:encoded><![CDATA[<p>GBM has been working on me for 2 years now.  I have one tumor in my corpus callosum and one in my occipital lobe.<br />
I am fortunate to be young, 36, so the prognosis is better than most because I&#8217;m better able to tolerate the chemicals.  I have 3 young children myself&#8230;of whom don&#8217;t have the intellect or coping skills to understand what the future likely holds.  Luckily, outside of frequent seizures, I&#8217;ve been able to enjoy modest stability.</p>
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		<title>By: Angry Professor</title>
		<link>http://erstories.net/archives/227#comment-416</link>
		<dc:creator>Angry Professor</dc:creator>
		<pubDate>Wed, 19 Mar 2008 15:21:55 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-416</guid>
		<description>Ach, it killed my dad.  I can't even read the words "glioblastoma multiforme" without crying.</description>
		<content:encoded><![CDATA[<p>Ach, it killed my dad.  I can&#8217;t even read the words &#8220;glioblastoma multiforme&#8221; without crying.</p>
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		<title>By: Nurse K</title>
		<link>http://erstories.net/archives/227#comment-415</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Wed, 19 Mar 2008 15:05:49 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-415</guid>
		<description>I once had a young lady (small children, husband, etc) get admitted with first-time seizure and new diagnosis of brain tumor.  This was on maybe 12/10 of whatever year.  Brain biopsy=GBM.  She died on Christmas Day after her tumor had grown 4 or 5 cm in 2 weeks.  It was unreal and very sad.</description>
		<content:encoded><![CDATA[<p>I once had a young lady (small children, husband, etc) get admitted with first-time seizure and new diagnosis of brain tumor.  This was on maybe 12/10 of whatever year.  Brain biopsy=GBM.  She died on Christmas Day after her tumor had grown 4 or 5 cm in 2 weeks.  It was unreal and very sad.</p>
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		<title>By: beth</title>
		<link>http://erstories.net/archives/227#comment-414</link>
		<dc:creator>beth</dc:creator>
		<pubDate>Wed, 19 Mar 2008 14:50:07 +0000</pubDate>
		<guid>http://erstories.net/archives/227#comment-414</guid>
		<description>that is very sad.  I am thankful that my chldren are healthy, but makes me realize that things can change at any moment.</description>
		<content:encoded><![CDATA[<p>that is very sad.  I am thankful that my chldren are healthy, but makes me realize that things can change at any moment.</p>
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