OK, so I know you don’t like to take medications – most normal people don’t. But normal people also realise that when they are sick, they may need some! In fact, normal people who come to the ER in severe pain EXPECT to be given some meds. The fact that you are refusing all meds for [...]
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My day shift over the weekend gave me a host of wonderful “leftover” sign-outs. The most notable of which was the lovely gentleman featured in the last two posts. However, he was only one of the characters who spent the night before in drug-addled binges. One man came in with “Crack Overdose” – [...] I hate acute strokes. There are several reasons for it. Most of them are logistical. First, everyone gets into a tizzy because of the 3 (or 4.5) hour time limit after the onset of symptoms that which TPA can be given and hopefully improve the patient’s outcome. Unfortunately, this time limit (and [...] Me: “OK sir, so the triage note says you have been vomiting but you have no other complaints?” Pt:” Yeah.” Me: “OK, tell me about it.” Pt: “It’s pure blood with clots and I felt lightheaded this morning.” Me (thinking to myself “why the hell was that not mentioned on the triage note?”): “Oh my. That is concerning.” Pt: “Yeah, it [...] In response to Happy Hospitalist’s Animated Video of him getting a call from the ER doc, [...] Sorry to say guys, but when a patient calls EMS and tells you he is anxious and pissed off because he discovered his wife cheating on him, he does not have “hypertensive crisis” with a BP of 180/90. Especially when he carries a diagnosis of HTN which he has not been taking his meds for a [...] First case after getting back from vacation (sigh): 70 year old man with AMS at the MD’s office, diaphoresis and hypoglycaemia. Reportedly no history (via EMS) of DM and was fasting for blood work that was getting drawn. Real history: Known Diabetic. Ate only a piece of toast for breakfast and was not fasting. Took his insulin and drove to [...] |
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