I am sorry but there are no words to describe how disinterested I am in your complaint tonight. It is the middle of a snow storm in the middle of the night yet you decided to call EMS and come to the ER for “bug bites” for several days. Your mildly pruritic eruption is of […]

The yesterday the sh** was hitting the fan and in the midst of all the sick people sat a young woman with the chief complaint of “Nipple Pain”. Great. As my colleague went to go see her she, she muttered something like “man, that nipple better be really infected or ripped off!!!”.
Nope. […]

No, not the kind like the cutie above - my Tibetan Terrier, Sherpa. I am talking about the kind that pregnant women get on their abdomen. It stands for Pruritic urticarial papules and plaques of pregnancy. It is a poorly understood, but common condition that affects a lot of women in the third trimester of […]

Please don’t come into the ER with a TINY (ie 1/4 cm) bug bite accompanied by “full body itching” with no rash or scratch marks and expect me to spend a long time working you up for your”serious medical problem”. You DON’T HAVE A FRIGGIN’ EMERGENCY. You have an annoyance. In fact, […]

So, I had another interesting and somewhat strange case today. Anybody have ideas? A 28 year old man with a history of epilepsy on phenobarb and Keppra, and migraines but otherwise healthy came in for five days of fever and severe body rash. He smokes on occasion and is a social drinker. […]

Yesterday I had not one, but two interesting cases mixed in with all the run-of-the-mill stuff.
A. A woman in her thirties came in for a “cyst in her vagina” - wait, you think, a boring Bartholin’s Abscess? Nope. Rarer. I have never seen one before. A Skene’s Gland Abscess. This entirely unpleasant […]