Patient: My doctor sent me in to see a neurologist.
Me: OK, why?
Patient: I don’t know, he just said I should.
Me: OK, who is your doctor?
Patient: I don’t remember.
Me. When did you see him?
Patient: I have no idea.
Me: OK, who did he say you were supposed to see?
Patient: I don’t know, I think it is supposed […]

Why? Because every frickin’ shift I HAVE SOMEONE WITH A BIG HEAD BLEED!
And of course the neurosurgeons say “sorry Charlie, too old, too far gone, yada yada yada, not an operative candidate”!

Yes, we may laugh at that vintage Life Alert commercial but sometimes it is for real. A woman pushed her button just like in that classic (although the dude going “I’m having ack!!! Chest pain!!!” is pretty funny in a morbid way too!) after she fell. Unfortunately, the CT above is what was going on […]

The next day you are found aspirating on your own vomit with decorticate posturing and right gaze preference. Shortly afterwards EMS intubates you and your are on a vent in the ER. Your blood work is horrible (renal failure and white blood count over 20K). You might think you are lucky that […]

Sir, I know you really wanted to go home - in fact I technically discharged you.  You reportedly had a breif seizure at work- the first one in over 5 years but had a negative CT scan and blood work up so I was debating sending you home on seizure meds or just having you follow up […]

I think it is a little weird for a man in his 50’s to go to be on a Friday and not wake up til Monday morning. OK, he got up and staggered to the bathroom two times during that time but otherwise, must moaned whenever his wife tried to rouse him. She finally woke […]

When people come in with complaints of “double vision”, I find it is almost always bull. It rarely really is true diplopia - it is 99% of the time “blurred” vision or something else nonspecific. True double vision is worrisome. It implies a problem with the muscles that move the eye - causing one (or […]