Couples are supposed to (at least in the movies I guess) grow old together, and walk off into the sunset. Sometimes things go a bit awry when people get into their late 80’s. Namely if the man becomes demented and the woman develops depression and suicidal ideation. You can see [...]
Head over to White Coat’s for my post discussing family demands for admission that are not [...]
Here is an image emblematic of how horrible yesterday was. Yom Kippur, the Jewish Day of Atonement is basically a major holiday in my neck ‘o the woods. Especially for doctors. Thus, you can imagine, any day where people can’t get to their MD’s with their problems is going to be bad for us. [...]
The time- honoured tradition of dumping mom or grandma off in the ER on Friday so the family can have a nice weekend is alive and well I am nauseated to report. Mom has some spinal-stenosis related back pain and gets too gorked out with Percocet but Tylenol and Motrin don’t cut it. [...]
Not at all like the recent case I had of a man with painfully obvious end-stage cancer, I had another sick patient the other night. This lady was in her 40’s and listed no medical problems on her history. She had sudden abdominal pain and came to the ER. At first look, she [...]
I am extremely sad to tell you Mrs Wakeupandsmellthecoffee that your husband is dying of cancer. I personally am flabbergasted that somehow this was not very obvious to you. After all, he has lost 45 lbs in 2 months, has a massively swollen abdomen and legs, is jaundiced, cannot eat and cannot [...]
In my opinion, I do not think it is ethically right to withhold a diagnosis from a patient (usually elderly) because “they will freak out and not be able to handle it”. I find if offensive that a family would refuse to tell their elderly relative that in fact their “little tumour” on their [...]
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