How not to Treat DKA

I’m not a pediatric endocrinologist but it seems to me that when someone calls that their kid with Type I Diabetes is puking his head off with  blood sugars of 400+ probably needs more treatment than just “give him some pedialyte  and see how he does”.   But hey, I’m just an ER doc, what do I know?!?!?

Of [...]

OK, His Mental Status is Normal

The other night I was evaluating a 7 year old who had suffered a head and facial injury. He was playing poolside when another kid ran headlong into him, smashing into his mouth.  He had a nasty lip laceration and was dazed at the scene (but no LOC or vomiting).   As per protocol, I wanted to [...]

Not to Worry

1 month old Pt’s Mother:  “My baby has not pooped in more than 24 hours!!!!”

Me: “That is OK.  It is normal”

Pt’s Mother: “Oh thank God! I was so worried!”

Me: “It’s OK”

Pt’s Mother: “OK, can I feed her?”

Me: “Yes, of course”

Pt’s Mother: “Are you sure it’s safe?  I mean, if she is not pooping, won’t everything back [...]

Unexpected Response

Me (to a 5 year old male patient):  “Ok, Nathan, open your mouth for me and stick out your tongue.”

Nathan’s Mom: “Oh, forget it, he doesn’t speak.”

Me (to Mom): “Oh, I’m sorry, is he autistic?”

Nathan’s Mom: “No, he’s just Korean.”

****Uncomfortable pause****

Me: Ummmmmm…….OH! You mean he only SPEAKS Korean. Sorry….”

Oh, and remember to look at my Medical [...]

You Just Lost your License

 

Yes, you have lost your license to be parents.  You are just too darn stupid to be allowed to care for a child.  Sorry, too annoying, too demanding, too stupid.

Your 4 year old was diagnosed with influenza (with a positive rapid flu test)two days ago after having a fever and body aches for three [...]

Save your Kid, Kill your Phone

So, stupidly I had my phone in my pocket poolside while watching my son. He fell in (he is 2) and was underwater so of course, without thinking, I jumped in and prevented him from aspirating/drowning. Now my Iphone is dead. Well, I am happy to say I did not even think about it [...]

Yummy!

 

Attention parents:

  Unless you want your toddlers to have a little Fabuloso party , keep your household chemicals locked up instead of stacked on a closet shelf. I imagine it might be a little cute to see them drinking the purple liquid out of the bottle but,who knows, maybe little Johnny will drink Drano next!

Luckily, [...]

Alcohol or Drug Addiction?

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