The Plot Thickens

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 [...]

Presto! Looks Much Better Now….

Before:

After:

This was a really nasty total rupture of the quad tendon.  Luckily just pushing down on the patella and extending the leg outwards made it look MUCH better.  Getting surgery this week and should [...]

Extremes

Pardon me for a minute. This is a random, sort of non-sequitur, Happy Hospitalisteque post so just humour me

Here are two lunches being eaten by two staff members on a recent shift. Both are young women who are of normal weight (so get it out of your mind that the 300 pounder was eating the [...]

Is a Half Dozen a Record?

I don’t think anyone keeps track of such things but if they did, I might have the record.  In a 12 hour shift, I (well, myself and two other docs working at the same time) had SIX patients with acute appendicitis!

The surgical resident was about to hurl himself under [...]

Yo Ho Ho and a Bucket of Pus

OK, here is a record I NEVER hope to beat.

A man was brought in from the assisted living centre with fever. He had low blood pressure and was very tachycardic. Of immediate note was his abdomen – which incidentally, he was not complaining about. In fact, he was sitting there [...]

That'll Do it

I am all in favour of an appropriate use of health care resources in the ultra elderly. After, all they don’t have much time left regardless so why perform heroic measures? Especially if they are demented, bedridden, or otherwise have a very poor quality of life.

Another option, however controversial, would be a Dr Kevorian consult. [...]

I Guess that Proposal Did not Go Well

The scene: A smallish gathering of swarthy, heavily tattooed people celebrating a really nice Spring evening. Mr Buff has gone into the kitchen to refresh his drink and runs into an old friend, Mr Spartacus.

Mr Buff: “Hey Man, haven’t seen you in a while. How’s it goin’ Dude?”

Mr Spartacus (visibly intoxicated ): “Welllsssshhh, I [...]

Alcohol or Drug Addiction?

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