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People will try almost anything to get sleep. ETOH, Rx Meds, Marijuana, counting sheep, you name it. The other day a guy figured out a guaranteed way to get some zzz’s. He was morbidly obese and had Pickwickian Syndrome. He lived in a nursing home/rehab place since he was pretty debilitated and was not [...] This a post I did when I first started the blog. No time for a fresh post today (father in law is in town) , but I guess many of you may not have read it.
About a year ago a middle aged woman came in by ambulance at about 3am. The [...]
I remember a humorous (but unfortunate) case in a somewhat macabre way from residency. A patient who was about 40, obese, and reeking of alcohol was brought in by EMS screaming and writhing around on the stretcher. Great – another night in Paradise. Well, she was screaming for a reason. Evidently her [...]
So what is the differential of an 18 year old woman storming into the ER screaming at the top of her lungs? She is holding both ears by the way. Psych? GSW to the head? PID? Most likely something less serious but more distressing to many. The dreaded roach in the ear. If you [...]
About a year ago a middle aged woman came in by ambulance at about 3am. The triage note said she had syncopised (medical term for passing out). When I asked her what exactly happened she said, ” Well, I was sleeping when suddenly I realised that I had passed out!”. I asked if perchance she [...] |
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