It always annoys me when patients decide to stop taking prescribed medications on their own without consulting their doctor. If you can’t afford it or just were too lazy to refill it, that is one thing. But just DECIDING that you don’t need the medications is just a plain bad idea.
For example: You have [...]
Yesterday most of the northern part of the US was nearly encased in ice. You know what that means – wipe out central. I saw a near constant stream of people slipping and falling on their butts. Two broken wrists, one broken knee, two concussions, one broken coccyx. Many Percocet and Naprosyn prescriptions were [...]
I have to say, in some cases yes. And I challenge any EM physician to truthfully say no. Now, I am not talking about sexual or racial bias which is another subject altogether. I am referring to “complaint bias”. A recent pilot study was published out of Australia and referred to in the recent [...]
Here is an incredible little medical news tidbit a reader sent me. Apparently in Denver, a newborn baby was discovered to have what everyone thought was a brain tumour. When the neurosurgeon operated on the little 3 day old, he made a startling and disturbing discovery, in the baby’s brain was growing a foot! [...]
Bleeding was the theme of the night. My last night shift felt like it was spent stopping or dealing with bleeding most of the time.
Three GI bleeders: One severe lower GIB with a Hgb of 4.9, one coffee ground emesis with an Hgb of 7, and one melanotic stool with an Hgb of 7.5. [...]
The other night we had the pleasure of treating a female patient in her 30’s who was brought from a concert hallucinating and paranoid, evidently on LSD. My immediate assumption was that she was watching a jam band such as a Grateful Dead tribute, or Phish/Ween-type band. After all, this type of [...]
What is one of the most important skills a doc learns while working in the ER? The “spin”. This is in addition to the obvious (and boring) skills of multitasking and learning the actual medicine. This skill (or lack thereof) can make a good ER doc into an ineffective one or [...]
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