Month: June 2012

Patient Crashes….

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I had to treat a young male in his 20s who fell off his motorcycle while making a sharp turn.

His vital signs were stable and all that was noted on his physical exam was left lower abdominal pain and scrotal tenderness.

This was a patient who was talking to me comfortably.

Ten minutes later I pass by the patient to assess his condition and noticed that he is sweating profusely…….I also start to sweat….What the hell happened to my stable patient???

Re-checking the vitals showed me that a stat check of glucose level had not been performed….it turned out that this young male with no pertinent medical history had a glucose level 35mg/dl. He also has a pelvic fracture and dislocation of the left hip.

Goddamn, you can’t take your eyes off of these patients for a second!!

The patient was eventually stabilized and sent to the operating room with the surgeons….:)

Hierarchy….

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Senior doc: hello Sleepydoc….I am Dr Bigshot

Sleepydoc: hello Dr Bigshot, I am Sleepydoc.

Senior doc: well I have been working for over 25 years….

Sleepydoc:…….ummm….ok???

What was that all about??? Please check your ego at the door when you want to enquire about your family member who maybe my patient. Thanks.

Started a new job today….:)

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Oooohh…..I totally quit my old job at small hospital ER. Started working at a much larger ER today……yeah!!!

I was nervous. I did not sleep last night. Did not know what I would expect. Would there be some kind of orientation, or would I just be thrown to the wolves.

As soon as I arrived, there were all sorts of paperwork to fill out. Then I got my ID and then the long walk to the ER department….cold sweat was dripping off my forehead….hahahahaha, I am just kidding. I was EXCITED.

I got a tour of the department and was then put somewhere to start seeing patients. Which went with surprising ease.

Of course I got lost, didn’t know who the next patient to see was, did not know where to get anything….but you better believe I caught on quickly. An ER is a place where things happen really quickly, so it is good to know where everything is at a moment’s notice.

Can’t wait for my next day in the ER tomorrow. BRING it ON!!!!

Started a new job today…..:)

Posted on

Oooohh…..I totally quit my old job at small hospital ER. Started working at a much larger ER today……yeah!!!

I was nervous. I did not sleep last night. Did not know what I would expect. Would there be some kind of orientation, or would I just be thrown to the wolves.

As soon as I arrived, there were all sorts of paperwork to fill out. Then I got my ID and then the long walk to the ER department….cold sweat was dripping off my forehead….hahahahaha, I am just kidding. I was EXCITED.

I got a tour of the department and was then put somewhere to start seeing patients. Which went with surprising ease.

Of course I got lost, didn’t know who the next patient to see was, did not know where to get anything….but you better believe I caught on quickly. An ER is a place where things happen really quickly, so it is good to know where everything is at a moment’s notice.

Can’t wait for my next day in the ER tomorrow. BRING it ON!!!!

Resist the urge

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If you are 45 years old, and you find yourself pregnant for the new flavor of the week, it maybe time to have a talk with thyself.

You have 6 prior kids for 5 other men. You have also had 2 prior miscarriages for the current boyfriend.

You say to me, ‘ Doc I don’t know why this keeps happening to me’

I say to you (want to say)…’ How about you thank god for all those prior children, and then you and this guy start traveling the world together’.

I mean, this guy who is 13-15 years your junior is gonna run as soon as you turn 50.

I do believe I counseled you on your two prior miscarriages and let you know the disadvantages of attempting pregnancy at such a late age.

RESIST the urge!!!!

Exercise!!!!

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I don’t care HOW you do it. WHEN you do it. Exercise as often as you can.

There I was on the treadmill two days ago, sweating away like there was no tomorrow. I noticed this elderly gentleman with a head of gray hair walking towards a treadmill. He was slim and looked HEALTHY. Can you imagine he hopped onto a treadmill and began running on it, sweating like there was no tomorrow.

EXERCISE people so when you are his age, you can still lift yourself off of a chair without using a cane.

Flip that scene to one a few nights ago. I had a 37 year old male who was morbidly obese. He was so obese that he could not even fit properly into the wheelchair for overweight people. He came in for back pain and ankle pain. DUH!!!!! Your weight is your problem. Your pain and your weight are connected.

In fact, this is the SAME guy who I saw for back pain months ago who I remember telling…..’Sir, I will be referring you to a dietician, and your family physician will do a thorough checkup to optimize you to start exercising.’

EXERCISE…..this patient will not be able to bend over to pick up something off the floor in a few years. He is ONLY 37yo.

I don’t care how you do it, get it done.

I figured I should just get some popcorn…..

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So a few nights ago, I was treating a patient with chest pain. It turned out that he actually had a heart attack.

I wanted to talk with the patient with his relative present. He gave me the name of his girlfriend, so I could find her in the waiting room.

I go out to the waiting and call the name over and over and noone responds. When I come back to the patient and tell him, he responds that he gave me the wrong name. That is the name of his ‘mistress’. Then he gives me his girlfriend’s name, correctly this time. He apologizes for his error.

When I go out and call the name, this young lady angrily walks past me and goes straight to my patient’s bed. Apparently she has known for awhile that her man has been cheating on her. And now he has been caught red handed and she knew the other female whose name I previously called.
I am thinking….security….but everyone is cracking up over the young lady’s display of anger.

Either way….she got escorted out of the emergency room ,and, her guy got escorted to a ward upstairs……