August 2012
37 posts
Not how you use birth control
We got some great stories today from physicians who spoke on health literacy; here is one.
Dr. B: Do you think there is any chance that a pregnancy could be causing these symptoms?
Patient: Oh no! We use birth control so I shouldn't be pregnant.
Dr. B: (after getting the positive pregnancy test back) So it appears that you are pregnant. Can you explain what kind of birth control you are on and how you take it?
Patient: Oh, I don't take it. It made me feel weird so my boyfriend has been taking it instead.
Dr. B: That explains a lot....
Well that’s definitely on the wrong blog…….
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“Put some ranch dressing on it”
– Every person in the South ever (via deplaisant)
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IF I WANTED TO SEE PICTURES OF PEOPLE LIGHTING UP I WOULD GO TO THE FREAKING WEED TAG NOT THE MEDICINE TAG
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Another usual day at the ER
*casually scrolling through a CT angiogram of the chest while drinking some coffee"
Me: herp derp there's not going to be anything here, it will allll be negative
*scrolls past the biggest saddle embolus I've ever seen and spits coffee all over the computer screen*
“The best way I can explain it is that radiology is twenty four hours of “Where’s...”
– A radiology resident explains his specialty to us in a small group session. (via medicalstate)
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helenad1 asked: Do you watch Scrubs?! And if so... favorite moment of the show??
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kittenisjunebuggin asked: If you're still bored, I have another question. What is your experience with non-English speaking patients and what are the best ways to get the information you need to treat them? How awkward are family(possibly young children) translators and have you ever had to use that phone service I've heard about? The phone service that allows a patient to speak in their native language and a...
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lindsaytheamazing asked: What is the lamest joke you know? For example: What's red and smells like blue paint? Red Paint. OR What did the judge get his wife for their anniversary? Flowers.
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kittenisjunebuggin asked: Have you had any experience with aortic dissections/aneurysms? What are some easily recognizable(in a home setting) symptoms of such an occurrence? What is the time period between detecting a dissection and receiving care that results in the best outcome? How about a rupture? In simpler terms: If someone begins experiencing symptoms of a dissection or a rupture, how long do they have to get to an...
Boredom = Ask me things!!!!
ermedicine:
This is all of the diabetes I’ve had to deal with tonight…
I still have some more brownie left to help you with that diabetes.
I would gladly go into DKA for some brownies right now…..
This is all of the diabetes I’ve had to deal with tonight…
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DKA
Physician: Sir, you are in DKA
pt who frequently has DKA: can I have a Mountain Dew, I'm thirsty
Me: collapses on the floor in frustration
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“I think I have gastroparesis”
– THEN WHY DID YOU BRING WHATABURGER WITH YOU
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Everything was diabetes and nothing hurt
(except for the neuropathy)
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Anonymous asked: For your 40yo woman. I have had 2 similar patient's. One was in alcoholic ketoacidosis, and the other was a new onset seizure with acidosis due to the seizure. Were those some differentials?
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Okay all of the smartypants people out there I have a question about a patient that I had no clue what going on:
A woman in her 40s in relatively good health presented to the ER s/p a syncopal episode in the parking lot of the hospital. She was at the hospital to visit her mother who was having some type of procedure. She presented with normal VS, no hypoxia, no ST, no hypotension. She denied any...
Do any of y’all get the desire to go right back into the hospital after you get off your shift?
Seriously every time I get in my car I wish I could go right back into work.
I love my job y’all, it’s official.
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So today I worked with the president of the physician group again.
It was really awesome. He told me that everyone in my department looks up to me and he was impressed with how I worked.
I also had to “play doctor” today for a little bit because we got a little overwhelmed with some critical patients. It wasn’t much, I just did part of a hepatic encephalopathy workup, part of a...
Three drunk patients came in via EMS in a span of 5 minutes
STOP DRINKING FOUR LOKO IT’S ANNOYING
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“I can’t tell if he’s in VTach or if it’s just his...”
– very confused ER nurse
AND MY ONLY DAY SHIFT IS WITH THE PHYSICIAN GROUP PRESIDENT WHO IS FLYING IN FROM MIAMI TO DO A FEW SHIFTS
HE’S SO INTIMIDATING
6/7 of my next shifts are night shifts
IT’S GONNA BE CRAY
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My black cloud went on vacation
My last two shifts in the ER were wonderful
- No codes
- No sepsis
- No trauma
- No AMIs
I’m starting to think I’m going to end up having horrible shifts for the rest of the month after these two amazing shifts, knowing my luck.
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Walking past two ER employees staring at the...
Me: what are y'all looking at?
Employee1: This patient started having chest pain and it looks like he ST elevation
: decides to take a gander at the telemetry 12 lead
Me: I don't know, it looks like a bundle branch block to me, but I'm not qualified to interpret them obviously
Employee2: yeah you're obviously not because that's an MI, I'm getting an EKG and I'm going to make sure to tell the doctor how wrong you were
Employee1: well this is awkward
EKG SHOWS LEFT BUNDLE BRANCH BLOCK
“1st EKG is abnormal.
Repeat EKG.
Pray to god leads were abnormally placed.”
– toss some salt. cross your fingers. hold your breath. (via imaresident)
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CAN MY BLACK CLOUD JUST GIVE ME A BREAK?!
So I was talking to one of the physicians about the patient that was resuscitated in my last post and right after I finished talking about him they called a code up in the ICU.
We go upstairs and it was the same patient who was in cardiac arrest (again).
And of course he didn’t make it.
Does someone want to take my black cloud for a few weeks? I’m sure the patients here...
freeskywarp:
Succinylcholine Chloride: My black cloud knows no bounds ambulancejockey:
ermedicine:
So yesterday my second patient of the day was a EMS Code Blue, presented in Aystole x10m of CPR. EMS gave x2 of vasopressin (Don’t ask my why because I was always taught that you only replace the first or second round of Epi with one dose of vasopressin) and that was it. We…
AHA doesn’t...
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My black cloud knows no bounds
So yesterday my second patient of the day was a EMS Code Blue, presented in Aystole x10m of CPR. EMS gave x2 of vasopressin (Don’t ask my why because I was always taught that you only replace the first or second round of Epi with one dose of vasopressin) and that was it. We ended up reviving him with an amp of D50 ( bedside glucose was 22, EMS didn’t do a d-stick). Then, right when...
4 tags
Dramatic code last night
So here’s the story, and it might be long
Two days ago a middle aged woman presented to the ER with c/o knee pain after a syncopal episode. She was a frequent flier at out ER and was usually seen for anxiety or chronic pain issues. On this visit, she denied any Chest pain, SOB, Dyspnea, or even anxiety. The ER physician wanted to admit her but the hospitalist thought she was crazy and...
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“The pt is a 44 y/o female who presents with Left shoulder pain s/p rolling out...”
– WHY WERE YOU EVEN IN A BUNK BED I DON’T GET IT
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What do all these words mean?
wayfaringmd:
I’ve realized that myself and my fellow TOADS use a lot of medical jargon in our posts. Many of our followers are not in the medical field yet and may not understand these terms, so I’ve started a page on my blog called Medicalese to give explanations of these terms. I will add words and phrases to it as I post, so it will slowly grow, and I will try to remember to link to it on...
