Saturday, August 14, 2010
Friday The 13th
Wow....what a Friday the 13th for our department. Not all of the cases below were my patients. Some were from my co-workers, including the lost blogger Doc Sensitive.
-Epiglottitis in a 40 year old male. This is a pretty rare diagnosis, and can be deadly. Follow the link for info about it. The on call ENT doc ended up coming in to intubate him.
-A 23 year old was shot in the chest at around 5pm and killed. We intubated him, put in bilateral chest tubes, and contemplated cracking his chest open but there were no signs of life.
-A 43 year old came in with angioedema. He got progressively worse. ENT felt like they had done their on call duty for the day from case #1 and would not come in. So for the first time, I did an awake nasal intubation with a fiberoptic scope. Scary shit but it worked.
-No shortage of the intoxicated patients. One was 24 years old who had her 5th child 2 weeks prior. She was horribly intoxicated screaming profanities about her children. Besides being drunk, she was positive for cocaine and marijuana. She couldn't even complete a sentence. "Dad" said all she does is drink...so I called CPS and sent her to a psych facility for postpartum depression. Who knows if she was really postpartum depression or just a low life, but I felt if I just let her sober up and go home....that by the time CPS showed up one of those kids would be dead.
-A 68 year old female with fibromyalgia who felt "anxious and stressed" after spending the night at a church lock in. WTF ?!?
-A 41 year old female that was soooo fat she could not take care of herself and had to live in a nursing home. Disgusting. Now for all your purists....she had NO medical reason to be this fat. She came in with shortness of breath....b/c she was literally TOO FAT TO BREATH. She ended up in the ICU
-Ended the shift with an average stab wound to the chest. Those "two dudes" were out again last night I guess, as they stabbed this poor patient in the chest as he was walking back to his car leaving the club minding his own business. He did fine, but if anyone can locate these two dudes (they have popped up in older posts), please notify your local authorities.
Posted by SerenityNow at 3:15 PM