Latest Posts

Voices Carry

Wisecracking doc that I work with recently had a little surprise.  He was walking down the hallway and saw a nurse escorting a mother and her overweight young daughter into a room. Daughter was holding her right eye.  When the patient’s registration was completed, he signed up for the patient, took a swig of coffee, and said “OK, looks like it’s time to go see what’s wrong with Honey Boo Boo‘s eye.”  A couple of the nurses chuckled and he ...

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Hurry Home

  First of all, I’m having blog withdrawals. Seriously. I wish I could make a living writing a blog. It would be my dream job to write blog posts and troll the internet. Maybe some day. So a quick story before I go to bed for another long day tomorrow. At one of the hospitals where I moonlight, many nursing homes refer patients to the emergency department for routine medical care. Stuff like “patient has a rash for a week” or ...

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Eeew-perman

One of many ambulance transfers included a 80-ish year old nursing home patient who was sent by the night staff at the nursing home because they were too busy he had mental status changes. When the patient arrived, he seemed OK to me. Awake, alert, smiling. Held a relatively normal conversation. Watching the news on television. He even grabbed the remote and muted the sound when I came into the room. Unfortunately when a patient gets sent from the nursing ...

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Patient Encounters

Eeew-perman

One of many ambulance transfers included a 80-ish year old nursing home patient who was sent by the night staff at the nursing home because they were too busy he had mental status changes. When the patient arrived, he seemed OK to me. Awake, alert, smiling. Held a relatively normal conversation. Watching the news on television. He even grabbed the remote and muted the sound when I came into the room. Unfortunately when a patient gets sent from the nursing ...

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Revenge Best Served with Hot Lead

A young guy gets brought in with a non-life-threatening gunshot wound to his arm. The police were called and the patient had no idea who shot him. After the police left, the patient admitted that his own friend shot him. He was sent home that night. Not 45 minutes after my shift started the next day, the patient’s “friend” comes in with a GSW to the leg. Guess who the perp was. Can’t you just smell Jack Daniels and hear ...

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A Case That Really Bugged Me

By Birdstrike M.D. “Here I am Well, I guess it’s no surprise Up to my knees in water Up to my ears in dragonflies”  -Gov’t Mule  I open my car door to walk in to work. I’ve never heard crickets as loud as the ones this summer in Georgia. A wall of steam-heat blasts me simultaneously as a giant BZZZ! BZZZ! dive-bombs my ear. Man, it’s hot in Georgia. And the bugs! I think to myself. I walk slowly towards ...

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Emergency Department Complaints

Recent patient complaints requiring emergency department evaluation: 1. “Belly button problem”. White and blue stuff keeps growing in belly button and thinks that there may be fungal infection there. Brought some in a plastic bag for analysis. Diagnosis: Umbilical Lint 2. Ambulance transport for rectal itching. The patient was having difficulty reaching his bottom to wipe himself due to his size. Diagnosis: Buttock Dermatitis Another reader looked at patients’ presenting complaints during a shift. 12 patients had cramps/back pain 5 ...

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