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Thu May 2, 2013, 02:14 PM

Boy howdy! Crazy morning in clinic! Whew!

I "only" saw eight patients this morning, but what a bag of trouble they all brought in with them. Two calls to the EMT's for transport to the hospital, 3 EKG's, a patient having an acute generalized seizure in the foyer, a possible venous thrombus, and a brand-new diagnosis of Diabetes.

Still trying to catch my breath...

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Arrow 17 replies Author Time Post
Reply Boy howdy! Crazy morning in clinic! Whew! (Original post)
Aristus May 2013 OP
In_The_Wind May 2013 #1
Aristus May 2013 #3
In_The_Wind May 2013 #7
Aristus May 2013 #8
In_The_Wind May 2013 #9
Aristus May 2013 #10
In_The_Wind May 2013 #11
Aristus May 2013 #12
Sekhmets Daughter May 2013 #2
Aristus May 2013 #4
olddots May 2013 #5
Aristus May 2013 #6
RILib May 2013 #13
Aristus May 2013 #14
RILib May 2013 #17
MrsBrady May 2013 #15
Aristus May 2013 #16

Response to Aristus (Original post)

Thu May 2, 2013, 02:15 PM

1. Oy

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Response to In_The_Wind (Reply #1)

Thu May 2, 2013, 02:30 PM

3. I got pizza for the medical staff, so now I'm having a couple of slices

and trying to relax. Half an hour left. Apre mangere, le deluge...

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Response to Aristus (Reply #3)

Thu May 2, 2013, 02:54 PM

7. Jeff R is trying to wade through unpacked boxes of my stuff.

When I could, I shopped and shopped some more.
Now I have enough stuff to last forever.
But Jeff insisted on buying me another great looking pair of shoes this morning.

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Response to In_The_Wind (Reply #7)

Thu May 2, 2013, 02:57 PM

8. Shoes=Happiness.

Right?

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Response to Aristus (Reply #8)

Thu May 2, 2013, 04:20 PM

9. They are so CUTE & fuzzy!



like him


Shoes = Happiness

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Response to In_The_Wind (Reply #9)

Thu May 2, 2013, 04:21 PM

10. I'm assuming he's also warm and comfortable.

Just like the shoes...

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Response to Aristus (Reply #10)

Thu May 2, 2013, 04:23 PM

11. He is!

We had to turn on the air conditioner.

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Response to In_The_Wind (Reply #11)

Thu May 2, 2013, 04:24 PM

12. TMI...

But glad to hear it just the same...

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Response to Aristus (Original post)

Thu May 2, 2013, 02:17 PM

2. Good grief!

Crazy morning is right! Hope the afternoon is quiet!

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Response to Sekhmets Daughter (Reply #2)

Thu May 2, 2013, 02:32 PM

4. Probably not.

Thursday afternoon is clinic for our mental health patients...

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Response to Aristus (Original post)

Thu May 2, 2013, 02:35 PM

5. i don't don't know how to do it

 

if you get sick of your job could you join congress so the country could get working together again ?

A friend of mine worked the ER at San Francisco General in the summer of 1967 --the stories he tells are frightening but your job sounds just as hard.

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Response to olddots (Reply #5)

Thu May 2, 2013, 02:40 PM

6. In fairness to Emergency providers, my normal run of the day in clinic is nowhere near

this chaotic. This was a once in a while thing. But this sort of thing happens every day, all day at Emergency Rooms. I don't think I could hack emergency medicine.

And the old 'treat-'em-and-street-'em" policy that ED's have doesn't mean they won't see the patient again. I had a new patient the other day who had been seen at the local ED four times in one day. Trying to scam narcotics off them, etc.They finally had to have security escort her off the premises, and threaten her with trespassing if she returned.

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Response to Aristus (Reply #6)

Thu May 2, 2013, 04:25 PM

13. twice

 

I was in twice before they realized I was flamingly hyperthyroid. (Oh, everyone has ectopics, you'll just have to live with it.)

That said, both times people were there getting over some sort of addition binges, and more out of it than I would have thought possible. Like the snake pit.

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Response to RILib (Reply #13)

Thu May 2, 2013, 04:30 PM

14. They told you you had an ectopic? Ectopic what?

Pregnancy? Heartbeat? Hormone secretion?

I would have thought a reasonably careful history and physical exam would have caught the hyperthyroid. Somebody must have been overworked...

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Response to Aristus (Reply #14)

Fri May 3, 2013, 06:16 AM

17. heartbeat

 

Every third beat or so was a pac or pvc (I don't know which.) It was just crazy, I could hardly walk ("You got in here, didn't you?", which was probably partly that and probably weakness from the thyroid getting the muscles, not to mention the breathing muscles.

I contemplated instead of leaving lying on the floor of the waiting room until someone did something, but i figured they'd have me arrested

Fortunately the second time I was solidly in afib, which ERs take seriously, and that different doctor did a thyroid test.

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Response to Aristus (Original post)

Thu May 2, 2013, 07:42 PM

15. I take care of two year olds...

and had a hard day today, but you got me beat...

you got any of that beer left?

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Response to MrsBrady (Reply #15)

Thu May 2, 2013, 07:45 PM

16. There's plenty!

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