tag:blogger.com,1999:blog-1809371631407381115.post8871603079375545287..comments2024-03-28T10:32:27.517+03:00Comments on Stories from the trauma bay: Actively dyingDocBastardhttp://www.blogger.com/profile/12224592098492491365noreply@blogger.comBlogger35125tag:blogger.com,1999:blog-1809371631407381115.post-4288158328736989902017-07-20T16:26:08.207+03:002017-07-20T16:26:08.207+03:00My husband had an aortic dissection 5 years ago in...My husband had an aortic dissection 5 years ago in his 40's. He thought he'd pulled a back muscle at work, until his legs stopped working properly. His BP was sky high during the overnight stay at the emergency department, but they put it down to being caused by his back pain and just gave him morphine all night. Lucky for us the nurse who came in for the morning shift was dismayed that nothing was given for BP and knew something wasn't right and contacted the cardiac doc to arrange an immediate scan. If it wasn't for that nurse, I doubt he'd be here today, but in saying that, it can be hard to diagnose...we were certainly lucky!<br /><br />SarahAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-57409002587870382152017-07-19T16:46:41.617+03:002017-07-19T16:46:41.617+03:00Now that's an aneurysm.Now that's an aneurysm. Anonymoushttps://www.blogger.com/profile/15501802823856630693noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-21821468477283017932017-07-16T18:53:29.969+03:002017-07-16T18:53:29.969+03:00my grandmother survived breast cancer at the end o...my grandmother survived breast cancer at the end of the 70s. a few years later, she developed hip pain, and her doctor diagnosed it as bursitis.<br />in the late 80s, she slipped on their front step, and broke her hip - when they opened her up to pin it together, they found it was bone cancer - and there wasn't enough bone left to pin together. she held on long enough to celebrate their 50th wedding anniversary, and died a few months after.<br />my grandfather married his next door neighbor (who had been recently widowed, herself) about a year after, and it is probably what kept him alive.Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-32180069285781778422017-07-16T03:47:45.247+03:002017-07-16T03:47:45.247+03:00Very interesting, I'm just an old nurse.It'...Very interesting, I'm just an old nurse.It's always fun to learn something. Back in the day, Kussmaul = DKA.Oldfoolrnhttps://www.blogger.com/profile/01747485143127099085noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-53532193590596820652017-07-16T02:55:28.256+03:002017-07-16T02:55:28.256+03:00For the record, I look fantastic in tights. Probab...For the record, I look fantastic in tights. Probably. DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-35889387810261052752017-07-16T02:54:40.797+03:002017-07-16T02:54:40.797+03:00I can, but I'd prefer not to.I can, but I'd prefer not to. DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-66089794797004392672017-07-16T02:03:56.981+03:002017-07-16T02:03:56.981+03:00I'm not a superhero. <<< Let me gues...I'm not a superhero. <<< Let me gues. An aversion to wearing underoos on the outside and not having the legs to rock tights?<br />Tania Cadoganhttps://www.blogger.com/profile/06511272355142175684noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-13942421682245291812017-07-15T04:52:32.790+03:002017-07-15T04:52:32.790+03:001. No history of diabetes. Kussmaul breathing is...1. No history of diabetes. Kussmaul breathing is also associated with severe metabolic acidosis (shock) not just DKA. 2. Morphine to relieve distress associated with Kussmaul breathing but the effects can also cause low BP and hypotension. It was necessary for the MD to get the DNR orders first before starting morphin. Mild pneumonia confirmed via CXR.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-86260793511346882002017-07-15T04:27:16.665+03:002017-07-15T04:27:16.665+03:00Pt. was in diabetic ketoacidosis or impending rena...Pt. was in diabetic ketoacidosis or impending renal failure. The E-mycin stressed severely compromised kidney function.<br /><br />The morphine drip potentiated the beta mediated vaso dilatation of Lopressor.<br /><br />Perhaps "mild pneumonia" was pain from renal colic seeing as how pt. was not dyspnic. Oldfoolrnhttps://www.blogger.com/profile/01747485143127099085noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-63626163613482608782017-07-15T02:34:57.442+03:002017-07-15T02:34:57.442+03:00I see it all the time. An 80 yr old latina female...I see it all the time. An 80 yr old latina female gets admitted to ICU for mild pneumonia. Alert + Awake + able to communicate. No dyspnea or tachypnea. History of hypertension controlled by Lopressor. Patient on Medicaid. VSS normal. O2 Sat 96% on R/A. Family speaks no English. She received sedation during the night. She also received erythromycin. The next day she was non-responsive appeared to be in shock with her BP dropping. ABG showed acidosis (metabolic). Kusmaul respiration. She was intubated and placed on mechanical ventilation. Comatose. The attending physician then persuaded the family to make her a no code (DNR) since she was no longer responding to treatments. To make her comfortable the doctor order morphine drip and a couple of hours later she was dead. Now for the big error this MD made. Can you spot them?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-66405038525436760772017-07-14T19:09:19.679+03:002017-07-14T19:09:19.679+03:00and the ones in the middle are either arrogant AND...and the ones in the middle are either arrogant AND set in their ways, or smart and not afraid to learn.<br /><br />the challenge is finding the latter.Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-4330218258021835872017-07-14T18:13:48.436+03:002017-07-14T18:13:48.436+03:00If you're in the USA, way to go on a false way...If you're in the USA, way to go on a false way to portray America. If you're not, you're misinformed. Not your average housewife https://www.blogger.com/profile/07162052262629801014noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-2885180910829499272017-07-14T18:09:28.142+03:002017-07-14T18:09:28.142+03:00I think young doctors are smart, yet arrogant. I t...I think young doctors are smart, yet arrogant. I think old doctors are a bit set in their ways but not afraid to admit they made a mistake. I'd take old over young any day. Not your average housewife https://www.blogger.com/profile/07162052262629801014noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-8341236887430928892017-07-14T18:07:20.858+03:002017-07-14T18:07:20.858+03:00Well... I have CMT and just thought A, I was serio...Well... I have CMT and just thought A, I was seriously losing my mind or B, CMT was progressing faster than the rate I ever expected, but after many falls, more often than expected it was the double vision that took me to the ER to be diagnosed with a brain tumor. In a very bad place. I think we all 'ride it out' thinking sure it'll get better! Before we know we have to do something about it. <br /><br />CMT is short for Charcot-Marie-Tooth disease. I have type 4C. Not your average housewife https://www.blogger.com/profile/07162052262629801014noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-70017098856789753092017-07-14T16:58:44.750+03:002017-07-14T16:58:44.750+03:00My father always tells me to never go to a doctor ...My father always tells me to never go to a doctor that has been in practice for more than 40 years. They tend to be lazy with a big attitude and hates questions. He says young doctors are better.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-41732535558075758342017-07-13T17:28:19.991+03:002017-07-13T17:28:19.991+03:00A lady I knew from church went to the doctor becau...A lady I knew from church went to the doctor because she thought she had kidney stones. Surgeon found it was stage 4 overran cancer. She died less than a week later.the small ravenhttps://www.blogger.com/profile/15804223228797772477noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-42541728558822675802017-07-13T16:49:33.964+03:002017-07-13T16:49:33.964+03:00story from a coworker of a coworker of HIS who wen...story from a coworker of a coworker of HIS who went into the doctor for stomach pain. said they sent him to a surgeon, who opened him up, took one look, stapled him closed, and told him, "if you don't have a will, you should write one. if you don't have a pen, I'll loan you one."Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-63525122972096750312017-07-13T15:55:30.241+03:002017-07-13T15:55:30.241+03:00It's interesting, and slightly worrying, just ...It's interesting, and slightly worrying, just how much damage your internal organs can sustain without you feeling *that* bad. I managed to lose 90% of kidney function over a period of a few weeks; until the later stages the main symptom was my cycle-to-work times getting unaccountably worse. Plus, a BP of 220/200 gave no obvious symptoms..<br /><br />And a friend at work managed a large lung tumor with brain secondaries with only a slight headache. It's enough to make you paranoid..Andrewhttps://www.blogger.com/profile/02729454651003425550noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-6548531635171642082017-07-13T13:02:45.352+03:002017-07-13T13:02:45.352+03:00I agree - you identified the issue and made the ar...I agree - you identified the issue and made the arrangements to have it fixed. Obviously the fixing is important but your handling got him to the theatre alive, which sounds like it was no small feat! The cardio' surgeon might be the best in the world but a minute or two with no aorta would put our Bosley beyond the help of anyone.<br /><br />UgiUgihttps://www.blogger.com/profile/00453326095140897474noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-40343606209852945382017-07-13T12:48:37.409+03:002017-07-13T12:48:37.409+03:00You're still my imaginary superhero. :)You're still my imaginary superhero. :) Not your average housewife https://www.blogger.com/profile/07162052262629801014noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-31793036774377099852017-07-13T11:26:18.760+03:002017-07-13T11:26:18.760+03:00Can you perform a c-section?Can you perform a c-section?Calihttps://www.blogger.com/profile/12811805073387134251noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-59090203885540850972017-07-13T07:31:57.385+03:002017-07-13T07:31:57.385+03:00My husband had an ultrasound twice by his cardiolo...My husband had an ultrasound twice by his cardiologist to check for a abdominal aneurism. He is overweight and smoked for over 50 years. Finally quit after retiring. I hear wheezing at times but he denies he has a problem. Mary C.https://www.blogger.com/profile/03798704383301139461noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-25282631437234275312017-07-13T05:59:17.928+03:002017-07-13T05:59:17.928+03:00well, technically, since you were the one who got ...well, technically, since you were the one who got everything under way, you still get partial credit for the save.<br />Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-88176626659453717192017-07-13T04:34:39.289+03:002017-07-13T04:34:39.289+03:00Yes indeed, the accident was directly caused by th...Yes indeed, the accident was directly caused by the aneurysm rupturing and the subsequent haemorrhage. DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-26763447221170762052017-07-13T04:33:08.560+03:002017-07-13T04:33:08.560+03:00No I don't. I can repair an aorta that's b...No I don't. I can repair an aorta that's been injured (if the patient is still alive, which they usually aren't), but replacing a segment of aorta is outside my area of expertise. Fortunately. DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.com