Last night was the most difficult and trying night of the month, maybe of my career. He was a young race car driver. Last night he was in a race at a local track when he flipped his car over and was trapped underneath. the car behind him ran into him at 100 mph. Local [...]
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Getting extubated is to an ICU patient as an owner returning from vacation is to a pet in a kennel. It’s the best part of their stay away from home! Extubating is easy and exciting. When a patient has been breathing through the tube down their throat that is open to just supplemental oxygen, and [...]
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Yesterday I rushed down to our residency office to give our secretary a CD of photos I had taken of an assault victim. The police needed them for her upcomign trial. Standing there at the desk was a bright eyed, enthusiastic new face. He was wearing a t-shirt and Khaki shorts with a bike messenger [...]
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Last night’s call was busy, but not as hectic as many others. We had four new admissions, and Dr. Grettle finally did the last admission by himself since it was 5 AM and I was rounding on my other patients. The first sick patient to arrive was a very unfortunate forty-something alcoholic with a 3 [...]
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Remember Bucky, the young man who was ejected from the jeep and broke all the bones in the front of his chest? Well this morning, he said “Good Morning” to me! He was extubated about 2 days ago, which I could hardly believe, and has been extremely sedated since. We started him on methadone to [...]
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Call last night was not as bad as I though it would be. Dr. Grettle is actually fairly easy to get along with…although maybe that’s because we nad no new admissions overnight, and no one was very sick at all. Earlier in the evening, a patient came in who had been riding a lawn tractor, [...]
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“You’re on call alone tonight?” the attending asked me. “Well. Nobody told me that. This is your second time around, right? Because if it were you’re first time around, you wouldn’t be much use to me.” “Well, why don’t you get your beauty sleep earlier, rather than later. I doubt I’ll need an extra pair [...]
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65 year old man swerves to avoid a deer, has a head on collision with a tree instead. One week later, his wife finds him confused and unresponsive. He goes to an outside hospital, has his head scanned, siezes and is transferred to our hospital. The neurologist believes he is encephalopathic and wants a lumbar [...]
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I had a few comments that this post might have contained too much information. Instead, I am offering you a fun link: Fun Brain
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Last night was non-stop crisis intervention, it seemed. After two new admissions, the remainder of the unit seemed to do nothing but bleed. We were ordering blood replacements on at least four patients, maybe five. In most cases, we had and still have no idea where the blood was going. A middle aged man had [...]
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