I see ducks in the sky…

I admitted a 66 year old bipolar woman last night. As her daughter and I talked, the patient interjected comments as she thought appropriate. For example: Daughter – “Mom has been having stronger narcissic impulses lately.” Patient, interupting the above comment, – “I LOVE ME, WHO DO YOU LOVE?” Daughter – “Mom has been bursting [...]

Gas

We see lots of patients with belly pain, so the 4 AM visit for abdominal pain didn’t surprise me. What did surprise me was his description of his illness that brought him to the emergency department. “every time I eat, I get gas” He had been drinking a bottle of laxative every day for the [...]

Easy as ABC…

You don’t have to be very smart to work in emergency medicine. If you know the first four letters of the alphabet, you’ll be fine: A Airway – a month of anesthesia first year helps us learn to intubate B Breathing – several months in the ICU teach us tricks to open up airways and [...]

Please back away from the steak knives…

I saw about 12-14 patients last night on new year’s eve, but two stand out as being eerily similar… Patient number one was a woman in her mid-thirties, first seen at a community hospital for two stab wounds to the groin. The bizzare part is that they were self-inflicted. Drinking combined with marital strife caused [...]

That’s a lot of water.

I just watched some of these Tsunami videos and they literally made me sick to my stomach. Wow.