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(This is an excerpt from Chapter 11, in the upcoming book, "The Life and Times of John Birdstrike, MD: Ruminations on Hot Dogs and Emergency Medicine. By Birdstrike MD.)
The radio crackles alive, “County General...we’ve got a 20-something female……just picked her up…..bagging….we’re at your back door…”
Boom! They slam through the double doors, and roll into room 8. Lying on the stretcher is a young thin woman. Beneath the mask over her face is a full head of golden wavy hair. I get to the head of the bed, and get ready to intubate her. I grab the bag and mask and start bagging her myself. “What have you given her, so far? Any narcan? D50?” I ask.
“No,” the paramedic says. “We just scooped her up and had just enough time to get her here and pop an IV in. Just lost pulses a few seconds ago. PEA.”
“Okay, give her some narcan and D50, while I get ready to intubate. Resume compressions! Etomidate, sux, scope…” roll off my tongue. I look down at the patient’s face again……blond, so young, hair and face like a movie star, except for the pale-bluish dying hue. She reminds me of Cat Woman from the old Batman comics. She’s just about dead and much too young to die. I don’t think I can handle another young patient death this week. I’m filling with dread, not from anything that has to do with the medical “case” in front of me, but because somewhere out there is an unsuspecting mother, husband or child that I’m going to have to tell that she is dead. There’s no way to candy-coat that news, and no matter how many times I do it, it still gives me chills.
The nurse has just given narcan. She starts to move. Is she trying to breath? I look at her face, it’s pinking up. Did we restrain her before the narcan? Damnit….we didn’t!
She VIOLENTLY sits up, blasting upwards towards my head, ripping the mask off her face, ripping out her IV and heaves forward. I’m looking straight at the back of her head and torso and she’s heaving forward violently grabbing at her own neck, making an awful guttural noise, contracting rhythmically. That noise, what’s that noise? I’m hearing my cat, she’s trying to vomit. Is this lady trying to gag up a hairball? Cat Lady.
“Blahhhhaaaaaacghck…..blaaa…..ughggh!”
I look beyond her and the nurses are staring back mortified, at the patient. “Ahhhhhh! Ahhhhhhh! Ahhhhhh!” this Cat Lady is screaming. “I’m dying here! Help me!!! Oh, the pain, s—t, the pain!!!”
I step around out from the head of the bed to the front of the patient to see what the nurses are looking at, and on the patient’s lap is a big, gooey, mucous-covered ball of something on her lap. Whatever it is, this patient was choking on it, it almost killed her and now she’s alive and well, though ready for vengeance. Why the heck is she screaming, now? This thing, whatever it is, is out of her, and she’s awoken from the dead.
I pick up the ball of goo and examine it. I start picking it apart. Why do I have to do this, this is disgusting? I should’ve been an accountant. Hairball, I think to myself, laughing a little bit inside. Just like my cat. It seems like a ball of wadded up plastic. What the heck is this thing? There’s writing on the plastic. What is it?
Is that an.....(read more)
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Cat Lady
"She talks to angels, they call her out by her name." - Chris Robinson, The Black Crowes.
The radio crackles alive, “County General...we’ve got a 20-something female……just picked her up…..bagging….we’re at your back door…”
Boom! They slam through the double doors, and roll into room 8. Lying on the stretcher is a young thin woman. Beneath the mask over her face is a full head of golden wavy hair. I get to the head of the bed, and get ready to intubate her. I grab the bag and mask and start bagging her myself. “What have you given her, so far? Any narcan? D50?” I ask.
“No,” the paramedic says. “We just scooped her up and had just enough time to get her here and pop an IV in. Just lost pulses a few seconds ago. PEA.”
“Okay, give her some narcan and D50, while I get ready to intubate. Resume compressions! Etomidate, sux, scope…” roll off my tongue. I look down at the patient’s face again……blond, so young, hair and face like a movie star, except for the pale-bluish dying hue. She reminds me of Cat Woman from the old Batman comics. She’s just about dead and much too young to die. I don’t think I can handle another young patient death this week. I’m filling with dread, not from anything that has to do with the medical “case” in front of me, but because somewhere out there is an unsuspecting mother, husband or child that I’m going to have to tell that she is dead. There’s no way to candy-coat that news, and no matter how many times I do it, it still gives me chills.
The nurse has just given narcan. She starts to move. Is she trying to breath? I look at her face, it’s pinking up. Did we restrain her before the narcan? Damnit….we didn’t!
She VIOLENTLY sits up, blasting upwards towards my head, ripping the mask off her face, ripping out her IV and heaves forward. I’m looking straight at the back of her head and torso and she’s heaving forward violently grabbing at her own neck, making an awful guttural noise, contracting rhythmically. That noise, what’s that noise? I’m hearing my cat, she’s trying to vomit. Is this lady trying to gag up a hairball? Cat Lady.
“Blahhhhaaaaaacghck…..blaaa…..ughggh!”
I look beyond her and the nurses are staring back mortified, at the patient. “Ahhhhhh! Ahhhhhhh! Ahhhhhh!” this Cat Lady is screaming. “I’m dying here! Help me!!! Oh, the pain, s—t, the pain!!!”
I step around out from the head of the bed to the front of the patient to see what the nurses are looking at, and on the patient’s lap is a big, gooey, mucous-covered ball of something on her lap. Whatever it is, this patient was choking on it, it almost killed her and now she’s alive and well, though ready for vengeance. Why the heck is she screaming, now? This thing, whatever it is, is out of her, and she’s awoken from the dead.
I pick up the ball of goo and examine it. I start picking it apart. Why do I have to do this, this is disgusting? I should’ve been an accountant. Hairball, I think to myself, laughing a little bit inside. Just like my cat. It seems like a ball of wadded up plastic. What the heck is this thing? There’s writing on the plastic. What is it?
Is that an.....(read more)
.
.
.
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