Birdstrike

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Dec 19, 2010
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Got A Light?

Ever have one of those shifts where you just really need the first patient to be quick, simple, and straight forward? Well.....

I walk into the ED for the 7:00am shift. I’m 24 hours post-night shift so my body thinks it’s 3:00am and my brain feels like it’s been embalmed for 3 days. I take my last swig of triple dark-roast Starbucks and sign up for my first patient.

Chief complaint: “Lost light”

Is that a misprint? Maybe it’ll be a quick and easy one to start the day, I think to myself. That’s just what I need, so my coffee will have some time to kick in. I’ll just send this guy off the Lowe’s or Home Depot, I laugh to myself, so he can get a new light. I walk into room 7 and there’s a man laying in a fetal position on a stretcher, with the bed sheet over his head. I walk up to the side of the bed and say, “Hello sir, I’m Dr. Bird, what can I help you with today?”

“Well, doc, I’m in a bad spot. I was holding on to a light bulb, and it just popped right in,” he says with a whimper, avoiding eye contact. Looking at his face, I notice he is as white as the bed sheet. He’s pale and looks like death.

“What are you talking about?” I ask him.

“Lift up the bed sheet,” he says, looking behind himself.

I lift the bed sheet and............(read more)
 

pinipig523

I like my job!
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You're a fantastic SDN member Birdstrike... thanks for the post. :)
 

BoardingDoc

Don't worry. I've got my towel.
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Legitimate question: What did you (or would you) tell his wife? I haven't had to deal with this aspect of patient care yet (just applying for residency now), and I don't know how I would handle having a patient asking me to lie to his wife. I wouldn't lie to her, but I also don't know what I'd say.
 
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Legitimate question: What did you (or would you) tell his wife? I haven't had to deal with this aspect of patient care yet (just applying for residency now), and I don't know how I would handle having a patient asking me to lie to his wife. I wouldn't lie to her, but I also don't know what I'd say.
I would probably be as vague as possible but make the husband tell her after the operation if it's that big of a deal. He has the right to withhold information from her.
 

gutonc

No Meat, No Treat
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WilcoWorld

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Legitimate question: What did you (or would you) tell his wife? I haven't had to deal with this aspect of patient care yet (just applying for residency now), and I don't know how I would handle having a patient asking me to lie to his wife. I wouldn't lie to her, but I also don't know what I'd say.
"I'm sorry M'am. Federal law prevents me from disclosing health information. Even to a spouse, would you believe that! Darn government/politicians. We'll get someone to take you to the Family Room and we'll take you to see your husband as soon as it's safe to do so."
 

gutonc

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Okay... so you've got some fetishes you dont want the wife knowing about. Fine. I could care less.

But why... why... WHY does it have to involve the risk of exsanguination?
And why the F*#$ would you do it while you were on vacation with your family at Disneyland.