April 3rd, 2011 by RamonaBatesMD in Humor, True Stories
Tags: Ambiguous, Medication Instructions, Medicine, Patients, Prescription Directions, Surgery, Unclear
No Comments »
“Take one to two pain pills by mouth every 4 to six hours”
To me that is clear. I was reminded recently that it isn’t to all patients.
A patient complained of lack of relief from her pain medicines after surgery. Her description of the pain didn’t suggest any complications so I ask how she was taking them. I was looking for a way to safely use NSAIDS or Tylenol as a boost rather than giving her something stronger.
“I take one pain pill and then wait an hour to take another one.”
I prompted her to tell me when she took the next dose.
“I wait four hours and then take one pain pill, but I wait for six hours to take the next one.”
Ah!
I had mentioned to her and her caregiver that due to her small size she should begin with just one, then wait for 30 minutes to an hour to see if she needed the second one. They were doing that, but the other part wasn’t clear. Read more »
*This blog post was originally published at Suture for a Living*
April 2nd, 2011 by Bongi in True Stories
Tags: AAA, Abdominal Aortic Aneurysm, Death, Doing Nothing, Geriatrics, Surgery, Vascular Surgery
No Comments »
Surgeons are not so good at standing back, yet sometimes doing nothing is exactly what needs to be done. I remember one time that this turned out to be slightly humorous in a morbid sort of way.
I was in my vascular rotation which was not too much fun (except for a short moment). Generally if a patient came in in the late afternoon requiring an operation, your entire night would be destroyed. And there was pretty much nothing worse than an abdominal aorta aneurysm (AAA). Scratch that. A bleeding AAA was a lot worse than an AAA. So when casualties called and said they had a bleeding AAA my heart sank.
The patient was pale and clammy and his heart was racing. But the thing that struck me the most was his age. The man was 89 years old. The casualty officer also mentioned that he had previously been diagnosed with ischaemic heart disease. So, in summary we had a man just this side of ninety with comorbidities and a condition that was known to kill most of its victims thirty years younger than him. The chances of him surviving the operation were dismal. I called my senior. Read more »
*This blog post was originally published at other things amanzi*
April 1st, 2011 by John Mandrola, M.D. in Health Tips, True Stories
Tags: Cardiology, Cycling, Exercise, Fitness, Healthy Living, Heart Attack, MI, Physical Activity, Spinning
2 Comments »
My neighbor Ed was a thin man all his life. He maintained an ideal body weight by combining regular physical activity with a modest intake of calories. He was a “young” seventy year-old who looked the picture of heart health.
Ed regularly read the newspaper while walking on his treadmill, he hit a golf ball straighter and longer than his peers, and he wore the same size jeans now than he did in college 50 years ago. What’s more, he bragged about his low blood pressure, normal cholesterol level and perfect blood chemistries. He took no pills. I think he went to his primary care doctor each year just to show off his health.
The morning he woke with crushing chest pressure and shortness of air stunned him. “This couldn’t be a heart attack?” he thought. An hour later, minutes after his urgent heart catheterization showed severe blockages in all three of the main coronary arteries, a sternal saw provided a heart surgeon access to his dying heart.
Ed did well. The story had a happy ending. He still looks the picture of health, but now there’s a scar on his chest and a few pill bottles in his medicine cabinet.
How can a human who exudes heart health go to bed well and wake up with severe heart disease? What’s missing? What could Ed have done differently? Could his doctors have measured anything—over and above the traditional risk measures—that might have suggested his obviously higher cardiac risk? Read more »
*This blog post was originally published at Dr John M*
March 30th, 2011 by PhilBaumannRN in Opinion, True Stories
Tags: Career, healthcare, Nurses, Nursing, Open Letter To Twitter, Social Media, Tweets, Twitter
No Comments »
Dear @Twitter,
I so totally know how this sounds to write to a service, but I must confess: your little wings have changed the trajectory of my life and – for the most part – I think it’s been for the best.
I’ve been around for over 40 years, have seen many things, met all sorts of people and have – mostly – enjoyed my life. But I think every several hundred years, a tiny and almost insignificant tool comes out of nowhere and changes the world – like the wheel and zero, both of which are truly “nothing” (both are each shaped the same way). And yet the each not only changed the course of civilizations but also created them. Read more »
*This blog post was originally published at Phil Baumann*
March 27th, 2011 by Lucy Hornstein, M.D. in Health Tips, True Stories
Tags: Address, Calling, Credit Card Charge, Medical, Scam, Verification
No Comments »
There’s a new scam in town.
Company calls over and over again (claiming to be the phone company, actually) just wanting to “verify your address”. Over and over again they get told we aren’t interested, leave us alone, don’t call. Finally, my solitary staffer gets sick of fending them off and goes through their voice activated “address verification”, during which a mechanical voice asks questions, followed by a command to “Say Yes or No, then press the pound key.”
So she goes through the innocuous questions, including her full name, the office address and phone number, plus several iterations of saying “Yes or No, then press pound.” The calls stop; everyone is happy.
Until I get the phone bill six weeks later. Lo and behold, there is an extra $49.99 charge (plus tax) from a company I never heard of. Multiple phone calls reveal it to be a company providing “Internet optimization, web services, and a toll free number,” stuff I neither need nor want. Read more »
*This blog post was originally published at Musings of a Dinosaur*
