October 9th, 2011 by Toni Brayer, M.D. in True Stories
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Nothing like experiencing a medical condition first-hand to really help a doctor understand it from the patient’s point of view. After all these years, I had my first (and hopefully last) scintillating scotoma while sitting on the couch playing “words with friends” on my ipad and watching TV. A scotoma is a partial loss of vision in a normal visual field. Scintillate is flashing, sparkles. Put them together and you have moving, flashing sparkles with a blind spot in your eyes.
This visual aura was first described in the 19th century by a Dr. Hubert Airy who had migraine headaches. The visual sparks and flashes are in a zig-zag pattern and they can precede a migraine headache or occur without any pain. The scotoma affects both eyes and closing one or the other does not make it go away. Sometimes Read more »
*This blog post was originally published at EverythingHealth*
February 23rd, 2010 by Shadowfax in Better Health Network, Opinion, True Stories
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The first seven patients I saw today were in the ED for:
- Dental Pain (ongoing for three years)
- Back Pain (third visit in one month, 18 in 2006)
- Migraine Headache (six visits in a month, and second ED visit in 18 hours)
- Back Pain (this one was legit)
- Chronic Recurrent Abdominal Pain (ran out of Oxycontin and doctor “out of town”)
- “Cyclic Vomiting Syndrome” (in which only narcotics stop the vomiting)
- Oxycontin withdrawal
Sometimes I wonder why I bother. I occasionally wish my job demanded something more than a valid DEA license, and decision-making skills beyond “yes narcs” and “no narcs.” It just drains the carpe right out of your diem to start the day off in a series of ugly little dogfights over drugs with people whom, to put it charitably, you have concerns about the validity of their reported pain. Read more »
*This blog post was originally published at Movin' Meat*
January 27th, 2010 by Emergiblog in Better Health Network, True Stories
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Migraine.
Three days.
Out of pain medication and vomiting so you wouldn’t keep it down, anyway.
Agony.
Emergency department.
*****
You’re in luck – no one in triage!
A bed opens up, the nurse takes you straight to a room.
Gown, blanket.
And….
Two minutes later you send your cousin out to ask how long it will be until you get your pain med.
Excuse me? Read more »
*This blog post was originally published at Emergiblog*
October 14th, 2009 by Shadowfax in Better Health Network, True Stories
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Saw a nine-year old with a headache today. His dad brought him in, and explained that all the men in his family get migraines; he figured this was his son’s first one. The kid seemed perfectly well, with a positive Cheetos sign and my gut instinct was that I would discharge him with no work-up. But when I flexed his neck fully, he winced. Read more »
*This blog post was originally published at Movin' Meat*
