February 12th, 2010 by Shadowfax in Better Health Network, True Stories
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Sometimes in this job you just get lucky. You have an elusive and/or dangerous diagnosis just dropped in your lap. Something devastating that you would never have been able to tease out otherwise just gets handed to you by the patient. There’s a catch, though: you have to be smart enough to know when to listen to the patient, when not to blow off their crazy talk as just crazy.
So it was recently when I saw a guy with back pain. From the chart, it didn’t sound like anything complex: a middle-aged to older guy, maybe 60 or so, with a history of chronic back pain and multiple surgeries for the same. He was on Oxycontin 80 mg three times daily (a very high dose, and a red flag for an ER doc naturally suspicious of drug-seeking behavior). I went to see him, and it was clear in seconds that this dude was JPN: Just Plain Nuts. Read more »
*This blog post was originally published at Movin' Meat*
February 12th, 2010 by Happy Hospitalist in Better Health Network, Humor
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So I’m working on my history and physical examination and I ask my 87 year old retired vet what types of surgeries he’s had done.
“I’ve had every surgery in the book”, he says
So I asked him, “Have you had a sex change operation?”
“Well, no. I guess I haven’t had everything done.”
After a good group laugh, I went off to eat lunch.
*This blog post was originally published at The Happy Hospitalist Blog*
January 29th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor
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Classic presentation of the perfect patient
“What’s the problem? You’re the doctor,
why don’t you tell me!
I’m suffering an awful lot it must
be plain to see;
I’ve got back pain from that car wreck
back in nineteen sixty-five.
If I’d have worn my seat belt
there’s no way I’d be alive!
I’m out of my prescription and I
need help, I’m afraid.
I ain’t worried ‘bout the price, you see
I got my Medicaid. Read more »
*This blog post was originally published at edwinleap.com*
