“The nurse read them again. This time, I wrote them down. Then I spent a minute studying them. She was afebrile, I noted. That was good. Her heart rated was 96, a high number I had no idea how to interpret. Her blood pressure was 152 over 84, another highish set of numbers that told me nothing. Her respiratory rate was 26 - also high, and vaguely disquieting. Her O2 sat - the oxygen content of her blood - was 92 percent: low, and in the context of that high respiratory rate not a good sign. The nurse was still looking at me. "I hear she's a whiner," I said hopefully. The nurse shrugged. "She asked me to call you.” DoctorCluelessPatientsPatient CareInternal MedicineIntern Book:Internal Medicine: A Doctor's Stories Source: Internal Medicine: A Doctor's Stories
“The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology. "And Ortho isn't taking him because?" I said wearily. "Because he's got internal organs, dude." I sighed. "So why me?" "Because they got an EKG." The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line. "And?" "And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.” MedicineCardsDoctorCardiologyInternal MedicineOrthopedicOrtho Book:Internal Medicine: A Doctor's Stories Source: Internal Medicine: A Doctor's Stories
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“Dr S Rajasundaram, Petts Wood, Kent, UK, is heavily involved with charitable foundations in the UK and in Sri Lanka. Following his retirement from the National Health Service, Dr Rajasundaram, Petts Wood began to focus more of his time and resources on his philanthropic efforts and has recently completed a major refurbishment of a hospital in a deprived area in the Northern Sri Lankan province.” Primary CareInternal MedicineDr Rajasundaram Petts Wood Author:Dr Rajasundaram Petts Wood