so i've been coughing and sniffling for about a week now, and i think it's time for me to wake up and smell the honey and lemon tea. i've tried stopping smoking, swapping coffee for tea, antihistamines. and then i woke up yesterday and could not swallow. hello antibiotic regimen x 1 week. cigarettes and coffee i miss you.
emergency room duty last night was a bitch. this emergency room physician calls us up and coordinates a transfer because of patient's preference and i'm all, okay, let's have the endorsements because i'd rather have it from you than the ambulance doctor. so he goes: patient is a 55 year old female brought in because of right sided weakness etc etc etc bp controlled, gcs 13 given mannitol and citicholine etc etc etc. a simple case of stroke.
lo and behold, as the patient is brought in, i realize that bp control means that the patient is very nearly hypotensive. compressible pulses. we do an ecg and it's STEMI. damn you emergency room doctor. damn you for not telling me about the 3day history of chest pain and your nSTEMI diagnosis in your provincial hospital. your patient would kill you for this if she were not in cardiogenic shock.
oh well. that's that. i'm going to go off and have crunchy peanut butter and orange juice for dinner as i haven't any other food in the apartment.
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