Saturday, November 14, 2009
You Did What????
What is it with people this month? I have had way to many objects where they should never be. 2am seems to be the magic time that I get the foreign bodies shove only god knows where. This morning was no different.
Pt came in c/o abd pain x 2 days. Fever, n/v, but was constipated and refused to give me any other details. He wanted a male doc only and he stressed this point over and over again. I have been doing this long enough to know that it is related to 2 things. He has a blockage or something shoved where it should be. Well he was out of luck, the only docs on where both female. Pt did not fess up to anything and lab work showed that he was septic. After coming out of his room, I noticed that the doc was staring at the x rays with her head cocked to the side, a look of puzzlement on her face. Anytime a doc gets this look, you have to just go see for yourself because it is something odd. The cause of this pt's pain and vomiting was indeed a blockage. 16inches worth of wooden broom handle had been inserted and broken off. Pt ended up going to surgery, going to ICU, and having his bowel redirected. The only story we got out of the guy.... He fell while sweeping and was to embarrassed to come in. I can't wait to see that surgical report.