Wednesday, December 27, 2006

Girls with kidney obstructions ROCK!!!


So hey, welcome back!
Last year I had the pleasure of meeting a young, chunky, pasty, female patient.
She was a chatty girl who somehow, ended up with both kidneys being blocked.
The pressure really started to build up both her kidneys. If left untreated this can be very serious. The pain is brutal and you can die from the toxins that build up in your blood. So the immediate course of treatment, from our perspective, is to insert a small tube into the kidney and allow it to drain. These tubes enter through the back and go into the kidney. The tube is then connected to a bag that will collect the urine as it drains. The tube can remain in place as long as needed. Some of our patients have had neph tubes for years; mostly men who have had bladder cancer or are missing a bladder for some reason.
Sorry, back to the girl. Usually the tubes remain in place pretty well, but.....
this girl's tubes kept "falling out" at least once a week for about a month. Then on a weekend, I was called in urgently to reinsert both of this girl's tubes for the 5th time in a month. I was pissed. The Steelers game had just started when the call came. I was most annoyed. I get the girl into our exam room and started my "your going to get an infection from hell" speech. When it dawned on me that tubes don't usually just "fall out" once a week. So I asked her,"Why is it that you can't keep your tubes in? Everyone else that has them doesn't have this problem!" Then she got this scared look on her face and started to cry.....I felt like and asshole but I still wanted an answer. So I pressed her..."Why?!"
Her answer left me speechless! And I quote," Ummm...its my boyfriend. When he DOES ME from behind, he pulls on the tubes for leverage and they always come out."
I have never been as "not horny" as I was in that moment there. Ever!

1 comment:

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