Wednesday, April 25, 2007

These are funny.....not mine but still funny





A man comes into the ER and yells, "My wife's going to have her baby in the cab!" I grabbed my stuff, rushed out to the cab, lifted the lady's dress, and began to take off her underwear. Suddenly I noticed that there were several cabs -- I was in the wrong one.
Dr. Mark MacDonald, San Antonio, TX

At the beginning of my shift I placed a stethoscope on an elderly and
slightly deaf female patient's anterior chest wall. "Big breaths," I instructed. "Yes, they used to be," remorsed the patient.
Dr. Richard Byrnes, Seattle, WA

One day I had to be the bearer of bad news when I told a wife that her
husband had died of a massive myocardial infarct. Not more than five
minutes later, I heard her reporting to the rest of the family that he had
died of a "massive internal fart."
Dr. Susan Steinberg, Manitoba, Canada

I was performing a complete physical, including the visual acuity test I
placed the patient twenty feet from the chart and began, "Cover your right eye with your hand." He read the 20/20 line perfectly. "Now your left" Again, a flawless read. "Now both," I requested. There was silence. He couldn't even read the large E on the top line. I turned and discovered that he had done exactly what I had asked; he was standing there with both his eyes covered. I was laughing too hard to finish the exam.
Dr. Matthew Theodropolous, Worcester, MA

During a patient's two week follow-up appointment with his cardiologist, he informed me, his doctor, that he was having trouble with one of his
medications. "Which one?" I asked. "The patch. The nurse told me to put on a new one every six hours and now I'm running out of places to put it!" I had him quickly undress and discovered what I hoped I wouldn't see... Yes, the man had over fifty patches on his body! Now, the instructions include removal of the old patch before applying a new one.
Dr. Rebecca St. Clair, Norfolk, VA

While acquainting myself with a new elderly patient, I asked, "How long
have you been bedridden?" After a look of complete confusion she answered..."Why, not for about twenty years-when my husband was alive."
Dr. Steven Swanson, Corvallis, OR

I was caring for a woman from Kentucky and asked, "So how's your breakfast this morning?" "It's very good, except for the Kentucky Jelly. I can't seem to get used to the taste," the patient replied. I then asked to see the jelly and the woman produced a foil packet labeled "KY Jelly."
Dr. Leonard Kransdorf, Detroit, MI

A Nurse was on duty in the Emergency Room, when a young woman with purple hair styled into a punk rocker Mohawk, sporting a variety of tattoos, and wearing strange clothing, entered. It was quickly determined that the patient had acute appendicitis, so she was scheduled for immediate surgery. When she was completely disrobed on the operating table, the staff noticed that her pubic hair had been dyed green, and above it there was a tattoo that read, "Keep off the grass." Once the surgery was completed, the surgeon wrote a short note on the patient's dressing, which said "Sorry, had to mow the lawn"

A new, young, MD doing his residency in OB was quite embarrassed performing female pelvic exams. To cover his embarrassment he had unconsciously formed a habit of whistling softly. The middle-aged lady upon whom he was performing this exam suddenly burst out laughing and further embarrassed him. He looked up from his work and sheepishly said, "I'm sorry. Was I tickling you?" She replied, "No doctor, but the song you were whistling is 'I wish I was an Oscar Meyer Wiener'." The doctor would not admit his name but I bet its Dr. Dick.

Ok here's one of mine.....I had to prep a very openly gay patient for an angiogram. I was preping his groin/hip area and he pretty nervous so I started telling him jokes and just making small talk to put him at ease. I gained his trust pretty quickly. So then I asked,"Where do you come from?" He says,"Right next to where you are prepping! Heyyyyy"
I turned really red with embarrassment and walked out. Later we went out for drinks. Just kidding. I would never date a guy (with a renal steno sis) ever.

Go easy people.
Gonzo

Tuesday, April 17, 2007

If thy limb offends thee....



Hey welcome back. I hope that your winter is over. Mine ain't. Enough is enough.
I have been cold for too long. Speaking of cold......
On to our story:

We received a phone call today asking if we could see a patient with a "cold foot".
We were all like,"yeah...". Cold foot refers to interrupted blood flow from the heart to the foot or feet. Its bad. You could lose your foot within a two days or so if left untreated. The skin will swell like a sausage casing and takes on a purple-ish look. Gross as hell.
Back to cold foot man. He started having foot pain on a Sunday. He had some surgery about ten years ago by one of our Drs. The patient lives in Vermont. I work in NY. This man was willing to drive from Vermont to NY just to see this particular Dr. That's about a five hour drive and he drove it alone. Just so that he could used the same Dr. from ten years ago. Helpful hint: If you EVER have a cold foot. GET TO THE NEAREST ER!!! Do not go on a road trip for the sake of loyalty. So we get him on the angio table. Our Doc gets into his femoral artery. Takes some pictures. Ready here it comes.........Clot clot and more clot. From his mid-thigh to his foot. All the way down. Nicely organized clot by the way...which is almost impossible to remove, break up or dissolve. We hooked him up to a special catheter that will drip "clot buster" into the artery over night. The plan was to check him again in the morning. Hoping for some progress. Imagine a drainage pipe with a really long hair plug in it. What do you do? Drain-o right?
Same thing here. Only this clot has had time to solidify. The hopes of saving his foot were not very high. Had he not waited two days to get treatment he would have increased his chances of keeping his foot dramatically. So sure enough by Thursday the surgeons were using a pull start chainsaw to lop off his leg just below the knee.

I asked him why he didn't just go to the ER in Vermont on Sunday instead of coming to NY. He gave me some lame ass excuse but he and I knew that he didn't have a leg to stand on.

Put your health first. Or it will kill you.

I love you all well, most of you.
Gonzo