Wednesday, July 11, 2007

Eyes Yoo Close Together

Dangerous?

Can home visits for home medical emergency are dangerous? Can you send out small doctors at night? Why the doctor is sometimes uneasy?

There was, for example, the home visit last week. Shabby Building, fifth floor, the apartment door ajar. No response from inside. Chaos, disorder and decay already in the hallway of the apartment. Empty two-liter bottles of wine anywhere. Really everywhere. Filthy dishes piled up in the kitchen. Half empty pizza boxes. Moldy carpets. The powerful Russian was delirious in the next room. But before the doctor took care of him, he searched the rest of the apartment. Ready for anything, there was still lurking could.

There was, for example, the Fixer couple with the dog. Dilapidated apartment without furniture. Cold, old tobacco smoke. Greasy, hazy windows. He was seriously ill and on withdrawal. Wanted to benzodiazepines. The two were brash and demanding than the doctor did not believe them. Wanted to see for myself what was in the suitcase. Had the prescription forms certainly like to put in themselves. Like a scuffle would have ended? Had been threatened with infected needles? For example, there were

repeatedly southern men who wanted to spray their malaise but only got good advice. They do not understand. The were already demanding. Especially if they also ten have to pay €. For example, there are

repeatedly called on members of nursing care, which the doctor can not do the favor of hospitalization.

And there are always large dogs, dilapidated buildings, dark corridors, dissatisfied patients or relatives, violent alcoholic.

sure, the rescue service will always put dangerous situations on highways, construction sites, in factories. But the primary care emergency service is accessible for alone. Down the street waiting for a taxi driver. And a doctor's bag filled to the brim, which form thick binder with recipes and practice fees collected could one day Desires awaken.

Yes, home visits can be dangerous. Yes, small doctors are vulnerable at night.

The doctor takes the following precautions: Always light with you. Always remember the way back. Never follow a request to take off their shoes at the door. Never enter a dwelling in which a larger dog is moving freely.

But above all, be sure to do the right thing.


Thursday, June 21, 2007

Built In Shower Curtains

paracetamol

paracetamol? Is a painkiller. Many patients believe pain but not its effect. At any effect. "Fever suppositories for children?" they say incredulously "to help me?"

But paracetamol acts. Sometimes it works even deadly.

She was a nurse, young, early 20 She had lower abdominal pain. As each month. However, they took a paracetamol tablet. Soon she felt sick and dizzy. It collapsed when the emergency bell rang at the door. Before losing consciousness, she could explain. The blood pressure sagged. Anaphylactic shock. Ventilation, cardiac massage, catecholamines, cortisol. From her apartment door to the ambulance. She was so unstable that the resuscitation was continued in RTW. Almost three hours. Unsuccessful. She died in the late afternoon, four hours after paracetamol ingestion.

What she told the emergency physician had? That she was allergic to paracetamol. That was even in their allergy identification. A few months ago it was you ever been so similar to a paracetamol. Since they had had to test it. They had hoped, anyway, the tablet is well tolerated for?

Since then the doctor prescribes medication or a bit more reserved.

Even paracetamol.

Friday, June 15, 2007

Free 50th Wedding Anniversary Speech From Son

unexpectedly Monday morning at nine-under

Monday morning at nine: "Non-responsive person on site!" The emergency doctor was an older construction worker at the bottom of a trench: shaky, confused, frightened, obviously postictal. What had happened?

The man was unemployed for months this morning, and had finally started a job on the site. Sober. For the months of unemployment, he had apparently been drinking all day. Also in the morning.
the new job lined up sober, slipped into the alcohol withdrawal, convulsed. Alcohol withdrawal seizure is called something like that. Now, dazed but not smooth after the seizure. The ambulance brought the poor fellow in neurology.

later than two hours: car accident in the same district. Car in front lamp, in a straight line. Cause you can not, drivers can not be addressed. But known. And postictal. Again. The BraunĂ¼le was still in the back of the hand. What had happened?
The man was straight escapes from neurology and had trying to master the way home with his car. Kramp second attack. This time surgery.

Such things happen, Monday morning at nine.