A few thoughts from a random shift.
- I’ll be the first to admit, that when I hear that GSW (gun shot wound) is coming in, I assume it’s going to be a black male. Maybe that’s me racially stereotyping, but when every GSW has been one, it’s hard to ignore such trends. Thus, I was quite surprised last night, when our “cop drop” turned out to be a young white male wearing a sport coat and a tie. Apparently a mugging gone wrong. Although, It must have been his lucky tie as despite having a gun shot wound smack in the middle of his neck, he only suffered a broken collar bone.
- This one patient frustrated me so much. Sick, flash pulmonary edema, horrible looking x-ray, no outside doctor, no prescriptions, very high chance she was going to go home and have serious problems. However, I could not talk her into being admitted. She had 1001 excuses why she couldn’t come into the hospital, most of them not all that logical. Granted I could counter most of her arguements with reasons to stay, I even broke out the big guns “If you go home tonight, you may very well die. If you don’t die, you may end with machines keeping you alive and tube down your throat breathing for you”. She wasn’t having it. She was just going to go to her pharmacy in the morning and get the meds to make her feel better (despite having no scripts). Whatever. I guess self autonomy includes the right to make bone headed decisions.