Sunday, October 18, 2009

There are Emergencies, and then there are EMERGENCIES!

From an internist's orders on a 34 year old lady admitted with a stroke (she'll be okay, don't worry):

"1. Brain MRI: Routine.

2. Head and neck MRA: Routine.

3. Echocardiogram: Routine.

4. Bring patient some tampons ASAP!!!"

14 comments:

ER's Mom said...

Doesn't she have one in her purse to tide her over?

Just asking.

Grumpy, M.D. said...

I dunno. Didn't ask. Look, I'm just the neurologist!

Mr. Condescending said...

Or some kitty litter!

S3XinthePantry said...

and he didn't order a beer?
for himself?
just wondering...

little d, S.N. said...

at least the internist didn't say STAT!

Grumpy, M.D. said...

little d, S.N.- Actually, it did say STAT. I wasn't sure my non-medical readers would know the term.

The Lonely Midwife said...

Anything remotely gyn or obstetric is an truly an emergency outside of a labor and delivery/post-partum floor. Good to know your hospital is no different than ours!

Dana said...

Hey Grumpy, my 5 and 8 year olds know what STAT means, and I don't even work in the medical field.

kirsten said...

I'm wondering if she was having menorrhagia, could the 34 y/o stroke victim have a bleeding disorder? Just a thought...

student dr. blaze said...

I really hope he didn't think her possible stroke was causing her vaginal bleeding....

Dragonfly said...

Tampons? Good grief, must be a private hospital. All we give out here are the huge, wingless ones also used post partum.

kirsten said...

Stroke causing vaginal bleeding, no. But hemorrhagic stroke + menorrhagia could point to underlying thrombophilia.

Anonymous said...

I'd Grab an ABD pad and some silk tape; however I am evil. Of all the dumb orders I have seen. Is toxic shock syndrome ever occur anymore. With all of the other issues the pt had; a simple oversight like not changing the tampon, could be easily missed.

PRPA said...

I'm gonna go out on a limb and guess kristen is a new medical grad of some sort? an FPNP perhaps?

 
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