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Saturday, August 27, 2005

Hole in One 

9:57!

Now it's payback time today...

*****
While doing a routine abdo-abscess examination pre discharge, he encounters a tiny perfectly circular piece of tissue that looks a bit fishy...

... pick... pick...

it turns into a little cylinder...

... pick...

it turns into a tube...?

Wha..?

Oh. uh oh.

Time to call the reg...

*****
So I've received a request to "kindly remove my link from your blog".

It irritates me a little. Where does one get off, telling someone else what to do with his or her blog?

It also, for a while back there, nearly inspired me to write my piece of the story, my unspoken side of the coin, which I had kept silent about out of decency... with some difficulty.

And sometimes I'm still tempted to write about it.

So rest assured, I will take your link down eventually when I find the time and energy. Right now, between calls and exhausted after a ridiculously fast sprint on the treadmill (well, fast for me) I really can't be arsed.

*****
Nice little old lady comes in with a bump on her head. Just standing around, suddenly woke up in hospital, hows that for a complete history?

You're just about to send her home when you idly flip through the ECG, which has become so foreign its like a little alien television set, not that I've ever encountered one of those.

I've never been fantastic with ECGs. I was brought up in A&E, meaning the checklist goes like this :

Rate. Uh huh
Rhythm. Regular. Uh huh
Axis. Can't remember how to calculate that, looks vaguely okay (up, up, down)
Sinus? Uh huh.
Q waves? Uh uh
ST segments? Uh huh.

and then most importantly,

what does the computer have to say about this ECG? (which is often good for a laugh.)

When the computer babbles something about a prolonged QTc, though, it's time for alarm bells to start going off. It's time for that chill to run down your back, which you never experienced even after a year in A&E (except maybe at a double-stabbing, or maybe at the knife sticking out of chest episode although that was actually kinda funny...)

I don't know the first thing about QTcs, except that long QT syndrome can make people keel over unexpectedly... and sometimes even die.

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