check her blood pressure

Handsonit

in which I find myself standing upon the cusp of a totally different world.

This is my first week, where I fumble remembering which of the kindly old patients was admitted for a urinary tract infection and which came in gasping for oxygen, at the merciless hands of an unrelenting health-care associated pneumonia.

I look through figures and decimal points of assorted electrolytes and proteins, trying to connect the dots and trends. Invariably, I pick up an SIADH, but I fail to notice downtrending Haemoglobin. 

I drop my kit and check in 7, and start on my first case. 

It is 8am and I have yet to examine the patient, mired in the tangle of trying to consolidate and prioritise her issues.

It is now 2pm on a fine Wednesday afternoon and my eyes are closing after a plucky pesto pasta. The abandoned Malay lady goes through a rollercoaster of blood pressure fluctuations.

No one thinks to check her haemoglobin, or do a PR.

I have answered this question before in a tutorial, somewhere, someplace, but it does not hasten when summoned. 

I have, in another universe, just killed this patient.

Picking up the SIADH does not feel so good anymore, any more than intellectual degustation does. 

It is 5 mins to 8 the very next day, and the new transfer complains of some epigastric pain. 

I check that she’s stable and try to stay afloat amongst her lab results. 

For reasons unknown, the tidy line of yellow flags beside her liver panel does not arouse my suspicions. 

Acute gastritis seems to be the prevailing diagnosis, and I subconsciously chuck “An Approach to Epigastric Pain” out the proverbial window.

It is an cholecystitis, and I’ve just tripped and fallen over myself again.

It is now 9pm, and the curtains close before my very eyes, resolve building up to be better the very next day. 

Universal Language

Some older, middle eastern woman came in today and wanted her blood pressure checked because she felt light headed/dizzy.

Now our store doesn’t have those automatic blood pressure machines, so I had to do it the old fashioned way with a stethoscope…Something I haven’t used since school (lol).

Anyway, she didn’t speak a lick of English and she had this little, adorable girl with her (probably around 10 years old), who translated for her.

After checking her blood pressure (which was normal), I told them the dizziness was most likely due to them fasting (for Ramadan) and that it’d probably get better after eating something.

The older lady thanked me and told me I should be her Doctor (lol) and asked,

“You married?”
“No.”
“Why????”
“Because.  Woman.  CRAZY!”

They both laughed.

No need for translating.

kindahategreenberg asked:

"It does not!" He protested. Even if it was true, Bobby wasn't going to believe it. His face was fine. "So, if the kiddo's away with his girlfriend... what are your plans for the night?"

“Mhmm.” Melissa just hummed to appease him. He did get pretty red and she couldn’t help but find it cute, even if it did remind her to check his blood pressure. “I didn’t have anything planned. I’m completely open to anything.”