Pregnancy is the best prevention

Different countries do things differently. In Germany in the past, each doctor’s practice was responsible for any little emergencies that their patients had during the night. Being on call all the time, as you might imagine, is not so desirable so the doctor’s worked out a solution. A group of “emergency” doctors were paid by the doctors for taking care of anything that occurred during the night.

This responsibility is still in force today. It was during one of these night shifts that the doctor was faced with an unusual situation. The patient was not 100% fluent in German, but was able to describe the symptoms – cramps and back pains. The young lady who was in her late 20’s was also a new mother.

Some of the questions asked of the patient were related to family history but considering the age and the symptoms a specific line of questioning emerged. One of the questions that came up was about the use of contraception. However, the answers kept coming back about how the patient was breast feeding. The answer itself was a bit puzzling but there was a medical possibility that indeed breast feeding might prevent the ovulation. This is not quite the same as contraception.

Well, it turns out that that the patient didn’t misunderstand the question but believed that breast feeding was just as good as other methods of baby prevention.

She was mistaken and received a congratulatory comment as the doctor left the apartment.

Too much television

The patient was delivered to the hospital with the symptoms of dizziness and hyperventilation. The hyperventilation was due to not so much for any physical problems but rather what seems to be due to stress.

What could produce so much stress in a young lady to create this condition? It seems that she and her boyfriend were trying to make an important decision earlier in the evening. The choice was whether to watch “Germany’s next top model” or “Games of Thrones” on television. The doctor made his notes in the patients file and departed.

The doctor in charge was a real professional as no more than a slight smile crossed his lips and that was only when he was in the hallway out of sight of the patient.

The big screen

There is nothing more boring than lying in a hospital room with nothing to do. Television is a fairly painless way to while away the hours, and that may be one of the reasons that you tend to find a TV in each room.

Well, the hospital tried to make the isolation room as livable as possible. It is actually a long room with a 40 inch flat screen mounted on the wall. The television needs to be so large as the patient would be so far away. Honest, it would be nice if it were hanging on the wall at my home, and I guess that I was not the only one thinking this thought.

There was a patient who decided that it would be a nice parting gift. It is different than when you are at hotel where you grab an ashtray or bottle opener. The first thing is it was mounted to the wall but more than that it would require two people to carry it away. So that is exactly what they did, they pulled it out of the wall, and carried out of the room possibly past one or more hospital staff and out the emergency exit.

The isolation room actually never got another television after that.

Dec 31, 2003

Back in the prehistoric days of medicine they also had problem with a sophisticated device called the “telephone”. Well, that is my take on this problem as there are quite a few people who work in offices who have telephones that work.. On this day, the doctor was walking around the ward but only receiving phone calls about half the time.

It wasn’t the best day of the year, certainly for this patient. He died of natural causes in the morning, but according to protocol a “second” viewing must be held to ensure that this was his new stable condition. Because it was during a shift change, this second viewing did not take place immediately, but was actually pushed back a few minutes. It was about 2pm when the medical student went up to the ward to speak with a nurse about the second viewing. She was directed to one of the rooms, when she entered it was empty.

Trudge back to the nurse to inform them that the room is empty. There are not a lot of places to hide in a hospital room, but sometimes the patient will be temporarily placed in the bathroom – its not what your thinking. Nobody is dumped into a bathtub, the whole bed is pushed into the bathroom.

A small discussion ensues about the missing patient. I wish I could have seen this one in person. Of course the conversation is finished with the following utterance by the doctor in charge of the ward.

“Whoever has lost the body, has to find the body”

“Speak with the morning shift or whatever”

Well, I guess in once sense it is a small bit of karmic payback as the body was indeed found and this same doctor who was called to do the second viewing. As you might have already guessed, the body had made its way to the morgue. It was seven pm, and despite what you see on television, hardly anyone goes down to the morgue.

This doctor was not planning on going there alone so she brought another doctor. It is difficult to say if the morgue is in the basement or really in a subbasement level of the hospital. It is a very dark very very quiet place. The two doctors were slowly inching along the corridor, perhaps thinking of every horror movie they had ever seen on television, when all of a sudden the phone rings.

Yup, both doctors almost jumped out of their skin. It turns out that they were being called by a fellow doctor who was partying it up elsewhere, the real question was how could you reach me in the subbasement when you cannot reach me on the normal ward. Oh, the patient? Yes, he is still deceased.

Mardi Gras unplugged

As fat Tuesday gets closer and closer the real celebrants come out of the woodwork. It was still a few days before “the day” when another patient was delivered. There was no real costume to speak of, just a pair of “antennae” attached to a headband.

It was when the doctor was taking blood the patient sat up gave a high pitched giggle and then laid down to sleep once more. This patient was probably done celebrating for the night.

More than I wanted to know

When I am given some little medical “gift” such as pen or notepad I am now a bit more curious which pharmaceutical is being advertised. The last one was advertising laxatives.

This time I receive a small pad of post-it notes with Levitrea all over it. This drug was similar to another drug with the more recognizable name of Viagra. I wasn’t sure I wanted this sitting on my desk at work so I gave it to my colleague.

So he wouldn’t be blindsided by someone I did tell him what the medication was. Oscar, one of my colleagues at work sometimes visits us. This time when I came in he did notice the new addition to Zachary’s desk. He started to crack a few jokes at Zachary’s expense. It turned out that Oscar knew exactly what the particular medication was and that in itself did provide a unique insight Oscar’s private life.

Married to a Doctor

It is pretty much the same at all different types of trade fairs whether they computer or medical. There are always small gifts to “buy” people’s interest – pens, post-it notes, mice pads, USB sticks or even bags emblazoned with the company logo.

My wife, as a doctor, does visit these trainings and does get these types of “gifts”. The pens usually go to work. The usually have some words written on them that look more like an eye chart than an actual word.

Well, one of the gifts that she brought home was a small cloth bag with a squiggly line on the side and the word Movicol. It wasn’t really big enough to do any real shopping but it was large enough for holding a magazine as well as a few odds and ends. I used to use it when I was flying a lot so you might have seen me walking through the airport with it.

However, one day when I was being picked up by my wife she commented about my bag. It turns out that the squiggly line was actually an intestine and Movicol is a laxative.

Sometimes I wonder how many people really knew what this meant and what they thought of me wandering around with it.

Nothing to fear except …

As a medical professional there are probably quite a few things to fear. Fear of unjust malpractice suit, fear of a just malpractice suit, the possibility that you may be accidentally stuck by an infected needle are just a few of the big and yet routine concerns that are faced every day.

One issue that I had never given thought to was that your patient would overpower and choke you to death. I never knew that my fiancee was in this very situation with her patient. The patient had a couple pieces of bad luck, the first was that he had a multi-resistant bacterial infection and the second was he had multi-farction dementia. Because of infection this patient was in a special separated room with a closed door. The dementia part is reasonably clear, the multi-farction part simply means that it is brought on by a series of small strokes. This meant that over time this otherwise healthy 55 year old wouldn’t remember a thing but would remain fit as an ox.

My fiancee was trying to take blood when he woke up. It really wasn’t his fault that he was confused and in a strange surroundings, but his reaction was to reach out and start choking the medical student who was taking blood. Doctors do have a great knowledge of anatomy, pressure points and all that, yet that would not have saved her from a larger stronger opponent. The thing that did save her was that other medical personnel happened to come into the room at that instant.

The prisoner

He wasn’t actually dumb, well for a criminal. He was in court and to try and prevent or at least delay the inevitable sentence when he pretended to have a seizure. It turned out that this particular “alleged” criminal was an alcoholic and was in withdrawal – which can indeed be life threatening.

His seizures although astoundingly accurate were just simulated. Had they been witnessed by less experienced staff he might have been treated differently. This particular doctor recognized that it wasn’t genuine and simply told him to stop as he wasn’t really having seizure. She must have been pretty commanding as the patient did stop, well, for the rest of the day.

But if it worked once then it might work again, so the patient started to pretend to have more seizures the next day as well. This time he really threw himself into the role. While pretending to have another seizure he forced himself to fall out of the bed, but those beds are actually pretty tall and rather than risk actually hurting himself he did fall out of character. It is the little things such as holding onto the chair so he wouldn’t actually fall, or when asked to stop he would answer the questions of the nurse. This last one is actually a pretty big give away, when having a seizure you cannot have a conversation with anyone.

One of the patients guards was tired of being stuck at the hospital watching the patient so asked if it was possible to take him back to prison. The doctor was just as tired of this situation and called the prison doctor to see what types of facilities they had and would this patient be a problem. Both of them were quite relieved to find out that the this wouldn’t be a problem, and so came the “big” talk.

Doctor Diana told the patient that he should stop this nonsense as he was no longer in danger due to alcohol withdrawal and tomorrow he will be transferred out either to the prison hospital or simply back to prison. The patient must have really known his German law as the doctor was 100% correct there was no choice unless … he said he would kill himself which is exactly what he did in front of the doctor, nurse and prison guard.

This did bring up a new dilemma, as if a patient is actually a threat to himself the rules change slightly. The hospital psychologist was summoned and confirmed that he was actually serious. Yet this was one situation that the prison hospital was prepared for. The patient probably ended up in a very very plain padded cell, which they actually do have in prison.

Helicopter weather

Frankfurt has some small mountains nearby, the Taunus, which are not quite skiing quality but do have a number of narrow and winding roads. A “Helicopter weather” day is one of the first nice Saturday or Sunday after winter. The reason for the name is because a lot of motorcyclists jump on their motorcycle and rush to the hills and inevitably some of them have accidents. Due to the nature of the accident and their location the quickest way get them to medical attention is with the emergency helicopter.

Some people feel they must be in charge if they are know what they are doing or not.

By continuing to use the site, you agree to the use of cookies. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close