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Ridiculous Malpractice Lawsuit.
A patient was admitted to the hospital with chest pain and underwent a cardiac catheterization, The patient was found to have a partly blocked coronary artery that was opened with balloon angioplasty and stenting. The patient was started on aspirin and clopidogrel (Plavix) and discharged to home. The day after the discharge the patient returned to the hospital with recurrent chest pain . .
Guess the Abnormal Finding.
This patient presented with altered mental status and fever. An MRI of the brain showed the above results. What is the next appropriate treatment or test?
ER Physician logic.
How Defensive Medicine Changes the Practice of Medicine. Emergency physicians are well known in the medical profession to be paranoid about litigation. And well they should be. Emergency medicine docs are among such litigation high risk specialties as obstetricians and neurosurgeons. There is every reason to believe (and some evidence) that this paranoia alters how these [...]
Please don’t assault my patient!
Medical Ethics: You can’t force a patient to stay alive. The patient is in his 50s and is suffering from a neurological disorder that has impaired his ability to breathe and swallow. He is dependent upon a feeding tube inserted into his stomach for nutrition and a ventilator inserted through a tracheostomy to breathe. He [...]
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Whenever the bowels are operated on they respond by essentially shutting down and stop moving (likely a natural defense mechanism to prevent further injury). This condition is called ileus and can take several days to resolve in the immediate post-operative period. During this time the patient has a very low tolerance for the intake of either liquids or solids and ileus is one of the main determinants of the length of stay in the hospital after colorectal surgery.
Asides
- Did you know that 78.24% of statistics are manually removed from the rectum of the source person or persons by said person or persons strictly for the purpose of deflecting attention away from the fact that the source person or persons usually closely resemble the source? I.e, like water, shit finds its own level. (Link)
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