The Next One Won’t Even Make It Out Of The House

, , , , , | | Healthy | May 27, 2019

(My friend is in labour and it becomes clear she is going to have her baby in the back of the ambulance. She is freaking out.)

Paramedic: *trying to comfort her* “This is nothing. Last year, a woman had a baby in the hospital car park.”

Friend: *wailing* “That was me!”

What Kills You In Vegas Kills You Everywhere

, , , , , , , | | Healthy | May 22, 2019

I work for a hotel in Las Vegas. While working security one night, I am sent up to a guest’s room who is having an allergic reaction. I arrive and the man is in a pretty bad way. He has his shirt off, his chest is covered with hives, and his throat is closing so fast he can’t speak and soon may not even be able to breathe.

I call for the paramedics and they arrive fairly quickly. They give the man a shot, and his allergy symptoms quickly begin to get better. When he can finally speak, one paramedic asks if the man is allergic to any kind of food. The man admits he’s severely allergic to shellfish. The paramedic then asks if the man has eaten any shellfish lately. The man then says, “I just came back from a seafood buffet and ate a lot of it because it doesn’t count when you’re in Vegas.”

So many people see the city slogan, “What happens in Vegas stays in Vegas,” and think Las Vegas is some kind of negative zone where anything you do doesn’t affect real life.

Bringing Professionalism To Its Knees

, , , , , , | | Healthy | May 20, 2019

(I’m a young adult woman about to have my first gynaecological examination. I have no idea what I’m doing, so my doctor is walking me through it step by step. For reference, the examination table is quite narrow to allow for easy movement around it.)

Doctor: “We need you to lie back on the table with your feet at the end, and then spread your knees. Keep your feet together. Then cover yourself with the towel and let me know you’re ready.”

(She turns away to put on gloves, and I have a moment of doubt.)

Me: “Uh, how far apart do you want my knees?”

Doctor: “As far as you can.”

(I shrug and obey, following her instructions. A moment later, the doctor turns back around and I get to enjoy a moment of bug-eyed shock before professionalism covers it.)

Me: “I used to be a gymnast.”

Doctor: “Maybe not quite that far, [My Name].”

(I had dropped my knees below the level of the table with no effort or strain. Turned out she wanted something closer to a 90-degree angle. It did teach her to be more specific with instructions in the future, though!)

Insults Are Free!

, , , , , , | | Healthy | May 8, 2019

I am a relatively new veterinarian. Often, we will get a case come in as ADR — Ain’t Doing Right — which is to say they are acting a bit off, but not always obvious what is wrong. I have an ADR older golden retriever come in with Mom and Son. They give the history: the dog has been losing weight, not eating well, lethargic, and having dark stools for a few weeks. This dog also has a history of ear problems. The last time we saw the dog was over two years ago. They have limited funds, so I try to work on a step-by-step diagnostic to try to get the most information before determining if more diagnostics are needed.

Starting with the physical exam: the dog is severely muscle wasted, lethargic — as they said — and dehydrated, and he has a new heart murmur. After discussing with Mom, we decide to start with bloodwork. It comes up with some very mild liver changes, but nothing too noteworthy. We are at the upper point of their budget, so I discuss my next recommendation of chest x-rays and what we would do depending on what we found, quoting them the costs for everything before anything is performed. They agree to the x-rays, and unfortunately, the x-rays show possible heart enlargement, but again nothing too exciting. So, they agree to try a heart medication, subcutaneous fluids, and an anti-emetic and see how the dog responds. It’s worth noting there were additional tests I would have liked to do, but I didn’t want to stretch their budget too much further.

A few days later, the dog isn’t improving on the heart meds, so I recommend an abdominal ultrasound — at a different vet — to better evaluate the gastrointestinal tract and surrounding organs. Unfortunately, the ultrasound looks like liver cancer, which I am very surprised by given how mild the blood work was.

I receive a request to contact the Father when I return to work the day after the ultrasound. I give him a call back, assuming he wants to discuss further treatment and prognosis. Boy, was I wrong.

Turns out he just wants to spend ten minutes telling me I am a crook, only in it for the money, and don’t care about animals. He continues to tell me that I took advantage of his wife and his upset son, and had them spend more money than they were willing. He rails that the dog was coming in for an ear infection, and I had them do a bunch of unnecessary tests. Any time I try to interject, either to explain my findings and recommendations as he wasn’t there, or to confirm what he thinks happened at the appointment, he simply talks over me, stating he doesn’t care what justifications I have and that “[he] is onto [my] game.” It continues until I am crying against the wall and finally have permission from the practice owner to hang up on him.

The fun part: he calls right back to have my receptionist tell me I am an a**hole. I still have to talk to his (much nicer) wife to answer her questions, and I almost can’t bring myself to do it. As of now, I refuse to discuss anything further with the Father.

Broken History

, , , | | Healthy | May 7, 2019

(I fall outside my front door. I still can’t walk on my ankle two days later, and given my rather unfortunate history with broken bones, my parents decide to take me to the hospital to have it x-rayed. I am pretty sure it isn’t broken but better safe than sorry. I have it x-rayed and the doctor comes in with the x-ray picture. She puts it on the wall where we can all see it.)

Doctor: “I don’t think that it is broken, but it is a little hard to tell with all the previous fractures. I sent it to a specialist, just to make sure. If it is broken, we will call you tomorrow.”

Mother: “[My Name] has fortunately only had greenstick fractures so far!”

Doctor: *looks at the big, obvious nick on my bone, then looks at my mum* “No.”

(I cracked up, and the doctor pointed the old break out to my mum. I’d had another fall six months before, but I didn’t bother going to the hospital because I have my own crutches and bandages at home. I had thought it was just a sprain, but apparently not. My ankle was not broken this time, but my parents now take me to the hospital if there’s the slightest chance something is broken.)