"A patient comes to the ER, 19-year-old male and I'm getting his history. I ask the usual question: 'Why are you here today?'
'Every morning when I wake up, my stomach hurts.'
How long has it been hurting?
'All my life.'
'Well, what is different today that's made you come here?'
'My girlfriend doesn't think that is normal.'
More questions, exam by ER physician, lab tests. The abdominal pain always goes away after he eats. Always. He wakes up hungry. He thought it was pain."
"A mom comes in with her baby, plus two older kids. She complains that the baby hasn't pooped in a while and won't stop crying. As I'm settling them in with one of the nurses, the baby is bawling, like opera singer lungs bawling.
Suddenly, the mom whips out a white plastic shopping bag and sticks an end in the kid's mouth, saying, 'This is the only way she stops crying.'
The nurse and I share a look and immediately order an emergency x-ray on the kid's stomach. Turns out, she had ingested a good amount of these bags and it was blocking up in her stomach. It's a big deal; potentially life-threatening.
When we confront the mom about her baby feeding habits her only words of defense were, 'Well I checked all over the bag and I couldn't find anything that said non-edible.'"
"We had a diabetic patient who kept coming back with extremely high blood sugar. We asked him if he was following the regiment we taught him: testing his blood sugar, using the sliding scale, measuring the correct dose of insulin in the syringe, etc. He went through all the steps and it sounded like he was doing everything right.
We asked him to demonstrate the steps he took so we could observe and correct any mistakes he may have been making. He did everything right...until the very last step. He drew up the insulin in his syringe, pulled an orange out if his bag, injected the insulin into the orange, then ate it.
It turns out when he was taught to practice how to give himself subcutaneous injections with oranges, he didn't realize he actually needed to inject himself for the insulin to do its job."
"I had severe asthma as a kid. I was intubated for a severe attack a few times. My parents were instructed to take better precautions in our home and went through instructions, more dusting, washing bed sheets and the big one: NO SMOKING inside the house. So my parents agreed to all of this.
A few weeks later, I'm back in the hospital. A doctor recognized me and came over to talk. Then he bent over and smelled my head (I'll never forget that, I thought it was so weird). He told a nurse to sit there and not let me leave with my parents. When my parents showed up, he asked point blank, 'Did you not understand what I told you last time? Do you understand these attacks could be fatal?'
'But we open windows and have stopped smoking in her room when we put her to bed!'
I don't think the doctors called CPS, but if they did, nothing was done about it. This ranks surprisingly low in terms of bad parenting decisions on their part. My family was and still is garbage salad."
"Dentist here. Things I've had to explain to parents:
-Milk CAN cause cavities.
-Don't put your kids to bed with a bottle with Coke in it. They then switched to Diet Coke...
-Don't wiggle out your permanent teeth just because the tooth fairy will give you money. There was a little guy, probably 8 years old or so, who had wiggled out his four lower PERMANENT incisors (front teeth) after wiggling out his four baby teeth in the corresponding spots because his family made such a big deal about giving him money from the Tooth Fairy. They were in my office asking when the new teeth would be coming in...
You can't brush cavities away with toothpaste or any of these new Internet fads (oil pulling, honey, chocolate). Once your cavity is deep enough, it needs to be fixed by a dentist.
Fluoride isn't poison any more than table salt is poison. Small quantities are good for you. Anyone who tells you otherwise has been lied to and believed it."
"My dad is a pediatrician. He told me the story of a teenage boy (around 13 years old) who was referred to him. When he asked him if he was on medications, the boy's mom pulled out some birth control pills. Apparently, his family physician suggested birth control as a way to treat his acne.
Yes, you read that correctly. A licensed doctor told a teenage BOY that was just going through puberty to take female hormones as acne treatment. I think he had been taking them regularly for the past year."
"When I was an Internal Medicine resident I came across a very nice 50-year-old Dominican lady, she was well mannered but one could tell she was not the sharpest tool in the shed. As I was prepping her chart for our first visit, I noticed that she'd been seen by every single digestive disease MD in our hospital system.
Not only that, she'd had EVERY SINGLE PROCEDURE IN THE BOOK. Ranging from endoscopies up both holes and culminating in an exploratory laparotomy (you're opened up to basically look inside you when we have no clue what's going on). All of this because for years she had one single complaint, she reported severe gnawing pain in her stomach.
At this point, I should mention that she only spoke Spanish. Not only that, she had a very heavy Dominican accent, and I was the first Hispanic doctor to ever see her. My first language is Spanish and even I had difficulty understanding her.
So she comes in and after exchanging some first-time pleasantries I politely ask her how she's doing. Sure enough, although she was smiling and said she felt well she pointed at her belly and said 'it' was biting again, and asked for the cream to kill 'it.' At this point, I got intrigued. Her medication list only mentioned a cream used for breakouts. The previous doctor only mentioned in his note that in every single visit she only asked for the cream and nothing else.
When I asked what she meant by the biting and what she intended to do with the cream, she very calmly tells me she intended to stick the cream up her bottom in order to kill the bird living inside her. After delving more deeply into her story, it turns out she didn't have a medical condition. Ever since she was a little girl, she believed that after eating a whole quail egg, the bird had spawned inside her and gnawed away her insides whenever it was very hungry.
After a short visit to psych, she was diagnosed with a somatic-type delusional disorder. No amount of medication or psychotherapy will cure her, but she was still a fully functional mother of 2 who paid her taxes and had two part-time jobs. I reached out to every digestive disease doctor in our hospital system once more, to make sure she never receives an inappropriate invasive intervention. I've been following her now for three years and she's happy as one can be, considering she has a bird living inside her."
"I got placed doing a rotation in the orthopedic floor of a big hospital in a rural area of Southern California.
I was doing my rounds and saw a patient out of bed and walking around the floor following a knee replacement. She had a cane in her hand which she was carrying like a soldier would carry a weapon. I asked what she was doing and what she thought the cane was for. She replied she thought the cane was for pushing people out of her way since she's now 'handicapped,' not that it was to help her walk on her post-operative knee."
"My S.O. is a med student. He helped to diagnose a 40-year-old woman who finally sought out a doctor after having open, festering wounds on her entire torso for over a year. These open wounds only appeared after more than a year of painful, visible lumps on her chest. She had never sought treatment prior to this.
S.O. had to inform her that her entire body was riddled with cancer, that there was no treatment to help her, and that she would be dead very soon.
Her sister, who was there the entire time, began loudly proclaiming what a shame it was that nothing could ever have been done and that hopefully someday we would be able to detect cancer sooner. S.O. watched the doctor explain that pretty much any other woman in the country would have gotten effective treatment at the first sign of the lumps."
"I'm a paramedic. Once I was driving with my partner and the patient in the back. The patient was going to be just fine. Her skeezy boyfriend was riding in the front with me and apparently saw a golden opportunity to ask a question that had obviously been on his mind for some time.
Him: 'So when cats and dogs eat grass, that means they have cancer, right?'
Me:' Ummm. No. No, it does not.'
Made for an awkwardly silent ride the rest of the way."
"When I worked as a nurse in urgent care, we had a guy with a bad abrasion on his leg stemming from a fall down a flight of steps. He was prescribed a topical cream, among other things. Directions on the tube: apply to the affected area. Sounds simple enough, right?
At the follow-up, we noticed the wound was gross and not healing at all. He insisted he put the cream on the affected area and it just wasn't working for him!
The doctor suspected something, so he had the patient demonstrate how he applied the cream so we can maybe offer some further help. The patient says he can't because we're not at his house.
And that's where the stairs are.
This man was rubbing the cream on the stairs he fell down because the instructions said to 'rub on affected area.'"
"A woman came to her OBGYN for an exam as she had an infection of some sort.
The doctor did the exam and asked the usual questions, 'Are you active with your partner,' etc, and nothing seemed to obviously be the case. At some point though, the woman lets slip that she's sick and tired of dealing with this infection that she's had her whole life.
That perks up the doctor's antennae and so the doctor tentatively asked her which direction she wiped when she used the toilet. This 30-something-year-old woman had been wiping back to front her whole life and didn't have any idea of the problems that could, and was, leading to."
"A person came in with conjunctivitis. They proceeded to ask questions on how it was transmitted. With the most serious look on their face, they asked if it was contagious and can be passed on by glare.
While this is hilarious, take a minute to think, WHAT IF ANYTHING WAS CONTAGIOUS BY GLARE. That would be so frightening!"
"I did my residency in a clinic. A very pleasant 50 something lady came in for a physical.
Everything was going fine when she casually asked if there are any new vaccines out. She was up to date with everything, so I asked if she had any specific concerns. She was asking to see if she could vaccinate her gay, adult son against homosexuality.
Very nice, always had a smile on her face, even when I broke the 'bad' news to her."
"I had a patient tell me: 'I don't want my baby to get a vaccine because Jenny McCarthy's book says her son got Autism from the Thimerosal in his MMR vaccine.'
For starters, Jenny McCarthy is a one time Playboy model who wants to sell you her books. Moreover, MMR is a live vaccine and does not contain Thimerosal. Thimerosal contains Ethylmercury, which clears from your body in about 10 days, unlike methylmercury which stays for months and actually causes damage. Oh, and measles killed 135,000 people in the world LAST YEAR. Plus, autism has a strong genetic component. If one identical twin has it, there is a 75% chance the other will as well. Not to mention Andrew Wakefield faked the research linking autism to MMR vaccine, lost his license to practice medicine and made millions helping lawyers sue and selling books. He lives in a mansion in England.
I went to school for 11 years, spent 10,000 hours studying and just want to make sure your child stays healthy. Quit thinking your five minutes of internet research means anything, get over yourself, and vaccinate your baby."
"I saw a patient for a follow up after three ER visits in as many days for asthma. He was from another country, so this was the first time I ever met him.
His lungs sounded absolutely terrible, but he swore he was taking the inhaler every 2-4 hours with no relief. This raised suspicion to me, as the same medicines are working in the ER. I asked him to show me how he used it. He held it about a foot away from his mouth and did two puffs into the air and swallows.
I felt really bad, he had never received any education about his illness or medications."
"I work in mental health.
The amount of times parents will leave out super important information when we ask them a question is shocking. For example: 'Has little Timmy had any significant life events in the last few years that might have had an effect on his mental health?' 'No.' An hour later they tell us they've been abused, bullied, lost close family members and a whole bunch of really life-changing traumatic stuff recently. They didn't tell us that when we asked the question because they didn't think it was important.
Honestly, the amount of times you have to explain to a grown adult why really obviously terrible/abusive behavior on their part might be the reason their child is acutely unwell is staggering. The amount of people who are really not fit to be parents is shocking, holy smokes. Parenting and healthy relationships need to be taught in schools for real."
"Here in Mexico, we have something called social service. Our college education is free in some institutions, so we have to pay for it with one year of free work in a rural area.
So my first month working in a rural area, a woman in her 30s came in to get a consult because she was feeling weird in the mornings and this had been happening her whole life. I asked what her symptoms were and she told me that every day she wakes up with her mouth dry, though the feeling disappears in about one or two hours. 'Well, how much water do you drink?'
'Hmm, one or maybe two glasses, one at breakfast, and one midday.'
'Do you know what thirst is?'
'Yeah, when you drink water so you can pee.'
So I had a conversation that took one hour long about what thirst is and how it feels."
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