February 14th, 2010 by Michael Sevilla, M.D. in Better Health Network, True Stories
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One of the great things of being in a group practice is meeting and taking care of patients who may not necessarily be on your own personal patient panel. Walking into the room, I hear the patient say, “Doc, you gotta help me.” I see a red right forearm and on the “complaint” section, the nurse wrote “burn.”
So, I ask, “Well how did you burn your arm?” “Well, doc, I got cancer.” Hmm, that’s interesting. I didn’t make the connection until the next sentence. “It was my last treatment with chemotherapy about 2 weeks ago and for some reason, the needle slipped and the stuff went all over my arm. The cancer doc prescribed these pills, but they don’t seem to be helping. I asked the pharmacist about some salves and this is what they said.” He showed me a handful of creams and ointments purchased at the pharmacy.
Since I didn’t know this patient at all, I was leafing through a very thick paper chart to try to catch up. “Yeah, I’ve been coming to see Doc [name] for a long time now. I’m glad you were able to see me today since his schedule was full.” This very pleasant patient then told me about how they diagnosed his cancer – a tear came to his eye – it’s like he was re-living that moment again. Read more »
*This blog post was originally published at Doctor Anonymous*
January 20th, 2010 by Happy Hospitalist in Better Health Network, Humor, True Stories
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I don’t know a thing about bikini line waxing. But I do know there is a right way to wax your bikini line and a wrong way wax your bikini line. I present to you a story about how not to wax your bikini line. I do not know the original author, but I’m sure they want to keep it that way.
My night began as any other normal weeknight. Come home, fix dinner, play with the kids. I then had the thought that would ring painfully in my mind for the next few hours:
‘Maybe I should pull the waxing kit out of the medicine cabinet.’ Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
May 21st, 2009 by Dr. Val Jones in Health Tips, True Stories
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There’s no technological substitute for the human hand. Manual dexterity is incredibly hard to replicate, and so surgeons will go to great lengths to save injured hands. Unfortunately, sometimes the injury is too severe to allow for any meaningful functional recovery.
In these two cases, well-meaning surgeons refused to amputate the unsalvageable hands, thus delaying recovery and adaptation of prostheses.
This is a photo of a trauma victim who underwent extensive reconstruction of the hand, including transplantation of a toe to the thumb’s position. Gangrene set in and tracked up one of the tendon sheaths.
Photo Credit: Dr. Heikki Uustal
In this case, a burn victim was hoping to have some fingers reconstructed from his fist. He declined amputation and fitting with a prosthesis, despite the potential for enhanced function.
Photo Credit: Dr. Heikki Uustal
In both cases, a wrist disarticulation (amputation at the wrist) and prosthetic fitting (such as this myo-electric device with a self-suspending socket) might have provided a better functional and cosmetic outcome:
Photo Credit: Dr. Heikki Uustal
Sometimes, it’s better to amputate.
