Saturday, March 04, 2006


They say that docs make the worst patients.
I'm home on a Saturday night, almost doubled over with this gnawing, nagging epigastric pain.
Gastritis? Or worse, peptic ulcer disease? No reason to get pancreatitis (except for the, ahem, occasional resident-style EtOH binges).
A bit of knowledge is a dangerous thing. You tend to self-diagnose. And, if you're a hypochondriac like I am, imagination can sometimes take you places.

The last problem I had was when my right thumb swelled up. Tender, and I had difficulty flexing it. As it so happened, I was working at the thyroid clinic that week. Which made thyroid biopsies extremely painful for me as well as the patient. Had the lab draw up some tests, which were unremarkable. Tried to talk a rheumatologist colleague of mine to give me a cortisone shot for the inflammation. But no, she said it wasn't necessary. Just give the badminton a break for a few weeks. Sheesh.

And then there was the time when I had issues with recurrent severe pharyngitis/tonsillitis. The 2nd time I had to go to the ER I was convinced there was something else wrong with me, what with the pains, severe shaking chills. I had just finished call and dragged myself down to the ER. As it turned out, I was right; the CT showed a peritonsillar abscess. Which meant an I & D. Therein lies my mistake, I neglected to ask the ENT resident who saw me that September how senior he was (he was almost brand-new). He hurt me. After 4 attempted passes with the needle and one with a scalpel, he had to get his senior. It was so bad that after they were done, an older nurse came in and saw me in tears and asked me, "Oh you poor honey. Can I get you anything?"

To which I could only whimper, "Morphine. Please give me morphine" (I kid you not; the pain had me crying like a little girl. I still see that ENT resident occasionally, and we both just share a nod and an embarassed smile).
Morphine sulphate 4mg IV and 6 hours later (I spent the night in the ER observation unit) I was up in my scrubs pulling my IV pole to the computer so that I could follow up on my patients' labs.

Anyway. Back to my tummy pain. Hmm... perhaps endometriosis? Or, perhaps a leaky AAA? Ectopic? Gosh, maybe I should get myself checked out in the ER? Maybe someone ought to do a DRE.
(in all probability, it was just the fried rice noodle with salted fish I ate)


Anonymous mayan said...

a CT for a peritonsillar abscess from the ER? gosh.. i'm impressed with the way things work over there.. when i covered ENT on-calls, i used to just aspirate them with a green needle & a 20-ml syringe after a couple of squirts of xylocaine spray! then it's IV BenPen & Fluclox for a few days then home on orals. Don't think they got round to CT-ing the patients routinely at all! anyway.. rehydrate yourself at home lah.. get ts to examine u lah.. between the 2 of u i'm sure u'll come up with a diagnosis! not sure he'll be to keen to do a DRE though! :)

12:08 PM  
Blogger saminkie said...

we got a joke in Iraq saying that: " a homosexual visited a doctor saying that he got pain in his ass. the doctor started to do a PR. HERE IS THE PAIN? the doctor would ask. NO DOCTOR DEEPER the homosexual would answer and the doctor goes deeper till the doctor finally said YOU GOT TONSILITIS!!".

7:22 AM  
Blogger ninest123 Ninest said...

ninest123 10.22
jordan shoes, louis vuitton handbags, tiffany and co, michael kors outlet, ugg boots clearance, christian louboutin, replica watches, cheap uggs, longchamp outlet, louis vuitton outlet, polo ralph lauren outlet, rolex watches, louis vuitton outlet, oakley sunglasses, air max, michael kors outlet online sale, chanel handbags, nike shoes, uggs outlet, louis vuitton, cheap oakley sunglasses, michael kors outlet, michael kors outlet, louboutin shoes, oakley sunglasses cheap, michael kors outlet, gucci outlet, ray ban sunglasses, prada handbags, louis vuitton outlet stores, tory burch outlet, longchamp handbags, oakley sunglasses, nike free, oakley sunglasses, michael kors outlet, kate spade outlet, ugg outlet, uggs, longchamp handbags, burberry outlet, polo ralph lauren, air max, louboutin, burberry outlet, louboutin outlet, prada outlet, tiffany and co

1:17 AM  
Blogger ninest123 Ninest said...

ray ban pas cher, air max, new balance pas cher, sac guess, kate spade handbags, nike roshe run pas cher, true religion outlet, coach outlet, converse pas cher, nike free pas cher, nike blazer, michael kors outlet, nike roshe, coach factory outlet, polo lacoste, louboutin, true religion jeans, michael kors pas cher, nike free, sac burberry, coach outlet store online, nike air max, timberland, air jordan, lululemon outlet online, hollister, north face, coach purses, air max pas cher, longchamp, ralph lauren, abercrombie and fitch, hogan outlet, hollister, vanessa bruno, north face, oakley pas cher, sac hermes, michael kors uk, true religion outlet, mulberry, ray ban sunglasses, nike air force, nike tn, air max, sac longchamp pas cher, michael kors, true religion jeans, polo ralph lauren, vans pas cher, ray ban sunglasses

1:19 AM  
Blogger ninest123 Ninest said...

hollister, north face outlet, louboutin, nike huaraches, hollister clothing store, reebok outlet, lululemon outlet, baseball bats, chi flat iron, timberland boots, soccer shoes, converse shoes, bottega veneta, mont blanc, p90x, jimmy choo outlet, nike roshe run, vans shoes, herve leger, abercrombie, iphone cases, oakley, ralph lauren, wedding dresses, instyler, nike trainers, vans, mcm handbags, north face jackets, birkin bag, air max, insanity workout, beats by dre, celine handbags, ferragamo shoes, converse, asics running shoes, mac cosmetics, nfl jerseys, ghd, ray ban, abercrombie and fitch, valentino shoes, longchamp, new balance shoes, air max, gucci, giuseppe zanotti, soccer jerseys, ray ban sunglasses, babyliss pro

1:21 AM  
Blogger ninest123 Ninest said...

ugg, toms shoes, moncler, ugg, michael kors outlet online, sac lancel, karen millen, marc jacobs, montre homme, michael kors outlet, thomas sabo, juicy couture outlet, canada goose, doke gabbana, rolex watches, sac louis vuitton, canada goose, canada goose outlet, moncler, moncler, sac louis vuitton, canada goose, links of london, louis vuitton uk, ugg pas cher, louis vuitton, pandora jewelry, pandora charms, wedding dresses, hollister, moncler, pandora jewelry, moncler, barbour, juicy couture, ugg boots, canada goose, moncler, pandora charms, coach outlet store online, canada goose jackets, canada goose uk, ugg, swarovski crystal, moncler outlet, michael kors handbags, canada goose, supra shoes, moncler, louis vuitton, swarovski, barbour
ninest123 10.22

1:26 AM  

Post a Comment

<< Home