Thursday, February 21, 2008

"Sick"

God, I hate it when people sign in "don't feel well" or "I'm sick". Usually it's just some BS virus or --- heaven forbid --- a cold, but every once in awhile, people really just don't know how to describe their problem.

Recently, an elderly gentleman signed in "sick". This in and of itself is a rarity in the English-speaking population. Generally, elderly folks put down the exact reason why they want to be seen. So, I wheel him over and he explains how he's had this wicked case of the diarrhea for a few days and feels dehydrated. Okay. Another one of these, eh? Why couldn't you just have written "diarrhea"?

So, I go through everything, and "oh, by the way, I'm a little dizzy right now too" and "oh, by the way, my chest feels tight" and "oh, by the way, I think I could pass out."

Blood pressure is "indeterminate" on the monitor. Whatever. Pulse is "indeterminate" as well. Good God dammit already.

I wheel him back, slap him on the monitor, slap him on the BP cuff and --- gee, that's why you feel sick, Grandpa --- your heart's beating at 210 beats per minute (hm, looks a bit like a fast a-fib) with runs of v-tach and your blood pressure is 60/30.

Nothing brings a whole bunch of people in a room like that. My work here is done.

4 comments:

Tex said...

Then you have the young man with a sore throat that expects you to drop everything.
You gotta love old people, they just never learned how to bitch and complain.

Anne said...

Well, he was right at least. Most definitely sick, even by ED standards.

Kacey said...

You sound like you just love triage! Most people don't know how to describe their illness, because they didn't go to medical school. I'm not talking about your drug-seeking frequent flyers. The trouble is --- you know too much now and they don't speak medicalese. Feeling "sick" covers anything from cooties to athlete's foot for John Q. Public.

Sevesteen said...

It isn't about describing illness in medical terms, it is about what part hurts, or feels wrong. I get the same sort of thing doing computer tech support--"It doesn't work", and I have to play 20 questions to find out if it is unplugged, they forgot their password, or they can't get to some non-work-related website that is blocked by corporate.