Saturday, March 13, 2010

Woman returns to work after 30 year break

You probably need to be 50 or better to appreciate this one. :-)

Funny posts in patient's hospital charts

 
1. She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
 
2. Patient has chest pain if she lies on her left side for over a year.
 
3. On the second day the knee was better, and on the third day it disappeared.
 
4. The patient is tearful and crying constantly. She also appears to be depressed.
 
5. The patient has been depressed since she began seeing me in 1993.
 
6. Discharge status: Alive but without my permission.
 
7. Healthy appearing decrepit 69 year old male, mentally alert but forgetful.
 
8. The patient refused autopsy.
 
9. The patient has no previous history of suicides.
 
10. Patient has left white blood cells at another hospital.
 
11. Patient's medical history has been remarkably insignificant with only 40 pound weight gain in the past three days.
 
12. Patient had waffles for breakfast and anorexia for lunch.
 
13. Between you and me, we ought to be able to get this lady pregnant.
 
14. Since she can't get pregnant with her husband, I thought you might like to work her up.
 
15. She is numb from her toes down.
 
16. While in ER, she was examined, X-rated and sent home.
 
17. The skin was moist and dry.
 
18. Occasional, constant infrequent headaches.
 
19. Patient was alert and unresponsive.
 
20. Rectal examination revealed a normal size thyroid.
 
21. She stated that she had been constipated for most of her life, until she got a divorce.
 
22. I saw your patient today, who is still under our car for physical therapy.
 
23. Both breasts are equal and reactive to light and accommodation.
 
24. Examination of genitalia reveals that he is circus sized. [Just how big IS "circus sized"?]
 
25. The lab test indicated abnormal lover function.
 
26. The patient was to have a bowel resection. However, he took a job as a stockbroker instead.
 
27. Skin: somewhat pale but present.
 
28. The pelvic exam will be done later on the floor.
 
29. Patient was seen in consultation by Dr. Blank, who felt we should sit on the abdomen and I agree.
 
30. Large brown stool ambulating in the hall.
 
31. Patient has two teenage children, but no other abnormalities

Saturday, October 31, 2009

Dave Barry on Colonoscopies

This is from Dave Barry's colonoscopy journal:

I called my friend Andy Sable, a gastroenterologist, to make an appointment for a colonoscopy.. A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis . Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner.. I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, quote, 'HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BEHIND!'

I left Andy's office with some written instructions, and a prescription for a product called 'MoviPrep,' which comes in a box large enough to hold a microwave oven. I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America 's enemies.

I spent the next several days productively sitting around being nervous. Then, on the day before my colonoscopy, I began my preparation. In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor. Then, in the evening, I took the MoviPrep. You mix two packets of powder together in a one-liter plastic jug, then you fill it with lukewarm water. (For those unfamiliar with the metric system, a liter is about 32 gallons.) Then you have to drink the whole jug. This takes about an hour, because MoviPrep tastes - and here I am being kind - like a mixture of goat spit and urinal cleanser, with just a hint of lemon.

The instructions for MoviPrep, clearly written by somebody with a great sense of humor, state that after you drink it, 'a loose, watery bowel movement may result.' This is kind of like saying that after you jump off your roof, you may experience contact with the ground.

MoviPrep is a nuclear laxative. I don't want to be too graphic, here, but: Have you ever seen a space-shuttle launch? This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the commode had a seat belt. You spend several hours pretty much confined to the bathroom, spurting violently. You eliminate everything. And then, when you figure you must be totally empty, you have to drink another liter of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.

After an action-packed evening, I finally got to sleep. The next morning my wife drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage. I was thinking, 'What if I spurt on Andy?' How do you apologize to a friend for something like that? Flowers would not be enough.

At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the heck the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked.

Then a nurse named Eddie put a little needle in a vein in my left hand. Ordinarily I would have fainted, but Eddie was very good, and I was already lying down. Eddie also told me that some people put vodka in their MoviPrep. At first I was ticked off that I hadn't thought of this is, but then I pondered what would happen if you got yourself too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode. You would have no choice but to burn your house.

When everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist. I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere. I was seriously nervous at this point. Andy had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand. There was music playing in the room, and I realized that the song was 'Dancing Queen' by ABBA. I remarked to Andy that, of all the songs that could be playing during this particular procedure, 'Dancing Queen' had to be the least appropriate.

'You want me to turn it up?' said Andy, from somewhere behind me. 'Ha ha,' I said. And then it was time, the moment I had been dreading for more than a decade. If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.

I have no idea. Really. I slept through it. One moment, ABBA was yelling 'Dancing Queen, feel the beat of the tambourine,' and the next moment, I was back in the other room, waking up in a very mellow mood. Andy was looking down at me and asking me how I felt. I felt excellent. I felt even more excellent when Andy told me that It was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.

ABOUT THE WRITER
Dave Barry is a Pulitzer Prize-winning humor columnist for the Miami Herald.

On the subject of Colonoscopies...

Colonoscopies are no joke , but these comments during the exam were quite humorous...... A physician claimed that the following are actual comments made by his patients (predominately male) while he was performing their colonoscopies:

1. 'Take it easy, Doc. You're boldly going where no man has gone before!

2. 'Find Amelia Earhart yet?'

3. 'Can you hear me NOW?'

4. 'Are we there yet? Are we there yet? Are we there yet?'

5. 'You know, in Arkansas , we're now legally married.'

6. 'Any sign of the trapped miners, Chief?'

7. 'You put your left hand in, you take your left hand out...'

8. 'Hey! Now I know how a Muppet feels!'

9. 'If your hand doesn't fit, you must quit!

10. 'Hey Doc, let me know if you find my dignity.'

11. 'You used to be an executive at Enron, didn't you?'

12. 'God, now I know why I am not gay.'

And the best one of all.

13. 'Could you write a note for my wife saying that my head is not up there?

David Sedaris - Jesus Shaves

I love David Sedaris. This is one of my favorite stories from This American Life.



If you enjoy these stories from "This American Life", please visit and support them at: www.thisamericanlife.org