Although I will probably be sued for breeches of patient-doctor confidentiality (the names of the people have been changed to protect the not so innocent), I though it would be fun to post the crazy and funny and interesting cases of the week in my practice. This includes the worst "I decided to call the doctor on call at 3:30 in the morning for my month long rash" calls. Now for medical enigmas, the Hendrick family usually takes the cake, but none this week!
Case 1: SLOSHED: I had a "city call" hit (we take turns admitting ER patients who have no docs) with a blood alcohol level of 427. That probably does not mean much to you, but realize that Mel Gibson's level was 120 and I think the legal limit is 75! 427!! The amazing thing - that is not even why he was at the hospital - he came for chest pain. How do you feel ANY pain at 427? The good news for me was that his heart was so pickled by years of booze that his heart was OK. He left the hospital with a level of 286 not even slurring.
Case2: This is the "House" case (although so far I have hated that show - the guy is an absolute jerk!) of the week: A gentlemen came with fever up to 105 and suddenly could not move his legs. He could feel them though. Different possibilities included abscess in the spinal cord or even POLIO! To make a long story short - it looks like West Nile Virus! Unfortunatley, he might not improve! Pray for this guy and buy DEET repellent!
Case 3: 2 year old with fever and seizures on her birthday. Likely viral meningitis and no big deal, although could also be coming back as West Nile Virus!!! Freaking me out!! She's OK though.