Wednesday, November 25, 2009

Guess the medical condition

Middle age lay-d presents to the ED with the chief complaint: "I couldn't find the tv remote."

See if you can guess what actual medical-condition-mixed-with-a-dash-of-human-folly precipitated this emergency-department-at-one-am worthy disaster.

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I'll tell ya.

So lay-d has multiple medical problems including diabetes, heart failure, high blood pressure, previous heart attack etc. She was sitting on the couch a few weeks ago watching her stories when a television ad came on: "You may be able to control your diabetes with diet alone," proclaimed the ad.

Excited, the woman heaved herself off the couch, gleefully discarded her 12 daily medications and made herself lunch. "I eat a diet!" She thought. "That should control my diabetes." (And heart failure and blood pressure and coronary artery disease too? Well, why not).

As the weeks progressed, she started to notice her legs swelling. Then she became short of breath, developed a cough, her arms swelled up, her chest started hurting. . .

None of this concerned her too much, life went on. Until. . . the evening of admission. Lay-d woke up from her afternoon nap and her eyes were swollen shut.

She groped around for the tv remote. Unable to find it, in a (hehe) blind panic, she yelled for her neighbor to call an ambulance. Not to transport to the hospital, oh no, to "fix my eyes so I can find the g-d tv remote".

Wisely, EMS realized that her "diet" of whatever foods she feels like eating is not exactly the kind of diet that will cure diabetes, coronary artery disease, and congestive heart failure, and they brought her in to our ED. . . in florid heart failure with a blood glucose >400.


Once in a while, I'm proud I don't own a tv.




1 comment:

Anonymous said...

Wow! No TV? I'm proud of you too. :)