September 13, 2007

  • Daydreaming

    I have focused quite a lot on the psych and poop stories lately, or as I like to call them, "Odds and Ends". Lets digress for a moment, shall we?

    Saw a case of priapism today. For those of you unfamiliar with the term, it is basically a persistent erection due to blood engorgement, often caused by a sickle cell crisis. Now for those of you guys who are thinking it would be great to have a persistent erection, ponder the fact that persistent can mean anywhere from 4-5 hours to a couple days, and the entire time you are in pain and an awkward position. The treatment? Terbutaline first, a vasoconstrictor to help get the blood out of the penis. Failing that, puncture and drainage of the blood. Yes, a needle is put into the penis and the blood is forcibly leaked out, just like draining an abscess. Doesnt sound so great anymore does it?

    Also had a fun "scrubs moment" today during suturing on the trauma side. Due to the angle of the cut, I was suturing the patient with my left hand, as opposed to my right, which is what I normally use (despite the fact that I am indeed a southpaw).

    Pt: Why you got such a big grin on your face doc?
    Dr. J: Because I know something you do not know
    Pt: Oh yeah? and what's that?
    Dr. J: I am not right handed

    Haha, no actually all i said was, because I enjoy doing this-but 2 points to all of you who caught the movie reference and how i mentally dressed myself
    Lucid TV #39

Comments (4)

  • wow.  never tried suturing with my left.  and yes, i got the princess bride bit ;)

  • HA, best suturing story ever!

    So my friends on surgery were getting pimped on CTs of a pt who had what appeared to be a "centipede" in his penis. Apparently there's an implant that helps deflate the penis (!) useful in sickle cell + priapism.

    Also, you are awesome.

  • "My name is Inigo Montoya. You killed my father. Prepare to die." One of my favorite movies. I am a bit sick  today and so I did not post, but reading my subscriptions (yours in particular) are an Rx of sorts. La risa es el remedio infalible. 

  • "odds and ends" and a reference to The Princess Bride!  ha ha ha I love it!

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