http://profiles.blogdrive.com/dochendrickson
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Mar 25, 2005
We once had a patient come into the ER I work at that said she woke up and her toe was gone. Her big toe was a bloody, mangled stump. She was a diabetic and had neuropathy. She was also taking tons of medicines for her pain. After our doc examined her, he called her surgeon that she had seen in the past. When the surgeon got on the phone and we explained that she had no idea what had happened and just woke up to find her toe gone, he laughed, and said, oh no her dog chewed her other toe off.
One more......We once had a lady with delusions come in. I went in with the physician for the exam. We found her with her prothsetic eye in her hand. She licked it and put it back in the socket. The doctor turned to me and gave me this look. We both had to excuse ourselves to go and laugh in another room.
Posted at 11:16 am by dochendrickson
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Mar 18, 2005
Nipple, who's got the nipple?
Many years ago, when I was working road vehicles, we received a 999 (911) call to a very exclusive hotel in central London. The call came as a serious chest injury ? stabbing. Due to the nature of the call our control also requested police back-up. When we arrived the hotel a manager ushered us to a service elevator and proceeded to explain that a middle age male was bleeding heavily from a chest wound but he was not sure how it had happened. We went into the very posh suite and saw a man sitting on the sofa crying his eyes out. He told us that his friend was in the bathroom "dying".
On entering the bathroom it looked like something from a horror movie. The bath water was bright red, there were bloody hand prints up the wall and blood/water all over the floor. Sitting on the loo was a middle aged man with a blood soaked towel clutched to his left chest area and in a sobbing voice he proceeded to tell us that he had been in the bath and was shaving his chest and had sliced half of his nipple off!! OUCH!!!!
With that my crew mate and I together with the three policemen made our excuses to leave momentarilly and all collapsed with laughter in the corridor outside. Not very professional I know but the whole situation was such a relief from the original 999 call. We returned to the guy bandaged him up and took him for treatment.
Posted at 11:24 am by dochendrickson
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Oddest call I've been to (disclaimer: in case you didn't know yet, I'm an MFR with a campus response team here in Canada. Limited calls, limited experience) was when my partner and I were awoken by the pager at 4am. The pager said:
"Don calling re broken window and injured student at..."
The location is right near our office and my partner and I are boots and packs on and out the door and on scene within two minutes. The student don met us at the bottom of the stairs and security was already on scene as they had been in the same building as us at the time.
The Don informed us that the student was no where to be found but he was worried about him because of the broken window. The thing was the window wasn't shattered and there was little in the way of edges (wire-net) and no signs of blood. We were shown into the student's room and found one freaky scene. The entire res room was covered in blood. Hand and foot prints on the walls. Sheets stained and soaked. Small pools of blood on the floor and desk. The blood was everywhere. No student anywhere. I asked the don if this was a female student (just in case) and I got a flat "nope."
Splitting up we commence a full search of the residence section, surrounding quad, even the locked up common buildings with the security officers. Still nothing. Searched for over twenty-minutes with no luck. Security was getting ready to call in PD and we returned to the student's room to see if he had returned. As we entered someone popped their head out from a neighboring room and asked if we were looking for the student. We answered the affirmative and low and behold guess where he was. In the room that had been knocked on with no response only a few minutes earlier.
My partner enter to find the guy sitting on his friends floor, alert and with no complaints, acting entirely sober.. Vitals all stable. No medical conditions. No allergies. Last meal pastsa at 7pm and 6 beers since then. Only injury visible or reported was two lacerations on the right calf approximately two to three centermeters in length and very shallow. We cannot get any clear answer from him as to how it happened. He has cleaned himself up in the shower and aside from some mild oozing from the cuts the bleeding was non-existent. We taped a 4x4 over the two cuts and left confused as hell.
We were able to laugh a bit at that one, which was nice. Unfortunately one of my teammates didn't have such a great experience when they found blood in a room and no patient. On his call he searched again for the better part of half an hour and finely found the 17y/o female patient in a male neighbour's room, naked and inebreated bleeding from her first time. Luckily the donning staff were left with the aftermath of that. It ended up being consentual (in its own way I guess), but still. If I needed any more reasons to be mad that they removed grade 13 here in Ontario the scary crap I'm seeing first years do these days is enough.
Sorry, I guess that's a bit of a downer compared to the openning. Not that I'm sure you guys haven't seen way more and more than your fair share of sad/scary s**t in your days.
Posted at 09:39 am by dochendrickson
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Emergency Medical Personnel
Let me first start by saying that being in the military, makes for an usual job to begin with. Now, I was just starting on a shift one day, going through a dry spell as I do sometimes, when I got the call, "Man down!" Which means something like 9,000 different things. So we book over to the warehouse down the street from the hospital we were at, and had us a good old full blown code. I don't have the best track record when it comes to this because usually by the time we get to the patient, they are well beyond the help of modern medicine. Not today though, after a short set of shocks, and screaming warehouse workers. I decided to bail and head back to the hospital. Keep in mind, that I am a basic, but due to military rules, we run at a higher level, pending on the area. Now, by some miracle, this lady converted as we locked her in the truck, so I think, Strange, this has never happend before." Get to the ER, open the doors and get asked, "What do you have?" "She's breathing and she has a pulse."
I have worked with these nurses for a couple years, and they new my record, so noone believed me. That is until they got her inside. So, she got sent to a cardiac hospital downtown, alive. Flash foward to 2 weeks later. I am sitting in my office doing what I did best then, nothing, when the ER staff tell me I have a visitor. Turns out the lady that I had converted was there to see me, and thank me. I have only had a few people ever thank me for anything that I have done for them, but I think this stuck with me more. She told me that because of what I and my crew did, she was able to see her oldest daughter get married, her next daughter graduate high school, and her youngest compete in a horse riding tourny. I guess that was my best call I have ever had. To make a difference like that.
Posted at 09:04 am by dochendrickson
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Over 27 + a lot of strange calls. Some of the earlier post remind me of two.
I was working with another Paramedic, (both of us were going through some burn-out attitudes) & was dispatched to a construction call. They were installing large sewer lines (approx 12' diam) and upon arrival met by the foreman. He stated " New guy, 1'st day on the job, already hurt" We found a male in 30's kneeling down, raking in pain. Being the burned out medics.. we unfortunatley thought it was a B.S. call, & walked the gentleman to the stretcher. While loading, I noticed my partner had already started filling out the paperwork, I seen blood in the crotch area. After convincing my partner to remove the jeans, we found that his left testicle had been eviscrated to his knee. We turned as white as the patient. Of course, our mind shifted immediately & treated for pain etc.. since that day, I have always tried to remember that call and not have tunnell vision. Trying never to have that attitude &making that same mistake again after 20 years.
The other was a deer hunter in a tree stand who fell while wrapped around the tree, striking every branch .. do I have to say more ?
Posted at 09:00 am by dochendrickson
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Okay this isn't my call but a friend's.
Cazy D. and gingersnap (yeah everyone has nicknames here) get a call about a kid amputating his fingers. Of course they and one of the firehouses haul butt to the scene. Crazy and Gingersnap walk in to find a little old man who's very upset waiting for them at the door. "where's the patinet?" they ask him. So GOMER leads them to a back bedroom. "He's over there. He was playing with a knife and cut his fingers off, I have them right here." says the old man after pointing to a small child and hands over the fingers to Crazy. Crazy and Gingersnap just look at each other and decide to indulge the old guy, so out comes the tape and they tape the childs' fingers back to his hand. "Is he going to be okay?" asks GOMER. "Well he is pale but he's starting to pink back up, he should be okay, just don't let him play with knifes anymore." They tell the old guy. They walk out and send fire in- to take care of the child maniquin.
Same night they have to go help another fire crew pull a girl out of a chimeny, it was the services' boss' niece. (she had lost her keys and was trying to get into her house to retrieve them and no it wasn't Dec.)
See why we call him Crazy? He gets all the weird and wacky calls.
Posted at 08:58 am by dochendrickson
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Mar 17, 2005
I have been reading about the patients you wonderful burn nurses care for. I can only imagine what emotions must run through you as you deal with various situations, and the concern you have when your patient is finally discharged to face life in a world that so values shallow physical beauty. I thought it might help to hear a positive story about how a boy in my small town is living after he was released from the hospital.
One spring, a family lost all their material possessions when their home burnt down. Worse, their 8-year old son, "Teddy," ran back inside to try to save the dog and in the process received severe burns over a great deal of his body. I remember seeing the news reports and the coffee cans with requests for change (put out by caring friends, as the family had no insurance) that appeared at stores in our little town.
Summer vacation came, and with it my daughter's seizures worsened to the point she was hospitalized at a nearby Children's Hospital. After a day of worrying and waiting to see the pediatric neurologist, my daughter felt awake enough that she wanted to go to the playroom. Teddy was there--after several weeks in the burn unit he was healed enough that he had been transferred to the pediatric ward. He recognized my daughter, as they go to the same elementary school, and was very concerned as to why she was hospitalized. He was so upbeat and took the time to talk to my little girl! It certainly put things in perspective for me. Here was this young boy burned beyond recognition, and he was worried about my daughter!
The next fall, when school started back up, there was a fire prevention assembly. Teddy volunteered to tell his story to the whole school. My younger daughter, who had just started kindergarten, came home and told me about the assembly and how this boy told how his house was on fire and he tried to save his dog.
Worried that she might miss the point of the story, I said, "That's right--and did you see how he looked? He was burned very badly. If our house catches fire, don't go back in to try to save our cats."
She looked me in the eye with a puzzled expression on her face and said, "No mom, he looked fine."
And that seemed to be the concensus of the rest of the students--he looked fine. When volunteer at the school or pick my children up, I often see him laughing and joking with classmates. He's just another kid there, even with the scars covering his face and the large patches of hair missing. Our community, especially the children, have really rallied around this family.
He starts junior high this fall. He's getting a wig from Locks of Love, and the elementary school has used this opportunity to schedule a Locks of Love assembly for the next school year. Many children, including my girls, are growing their hair out so they can help. They want to help other kids like Teddy who need their hair more than they do.
My heart goes out to all the Teddys in the world who, through their pain, have inspired people to show their best.
Posted at 06:03 am by dochendrickson
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Mar 8, 2005
Years ago, I was working in hematology/oncology. We had a 6 months pregnant girl with leukemia -- she had been warned not to get pregnant, but didn't listen. She was in sad shape: infected, platelet count in the toilet. The baby wasn't moving so they did an ultrasound and found that the baby was dead. The plan was to transfer the patient to OB on Monday and induce labor. This was Sunday morning.
The patient was on a Demerol drip for pain from her leukema, and the new grad I was working with had been turning up the Demerol all night long for "abdominal pain." When I finally got a free moment to check her charting, I asked her "what KIND of abdominal pain?" Well, it seems that it came in waves, and her abdomen was rather rigid. Holy $hit!
So I go tearing in their in whip up the sheet, and sure enough, the gal is crowning! She's totally out of it -- probably from the Demerol. I sent the new grad to get the resident while I paged the nursing supervisor. (I knew nothing about OB then, and what little I thought I knew has totally evaporated since.) The new grad came back, saying the resident "wouldn't come." By this time, the supervisor was there, and she said, "Ruby, just go get him."
I found the resident in the on call room, staring into space with his face twitching a bit. "Come on," I told him. We need you.
"I ain't comin'," he said, reverting back to his south side of Chicago speech patterns. "I don't know nuttin' about no babies. I ain't comin'. I don't know nuttin' about no babies"
Not knowing anythng about babies myself, I wasn't particularly sympathetic. I took him by the arm and started leading him toward the patient room, all the while updating him on vital signs, platelet count, etc. Just outside the room, he stopped suddenly and YELLED "I AIN'T GOIN' IN THERE! I DON'T KNOW NUTTIN' 'BOUT NO BABIES!" With a marked lack of sympathy for his antics, I yanked on his arm and said "You HAVE to come. You're the DOCTOR." Right about that time, he -- the resident, I mean -- started to fall. He was having a grand mal seizure. I wasn't watching HIM -- I was trying to drag him into the patient's room. I dislocated his shoulder on the way down.
The patient squirted the baby out -- no problems. No bleeding at all, even with a platelet count of about 5. The supervisor caught the kid, reamed out the new grad, wrote out both incident reports and saw the resident admitted to the ER. Day shift started about 20 minutes later, and my head nurse came to speak to me about "Why everything is such a mess here. And when I came back to work that night, the resident was a patient on our unit. As I walked into his room at the start of the shift, there were five or six residents visiting him. "There she is," he said, pointing at me. "There's the ***** that dislocated my shoulder!"
That's the only time I ever had a patient give birth. But my best friend assures me that Pavulon doesn't stop contractions . . . that's another story.
Posted at 12:27 pm by dochendrickson
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Mar 7, 2005
22 y/o female 9 months pregnant...recent crack/cocaine use...strolls into the Emergency Department, sits down in waiting room....triage nurse realzies she's got big belly and asks why she is there? "I think my baby is coming out" very calm...not yelling...doesn't look uncomfortable...but walking a little funny...She sits in a wheelchair gets wheeled back to treatment area...I go over to help her get undressed and she stands up and says very calmly, I think its coming out...having already delivered a child, I'm thinking ok lady, lets get you in the bed and undressed and get you to Labor and Delivery, cause Emergency Room nurses don't like birthing no babies...well I go to pull her pants down and as I grab them, I feel something hard...Oh yeah...that'd be baby head...needless to say...we threw her into the bed, finished delivereing the baby...healthy little girl despite mom's extracurricular drug activities...and over to Labor and Delivery she went...so now when they say "I think its coming out..." I always ask if they feel something rubbing the inside of their legs? And, frisk them like they are packing a gun !
Posted at 05:51 am by dochendrickson
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Mar 4, 2005
I work with a nurse who works ER on weekends, she told me about this woman who crushed and snorted a mothball. She then went over to Wal-Mart with her kids. She was acting "off" so the helpful folks at Wally World called 911. EMS takes her to the hospital where the nice folks in the ER laugh at her and then call Child Protective Services who released the kids to grandma and grandpa.
Posted at 11:52 am by dochendrickson
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