Electrical abnormalities may drastically alter the bodies functionality. Even a slight deviation from the norm can cause a person to feel tired, weak, or display odd behaviors. Other times, patients come in smelling like pee, and that is the entirety of their oddness.
Our bodies balance a host of chemicals. Sodium, potassium, chloride, pH, carbon dioxide, oxygen and many more are continuously checked and rechecked to be sure we are functioning at our prime. One of the most important levels that can commonly cause problems is our glucose (sugar) level.
I had a fine young man coming in with “exhaustion.”
He did not have diabetes, but his significant other did. She also felt “exhausted” two days ago, and, when she checked her sugar at that time, it was critically normal at 88. Being a diabetic, I assumed (incorrectly) that she would know normal glucose levels. Just a quick reminder, never assume anything. Ever. Especially in medicine. The one exception is to assume everyone is crazy.
Our hero figured that since his girlfriends severe fatigue stemmed from her (not) low blood sugar, then his fatigue must also be from low blood sugar. They went to the computer and asked Dr. Google, who agreed that low blood sugar could cause the feeling of fatigue. Thus, armed with the ironclad proof via the internet, the proceeded.
Now, logically (illogically), they checked his sugar today and found that he was also was exhausted from a low blood sugar of 105 (which is also normal), but with Dr. Google telling him that low blood sugar causes fatigue, he figured that still was the cause.
So… now follow this closely here,… they came to me to help heal him from his disease process (that he didn’t have) so that they could go to their regular doctor (where they should have been in the first place) to tell him that he needed to be put on medications (that he didn’t need).
Oh, and they both smelled like pee.
I dig vests.
. . . sigh.
I also had to educate a few people about the importance of a comma.
Now, I do enjoy writing, but I try not to be that annoying grammar Nazi (please watch this, it’s worth your time)
I was told I had a priority one patient arriving in 2 minutes with stabbing chest pain. Normally this makes me worried about someone with a possible heart attack, pneumonia, or pneumothorax.
As it turned out,
he had been stabbed.
In the chest.
Now let us compare:
Stabbing chest pain… vs. Stabbing, chest pain.
Then later in the shift I took care of a patient that had a listed chief complaint of “vomiting diarrhea.”
That must be the worst aftertaste after puking you could ever imagine.
Remember your commas people, they can be lifesaving.