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Sure, we can all see the x-ray, but when was your last period?
“We’re just gonna do a pregnancy test to rule that out”
Is this the inside of a llama’s stomach? Perhaps one wearing a hat?
Spouse was at a dentist visit and her blood pressure was so high they threatened to call an ambulance. Has been that high off and on for weeks.
Take her to the doctor, doc knows she’s had a full hysterectomy, knows she doesn’t exaggerate, knows she refuses to take anything medincinal unless forced. This lady raw dogs migraines to avoid Ibuprofen.
First words out if doc’s mouth, “BP that high isn’t unheard of in women having their periods. Are you sure it’s not your time of the month?” Followed by, “well I’m sure you’re just nervous around doctors, it will go down when you get home.”
This definitely isn’t just a female thing. We were all exchanging doctor stories the other night and everyone had ones like this. Weirdly they were all in the past few years and that being gaslit or dismissed by a doctor just feels normal now.
Doctors are useless assholes nowadays, more interested in yapping about themselves than anything remotely useful.
I’d rather have a drunk North Korean veterinarian who lost his license and doesn’t understand a word of English address my issues than any of the psychotic freaks Canada is cranking out lately.
It’s still hard for to believe I was denied renewal of a medication I was already on for years for serious mental health problems, because “maybe you just need to get out more,” or “might be on your period.” By multiple Canadian GPs.
It took two years of waiting for a female psychiatrist to find someone who was like “Oh yeah, you’ve got severe depression, ADHD, AND psychosis from untreated severe depression, let’s get you on meds ASAP.”
High blood pressure alone is not an emergency. Definitely something to be concerned about preventing/treating in the long term, but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.
That said, that kind of blasé approach to markedly elevated blood pressure with no real plan to reassess or find a root cause is still unacceptable, especially lazily blaming it on menstruation like is so common. So not trying to undermine your experience, I just had to chime in bc the “hypertensive crisis” thing is a pet peeve of mine.
Every lady’s experience in a red state. Seriously, I’m not making a joke, being a “conservative” as defined in the US political system NEEDS to be categorized as a mental disorder that precludes people from being doctors at the least.
There are so many misogynists in the center (we don’t have a real left) that the orange idiot beat two women.
Yeah this very much depends on the actual specific number. I work inpatient so I don’t blink at 155 systolic because we’re gonna take it again in 12h and honestly these days the hospitalist says current evidence supports not even treating emergently until 170. The ED actually keeps insisting that 180 isn’t their problem for patients they want admitted to psych. A small dentists office might not be up to date on current best practice for treating hypertension.
When I interviewed for a CSU they were even like “how would you approach an intake where your new pt has a BP of 180?” and I, coming from the university hospital where I had residents subject to my whims I struggled to come up with an answer that wasn’t “page the oncall I guess?” But I did manage “…tell them to take some deep breaths and take it again…?” which was apparently the right answer???
140s to me is a GP/PCP’s problem 3 months from now and ultimately they’ll probably just tell the person to start with eating less salt. It also sounds like it was asymptomatic and there’s also the possibility that the doctor just figured she wouldn’t take anything anyway based on this person’s description.
No seriously, there is no number that you need to treat emergently without accompanying signs of end-organ damage. The AHA recommends considering “permissive hypertension” even for SBPs over 180. So you could be 220/180 and if no other symptoms or signs of organ damage, you should get treated the same as someone who is 145/95, and even then that’s only if the hypertension is chronic. The only difference is it will probably take a lot more meds to chronically control someone whose bp is that extreme.
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Yeah >180 is definitely serious, I may have overstated myself there trying to make my point. If you read that high, it’s recommended to contact your doctor asap, but not to seek emergency treatment unless you’re having symptoms.
Current (but limited) evidence actually suggests some harm caused by unnecessarily treating asymptomatic markedly elevated blood pressure, and low risk of acute (hours to days) adverse events caused directly by the hypertension.
I’m a PharmD who works in the ED at a large teaching hospital. I have this conversation often.
Recommendations from the AHA directly to patients/lay persons
A great “Things We Do For No Reason” article about the topic. (There’s even one article in this paper that specifically talks about patients with systolic >220, only 0.2% of which had a negative vascular outcome at 7 days without inpatient treatment.) I highly recommend this paper. The folks at SHM/JHM do great work with this series.
😬
Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.
Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.
doc says they can’t lend a hand
It’s not lupus
She must be low on zinc
First thing I’d do is spell “you’re” correctly.
Yup I was stuck on that for some time… too much work to type you but you still include the 're ?? What kind of absolute derangment is this
This is textbook hysteria. This woman needs a lobotomy, stat, before the damage spreads to her vagina. Without that, she’s only got her mouth.
Our latest research has shown that anal sex is a very humane way to give a woman’s life meaning after losing her vaginato hysteria.
Clearly trauma happened. Why xray? Would that help in putting the puzzle back together?
First step: pregnancy test
They’ll be asking her unconscious body 15 times if she’s pregnant, and her lifeless corpse at least 4 times.
Im not a doctor but I think she might be on her period. meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow
Ooh, are we playing Cat Or Doctor? The party game from Hello From the Magic Tavern? I’m going to guess… cat.
I’m thinking how this injury could have been caused by a single incident. Like both hands dismembered, with the right hand’s (on the left side?) thumb broken but otherwise relatively ok, whereas the left hand (on the right side) got basically cleaved, with the index finger flattened/elongated/crushed with the thumb looking fine (I think? looks sus, but can’t really say…).
first thought is a car accident, but then the whole bits of hands and them arranged wrongly doesn’t really make sense in my head, like, this xray wouldn’t even be taken in the process of saving their life, I would think (unless they are dead, and this is a post mortem xray, but then at that point, why wouldn’t you arrange it properly then?)
So I am thinking of some heavy machinery accident, and they managed recover whatever is left of their hands and limbs, rushed into the hospital, thus taking a quick xray to immediately see the extent of the damage.
Or it could be ai, no idea, not a doctor…
Real answer has been posted, but my initial thought was that something like 2 to 4 m80s all blew up at the same time, with the person like pancaking or prayer-handsing them.
Fucking gnarly.
I’ve met more than one person who hand their hand ‘de-gloved’, in different kinds of industrial accidents, but both of them were lucky enough to get the skin put back on and not lose any digits, though they do of course have significant neurological issues.
Article from 2014 says it was a factory accident to an 18 year old worker. CW: pictures of his hands post-repair but still bloody.
first link is my attempt to keep the preview from coming up, which didn’t work on my app. :(
Damn, that absolutely sucks :(
My first diagnosis is he’s got hypothermia, second he is missing is epidermis.
When was your last period?
