She's come undone, Part II

The coroner called today; Kim found down at home, dead for days, maybe more.

I saw her last two weeks ago. She was holding court in our waiting room, surrounded by a laughing group of ex-strangers, all sharing the pleasure of her story.

But then no one noticed she was gone for days, maybe more.

Cramping, Her Style

"Is there a doctor on board the plane?”

Huzzah, I've waited decades for that line.

The teenager behind me fainted, alarming her seatmate. Across an armrest and forty years, we chat as she recovers. She laughs as I call her period a ‘newspaper’ in Spanish, but, despite two languages, we both agree that cramps are a drag.

A distressing typo' problem

Patients like to weigh in by e-mail, and I, in turn, can read them at will. This strategy, however, may be harmful to health:

"I am still having an upset stomach and episodes of diarrhea. They are happening after each email now instead of just in the evening."

Back away from the computer, ma’am. Phone me instead.

Show and smell

M was annoyed and didn’t look well. She rummaged in her purse, then tossed a Ziploc bag on the desk.

Uh-oh, close encounters of the turd kind. Could’ve figured this out sans sample!

She rose at visit’s end, went to leave without Exhibit A.

“Would you mind throwing out...that?”

So she did, right into the basket underneath my desk.

The last dance

Grandma’s cancer showed up first as a clot in her leg. Two months to diagnosis and a year to her death.

Mary showed me tender red cords on the back of her leg; she was scheduled to dance in ballet class later that day. One week to diagnosis--thanks to Grandma-- and a year to her death.

What am I missing here?

He’s three months short of college graduation.  His mom did most of the talking.  Two years, three symptoms, zero diagnoses.

His exam and his nodes were normal.  No need for tests; it’s dry air and bad posture.  He claimed he felt calmed. 

All this training, all this acumen, and I still don’t know what they needed.

Dogs, Dung, and D-ficiency

“What fills your heart with joy?”

“My two Italian greyhounds!” 

Their 60-something owner, her skin Minnesota white and muscles undefined, complained that scooping poop was nearly impossible.

“Hurts the back?”

“That and weak, so weak,” she replied and used both arms to struggle from her chair.

This is more than out of shape, I thought, and ordered tests.