Health
Related: About this forumMy Near Miss
IT was probably our eighth or ninth admission that day, but my intern and I had given up counting. I was midway through my medical residency, already a master of efficiency. You had to be, or youd never keep up. This one was a classic eye-roller: a nursing home patient with dementia, sent to the emergency room for an altered mental status. When you were juggling patients with acute heart failure and rampant infections, it was hard to get worked up over a demented nonagenarian who was looking a little more demented.
The trick to surviving was to shuttle patients to another area of the hospital as quickly as possible. This patient was a perfect candidate for the intermediate care unit, a holding station for patients with no active medical issues who were awaiting discharge. First we just had to rule out any treatable medical conditions get the labs, head CT scan and chest X-ray. But the docs at the intermediate ward left at 5 p.m. and it was 4:45. I quickly scanned through the labs, called the wards doctor and ran through the case demented patient, still demented, return to nursing home tomorrow.
I remember the doctors voice so clearly: Youre sure the labs and everything are normal? Yes, yes, I said, everything is fine. She hesitated, then said O.K. The intern and I high-fived each other, and bolted back to our other admissions.
The next afternoon the doctor tracked me down. Without mincing words, she told me that shed been called overnight by the radiologist; the patients head CT showed an intracranial bleed. The patient was now with the neurosurgeons, getting the blood drained from inside her skull.
http://www.nytimes.com/2013/05/29/opinion/addressing-medical-errors.html?nl=todaysheadlines&emc=edit_th_20130529&_r=0
Bay Boy
(1,689 posts)Just saying. The next 'batter' came up later that night 'and connected the dots'.
(I'm pretty sure that's a mixed metaphor that I just used)
hedgehog
(36,286 posts)not to mention sending her to the hospital at all!