Current Events > 22 yo m w/ cc: chest pain

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Coffeebeanz
10/08/18 2:32:35 PM
#1:


Damn it, ER. Why do you do this to me
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Foppe
10/08/18 2:33:46 PM
#2:


Was he cute?
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DocileOrangeCup
10/08/18 2:36:06 PM
#3:


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Darkman124
10/08/18 2:37:04 PM
#4:


his heart was just thumpin cuz he heard you were on call tonight

maybe you shouldve considered that specialization in OBGYN when you had the chance
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Kaiganeer
10/08/18 2:37:14 PM
#5:


"my diagnose is that your heart's throbbin' and that it needs some lovin'"

then you flash a tit
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a-c-a-b
10/08/18 2:37:35 PM
#6:


It was probably just acid reflux.
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Coffeebeanz
10/08/18 3:13:47 PM
#7:


UDS positive for meth
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Questionmarktarius
10/08/18 3:15:09 PM
#8:


Coffeebeanz posted...
UDS positive for meth

Dumbassitis, possibly a chronic case.
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#9
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Foppe
10/08/18 3:15:40 PM
#10:



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teepan95
10/08/18 3:16:16 PM
#11:


"w/cc"?
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DezDroppedFreak
10/08/18 3:17:32 PM
#12:


teepan95 posted...
"w/cc"?

With chief complaint
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#13
Post #13 was unavailable or deleted.
VGCThirteen
10/08/18 3:19:59 PM
#14:


@Goats posted...
teepan95 posted...
"w/cc"?


might mean white/caucasian? Not sure renamon


Ah hell no fam. If anyone is going to have a Digimon gimmick it be me piemon
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Nuffinz0rz
10/08/18 3:22:25 PM
#15:


DezDroppedFreak posted...
teepan95 posted...
"w/cc"?

With chief complaint

carbon copy
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teepan95
10/08/18 3:47:36 PM
#16:


DezDroppedFreak posted...
teepan95 posted...
"w/cc"?

With chief complaint

OK thanks
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ImTheMacheteGuy
10/08/18 3:56:30 PM
#17:


Did you tell him to lay off the crystalline methamphetamine?
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Coffeebeanz
10/08/18 4:46:26 PM
#18:


ImTheMacheteGuy posted...
Did you tell him to lay off the crystalline methamphetamine?


I asked if he did drugs

"No"

Meth?

"Yeah"
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PhazonReborn
10/08/18 4:53:37 PM
#19:


Is TC both a confirmed girl and fake ER doctor?
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sleepysausage
10/08/18 4:53:46 PM
#20:


Sounds like a keeper
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Coffeebeanz
10/08/18 4:54:43 PM
#21:


PhazonReborn posted...
Is TC both a confirmed girl and fake ER doctor?


Of course I'm a fake ER doctor. A real ER doctor would have ordered 2 CT scans and a D-Dimer before calling the hospitalist.
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Ultima Dragon
10/08/18 4:54:52 PM
#22:


Coffeebeanz posted...
ImTheMacheteGuy posted...
Did you tell him to lay off the crystalline methamphetamine?


I asked if he did drugs

"No"

Meth?

"Yeah"


TIL meth isn't a drug.
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ImTheMacheteGuy
10/08/18 4:55:02 PM
#23:


Coffeebeanz posted...
ImTheMacheteGuy posted...
Did you tell him to lay off the crystalline methamphetamine?


I asked if he did drugs

"No"

Meth?

"Yeah"


Did he look 22? or like 40? >_>
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Coffeebeanz
10/08/18 4:55:28 PM
#24:


ImTheMacheteGuy posted...
Coffeebeanz posted...
ImTheMacheteGuy posted...
Did you tell him to lay off the crystalline methamphetamine?


I asked if he did drugs

"No"

Meth?

"Yeah"


Did he look 22? or like 40? >_>


I'd say mid-30s
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Coffeebeanz
10/08/18 4:58:32 PM
#25:


Fuck. This ER doc downstairs must be allergic to sending people home.
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Coffeebeanz
10/08/18 6:39:26 PM
#26:


Holy crap Cardiology actually cathed this dude. They must be hard up for cash or something.
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PhazonReborn
10/08/18 6:43:24 PM
#27:


Imagine believing TC actually posts on CE while being an ER Physician on duty
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Coffeebeanz
10/08/18 6:44:40 PM
#28:


PhazonReborn posted...
Imagine believing TC actually posts on CE while being an ER Physician on duty


Do you even know what a fucking hospitalist is?

Protip: Not ER docs.

Also other Protip: Don't insert catheter if there's blood in the meatus, and don't give a beta blocker to a guy who smokes crack.
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Kineth
10/08/18 6:48:54 PM
#29:


Coffeebeanz posted...
and don't give a beta blocker to a guy who smokes crack.


Yeah, he needs a hater blocker instead.
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joestarrr
10/08/18 6:50:57 PM
#30:


Coffeebeanz posted...
PhazonReborn posted...
Imagine believing TC actually posts on CE while being an ER Physician on duty


Do you even know what a fucking hospitalist is?

Protip: Not ER docs.

Also other Protip: Don't insert catheter if there's blood in the meatus, and don't give a beta blocker to a guy who smokes crack.


Phazon hates women. Its not just you
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ImTheMacheteGuy
10/08/18 6:54:43 PM
#31:


Coffeebeanz posted...
PhazonReborn posted...
Imagine believing TC actually posts on CE while being an ER Physician on duty


Do you even know what a fucking hospitalist is?

Protip: Not ER docs.

Also other Protip: Don't insert catheter if there's blood in the meatus, and don't give a beta blocker to a guy who smokes crack.


A hospitalist is someone who... hospitals? >_> (I actually don't know. I've only ever seen the title when you've mentioned it here and I haven't bothered to google it)
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PhazonReborn
10/08/18 7:21:11 PM
#32:


Imagine thinking TC a truly is a hospitalist
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#33
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BlameAnesthesia
10/08/18 7:34:52 PM
#34:


Coffeebeanz posted...
Holy crap Cardiology actually cathed this dude. They must be hard up for cash or something.


Lmfao

PhazonReborn posted...
Imagine believing TC actually posts on CE while being an ER Physician on duty


First off, medicine is a language. There is a way physicians communicate that your armchair "doctor" can't replicate. So it's pretty easy to tell here who is the real deal or not. Second, if you've spent any real time working in an ED you'd understand it's not necessarily always go-go-go. There are definitely lulls, especially on overnight shifts. Or sometimes your hospital is so full upstairs that the ED goes on what is called "diversion" whereby any new patient is just walk-ins and not by ambulance. I've spent several hours with nothing going on before. Third, she's not an ED doc, but hospitalists admit patients from the ED, therefore they are aware enough to discuss the patient's course prior to being admitted.

ImTheMacheteGuy posted...
A hospitalist is someone who... hospitals? >_> (I actually don't know. I've only ever seen the title when you've mentioned it here and I haven't bothered to google it)


A hospitalist usually refers to an internal medicine doctor who attends over inpatients in the hospital (in contrast to outpatient clinic). It can also refer to pediatricians or family docs who also attend inpatients.

Best example--Dr. Cox and J.D. (once he finished his residency) from the show Scrubs were both hospitalists.
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Coffeebeanz
10/08/18 7:36:50 PM
#35:


House is a hospitalist. And an internist w/ fellowships in Infectious Disease and Nephro. Which is literally the nerdiest thing to do in all of medicine.
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Reis
10/08/18 7:38:11 PM
#36:


BlameAnesthesia posted...
First off, medicine is a language. There is a way physicians communicate that your armchair "doctor" can't replicate. So it's pretty easy to tell here who is the real deal or not

this is what always what makes it lol worthy when you see people trying to shit on Coffeebeanz and joestarrr but anyone who's actually in the field knows better
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Coffeebeanz
10/08/18 7:42:25 PM
#37:


You know what's hilarious

Orthopod H&Ps

"Hypocreatininemia"
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ImTheMacheteGuy
10/08/18 7:47:30 PM
#38:


Coffeebeanz posted...
House is a hospitalist. And an internist w/ fellowships in Infectious Disease and Nephro. Which is literally the nerdiest thing to do in all of medicine.


Ah okay. I didn't really understand the scrubs explanation because I hate that show but I've seen a bunch of House so that makes sense. I know the scrubs character, just not really what they do on the show other than Cox can be a dick at times.
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Darkman124
10/08/18 8:03:12 PM
#39:


coffeebeanz' stress level alone has always convinced me that her background is legit
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thronedfire2
10/08/18 8:04:20 PM
#40:


how bad are intermittent chest pains anyway? I get them a couple times a week for like..10-20 seconds?
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Coffeebeanz
10/08/18 8:13:02 PM
#41:


Darkman124 posted...
coffeebeanz' stress level alone has always convinced me that her background is legit

Coffeebeanz posted...
Holy crap Cardiology actually cathed this dude. They must be hard up for cash or something.


how much more does the hospital charge for them to do it than for you to do it


If I could do caths I wouldn't be driving a car with a broken tape deck.
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KamenRiderBlade
10/08/18 8:15:14 PM
#42:


@Coffeebeanz posted...
If I could do caths I wouldn't be driving a car with a broken tape deck.
If the tape deck wasn't broken, would you be using it?
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Drpooplol
10/08/18 8:52:46 PM
#43:


Coffeebeanz posted...
Darkman124 posted...
coffeebeanz' stress level alone has always convinced me that her background is legit

Coffeebeanz posted...
Holy crap Cardiology actually cathed this dude. They must be hard up for cash or something.


how much more does the hospital charge for them to do it than for you to do it


If I could do caths I wouldn't be driving a car with a broken tape deck.

do you mean heart catheterization, as in what Dr's use to diagnose cardiac conditions?

Why would they do that do someone who is just a young drug boy? Sorry I don't know much about this, just what I know from the few medical records I've reviewed when I did some life insurance underwriting
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Questionmarktarius
10/08/18 8:57:51 PM
#44:


Drpooplol posted...
Why would they do that do someone who is just a young drug boy?

22 year old meth-head who's not completely burnt out yet and even willing to go to a hospital, implies someone who's in a reasonably well-off family and on a parent's cadillac insurance.

May as well.
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Drpooplol
10/08/18 9:01:42 PM
#45:


Questionmarktarius posted...
Drpooplol posted...
Why would they do that do someone who is just a young drug boy?

22 year old meth-head who's not completely burnt out yet and even willing to go to a hospital, implies someone who's in a reasonably well-off family and on a parent's cadillac insurance.

May as well.

yeah that's what I figured, at 22 he'll still be on his parents' insurance, so they can bleed em.
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DanHarenChamp
10/08/18 9:05:06 PM
#46:


im gonna guess he had some ekg changes? probably early repol lol. but technically aha/acc ACS guidelines will tell you to treat meth/cocaine pts the same as non-drug users, except that you dont give a bb. but yea, 22 yo, cath is a pretty big leap.
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Coffeebeanz
10/08/18 9:06:16 PM
#47:


Yeah. He actually had amphetamine cardiomyopathy. EF 20%. At 22 wow.
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Questionmarktarius
10/08/18 9:09:14 PM
#48:


Coffeebeanz posted...
Yeah. He actually had amphetamine cardiomyopathy. EF 20%. At 22 wow.

...that's a lot of meth.
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Ruvan22
10/08/18 10:05:38 PM
#49:


Coffeebeanz posted...
Yeah. He actually had amphetamine cardiomyopathy. EF 20%. At 22 wow.


My dad had a serious heart attack, double bypass, and just hit 70.. and his EF is 40% something...
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teepan95
10/09/18 12:12:15 AM
#50:


Next time, on Coffee Bean Z...
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