The Ballad of Eric’s Prostate

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The Ballad of Eric’s Prostate starts with an unusual finding hidden inside a patient’s jocks…

A Stroke of Insight

A few years ago I was looking after an elderly woman in the emergency department who had suffered a stroke. She was aphasic — unable to understand speech or create comprehensible sentences. I explained to her family what had happened to her. Then her daughter asked me a question for which I hadn’t prepared an answer: “What does it feel like to have a stroke?”

Lessons from Osler 004

Osler

Osler teaches us to treat the patient, not the disease. Even if the patient is difficult.

Banana Memories

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The associations that populate our minds are wonderful things. To what thoughts does your mind race on contemplation of this banana, I wonder?

Putting Patients at Ease

A new UCEM guideline is out: “Putting Patients at Ease”. Apparently the best way to learn how to do something is to first learn how NOT to do it.

Bad News Broken Again

All doctors find breaking bad news a difficult thing to do. No matter how well prepared you are for your patient’s reactions, the unexpected is always waiting around the corner.

Choosing Life or Death

Alicia von Stamwitz: … Instead, he takes a small step back from the gurney and asks, “Does your father have a living will?” I freeze. No emergency room doctor has asked me this before. I answer, evenly, yes. “Do you have durable power of attorney?” Yes…

Once Were Warriors

OnceWereWarriors

Blood slowly dripped from two linear slits on the left side of the man’s chest. He focused on the doctor with a wide eyed stare and spoke in an anxious whisper:

“Doc, don’t let me die… don’t let me die, doc.”

Bad News Broken

The now infamous recuitment ad for NZ restaurant 'Murder Burger'

The patient’s son and two daughters had said little during the family meeting. The older daughter steadied her sister’s trembling hand while the son stared at the doctor intently.

State of Confusion

Ed Wynn in "The Perfect Fool," 1959. Photo by Sid Avery.

The surgical team left the old man’s bedside as the ward round came to an end. “That chap’s really not with it is he?”, said the Surgeon to his House Officer. “Perhaps we should get the medics to have a look at him. Do you think his state of confusion is acute or chronic?”.