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01-22-2008, 05:35 PM | #1 |
Scooby Specialist
Member#: 89165
Join Date: Jun 2005
Chapter/Region:
MWSOC
Location: SE WI
Vehicle:Poop Stuck Survivor -=C=- & subari87 FOREVER! |
An employee just came to my office and asked me if she was having a heart attack
CN at the bottom.
A ___ y/o female patient was laughing nervously upon her arrival at my office. She appeared to be alert and oriented x4, and had normal skin color. Her skin appeared to be dry from where I was sitting. The Patient asked me if she was having a heart attack. The pt did appear to be mildly anxious. I asked what her symptoms were, and she stated that she felt a little light headed, and she had pain in her left shoulder. The pain was described as a dull pain, and does not radiate down left arm, to back, or to the chest. However, the pt also complains of left wrist pain. Signs and symptoms of a myocardial infarction, both typical and atypical, as well as MI case examples are discussed with the pt. the patient denied all symptoms discussed, and stated that she probably wasn't having a heart attack. More MI examples were explained to the pt, including my fathers recent episode in which it was theorized that he had a mild heart attack 5 days prior to calling 911, and the pt still believed she was not having an MI. Patient went back to her cube, but reappeared at cubes outside my office 4 or 5 minutes later. I asked some follow-up questions and performed a focused physical exam of the left shoulder. Upon palpation, pt states that shoulder pain "hurts, but in a good way; like you should work it more." By "work it more," pt is referring to massaging. Pt states she has a history of PVCs, but says PVCs are not occurring now, nor have they been occurring today. Pt did take two 325mg aspirin about one half hour ago. As of now, the aspirin are not providing any relief of shoulder or wrist pain. Pulse is 80, strong and regular. Skin is warm and dry. BP 146/90. Pt states that a BP taken last week was 130/81, and that her normal BP is 120/70. No other vitals taken. Pt also states that she operated a snow blower for some time prior to coming into work today. When asked when the arm pain started, pt states that she has been feeling it for a few hours prior to visiting me. I advised the pt that if her condition were to change at all, pain change, move, get worse, light-headedness return, etc., that she is to call me. Patient returned to her cubicle without incident. CN: The fact that people here at work know I'm an EMT sometimes makes my day more fulfilling and rewarding, even though I get less 'real work' done.
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01-22-2008, 05:35 PM | #2 |
Scooby Specialist
Member#: 3181
Join Date: Dec 2000
Location: Chicago Burbs
Vehicle:07 Rav4 Silver |
SO... her arm hurts from snowblowing and she thinks she is having a heart attack. Typical overcomplicated attention whore looking for the big strong fireman type to rub her shoulders to make up for a thankless relationship at home. FYI - If you want you can bone her tonight.
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01-22-2008, 05:37 PM | #3 |
Scooby Newbie
Member#: 56232
Join Date: Feb 2004
Chapter/Region:
RMIC
Location: omaha
Vehicle:89 325I i don't know |
whats your real job then?
edit: also, it was photoshopped. |
01-22-2008, 05:37 PM | #4 |
The Fellas fella
Member#: 7170
Join Date: Jun 2001
Chapter/Region:
NESIC
Vehicle:Aut Kaiser, aut nullus. |
Can I fill in that blank in with "hot 18"?
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01-22-2008, 05:40 PM | #5 |
Sufficient for Sharky
Member#: 55173
Join Date: Feb 2004
Chapter/Region:
MAIC
Location: I beat up big rocks
Vehicle:with paddles. |
The fact that you work with a self-indulgent creampuff who gets painful fatigue from operating a snowblower, and is so sedentary that she doesn't recognize exercise-induced soreness makes your day "more fulfilling and rewarding?"
I really wish I would set the bar that low. I would be so much happier. |
01-22-2008, 06:20 PM | #6 | |
Scooby Specialist
Member#: 89165
Join Date: Jun 2005
Chapter/Region:
MWSOC
Location: SE WI
Vehicle:Poop Stuck Survivor -=C=- & subari87 FOREVER! |
I work in the quote/contract dept of a pre-hospital medical equipment distributor. I wish her anomaly was photoshopped.
Quote:
Sure, try setting your bar low and see how things go for you. Me, I currently am not a practicing EMT in the field, but I'm still licensed and will excercise my chops when a sitaution presents itself and applying EMT skeelz are appropriate. No matter how big or small the situation is, I get satisfaction out of helping and/or making a difference. |
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01-22-2008, 06:28 PM | #7 |
Scooby Specialist
Member#: 65498
Join Date: Jul 2004
Chapter/Region:
MWSOC
Location: Black Sheep Squadron
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I'm here for the free medical advice.
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01-22-2008, 06:28 PM | #8 |
Scooby Newbie
Member#: 92776
Join Date: Aug 2005
Chapter/Region:
SWIC
Location: in the desert
Vehicle:2004 VF48 Wagon 6 gear speeding |
she dead yet?
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01-22-2008, 06:34 PM | #9 |
Scooby Specialist
Member#: 34931
Join Date: Apr 2003
Chapter/Region:
Tri-State
Location: Eagles are ****ing
Vehicle:. Super bowl LII Champions! |
you shouldve sent her to the ER
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01-22-2008, 06:37 PM | #10 |
Scooby Specialist
Member#: 135762
Join Date: Dec 2006
Chapter/Region:
Tri-State
Location: alternate reality
Vehicle:2059 Venturi Skimobi transparent aluminium |
tittiwop
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01-22-2008, 06:48 PM | #11 |
NASIOC T-Shirt Crew
Member#: 35509
Join Date: Apr 2003
Chapter/Region:
TXIC
Location: In Traffic with AC on my rear
Vehicle:2010 SuperChargedJag Pewter |
Did you cop a feel and say, it's all part of finding your heart beat?
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01-22-2008, 07:06 PM | #12 |
Scooby Newbie
Member#: 50183
Join Date: Dec 2003
Chapter/Region:
W. Canada
Location: Edmonton, Alberta
Vehicle:1999 06 WRX, 99 Swap CGM & BDP (Matte white) |
I suspect Angina. Just out of curiosity, since you are not employed professionally as an EMT do you need to be concerned about negligence, abandonment, etc?
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01-22-2008, 07:09 PM | #13 |
Scooby Newbie
Member#: 88206
Join Date: May 2005
Location: NYC
Vehicle:Buck Stopped @ Stage II |
Typical emt/paramedic: Use big medical words to impress joe schmo. Granted I am thankful emts/paramedics help people on a daily basis, most act like "who's the man?" Do yourself a favor, if you think someone's having a heart attack or any other disease you might "diagnose" to be harmful to a person, ask them if you could call 911.
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01-22-2008, 07:13 PM | #14 |
Scooby Guru
Member#: 7977
Join Date: Jul 2001
Chapter/Region:
MAIC
Location: Sterling, VA
Vehicle:100% Abuse |
404, getting your dick wet not found.
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01-22-2008, 07:13 PM | #15 | |
I'm sorry for apologizing
Moderatour Member#: 113533
Join Date: Apr 2006
Chapter/Region:
VIC
Location: Vancouver, BC
Vehicle:2017 Golf Alltrack |
Quote:
When my friends ask me medical questions I always answer the same, "If it concerns you enough to ask me, you should be going to see a Dr. If you don't think it's bad enough to see a Dr., stop complaining about it." <--- Cardiac Nurse |
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01-22-2008, 07:21 PM | #16 | |
Scooby Guru
Member#: 7977
Join Date: Jul 2001
Chapter/Region:
MAIC
Location: Sterling, VA
Vehicle:100% Abuse |
Quote:
do you wear the short skirt and garters? |
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01-22-2008, 07:23 PM | #17 |
Scooby Specialist
Member#: 147416
Join Date: Apr 2007
Chapter/Region:
NWIC
Location: Mill Creek, WA
Vehicle:2006 WRX Wagon CGM 2000 2.5rs sedan STM |
most women experience a harsh pain in the jaw when they have heart attacks which is why they are misdiagnosed and why more women die from heart attacks than men. They rarely have pain in their chests.
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01-22-2008, 07:24 PM | #18 | |
Scooby Specialist
Member#: 34931
Join Date: Apr 2003
Chapter/Region:
Tri-State
Location: Eagles are ****ing
Vehicle:. Super bowl LII Champions! |
Quote:
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01-22-2008, 07:25 PM | #19 |
Scooby Specialist
Member#: 70651
Join Date: Sep 2004
Chapter/Region:
VIC
Vehicle:'10 Fozzie XT The car is black....NOT! |
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01-22-2008, 07:27 PM | #20 |
I'm sorry for apologizing
Moderatour Member#: 113533
Join Date: Apr 2006
Chapter/Region:
VIC
Location: Vancouver, BC
Vehicle:2017 Golf Alltrack |
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01-22-2008, 07:29 PM | #21 |
Scooby Specialist
Member#: 34931
Join Date: Apr 2003
Chapter/Region:
Tri-State
Location: Eagles are ****ing
Vehicle:. Super bowl LII Champions! |
|
01-22-2008, 07:30 PM | #22 |
Scooby Guru
Member#: 7977
Join Date: Jul 2001
Chapter/Region:
MAIC
Location: Sterling, VA
Vehicle:100% Abuse |
Yes I, er, no I thought... forget it.
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01-22-2008, 07:49 PM | #23 |
Scooby Newbie
Member#: 88206
Join Date: May 2005
Location: NYC
Vehicle:Buck Stopped @ Stage II |
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01-22-2008, 07:53 PM | #24 |
I'm sorry for apologizing
Moderatour Member#: 113533
Join Date: Apr 2006
Chapter/Region:
VIC
Location: Vancouver, BC
Vehicle:2017 Golf Alltrack |
|
01-22-2008, 08:21 PM | #25 |
Scooby Newbie
Member#: 3569
Join Date: Jan 2001
Chapter/Region:
MWSOC
Location: St. Louis MO, USA
Vehicle:2006 STi AW |
Sometimes I really wonder about people like her. I know some people have a very high pain tolerance and that men and women present differently with MI, but if it worried her enough to even ask she should have seen a doctor ASAP (and not driven herself there). I can see not wanting to 'waste' an ambulance trip given the circumstances though.
I was talking to a fast food manager a while back and she said the assistant manager called her one night. The assistant was working a regular shift and thought the store might be on fire so she called the manager to see what she should do. |
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