I was speaking to one of my patients during an office encounter when my office door suddenly opened and the office manager popped her head in and angrily said: Dr. I need to talk to you. I had never seen her mad before so I apologized to my patient and stepped out.
She was steaming. She led me to the next door room and said that a mother had brought her child in for an office visit and she is now in a wheel chair and hardly conscious. She was pissed at the mother of the 13 year old child as she had neglected to get a refill on her type I diabetic meds and had also stopped giving her child her thyroid meds last month for no apparent reason. She wanted me to teach the mother a lesson.
I walked into the room and a nice looking child was slumped in a wheel chair, sweating and her eyes were closed. I sat beside her and felt her pulse, she was clammy but pulse was normal. I nudged her a little but she did not open eyes. I looked at the mother, and I admit that I probably looked at her in disgust from what I had heard. I asked her what happened and she said that its been so hard keeping track of her childs issues and she ran out of her insulin and she has been acting sick the past few days. I sat up and wheeled her to the hospital (our office is connected to the hospital) and got STAT blood works on her and had the nurses start her on IV fluids as the finger stick blood sugar test that we did came back HIGH (which means that its over the limit that the unit measures, which is usually over 450).
I returned to the office to finish up with my other patients but my mind was swirling with questions regarding this innocent little child. How could someone be so careless regarding such a serious issue? I was now steaming mad too. I returned to the hospital and by now she had received over 1 liter of IV fluids. She seemed more comfortable. Her bed was surrounded by other nurses and the office manager was there as well. They were all scared as she still was not responding to anyone (I had already called the twin cities to have her transferred with a helicopter to children hospital). The helicopter crew had arrived. I leaned over the child to take a closer look at her breathing pattern. She seemed comfortable and was not sweating anymore and her repeat blood sugar values were now in the 400s.
As I was leaned over her I asked her if she can hear me as her eyes were still closed. She answered "Mister, You smell good". The whole room burst in laughter and for a brief moment, we all forgot that this is a sick patient.
She did well at the children hospital and was sent home in 3-4 days but from that day forth.....I still get jokes about how good I smell!!!!!!!!!
Its called Obsession for Men.
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