The magical mystery land of community health

I don't make this stuff up!…but I do change identifying information.

I Learn something new every day: Fecal Transplants! February 25, 2009

Filed under: Uncategorized — lesbonurse @ 12:22 am

Whoa. Fecal transplants. Check it out:

http://www.cbc.ca/health/story/2007/11/13/fecal-transplant.html?poop=2

Today I had a patient who claimed to have been cured of c. diff by a fecal transplant. I didn’t believe it until I googled it, but it’s true. Doctors can really take donor poo, liquify it with saline and administer it to a patient via enema in order to restore healthy intestinal flora. Hmm. I wonder who thought that up, and how long it took for their colleagues to stop laughing and embrace the idea?

 

Do’s and Don’ts of rubbing alcohol February 18, 2009

Filed under: Uncategorized — lesbonurse @ 2:02 am
  • DO use alcohol to clean your injection sites!
  • DON’T drink rubbing alcohol–be kind to your optic nerve!
  • DO use alcohol to “sterilize” your needle before piercing your ears in junior high (it won’t help that much, but it’s a nice thought!)
  • DON’T scrub your vagina with rubbing alcohol because you think you have a yeast infection!
  • DO use rubbing alcohol to scrub your stethoscope between uses!
  • DON’T apply alcohol to that fungal infection on your face–it’s won’t help!
 

Things that don’t really need an answer February 17, 2009

Filed under: Uncategorized — lesbonurse @ 1:21 am

These are some recent statements that really beg for an answer like “Duh” or “REALLY?”. But instead, I just settle for biting the inside of my cheeks while I think of how to make it a “teachable moment.”

  • Patient with epigastric abdominal pain. Me: “Do you drink coffee? Soda? Yes, soda? How much?” Patient: “Two bottles a day.” Me: “How big are the bottles?” Patient (making the size of a 2-liter bottle with his hands): “Why, there’s nothing wrong with that, right?”
  • Patient who was just informed of her 9-week pregnancy: “Should I be taking something for this? Like vitamins or something?”
  • Young female patient, in response to questioning about her daily fruit, veggie and calcium intake: “Well, I eat vegetables maybe once a month. Milk? Ew, no. Yogurt? Ew. Fruits? Sometimes, in the summer. Not in the winter. Why, is that bad?”
  • Patient whose blood sugar has reached 500, during a talk about healthy diet choices: “I don’t understand why my sugar keeps going up. I eat diet stuff. And I eat vegetables. Like what? Well, potatoes. And yucca. Mostly potatoes.”
  • Patient, requesting Percocet (and nothing else) for her back pain: “Why don’t people here just give me Percocet? I won’t get addicted to it, I promise! Why don’t you want me to have it?”

FYI folks, trying to convince someone to give you a narcotic by saying “I won’t get addicted, I promise” doesn’t work very well!