Comments on: The Patient of the Year http://gruntdoc.com/2006/09/the-patient-of-the-year.html Ramblings of an Emergency Physician in Texas Sat, 12 May 2012 12:36:18 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Kim http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4511 Kim Tue, 19 Sep 2006 16:21:13 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4511 Wow - this <i>was</i> a challenge! Thank goodness the objective tests confirmed a diagnosis, because it sure would have been difficult to sort it all out. Wow – this was a challenge! Thank goodness the objective tests confirmed a diagnosis, because it sure would have been difficult to sort it all out.

]]> By: Mike http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4510 Mike Wed, 13 Sep 2006 14:05:47 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4510 I've always wondered what deaf people "hear" when they're thinking. I believe everyone has that state of conciousness or awareness that is seperate of our physical shells. Could different states of awareness be stuck in the same physical shell?... schizophrenia I’ve always wondered what deaf people “hear” when they’re thinking. I believe everyone has that state of conciousness or awareness that is seperate of our physical shells. Could different states of awareness be stuck in the same physical shell?… schizophrenia

]]> By: jerry http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4509 jerry Mon, 11 Sep 2006 02:35:55 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4509 Don't you love it when your whole shift is full of these? Sometimes it makes me wonder what week or year of medical school I missed. In our ER the patients fill out a paper demographic questionaire that includes a chief complaint. The triage nurse also puts a chief complaint on the chart. I start off by asking why they are here, and often all three chif complaints are widely different and seemingly unrelated. Many times these people don't play with a full deck, or it has to do with wanting a medication that begins with a "D", or they need a note for missing work last friday and this monday. Don’t you love it when your whole shift is full of these? Sometimes it makes me wonder what week or year of medical school I missed.

In our ER the patients fill out a paper demographic questionaire that includes a chief complaint. The triage nurse also puts a chief complaint on the chart. I start off by asking why they are here, and often all three chif complaints are widely different and seemingly unrelated. Many times these people don’t play with a full deck, or it has to do with wanting a medication that begins with a “D”, or they need a note for missing work last friday and this monday.

]]> By: TheNewGuy http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4508 TheNewGuy Mon, 11 Sep 2006 01:14:47 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4508 I believe the correct description is "responding to internal stimuli." I believe the correct description is “responding to internal stimuli.”

]]> By: Carrie (NeoNurseChic) http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4507 Carrie (NeoNurseChic) Mon, 11 Sep 2006 01:01:02 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4507 Do you think that hearing voices could just mean hearing thoughts coming from a variety of different sources? I mean.....I don't need to have ever heard someone speak in order to read - and those thoughts get internalized in my own head. For someone who is deaf to communicate at all, they must have a series of thoughts go through their head - and even if they cannot hear a certain voice, they still have that streaming run of thoughts going. So I would think that it would be very possible that they could hear voices, but not by "hearing voices" as we might think - but think of it as having a lot of loud "thoughts" - that appear to come from other places besides within one's own brain. I may be totally off base there, but that's how I would interpret such a thing. Interesting and challenging patient - sounds like you did a great job to get the patient the help he or she needed! Do you think that hearing voices could just mean hearing thoughts coming from a variety of different sources? I mean…..I don’t need to have ever heard someone speak in order to read – and those thoughts get internalized in my own head. For someone who is deaf to communicate at all, they must have a series of thoughts go through their head – and even if they cannot hear a certain voice, they still have that streaming run of thoughts going. So I would think that it would be very possible that they could hear voices, but not by “hearing voices” as we might think – but think of it as having a lot of loud “thoughts” – that appear to come from other places besides within one’s own brain. I may be totally off base there, but that’s how I would interpret such a thing.

Interesting and challenging patient – sounds like you did a great job to get the patient the help he or she needed!

]]> By: Derrick L http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4506 Derrick L Sun, 10 Sep 2006 19:07:23 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4506 I had the exact same thought as Susan. What does it mean to "hear voices" if a person has been deaf their entire life? I had the exact same thought as Susan. What does it mean to “hear voices” if a person has been deaf their entire life?

]]> By: Susan http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4505 Susan Sun, 10 Sep 2006 13:59:46 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4505 She's deaf, but she hears voices. This fascinates me. Was she born deaf? You probably don't know that, but if she's never heard human voices, what does "hearing voices" even mean to her? This sounds like the kind of case Oliver Sacks would love! She’s deaf, but she hears voices. This fascinates me. Was she born deaf? You probably don’t know that, but if she’s never heard human voices, what does “hearing voices” even mean to her?

This sounds like the kind of case Oliver Sacks would love!

]]> By: scalpel http://gruntdoc.com/2006/09/the-patient-of-the-year.html/comment-page-1#comment-4504 scalpel Sun, 10 Sep 2006 07:30:44 +0000 http://gruntdoc.com/2006/09/the-patient-of-the-year.html#comment-4504 I'm always appreciative of any laboratory value that equals automatic admission. Next! I’m always appreciative of any laboratory value that equals automatic admission.

Next!

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