Randomly random

All is beautiful and random

1,385 notes

In your weaknesses lies your strengths; amongst the darkness dwells the light; within the obvious remains the concealed; in the midst of misfortune there is opportunity; chaos begets order; hate beckons love.

Jamel Duane (via psych-facts)

52 notes

Soooo…

wayfaringmd:

My patient who was totally fine with mostly black labs and who was barely admittable at 10:30PM coded at 2:30 am.

What. Just. Happened.

Now we’re vented with super high lactate and metabolic acidosis. Still no clue what is going on.

Oh yeah and the patient is too big for any of our scanners, so we got no imaging to go on. And their size, of course, also limits physical exam quality as well. 

92 notes

From the Archives: TSK: Dr. Cranquis hits a sore spot

Cranquis:
So you have a cough that's lasted for 3 weeks, keeps you from sleeping, and you feel tight in your chest and sometimes you wheeze?
Patient:
yes.
Cranquis:
And you get like this every August?
Patient:
yes.
Cranquis:
Ever since childhood.
Patient:
yes.
Cranquis:
So I assume you've been on an albuterol inhaler [asthma medication] in the past?
Patient:
yes it usually helps but it isn't helping this year.
Cranquis:
I couldn't help but notice that you smoke cigarettes...
Patient:
I DIDN'T COME IN HERE FOR A LECTURE! I JUST WANT MY LUNGS TO FEEL BETTER!
(Cranquis:
Hey that reminds me of a great joke about a river in Egypt -- stop me if you're heard this one before...)