10.12.2006

A fraction of my former self...

Well, it's been two weeks since the surgery. It was tough for a while, but swallowing is much easier now. Sadly, ice cream made my throat hurt worse, so my dream of having an excuse to eat nothing but ice cream for a week was dashed. Vanilla bean frappuccinos went down okay, so I've had a lot of those lately. Conveniently I started my internal medicine rotation back a the hospital, which features a Starbucks in the lobby!

Internal medicine has proven to be both demanding and very interesting so far. I'm very glad to be back in the hospital and working with the same patients for their whole stay in the hospital. On the first day that we were on call, I admitted a patient who complained of constipation for the last two weeks. Upon further questioning, I ascertained that this constipation was secondary to his consumption of four bags of microwave popcorn in one sitting. He had been seen in our ER a few days previously with the same complaint for which he received a colonoscopy. The colonoscopy showed a "popcorn bezoar" in his colon. A bezoar is a collection of foreign material in the GI system that is not digestable, often it is composed of hair or fiber. Apparently, popcorn was evident in this man's colon and was plugging him up. After several days in the hospital and gallons of Go Lightly later, my popcorn bezoar patient was sent home.

The next call day we, my colleague DS and I, admitted a middle-aged woman for chest pain. In the course of our very thorough history-taking, it came up that, although she is married, she is not sexually active. She told us that she was not very happy with this turn of events. She then added that she does enjoy watching "sex movies," but she isn't able to "enjoy herself" until she goes to sleep and dreams about them. So she feels like she's missing out. I have never worked so hard not to laugh in the middle of a conversation with a patient before. I hope now that her chest pain is better, her other problems can resolve as well.

I'm going to enjoy McDreamy and Fin on Grey's now! Oh, and McSteamy!

1 comment:

Anonymous said...

highly entertaining! tell me more! do you think the woman's chest pain would go away if she DID get laid? i say send her to the berman institute or refer her to sue johannson on the WE network--love her.