Here is the one for the next ER episode: I get a call from our ER. There is a trauma coming with potential airway issues, we need anesthesia present. That's how they call us - anesthesia, not doctor anesthesiologist, or anesthesiologist on call, nothing like that, just anesthesia, not even Anesthesia, oh no. Next time I need a nurse I will ask for "nursing": "Hey, can I get some ER nursing help over here?" But forget it, I promise: All the crankiness in the next post. Now back to the coming trauma. When I get to the ER they tell me it's a firefighter. He has fallen from a ladder, while doing his firefighting thing. He does have a broken leg, potentially some other injuries. The ETA is about 10-15 minutes. I decide to just hang around the ER with my buddies ER docs. I have to tell July is the craziest month to get to the hospital and especially ER. Bunch of new overentuziastic residents and medical students are swarming around actively looking for a live or two to save. With no warning they are ready to start pumping your chest and give you mouth to mouth if you ask for a cough medicine. Our future doctors!
I have not even finished my coffee, as this young aggressive crowd started moving in one direction - towards the receiving double door - the injured firefighter has arrived, the July madness has begun. One glimpse at the guy is enough to figure out he was not in any immediate danger - he is fully conscious, breathing on his own, not needing any oxygen. Yes, his leg is broken, for I can see it is being backwards - the heel pointing in the same direction as his nose - not good! (If an anesthesiologist can suspect a broken leg by just looking at it, chances are it is broken). So he will be at the mercy of our wonderful orthopads if he meets two conditions:1. There is nothing else wrong with him; 2. He is able to survive these first minutes in this crazy, typical July ER. Several newly graduated docs are attacking the poor guy at the same time: "Sir, do you hear me!" "Who is the president of the United States?!!" "Do you have any allergies?!" "Does it hurt here?" "Do you or anyone in your family has a history of cancer, heart disease, rabies, ingrown nails, AIDS or at least asthma?" His head is spinning, but that is not stopping the army of young and knowledgeable eager to help. Someone has brought a huge special metal scissors and started cutting his firefighter pants to open up his broken leg to make it readily available to be sutured, cut off, or at least cleaned up. And suddenly it is silence - nothing but silence - it lasts maybe just a few seconds, but that is enough for me and some ER attending doctors to squeeze in through the crowd and what do we see - this big, over 6 foot tall, muscular, manly man, who was just awhile ago injured on the line of duty is wearing a nice bra - bright red with some difficult to appreciate pattern as it is severely wrinkled around his massive chest, the panties are there as well nicely matching the bra in color and style. As I am about to cover my mouth so I don't make it worse for the poor guy, one of the medical student says:"We have called your wife sir, she is on the way". Now imagine the scene - you are in the middle of a busy emergency room on a stretcher, butt naked -if we try not to look at the bra, with million people looking at you, and you are a firefighter! What would you do? Kill yourself with those metal scissors that has unveiled the truth? And the poor guy just says: "I don't care what you guys think just don't tell my wife!" We will not...
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