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Dấu hiệu nhồi máu cơ tim thầm lặng bạn đừng chủ quan
Tác giả: Cẩm Quyên Tham vấn y khoa: BS. Nguyễn Thường Hanh Dấu hiệu nhồi máu cơ tim thầm lặng bạn đừng chủ quan Đa số mọi người khi được hỏi về dấu hiệu nhồi máu cơ tim sẽ nghĩ ngay đến triệu chứng đau thắt ngực. Tuy nhiên trong vài năm gần đây, các bác sĩ đă nhận ra rằng triệu chứng của nhồi máu cơ tim không chỉ có một và không phải lúc nào cũng rơ ràng. Dấu hiệu nhồi máu cơ tim có thể xuất hiện theo nhiều cách khác nhau, phụ thuộc vào các yếu tố như giới tính, tiền sử bệnh và tuổi tác. Nhồi máu cơ tim là bệnh ǵ? Nhồi máu cơ tim là bệnh lư tim mạch nguy hiểm thường xảy ra khi một vùng cơ tim bị tổn thương, hoại tử do động mạch vành vận chuyển máu chứa oxy về tim bị tắc nghẽn. Nguyên nhân chủ yếu của sự tắc nghẽn này là do các mảng bám, mảng xơ vữa và huyết khối trong động mạch gây ra. Khi lưu lượng máu về tim thấp, nhịp tim người bệnh sẽ nhanh hơn và huyết áp hạ thấp hơn. Đến một lúc khi tim bị thiếu máu trầm trọng, cơn nhồi máu cơ tim (cơn đau tim) sẽ xảy ra. Nguyên nhân nhồi máu cơ tim dấu hiệu nhồi máu cơ tim 03 Xơ vữa động mạch là thủ phạm lớn nhất gây nhồi máu cơ tim. Các yếu tố nguy cơ gây xơ vữa động mạch bao gồm: •Nồng độ cholesterol trong máu cao (tăng cholesterol máu) •Giảm nồng độ lipoprotein mật độ cao (HDL), thường được gọi là “cholesterol tốt” •Cao huyết áp •Bệnh tiểu đường •Tiền sử mắc bệnh mạch vành khi c̣n nhỏ •Hút thuốc lá •Béo ph́ •Không hoạt động thể chất •Ở tuổi trung niên, đàn ông có nguy cơ đau tim cao hơn phụ nữ. Tuy nhiên, nguy cơ của phụ nữ lại tăng lên khi bắt đầu măn kinh. Ngoài xơ vữa động mạch, c̣n có các nguyên nhân khác hiếm gặp hơn là dị tật tim bẩm sinh, dễ tụ huyết khối, bệnh mô liên kết, viêm khớp dạng thấp hoặc lupus ban đỏ hệ thống. |
Dấu hiệu nhồi máu cơ tim
Nếu có điều ǵ không ổn với trái tim của bạn, bạn có nhận ra không? Sau đây là những dấu hiệu của bệnh nhồi máu cơ tim mà bạn cần phải chú ư. Dấu hiệu nhồi máu cơ tim sớm Càng nhận ra sớm các dấu hiệu của bệnh, bạn càng có nhiều cơ may ngăn cơn nhồi máu cơ tim xảy đến. Các triệu chứng của nhồi máu cơ tim sẽ khác nhau ở mỗi bệnh nhân. Điều quan trọng là bạn phải hiểu rơ cơ thể của chính ḿnh. Nếu nhận thấy có điều ǵ đó không ổn, hăy đến bệnh viện ngay lập tức. Theo Hiệp hội Chăm sóc bệnh nhân tim mạch, có khoảng 50% bệnh nhân nhồi máu cơ tim có các biểu hiện sớm trước khi bùng phát bệnh. Nếu nhận thức được các triệu chứng ban đầu này, bạn sẽ kịp thời điều trị và ngăn ngừa tổn thương tim xảy ra. Các triệu chứng sớm của nhồi máu cơ tim là: •Đau nhẹ hoặc khó chịu ở ngực (có thể đến và đi đột ngột) •Đau ở vai, cổ và hàm •Đổ mồ hôi •Buồn nôn hoặc nôn mửa •Chóng mặt hoặc ngất xỉu •Khó thở •Lo lắng hoặc lú lẫn nghiêm trọng Dấu hiệu nhồi máu cơ tim ở nam giới Dấu hiệu nhồi máu cơ tim Tỷ lệ bệnh nhân nhồi máu cơ tim ở nam giới cao hơn phụ nữ và họ cũng bị nhồi máu cơ tim sớm hơn. Nếu nam giới có tiền sử gia đ́nh mắc bệnh tim, hút thuốc lá, huyết áp cao, cholesterol trong máu cao, béo ph́ th́ khả năng bị nhồi máu cơ tim thậm chí c̣n cao hơn. Các triệu chứng đau tim ở nam giới bao gồm: •Đau hoặc cảm thấy bị đè nặng ở ngực •Đau hoặc khó chịu ở phần trên của cơ thể như cánh tay, vai trái, lưng, cổ, hàm hoặc dạ dày •Nhịp nhanh và không đều •Khó tiêu •Khó thở ngay cả khi đang nghỉ ngơi •Chóng mặt hoặc ngất xỉu •Toát mồ hôi lạnh Tuy nhiên, điều quan trọng cần nhớ là triệu chứng nhồi máu cơ tim ở mỗi bệnh nhân sẽ khác nhau. V́ vậy, bạn cần để ư tất cả các dấu hiệu xảy ra với ḿnh dù là nhỏ nhất. Triệu chứng nhồi máu cơ tim ở phụ nữ dấu hiệu nhồi máu cơ tim 01 Trong những năm gần đây, các nhà khoa học đă nhận ra rằng triệu chứng nhồi máu cơ tim ở phụ nữ và nam giới khá khác nhau. Triệu chứng điển h́nh ở phụ nữ bao gồm: •Mệt mỏi bất thường kéo dài trong vài ngày •Rối loạn giấc ngủ •Lo lắng •Chóng mặt •Khó thở •Khó tiêu •Đau lưng, vai hoặc cổ họng Phụ nữa sau 50 tuổi sẽ có nguy cơ bị nhồi máu cơ tim cao hơn. Trong giai đoạn này, thời kỳ măn kinh sẽ bắt đầu, mức hormone estrogen (hormone giúp trái tim khỏe mạnh) trong cơ thể hạ xuống. Nữ giới trải qua cơn nhồi máu cơ tim ít có cơ hội sống sót hơn nam giới. Do đó, điều quan trọng là phái đẹp phải luôn chú ư đến sức khỏe của bản thân trong thời kỳ tiền măn kinh và măn kinh. Triệu chứng nhồi máu cơ tim thầm lặng Nhồi máu cơ tim thầm lặng xảy ra mà không có các triệu chứng rơ nét. Nói cách khác, bạn thậm chí c̣n không nhận ra ḿnh đang bị nhồi máu cơ tim. Các cơn nhồi máu cơ tim thầm lặng rất phổ biến ở những người mắc bệnh tiểu đường và người từng trải qua cơn nhồi máu cơ tim trước đó. Triệu chứng thường là: •Khó chịu nhẹ ở ngực và biến mất khi nghỉ ngơi •Hay khó thở và mệt mỏi •Đau bụng hoặc ợ nóng •Xanh xao |
Pḥng tránh nhồi máu cơ tim
Không bao giờ là quá muộn để ngăn chặn cơn nhồi máu cơ tim, ngay cả khi bạn đă từng bị. Dưới đây là những cách để ngăn chặn cơn nhồi máu cơ tim: •Dùng thuốc: Uống thuốc có thể làm giảm nguy cơ và giúp phục hồi chức năng tim bị tổn thương. Các thuốc để pḥng ngừa nhồi máu cơ tim là aspirin, statin, thuốc chẹn beta và thuốc ức chế men chuyển. Tuy nhiên, bạn phải dùng thuốc theo đúng chỉ định và toa do bác sĩ kê đơn, không được tự ư sử dụng hoặc ngưng thuốc đột ngột. •Lối sống: Duy tŕ cân nặng khỏe mạnh với chế độ ăn có lợi cho tim, không hút thuốc, tập thể dục thường xuyên, kiểm soát căng thẳng và kiểm soát các t́nh trạng có thể dẫn đến nhồi máu cơ tim, như huyết áp cao, cholesterol cao, tiểu đường. •Theo đuổi chế độ ăn uống có lợi cho sức khỏe tim mạch: Ăn nhiều trái cây và rau xanh, hạn chế thực phẩm chứa cholesterol xấu, bỏ thuốc lá, rượu bia. Bạn có thể t́m hiểu thêm: Hiểu rơ cách sơ cứu nhồi máu cơ tim là bí quyết giúp thoát khỏi tử thần |
Những việc bạn nên làm sau cơn nhồi máu cơ tim
Tác giả: Cẩm Quyên Tham vấn y khoa: BS. Nguyễn Thường Hanh Những việc bạn nên làm sau cơn nhồi máu cơ tim Sau khi trải qua cơn nhồi máu cơ tim, bạn vẫn sợ hăi, lo lắng không biết ḿnh sẽ sống được bao lâu? Cơ hội phục hồi sức khỏe của ḿnh c̣n lại là bao nhiêu? Và làm sao để có cuộc sống khỏe mạnh sau cơn nhồi máu cơ tim? Sau đây là những lời khuyên Hello Bacsi dành cho bạn. Nhồi máu cơ tim là t́nh trạng nhiều nhánh mạch vành bị tắc hoàn toàn do các mảng bám, xơ vữa hoặc huyết khối gây nên. Chúng khiến cho một vùng cơ tim bị thiếu máu cục bộ liên tục, dẫn đến hậu quả là suy tim và thậm chí tử vong. Bao lâu th́ người bệnh nhồi máu cơ tim có thể sinh hoạt lại b́nh thường? Sau cơn nhồi máu cơ tim, người bệnh sẽ muốn nhanh chóng quay trở lại cuộc sống thường ngày. Tuy nhiên, việc này phụ thuộc vào sức khỏe tim và các thói quen sinh hoạt hàng ngày của bạn. Bạn cần nói chuyện với bác sĩ trước. Họ sẽ cho bạn biết thời điểm nào bạn có thể quay trở lại sinh hoạt b́nh thường cùng những hoạt động mà bạn nên làm và cần tránh. Tuyệt đối không tự làm theo ư ḿnh mà không hỏi ư kiến bác sĩ trước. Nếu bạn muốn quay trở lại sớm, hăy thử tham gia các bài tập phục hồi chức năng tim với các chuyên gia. Nhiều bệnh viện hiện nay đều có chương tŕnh phục hồi chức năng, giúp bệnh nhân nhồi máu cơ tim: •Tăng tốc độ hồi phục tim •Theo dơi và kiểm soát tim mạch thường xuyên •Giảm các nguy cơ biến chứng tim mạch cho người bệnh •Hỗ trợ đối phó với căng thẳng, lo lắng và trầm cảm Bạn có thể t́m hiểu thêm: Liệu pháp hỗ trợ hồi phục sau nhồi máu cơ tim Lời khuyên cho người bệnh sau cơn nhồi máu cơ tim Ngừng hút thuốc lá cơn nhồi máu cơ tim 01 Thuốc lá là một trong những tác nhân gây hại nhất cho trái tim. Các hóa chất trong thuốc lá sẽ làm hỏng thành của mạch máu gây xơ vữa, đồng thời gia tăng tắc nghẽn mạch máu, ngăn máu chứa oxy đến tim và các cơ quan khác. Nếu bạn hút thuốc lá, hăy lập kế hoạch bỏ thuốc ngay từ bây giờ. Ngoài ra, cần tránh hút thuốc lá thụ động, v́ hít khói thuốc của người khác cũng gây hệ lụy cho tim của bạn. Kiểm soát huyết áp Huyết áp cao gây căng thẳng cho tim và mạch máu. Các cách kiểm soát huyết áp phổ biến bao gồm tập thể dục, ăn ít muối, giảm cân nếu bạn thừa cân và tuân thủ sử dụng thuốc hạ huyết áp (trong trường hợp bạn bị huyết áp cao) theo hướng dẫn của bác sĩ. Kiểm soát lượng cholesterol trong máu Có hai loại cholesterol là lipoprotein mật độ cao (HDL, cholesterol tốt) và lipoprotein mật độ thấp (LDL, cholesterol xấu). Quá nhiều cholesterol xấu trong máu sẽ làm tăng nguy cơ mắc bệnh tim. Nếu bạn đă từng bị nhồi máu cơ tim, bác sĩ sẽ kê đơn thuốc giúp kiểm soát mức cholesterol. Bạn cũng nên thực hiện chế độ ăn cắt giảm các loại cholesterol xấu để giúp trái tim khỏe mạnh hơn. Những thực phẩm chứa nhiều cholesterol xấu: •Thịt mỡ và da của gia cầm •Sữa và các sản phẩm từ sữa •Bơ và mỡ động vật •Thực phẩm chiên rán và chế biến sẵn |
Kiểm soát bệnh tiểu đường
Bệnh tiểu đường là bệnh liên quan đến nồng độ hormone insulin trong máu. Bạn có thể mắc bệnh tiểu đường tuưp 1 nếu cơ thể không sản xuất insulin và tiểu đường tuưp 2 nếu cơ thể sản xuất không đủ hoặc sử dụng không đúng cách insulin. Bị tiểu đường làm tăng nguy cơ đau tim và đột quỵ. Bạn nên nói chuyện với bác sĩ về việc sàng lọc tiểu đường sau khi đă trải qua cơn nhồi máu cơ tim. Nếu bạn bị tiểu đường, bác sĩ sẽ giúp bạn lập kế hoạch quản lư đường huyết. Tập thể dục cơn nhồi máu cơ tim 02 Tập thể dục thường xuyên sẽ giúp trái tim khỏe mạnh hơn. Khi bạn tập thể dục, tim sẽ bơm máu và cung cấp oxy cho cơ thể, làm giảm cholesterol, huyết áp và trầm cảm. Tập thể dục kết hợp với chế độ ăn uống lành mạnh cũng giúp bạn giảm cân, ngăn ngừa béo ph́ và các nguy cơ về tim mạch. Tuy nhiên, không phải bài tập thể dục nào cũng phù hợp với bạn. Tốt nhất, bạn nên nói chuyện với bác sĩ để t́m ra bài tập phù hợp cho bản thân. Những cách giữ an toàn cho người bệnh nhồi máu cơ tim trong khi tập thể dục là: •Thực hiện các bài tập ở cường độ thấp trước •Khi bạn bắt đầu cảm thấy tốt hơn, hăy tăng cường độ lên từng chút một •Không được quá gắng sức •Nếu trong quá tŕnh tập thấy mệt mỏi, không khỏe hoặc đau nhức, hăy ngưng tập để phục hồi •Không tập thể dục ngay sau bữa ăn •Uống nhiều nước trong khi tập thể dục Ăn uống lành mạnh Thực phẩm ảnh hưởng đến lưu lượng máu của bạn. Chẳng hạn, chế độ ăn nhiều chất béo xấu (chất béo băo ḥa và chất béo chuyển hóa) sẽ gây tích tụ mảng bám trong động mạch. Hăy thêm các loại thực phẩm có ít cholesterol và ít chất béo băo ḥa (như trái cây và rau củ) vào chế độ ăn uống, đồng thời cắt giảm thịt đỏ, sản phẩm từ sữa, muối, đường, đồ chiên và thực phẩm chế biến sẵn. Để ư đến tâm trạng và cảm xúc của bản thân cơn nhồi máu cơ tim 03 Sau khi trải qua cơn bạo bệnh, tâm lư người bệnh rất dễ xấu đi, khiến họ: •Lo sợ •Phiền muộn •Xa lánh mọi người •Trầm cảm T́nh trạng này thường kéo dài từ 2-6 tháng và ảnh hưởng đến quá tŕnh phục hồi cho bệnh nhân. Nếu cảm thấy không ổn về mặt cảm xúc, bạn nên nói chuyện với người thân và t́m đến các bác sĩ trị liệu tâm lư để được giúp đỡ. Những dấu hiệu bạn cần để ư sau khi đă từng lên cơn nhồi máu cơ tim Nếu đă từng bị nhồi máu cơ tim, bạn cần để ư các dấu hiệu cảnh báo của bệnh để kịp thời chăm sóc y tế trước khi cơn nhồi máu cơ tim tiếp theo xảy ra. Những dấu hiệu này có thể xảy ra trong khi bạn đang hoạt động hoặc nghỉ ngơi, chúng bao gồm: •Đau thắt ngực •Co thắt hoặc đau ở cánh tay, cổ, hàm, dạ dày •Khó thở •Chóng mặt hoặc ngất xỉu •Da nhợt nhạt và đổ mồ hôi •Nhịp tim nhanh, không đều •Buồn nôn và nôn •Sưng, đau ở chân •Bỗng dưng cảm thấy mệt mỏi. |
Hiểu rơ cách sơ cứu nhồi máu cơ tim là bí quyết giúp thoát khỏi tử thần
Đây là một bài viết được tài trợ. Để biết thêm thông tin về chính sách Quảng cáo và Tài trợ của chúng tôi, vui ḷng đọc thêm tại đây. Tác giả: Ngân Phạm Tham vấn y khoa: BS. Nguyễn Thường Hanh Hiểu rơ cách sơ cứu nhồi máu cơ tim là bí quyết giúp thoát khỏi tử thần Việc hiểu rơ cách sơ cứu nhồi máu cơ tim là điều hết sức quan trọng để giúp chính bạn và người thân giành lấy mạng sống từ tay tử thần. Nhồi máu cơ tim là bệnh lư nguy hiểm với tỷ lệ tử vong rất cao. Đặc biệt, t́nh trạng này c̣n diễn tiến rất nhanh, khiến bạn và người thân dễ rơi vào thế bị động. Chính v́ vậy, theo các bác sĩ, để bảo vệ chính ḿnh và những người thân trong gia đ́nh, bạn cần t́m hiểu thật kỹ một vài cách sơ cứu nhồi máu cơ tim đơn giản để pḥng t́nh huống khẩn cấp. Dưới đây là một số cách sơ cứu hữu ích mà Hello Bacsi đă sưu tầm, bạn có thể tham khảo. Nhồi máu cơ tim – Hiểu đúng để điều trị hiệu quả Tim là cơ quan rất quan trọng, có vai tṛ bơm máu đi nuôi cơ thể và được nuôi dưỡng bởi 2 nhánh mạch máu chính là động mạch vành phải và động mạch vành trái. Bạn sẽ bị nhồi máu cơ tim nếu một trong hai động mạch này bị tắc nghẽn hoàn toàn. Lúc này, lượng máu nuôi tim bị cắt đứt đột ngột, một vùng cơ tim sẽ không nhận đủ oxy, dinh dưỡng, dần dần sẽ khiến cho tế bào cơ tim bị hoại tử và chết đi. Thông thường, nguyên nhân chính gây ra sự tắc nghẽn này là do các mảng xơ vữa được cấu thành từ cholesterol và các chất thải trong máu tích tụ tại thành mạch. Đến một thời điểm nào đó, các mảng xơ vữa này sẽ bị bong tróc và nứt vỡ, dẫn đến việc h́nh thành cục máu đông làm bít tắc ḷng mạch máu, khiến máu không lưu thông đến tim. Từ đó, dẫn đến hoại tử và chết vùng cơ tim, gây nên nhồi máu cơ tim. Các dấu hiệu cảnh báo nhồi máu cơ tim Theo một nghiên cứu do Đại học Arkansas, Hoa Kỳ thực hiện, 95% số người sống sót sau nhồi máu cơ tim đă có dấu hiệu trước đó vài tuần, thậm chí là vài tháng nhưng lại chủ quan, bỏ mặc hoặc có thể chính bản thân họ cũng không biết rơ đây là dấu hiệu của một cơn nhồi máu cơ tim sắp xảy đến. Nếu bạn cũng là một người ít chú tâm đến việc t́m hiểu các triệu chứng của bệnh này, hăy t́m hiểu nó ngay hôm nay bởi những kiến thức này chắc chắn sẽ khiến bạn gặp nhiều may mắn hơn so với những người khác. Dưới đây là một số các dấu hiệu cảnh báo nhồi máu cơ tim: •Đau thắt ngực: Đây là dấu hiệu nguy hiểm, một số người sẽ có cảm giác giống như có vật nặng đè lên ngực hoặc có bàn tay của ai đó bóp chặt lấy tim, trong khi một số khác lại cảm thấy đau nhói, bỏng rát như kim châm… Đa phần, cơn đau sẽ xuất hiện ở giữa ngực hoặc bên ngực trái, có thể lan lên cổ, hàm, vai, cánh tay trái hoặc cả hai tay trong khoảng một vài phút rồi biến mất và quay trở lại. •Mệt mỏi: 100% người bệnh cảm thấy mệt mỏi lặp đi lặp lại nhiều lần mà trước đây chưa từng bị trong khoảng vài ngày trước khi cơn nhồi máu cơ tim xuất hiện. •Khó thở: có thể xảy ra trước hoặc cùng lúc với cơn đau thắt ngực. •Buồn nôn, nôn mửa, khó tiêu, ợ nóng: Các triệu chứng này xuất hiện ở nữ nhiều hơn nam. Bên cạnh các triệu chứng kể trên, người bệnh c̣n có thể có các triệu chứng như: •Chóng mặt, choáng váng •Cảm giác muốn đi đại tiện •Toát mồ hôi lạnh •Vă mồ hôi •Lo lắng quá mức… Cách sơ cứu nhồi máu cơ tim pḥng lúc nguy kịch Sơ cứu nhồi máu cơ tim Trong những t́nh huống khẩn cấp, bạn cần phải b́nh tĩnh, gọi ngay cho cấp cứu Theo các chuyên gia, với chứng nhồi máu cơ tim, thời gian là yếu tố quan trọng nhất, quyết định sinh mạng của người bệnh. Chính v́ vậy, trong những t́nh huống khẩn cấp, bạn cần phải b́nh tĩnh, gọi ngay cho cấp cứu và trong thời gian chờ, bạn cần thực hiện đúng một số thao tác cơ bản sơ cứu người bị nhồi máu cơ tim để đem lại cơ hội sống sót cho người bệnh. Thời điểm để xử trí cơn nhồi máu cơ tim hiệu quả nhất là hai giờ kể từ khi cơn đau thắt ngực xảy ra. Dưới đây là cách sơ cứu nhồi máu cơ tim đơn giản mà bạn nên biết: Nếu bạn là người bị bệnh: •Dừng ngay mọi công việc đang làm, ngồi nghỉ ngơi hoặc nằm theo tư thế nửa nằm nửa ngồi (co đầu gối, nằm nghiêng 75 độ so với mặt đất). •Cởi bớt áo khoác ngoài, nới rộng khăn quàng cổ, cà vạt (nếu có). •Hít sâu, thở ra từ từ để giúp nhịp tim ổn định. •Uống một liều thuốc trị đau thắt ngực theo đơn của bác sĩ. Nếu sau 5 phút mà cơn đau ngực vẫn chưa đỡ, bạn có thể dùng thêm một liều nữa. •Nếu bạn được bác sĩ cho uống aspirin, hăy uống một viên để pḥng ngừa cục máu đông phát triển. |
Nếu bạn có người thân bị bệnh hoặc nhận thấy ai đó bị bệnh
Với người bệnh c̣n tỉnh, bạn hăy để người bệnh nằm ở tư thế nửa nằm nửa ngồi ở nơi thoáng đăng, trấn an nhẹ nhàng, tránh nói to hay hỏi quá nhiều v́ điều này có thể làm cho người bệnh cảm thấy căng thẳng. Nếu người bệnh được bác sĩ cho uống aspirin hoặc nitroglycerin… hăy cho họ dùng thuốc theo hướng dẫn. C̣n nếu họ đă bất tỉnh, bạn có thể thực hiện theo 2 cách sau: •Ép tim ngoài lồng ngực: Để người bệnh nằm lên một mặt phẳng cứng, quỳ gối phía bên trái. Sau đó chồng 2 bàn tay lên và đặt trước tim (vùng giữa 2 núm vú, khoang liên sườn 4 – 5 bên trái), dùng toàn lực ép mạnh và sâu xuống 1/3 lồng ngực rồi nới lỏng tay. Lặp lại động tác này liên tục 60 lần/phút để tăng co bóp tim. •Hô hấp nhân tạo: Đặt người bệnh nằm ở nơi thoáng đăng, nới rộng quần áo, kiểm tra dị vật trong miệng, rồi kê cao cổ để đầu hơi ngửa ra sau. Sau đó bịt mũi người bệnh rồi dùng miệng của ḿnh lấy hơi và thổi vào miệng người bệnh nhiều lần. Tuy nhiên, có một điều quan trọng cần lưu ư là bạn chỉ thực hiện các kỹ thuật sơ cứu này nếu là nhân viên y tế hay đă được huấn luyện thực hành các kỹ thuật này. Lối sống khoa học giúp pḥng ngừa nhồi máu cơ tim Sơ cứu nhồi máu cơ tim Tập thể dục và vận động thường xuyên là cách đơn giản nhất để ngăn ngừa nguy cơ bị nhồi máu cơ tim Nhồi máu cơ tim là một căn bệnh nguy hiểm. Chính v́ vậy, bạn nên chủ động pḥng ngừa để giúp bản thân và người thân trong gia đ́nh tránh khỏi nguy cơ mắc phải căn bệnh này. Để pḥng ngừa, cách đơn giản nhất là bạn nên duy tŕ một lối sống lành mạnh: •Xây dựng một chế độ ăn khoa học: Hạn chế ăn mặn, ăn các thực phẩm chứa nhiều đường, chất béo. Thay vào đó, bạn nên ăn nhiều các loại thực phẩm tốt cho sức khỏe như rau xanh, ngũ cốc, trái cây, thịt nạc… •Tập thể dục thường xuyên: Bạn có thể trao đổi với bác sĩ để biết được chế độ tập luyện phù hợp với bản thân. Bạn có thể đi bộ, bơi lội, chạy bộ… để giúp giảm cholesterol, giảm căng thẳng, điều này sẽ giúp trái tim khỏe mạnh hơn. •Từ bỏ các thói quen không tốt như hút thuốc, uống rượu, tránh làm việc quá sức v́ có thể dẫn đến t́nh trạng căng thẳng. Ngăn ngừa nhồi máu cơ tim với thực phẩm bảo vệ sức khỏe Vương Tâm Thống Với những người có nguy cơ cao bị nhồi máu cơ tim, ngoài việc duy tŕ lối sống khỏe mạnh th́ việc sử dụng thêm thực phẩm bảo vệ sức khỏe Vương Tâm Thống (*) là điều cần thiết. Vương Tâm Thống là sản phẩm được bào chế từ các loại thảo dược quư như: ● Bồ hoàng: chứa hoạt chất naringenin có tác dụng ức chế tăng sinh tế bào cơ trơn mạch máu – nguyên nhân làm dày thêm mảng xơ vữa. ● Đỏ ngọn: chứa nhóm chất flavonoid, có tác dụng bảo vệ tế bào, chống oxy hóa, triệt tiêu các gốc tự do trong cơ thể gây tổn thương mạch máu. ● Cao Natto: có tác dụng pḥng ngừa và phá hủy cục máu đông, làm giảm huyết áp. ● Sơn tra: giúp cải thiện chuyển hóa lipid, giảm viêm và bảo vệ tế bào nội mô mạch máu. Với những thành phần trên, sản phẩm có tác dụng làm tan huyết khối, pḥng ngừa xơ vữa động mạch và giảm nguy cơ nhồi máu cơ tim hiệu quả. Vương Tâm Thống là sản phẩm thuộc bản quyền của Công ty cổ phần Sản xuất và Thương mại Hồng Bàng, đơn vị chuyên sản xuất các sản phẩm bảo vệ sức khỏe từ thảo dược uy tín. Vương Tâm Thống Thực phẩm bảo vệ sức khỏe Vương Tâm Thống giúp pḥng ngừa nhồi máu cơ tim Đây cũng là giải pháp mà bác Nhạc (091 546 4796 – số nhà 48 ngơ 171 đường Trần Thái Tông, phường Trần Hưng Đạo, TP Thái B́nh) tin tưởng lựa chọn để pḥng ngừa nhồi máu cơ tim khi biết ḿnh đă mắc bệnh mạch vành nặng với 3 nhánh tắc hẹp, có nhánh lên tới 96%. Bạn đọc có thể lắng nghe chia sẻ kinh nghiệm của bác trong video dưới đây: <noscript><iframe title="Cách trị tối ưu nhất cho người bệnh mạch vành với 3 nhánh tắc hẹp" width="640" height="360" src="https://www.youtube.com/embed/wRHUCgBpcs4?feature= oembed" frameborder="0" allow="accelerometer ; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></noscript> Bác Nhạc chia sẻ kinh nghiệm pḥng ngừa nhồi máu cơ tim Sơ cứu nhồi máu cơ tim là một cuộc chạy đua với tử thần, sự sống sẽ nằm trong tay những ai biết chủ động pḥng ngừa và biết cách ứng phó với mọi t́nh huống xảy ra |
Ai dễ mắc nhồi máu cơ tim?
Tác giả: Giang Lê Tham vấn y khoa: TS. Dược khoa Trương Anh Thư Ai dễ mắc nhồi máu cơ tim? Việc bạn có nguy cơ phát triển một cơn đau tim (c̣n gọi là nhồi máu cơ tim) phần lớn được quyết định việc bạn có bao nhiêu yếu tố nguy cơ của bệnh động mạch vành, xơ vữa động mạch. Tin xấu là có một vài yếu tố nguy cơ của bệnh động mạch vành, và hầu hết trong số chúng là phổ biến trong xă hội phương Tây. Tin tốt là hầu hết các yếu tố nguy cơ là những điều chúng ta có khả năng kiểm soát. V́ vậy, chúng ta có rất nhiều điều để nói về nguy cơ phát triển một cơn nhồi máu cơ tim. Các yếu tố nguy cơ bị nhồi máu cơ tim có thể được chia thành hai nhóm nói chung – nhóm những nguy cơ mà chúng ta không thể kiểm soát, và nhóm những nguy cơ mà chúng ta có thể kiểm soát. Các yếu tố nguy cơ không thể kiểm soát được Yếu tố nguy cơ không kiểm soát được là các yếu tố nguy cơ chúng ta không thể làm bất cứ điều ǵ để thay đổi được. Nói chung, đây là các yếu tố nguy cơ có liên quan đến tuổi tác, giới tính và gen. •Tiền sử gia đ́nh có bệnh mạch vành sớm (bệnh động mạch vành đă xảy ra ở những người họ hàng trước tuổi 50 ở nam, hoặc trước tuổi 60 ở nữ). •Nam giới từ 55 tuổi trở lên, hoặc nữ giới từ 65 tuổi trở lên. •Đối với phụ nữ hậu măn kinh, hoặc đă cắt bỏ buồng trứng. •Bệnh thận măn tính. Các yếu tố nguy cơ kiểm soát được Yếu tố nguy cơ có thể kiểm soát là những yếu tố nguy cơ nằm trong tầm kiểm soát của chúng ta. Mặc dù bạn không thể làm được ǵ về tuổi tác, giới tính, hoặc gen, bạn có thể làm giảm nguy cơ nhồi máu cơ tim bằng cách chú ư cẩn thận đến những yếu tố nguy cơ sau: •Hút thuốc lá. Mặc dù hút thuốc lá là nguyên nhân chính của cơn nhồi máu cơ tim ở những người dưới 40 tuổi, đây là một yếu tố nguy cơ mạnh mẽ ở mọi lứa tuổi. •Cholesterol cao. Mức cholesterol LDL và cholesterol toàn phần cao, và cholesterol HDL thấp có liên quan đến nguy cơ gia tăng đáng kể các cơn nhồi máu cơ tim. •Béo ph́. Thừa cân, đặc biệt là có ṿng bụng lớn, có liên quan đến tăng nguy cơ nhồi máu cơ tim. •Thiếu tập thể dục. Những người tập thể dục thường xuyên giảm nguy cơ nhồi máu cơ tim. •Tăng huyết áp. Huyết áp cao là một yếu tố nguy cơ chính gây bệnh tim, đặc biệt là đột quỵ. •Bệnh tiểu đường. Bệnh tiểu đường đang trở nên rất phổ biến ở Việt Nam. Bệnh tiểu đường – cụ thể hơn, lượng đường trong máu cao và các rối loạn chuyển hóa khác đi cùng bệnh này – làm tăng sự phát triển của xơ vữa động mạch. •Hội chứng chuyển hóa. Hội chứng chuyển hóa có liên quan chặt chẽ đến bệnh tiểu đường, trong thực tế có thể được coi như là một loại rối loạn tiền tiểu đường. Nó cũng liên quan chặt chẽ với sự phát triển của xơ vữa động mạch. •Tăng c-reactive protein (CRP). CRP là một yếu tố nguy cơ tương đối mới. Tăng mức độ CRP cho thấy viêm hoạt động ở nơi nào đó trong cơ thể, trừ khi một số nguyên nhân rơ ràng của t́nh trạng viêm được t́m thấy ở nơi khác (chẳng hạn như viêm khớp hoạt động), CRP tăng cao được cho là phản ánh t́nh trạng viêm trong các mạch máu – đi kèm với xơ vữa động mạch. •Không uống rượu quá nhiều. Một số nghiên cứu cho thấy rằng việc uống rượu vừa phải (1–2 đơn vị cồn mỗi ngày, hoặc trong một số nghiên cứu, 1–2 đơn vị cồn mỗi tuần) có thể giảm nguy cơ nhồi máu cơ tim. Lư do bác sĩ không muốn khuyên bạn nên uống rượu để giảm nguy cơ tim là khi mọi người uống rượu nhiều hơn hai ly mỗi ngày, nguy cơ tử vong tổng thể (v́ bệnh gan, bệnh tim, ung thư vú, chấn thương và các nguyên nhân khác) tăng một cách nhanh chóng. Và như chúng ta đă biết, đối với nhiều người, thật khó để dừng lại chỉ với một hoặc hai ly rượu. •Căng thẳng tâm lư. Căng thẳng có liên quan đến các cơn nhồi máu cơ tim trong nhiều năm. Nhưng một số căng thẳng trong cuộc sống là không thể tránh khỏi và thậm chí là điều tốt trong nhiều trường hợp. Các yếu tố rủi ro xảy ra ở phụ nữ Dùng thuốc ngừa thai, đặc biệt là những người hút thuốc Thuốc tránh thai có liên quan đến sự gia tăng nhỏ trong nguy cơ nhồi máu cơ tim sớm ở phụ nữ. Nhưng khi thuốc tránh thai được kết hợp với hút thuốc, có một sự gia tăng rất lớn trong nguy cơ. Trong thực tế, các bác sĩ khuyên rằng những phụ nữ hút thuốc không nên uống thuốc ngừa thai. Thai kỳ phức tạp Phụ nữ có những rối loạn nhất định trong quá tŕnh mang thai – đặc biệt là phụ nữ bị huyết áp cao (t́nh trạng gọi là tiền sản giật) hoặc bệnh tiểu đường khi mang thai, hoặc những người sinh trẻ nhẹ cân – tăng nguy cơ nhồi máu cơ tim sớm. Bởi v́ thai kỳ phức tạp xác định những phụ nữ có nguy cơ cao, những người này nên quản lư chặt chẽ tất cả các yếu tố nguy cơ trong nhóm có thể kiểm soát được. |
In The Sun But Not Very Bright
Canada, Extra Stupid, Health & Body, Ontario, Patients, Pharmacy | Healthy | October 1, 2018 (I’m a pharmacist. I’m counselling a client on how to apply the rosacea cream his doctor has prescribed for him.) Me: “…and remember, even if you use this regularly, the most important way to prevent rosacea flares is to stay out of the sun.” Patient: “I’m in the sun all the time!” Me: “May I suggest sunscreen?” Patient: “Oh, no, I don’t wear sunscreen. I don’t want to put chemicals on my face.” (I looked at the box of expensive prescription face chemicals and died a little inside.) |
The Doctor’s Prognosis Is Dislocated From The Truth
Doctor/Physician, England, Hospital, Ignoring & Inattentive, Lazy/Unhelpful, Manchester, Non-Dialogue, UK | Healthy | October 1, 2018 This tale’s from a few years ago, and will need a little backstory. I have a multi-systemic collagen defect disorder called hypermobile Ehlers-Danlos syndrome. To explain it in detail would take all night; suffice it to say that my joints dislocate very easily and, though I’ve learned to put them back by myself, there are some I just can’t fix unaided, the wrist of my dominant hand being one of these, for obvious reasons. Bear in mind, too, that dislocations — whether full or partial — hurt. A lot. One evening, housesitting for a friend on the other side of my city, feeding her cats, I somehow managed to pop my right wrist half out of place. I knew it was out, and I was alone in the house, but — luckily, thought I — the nearest hospital was just over the road. I necked a dose of my usual liquid morphine, grabbed my walking stick left-handed, and headed over to Accident & Emergency. It was quiet, so I was seen in about thirty minutes and sent for an x-ray, as per routine. When my x-ray was done, though, the doctor on duty left me to sit — on a hard, plastic chair in a cubicle, that was not helping my general chronic pain, while my morphine slowly wore off — for three hours. After those long three hours, he finally bothered to come to me, and insisted, in the most supercilious, maddening way possible, that my wrist was fine, that the x-ray showed nothing, and that I should go home. I argued with him for a minute, but gave up. Words weren’t going to get through; that much was clear. I sighed. Then, I asked him to humour me for a moment and get a firm grip of the hand on my injured arm. He did, not looking too pleased about it. I yanked my arm back against his hold, hard. I could hear the crack as my wrist went back into its proper position, and so did he. The look on his face was an absolute picture. I’ve never been back to that hospital since. And if I have my way about it, I never will! |
Faintly Annoying
Bad Behavior, Colorado, Hospital, Lazy/Unhelpful, Nurses, USA | Healthy | September 29, 2018 (I work at the mental health ward. I’m at the nurses’ station when I hear a loud CRACK. A patient has collapsed on the floor. I run over to help.) Me: “What happened?” Nurse: “She was walking to the shower and just fainted. She’s been nothing but trouble!” (The patient looks like she hasn’t showered in days. She’s pale and really thin.) Me: “She looks terrible. What’s been happening to her?” Nurse: “She was vomiting for the past three days. Won’t even eat!” Me: “And you let her walk? Why haven’t you called medical?” Nurse: “She’s annoying!” |
Get Out Of There! Abort! Abort!
Atlanta, Bad Behavior, Doctor/Physician, Georgia, Medical Office, Non-Dialogue, USA | Healthy | September 29, 2018 My mother told me about an experience one of her coworkers had. The coworker had diabetes before she got pregnant. Her doctor considered her case high-risk, and sent her to another office in the city for some blood work. She had a referral, and all of the necessary info was sent to the office so that these blood tests could be performed. It was supposed to be an in-and-out procedure. When she got there, the main doctor of this practice was quite curt with her, almost rude. At first she just chalked it up to him being in a bad mood, or needing to learn better bedside manners. Then, he told her, “You know, people like you shouldn’t be getting pregnant.” She immediately asked what he meant by that. He went on to explain that people with certain health conditions, such as her diabetes, should not be reproducing. She responded that she was there for blood work, and then she was leaving; if he had any personal concerns, she wasn’t interested in hearing them. The doctor waved her off and told her that she needed to sign some paperwork. She asked what paperwork, as her regular office should have sent her information over. He wouldn’t answer her and just kept pushing the papers at her, telling her to sign. Finally, she took the paperwork and started reading it. The doctor was trying to force her into signing off for an abortion. She immediately called her regular doctor and told him what was going on. Her doctor told her to drop everything, and get out of there. Just get up, and walk out, right now. She did. Her regular doctor apologized profusely and told her he had no idea what the other doctor was up to. He told her he was going to report the practice, and asked if she wanted to lodge a complaint. She did. The next day, the other doctor’s practice was shut down, and he lost his license. Apparently he had been doing this to other women, and he was taking it upon himself to decide who was — or was not — “worthy” to reproduce or get pregnant. |
Unhealthy Health Advice
Bad Behavior, Delaware, Doctor/Physician, Medical Office, USA | Healthy | September 28, 2018 (TriCare, the medical insurance that all US military dependents are on, has sent me to a new gynecologist for treatment of severe endometriosis. Her profile says that she is Catholic, but I don’t think much about it until I have my first few visits with her. Please note that my husband is unable to father a child due to chemical exposure while serving a combat tour in Iraq. We have decided that we are perfectly fine with not having children. I tell her that I don’t want to be a mother.) New Gyno: “What?! You don’t want baby?! Why?” (She is from the Philippines and her English isn’t entirely perfect.) Me: “My husband is 100% unable to father a child. We have been having unprotected sex since we met over six years ago and we have never even had a pregnancy scare. I’m also not comfortable with being a mother.” New Gyno: “But your husband almost forty and never had baby. He need baby! You have to give him baby!” Me: “My husband is perfectly okay with not being a father. He is also in the process of being medically retired from the military, and we don’t think that it is a good time to have one now even if we could.” New Gyno: “But baby make all the stress in your life go away. Baby make your husband’s PTSD from Iraq go away!” Me: “What part of the fact that my husband can’t father a child do you not understand? I’m a Christian, and I believe that if God saw fit to give us a child in the last six years, he would have.” New Gyno: “But you take birth control! All women without baby take birth control! You need to take my husband’s fertility awareness program! It $200 per session, per week!” Me: *wondering where this came from because it’s not in my records* “Do you understand that I suffered a stroke at age twenty-six and I have a history of hypertension? If I had taken birth control for that long–” *I’m thirty-two* “–I would be dead by now! In thirteen years of being sexually active, I have never taken birth control, and I have never been pregnant! I don’t think that paying your husband $200 to learn how to count my cycles is going to get me pregnant. It’s also highly unethical for you to pressure someone into paying money that they might not have for a product that isn’t going to help!” New Gyno: “But you lie to me about stroke! You never have stroke! You able to walk!” Me: “I had eight Transient Ischemic Attacks!” *mini-strokes* “If you look at my face when I smile, it droops on one side. I also have partial paralysis in my right hand. I don’t know where you went to medical school, but both of those are the results of a stroke! If you want to really know why I won’t have a child, it’s because I take a cocktail of psychiatric medication to treat Bipolar Disorder and severe PTSD that my ex-husband left me with. If you’d looked at my records you would have known! All three medications are bad for an unborn baby! I also have Asperger’s Syndrome, and I don’t want any children of mine having the same problems that I have!” New Gyno: “But you can stop medications. God give you the strength to stop taking medications! God want you to have baby! It not normal for woman to not want baby!” Me: “You recommend stopping lithium cold turkey just to get pregnant?” New Gyno: “Yes! I don’t believe that those medications help mental illness! Only God help mental illness!” Me: “Are you aware that I could die if I stopped lithium cold turkey?” New Gyno: “Why you die? It just like stopping Prozac.” Me: “No, it’s not! I had a dose lowered once, and I got really sick. You mean to tell me that you equate an antidepressant to one of the most potent mood stabilizers on the market?” New Gyno: “Yes! All psychiatric drugs the same!” Me: “You have to be the craziest doctor that I have ever met! Is it your personal mission to make sure that every woman on this planet becomes a mother? I believe that if God wanted me to become a mother, he would have made me one!” New Gyno: “Yes. All woman need to become mother! I have five children and it make my life wonderful!” Me: “You need psychiatric help! I’m going to a doctor who understands my medical issues!” (My husband was medically retired a few months later, and we moved to a small community in eastern Kentucky. TriCare assigned me to a young female gynecologist who was a recent medical school graduate. She agreed that it was a REALLY bad idea for me to get pregnant, and is currently trying to get TriCare to approve a hysterectomy due to my nightmarish periods and history of pelvic pain. The new gynecologist thinks that the one I saw in Delaware is a complete loon!) |
Not Going To Strong-Arm You Into Confessing
Doctor/Physician, Hospital, Patients, Silly, UK | Healthy | September 27, 2018 (I am 23 and female. One day I have an accident and injure my arm and elbow. Initially, my family and I think it is just sprained, but the next day Mum decides to take me to the hospital as it is really painful. When I was about 13, both my younger brother and I went through a patch where we kept getting hurt in unbelievable ways and had to go to this hospital a lot; my mum has always thought that they put a note in our files for possible physical abuse, which was in no way true. After checking in to A&E, I start to get really dozy. I haven’t slept in about thirty hours due to pain and a really bad cold I’ve had since before the accident, so my mum asks if I want her to come in with me. I say yes. When we get to see the doctor, we go through all the normal questions, with Mum taking most of them. The doctor is young, female, and extremely nice. However, I am evasive about how the accident happened, as it was pretty embarrassing. This raises flags for the doctor, which I don’t notice. Mum doesn’t know how I did it, so she can’t elaborate. I then get sent off for an x-ray, which shows a break, and Mum takes me back to the doctor’s room.) Doctor: “Oh, good, you’re back. Let’s talk through the injury.” *gives medical explanation and advice* “It is a pretty painful break, but due to your age you should heal quickly and well.” *looks at me and seems very concerned by my attitude* “Mrs. [Mum] would you mind stepping outside for a bit?” (Mum and I shoot each other some looks but she leaves.) Doctor: *changes from cheerful to very comforting and soft* “Now, I just wanted to have a little chat with you and see how you were feeling. This is a pretty big break.” Me: “Feeling crap to be honest; my arm is really hurting and I’ve had this stupid cold in the middle of summer for a couple of days.” Doctor: “And how did you say you had inured it, again?” Me: *reservedly* “I fell.” Doctor: “Yes, you said, but how exactly?” Me: “Well, my hearing is a bit off with the cold, and I just lost my balance.” Doctor: *knowing this isn’t the whole story, as I’m a s*** liar* “Did someone push you at all? Did you get into an argument with your mum, maybe? You know these things aren’t your fault. I just want to make sure you’re safe.” Me: *finally clocking what’s going on* “Oh, nooooooo. It was nothing like that! It was just an accident.” Doctor: “Of course it was; no one really meant to hurt you and often it’s very confusing. Was it your mum, or maybe a different family member? Your dad?” Me: *really starting to panic* “No! Look. That’s not what happened! I fell off my bed, okay?! I was sitting cross-legged on my bed, my hearing went nuts, and I lost my balance! I fell off my bed and broke my arm!” (There is then complete silence and we both just sit there staring at each other.) Doctor: “Yep, well, that would do it, too. Doesn’t seem like there’s a problem here. Just try not to do it again!” (I then burst out laughing, followed by the doctor.) Doctor: “Well, that made my shift! Now go home and get some sleep.” (After leaving the doctor, I found my very curious mother waiting for me. I did tell her everything when we went home. She thought it was hilarious and no one has let me live it down.) |
Sick Of This Outdated Attitude
Bad Behavior, Medical Office, Nurses, USA | Healthy | September 27, 2018 (I am pregnant with my first child. My husband and I had decided we were “taking kids when they came.” While we weren’t actively trying — not testing ovulation or anything — we also weren’t avoiding pregnancy. I am 28 and a PhD candidate; my husband is in his early 30s and has a law degree. In summary, we are definitely established enough and old enough to have children responsibly. In my first trimester, I begin experiencing pretty awful pregnancy sickness, sometimes vomiting without stop for about an hour at a time. It’s not the worst possible, but not great, either. I call my OB to see if there’s anything they can recommend to get some relief from this. The OB office nurse has been repeatedly rude to me, to the extent that I’ve considered leaving their office more than once.) Me: *explaining the situation to her and asking* “Is there anything you recommend for women to perhaps limit the sickness?” OB Nurse: “No. Women get sick when they’re pregnant. If you didn’t want to get sick, you should have been a big girl and kept your legs together, or used a condom.” |
There Is No Immunization From Entitled Patients
Doctor/Physician, Jerk, Medical Office, Minnesota, USA | Healthy | September 26, 2018 (During my daughter’s first well-child visit after bringing her home from the hospital, I have what I think is a pretty standard question for the pediatrician:) Me: “Can I ask you about vaccinations?” Doctor: *gets this look on his face like he’s worried he’s about to be yelled at* “Um, okay?” Me: “When we have scheduled vaccinations, can you give us a schedule for when various immunizations are scheduled, what they’re for, and what sorts of signs we should be looking for in a potential reaction?” Doctor: *relaxes noticeably* “Oh, yeah. In fact, that’s all in the printout and if you want, we can talk through it at each visit.” Me: “You looked like you were afraid I was going to go off on you or something. Does that really happen?” Doctor: “You have no idea.” |
Numb From The Pain
Australia, Bad Behavior, Dentist, Ignoring & Inattentive, New South Wales, Sydney | Healthy | September 25, 2018 (I am in high school, with braces on my upper and lower teeth. My orthodontist decides that the overcrowding on my lower teeth is proving a big enough problem to warrant the removal of two perfectly healthy molars. I can’t say I am impressed, but I don’t have a choice and I am assured it won’t hurt, so I am not too worried. Sitting in the chair at the dentist, I am mostly nervous of the needles I’ll receive for anaesthetic. I receive a needle on each side and am given a moment for it to set in.) Dentist: “How’s that for you?” Me: “I can feel that.” Dentist: “Yes, you’ll feel pressure.” (The dentist pokes a pointy tool into my gum.) Me: “Ow, no, I mean it feels like it always would.” (The dentist looks sceptical, but gives me a second dose of anaesthetic and another moment for it to set in. My mum sits next to me. She’s been quiet all this time. The dentist pops out of the room. I lean over and tell her that everything feels normal; nothing is numb. I ask her, “Please don’t let her do this.” She begins to say something; I can’t remember what. The dentist comes back in.) Dentist: “Nonsense. She’s lying. You can’t feel anything.” (I protest, but the dentist basically forces her tools into my mouth and my mum kind of holds me down. The dentist starts cutting into my gum. I scream and wail.) Dentist: “Oh, stop; it’s just pressure.” (She continued the procedure, and I kept wailing and crying and gripping my mum’s hand. Afterwards, Mum’s hand was red raw, and she was flustered. She legitimately thought I was just scared, like most kids and teens. I remember shaking and feeling too woozy to say anything further to the dentist. I don’t know whether I’d have been physically able to, either. What I do remember is that the procedure had happened at eight am and that before lunch time my entire face went numb, so I had to spend about five hours with my face over a bucket, the drool pouring out in a constant stream. I vaguely remember my mum and dad both on the phone with the dentist in the other room with some muffled shouting of some kind.) |
It’s Not A Resident Problem
Assisted Living, Belgium, Crazy Requests, Jerk, Patients | Healthy | September 24, 2018 (Our nursing home has a group of volunteers that often help the nurses during meals and do most of the activities with the residents. This sometimes causes visitors to try to get the volunteers to do things they aren’t allowed to, or things even nurses aren’t allowed to do, such as giving medication at inappropriate times or giving extra medication when residents go on holidays with the family. I exit the elevator and hear an argument.) Visitor: “I don’t see what the problem is. I want to take my mother to [Local Restaurant], but I need her medication. Now go get them.” Volunteer: “Ma’am, I’d love to, but I can’t. I don’t know which medication your mother needs nor the exact dosage; you’ll have to speak to a nurse about that.” Visitor: “You are a nurse. You work here. Stop being lazy and go get my mother’s pills!” Volunteer: *notices me and points at me* “I’m not a nurse, but [My Name] is. If you ask her, she can check which medication your mother needs and give it to you.” Visitor: “If you’re not a nurse then why are you in my mother’s room?” Volunteer: “I was picking her up to go to the dining room; neither of us were aware you were going to come and pick her up. Since [My Name] is here, she can help you with the medication. I’ll go and take other residents to the dining room.” (At this point the resident opens her door.) Visitor: “You stop right there. I demand you do your job and get me those pills, and then go get your manager or whatever so I can complain about you!” (Before anyone can say or do a thing, the mother speaks up:) Resident: “G**d*** it, can you not embarrass me for once? First off, I don’t need medication during lunch! Second of all, we agreed to go out for lunch tomorrow. And third of all, if you don’t apologize to [Volunteer] right now, I’ll go out for lunch with her instead of you!” (The visitor just mumbles and checks her phone, then runs away after yelling, “I’m sorry.”) Resident: *to the volunteer* “You’re free tomorrow?” Volunteer: “I am.” Resident: “Good. If you want, pick me up at 11:00 and we’ll go to [Local Restaurant].” |
A Snappy Story
Doctor/Physician, England, Hospital, Ignoring & Inattentive, Jerk, UK | Healthy | September 24, 2018 (It is England in the 70s. My dad has been playing football — soccer — and ruptured his Achilles tendon. He had it repaired and spent six months in a cast from his foot to his knee. He is at the hospital, with the cast freshly removed, for an appointment with a physiotherapist.) Physiotherapist: “I am going to put this skipping rope on the ground, and I want you to jump over it.” Dad: “No.” Physiotherapist: “Go on; you’ll be fine.” Dad: “No way. You’ve got to be kidding.” Physiotherapist: “I know what I am doing.” (They argue a bit. But Dad gives in. SNAP! The Achilles tendon snaps all the way up the back of his leg to his knee. He then spends nine months with a plaster from his foot to his hip. Fast forward to the 2000s. Dad decides to get some soil delivered so he can work on a garden bed out the front while Mum takes it easy. He books the delivery of soil and realises my car is in the way of where it should be delivered. No problem, he thinks; he’ll just move the car. It doesn’t start, so he decides to roll it. It doesn’t have to go far, so he takes his foot off the brake, uses his other leg to get it started and SNAP. The car is fine. But there goes his Achilles tendon. It’s on the other foot, but he knows the feeling well. Despite being in a lot of pain, he is already in the car. The foot he’s damaged is his left, and he only needs the right to drive to the hospital, so he does so. Eventually he’s seen by the doctor.) Doctor: “So, what seems to be the problem?” Dad: “I’ve snapped my Achilles tendon.” Doctor: *laughs* “It’ll just be sprained.” Dad: “I know what you’re thinking, but in this case, you’re going to have to trust me.” (Dad gets a scan; it is snapped. The doctor turns to him, bewildered.) Doctor: “How did you know? And how did you drive here?” Dad: “Well, let me tell you a story…” |
Even Jesus Isn’t Coming Out Of This One
Hospital, Ignoring & Inattentive, Nurses, Oregon, USA | Healthy | September 23, 2018 (I go to the ER one night for suspected appendicitis. The nurse orders a blood draw and urine sample.) Nurse: “We’ll run your blood to see if anything is unusual, run a pregnancy test on your urine, and then go from there.” Me: “No need. There’s no chance that I’m pregnant.” Nurse: “We have to make sure.” Me: “I’m sure. If you look at my intake, you’ll see that I had a complete hysterectomy six years ago. I also haven’t had sex with a penis in four years. If by some dark magic I’m pregnant, I’ve got bigger things to worry about than my appendix.” (The nurse didn’t care, and the doctor ordered a pregnancy test, anyway. Lo and behold, it was negative.) |
Piss-Poor Grammar
Language & Words, Medical Office, USA | Healthy | September 20, 2018 (Sometimes, providers fill in a prescription without proofreading, leading to gems like this:) Prescription: “One capsule once a day to make it easier to urinate by mouth.” |
No Re Mi!
Baltimore, Bizarre, Doctor/Physician, Maryland, Medical Office, Non-Dialogue, USA | Healthy | September 17, 2018 A few years ago, I was having some issues with irregular periods and had to have my first pelvic exam. It was something I had avoided for a long time, because even the idea of it put me in a panic. My mom suggested I go to her gynecologist, and I agreed, largely because she was a woman and I refused to do it with a male doctor. So, the day of the appointment finally came and I was a nervous wreck over it, actually nearly throwing up at times. But I went and met with a nurse first, and she put me a tiny bit more at ease. But not for long. I was taken into the exam room and handed a “gown” to change into. I was told to have it open in the front, but it didn’t even come close to fitting me, so I was practically naked. If I pulled it as tight as I could around me, there were still at least six inches of skin uncovered across my chest, stomach, and lap. Then, the doctor didn’t come in for over half an hour, and at that point I was crying out of anxiety. When she finally came in, she asked if a student shadowing her could sit in, and I’m glad now I said yes. The doctor began by rather aggressively checking my breasts while she started singing the opening lines to the song Do-Re-Mi from The Sound of Music, “Let’s start at the very beginning, a very good place to start.” She explained by telling me she had a two-year-old grandson who could only be calmed down by The Sound of Music when he was worked up, and she thought maybe it would help me, too. I was speechless. I’m not sure why she thought it was a good idea to compare a grown woman having an anxiety attack to a tantrum-throwing toddler, but I’m still offended. The rest of the exam was relatively uneventful, with the student talking to me and holding my hand through much of it. I’ve promised myself that I will not let this experience scare me away from potentially necessary medical care in the future. But The Sound of Music is completely ruined for me forever |
Not On Fine Form Today
Australia, Extra Stupid, Medical Office, Patients | Healthy | September 16, 2018 (Our clinic gives out a Privacy Consent form to new patients, making them aware that the information given will be forwarded to their doctor when results are ready, and to medicare to claim their Bulk Billing. Our clipboards usually have about fifty forms on them, all the same. A patient comes to the desk with one and hands it to me.) Patient: *cheerily* “Finally. Here you go.” Me: “Thank you! Have a seat.” (I take the top one off and get ready to scan it into his file when I notice the second is filled out, as well.) Me: “How many did you…” Coworker #1 : *whispers* “Just let it go.” (I flip through the forms. They are all filled out. Luckily there were only nine left on the clipboard. I’d hate to see what would have happened if there had been fifty like all the other clipboards. Not long after, [Coworker #2 ] is going through the draws beside me.) Coworker #2 : “I can feel your blood boiling.” Me: “I just… I can’t. It’s… a shame. He was good-looking, as well. He’s just…. an idiot.” |
Fluffy Never Did Like That Sheep
California, Jerk, Patients, USA, Vet | Healthy | September 15, 2018 (Tapeworm infections are not uncommon in our area. Thankfully, they are easily treated, and in the case of dogs, easily prevented. Cats are harder because they can get the worms from eating infected rodents, but dogs cannot. Generally, when a dog has tapeworms, that means they have at some point in the past had fleas. The flea larvae ate a tapeworm egg, and then the flea grew up and the dog ate the flea. Every case of canine tapeworms I have ever diagnosed can be traced back to fleas. So, when I prescribe tapeworm medication, I also make sure the pet is on a monthly flea control — either drops or pills. I have just finished explaining this to a woman whose toy poodle has tested positive for tapeworms.) Owner: “Well, that is impossible. [Cutesy name that is longer than the dog] has never had fleas. You said, ‘generally,’ so there is another way, right?” Me: “Well, yes, but–” Owner: “Then that is obviously how it happened. [Dog] is groomed regularly, and we have a maid service and a gardener, so there is absolutely no way she could have been exposed to icky bugs.” Me: “Well, I mean, in theory–” Owner: “Theory nothing! [Dog] is in pristine condition without any of those monthly drops that common mutts need. So, we will be treating the tapeworms she got by the other method, but we will not be taking flea medications.” Me: “I’m sorry, ma’am, but there is just no way–” Owner: “Look here, missy. I know [Head Doctor at the practice], and if I have to call him and tell him that you think my pedigreed poodle has fleas, nobody is going to be happy.” Me: *sigh* “Okay, but I have one question for you.” Owner: “Yes?” Me: “How did she get the sheep’s skull open?” Owner: “What?!” Me: “If [Dog] didn’t get tapeworms from fleas, then the only way would be if she killed a sheep and ate its brains. So, please tell me, how did she kill the sheep?” Owner: *blushes* “So… maybe there could have been one flea, once.” |
Adopted The Worst Attitude
Bad Behavior, Hospital, Nurses, Ohio, USA | Healthy | September 14, 2018 Thirty-five years ago, I gave birth to our first child. The attending nurse was extremely cold and strict. In fact, we dubbed her Sergeant [Nurse]. At one point in my labor, Sergeant [Nurse] suggested strapping me down. They’d just had a fifteen year old who was high, jumped out of the ambulance as it was pulling up, and later tried to slit her wrists. So, maybe — just maybe — she was justified in thinking the worst. However, I wasn’t fifteen, wasn’t high, and had been handling labor so well that my husband and I were complimented profusely. Delivery went smoothly, but Sergeant [Nurse] did not let us hold our son. She simply showed him to us and took him away. Later, in my room, a close friend who was a nurse in the hospital came by to see me. When I expressed worry because Sergeant [Nurse] had taken the baby away so quickly, my friend was angry. She went to get our son. When she came back with him, she was even angrier. The reason? Sergeant [Nurse] had told her I shouldn’t see the baby because I was just going to give him up for adoption, anyway! Where she got that idea, I have no idea. Yes, I was young — eighteen — but I was married, and my husband had been there, very supportive and caring, during the entire labor and delivery. We had been showing our excitement and pleasure to be having a baby during the whole process. What idiot could watch two such happy new parents and decide that they intended to give away their baby?! |
There’s No Dedication To Medication
Assisted Living, Extra Stupid, Patients, USA, Washington | Healthy | September 12, 2018 (I work in assisted living as a nurse, overseeing over eighty residents.) Resident’s Daughter: “I’ve been thinking about talking to the doctor about stopping my mom’s [antipsychotic medication].” Me: “Is there a particular reason you’ve been thinking about this?” Resident’s Daughter: “Yes, after visiting her a lot I can see she’s been doing much better, and I don’t think she needs it anymore.” (This specific medication stops hallucinations, delusions, etc., and the resident has been on it over a year without side effects.) Me: “Yes, she is doing great; the medication is working great for her.” Resident’s Daughter: “Well, I want her to stop the medication; she doesn’t need it anymore.” (At this point the resident’s daughter is getting irritated, and there is no reasoning with her.) Me: “Well, the doctor will need to fax us a signed order to stop any medications; you can call and request this. But I can’t just stop a medication without a doctor’s orders.” (The resident’s daughter stormed off in a huff.) |
This Nurse Doesn’t Get A Thumbs Up
Australia, Ignoring & Inattentive, Medical Office, New South Wales, Nurses, Sydney | Healthy | September 10, 2018 (I am thirteen years old. I break my wrist and end up with a fibreglass cast. After about six weeks, when it is time to get it off, my dad takes me to a medical centre. The nurse who is allocated to the task of removing it is a little abrupt when describing the process, but in a way that makes me think she is just busy.) Nurse: “So, we’ll be using this saw to cut along the length of the cast on your arm and then make a cut around the thumb. You’ll feel a small tickling sensation.” Me: “Sounds good; ready when you are!” (The nurse inserts what is essentially a wooden tongue depressor under the cast so that the drill hits that and not skin, and then cuts along the length of my arm. It feels fine; there’s no pain or tickling. The nurse changes to the thumb section, puts the wooden thing under the cast, and starts to saw. I start to realize that it’s hurting rather than kind of vibrating.) Me: “Um, that’s actually kind of hurting; can we stop?” Nurse: *stops, but scoffs* “We can’t stop! Do you want a cast on your arm forever?” Me: “Um, no, it just really hurts.” Dad: *getting concerned* “She’s normally pretty good with pain; can we try it a different way?” Nurse: “There’s no other way to do it. We need to cut it loose around the thumb, and I’m nearly done, anyway!” (FINALLY, after about a minute of me trying to hold still and not flinch, the cut around my thumb was finally done and the cast could be removed. As soon as it came off, the nurse went white, kind of muttered something about getting a doctor, and walked out of the room. I then looked down and realised my thumb was dripping with blood, because the saw wasn’t sitting on the wooden depressor but instead cutting into my hand the whole time. My hand was fine, and the cut was super-glued shut, which gave me a fun story to tell at school for a week! To all nurses out there: I understand how busy and overworked you are, and that sometimes people complain of pain when there’s really nothing there, but sometimes there is something wrong with your routine procedure!) |
Smearing Your Education
Alabama, Doctor/Physician, Jerk, Medical Office, USA | Healthy | September 8, 2018 (At the age of 19 my mother decides it is time for me to get my first pap smear and checkup with a gynecologist. My appointment starts out normally; the nurse is very nice and explains what will happen, before leaving me alone to change into a gown. I settle myself on the table before the doctor comes in. He is an older man in his late 50s, rather heavy set, and with a bulbous nose.) Ob/Gyn: “Good morning! So, what brings you in today?” Me: “I recently turned 19, and my mother suggested it was time for me to get my first pap smear, since I am sexually active.” Ob/Gyn: “Your mom is silly to worry about that. You really shouldn’t be here before you’re 23.” Me: *remains silent as the doctor explains the procedure again* Ob/Gyn: “So, are you a student? What are you studying?” Me: *not wanting to explain my complex writing major* “Oh, I’m majoring in English.” Ob/Gyn: “So, what are you going to do with that other than be unemployed?” *chuckles* “Serve burgers?” (The rest of my appointment was spent in stony silence while the doctor began an already nerve-wracking and intimate procedure.) |
There’s No Dedication To Medication
Assisted Living, Extra Stupid, Patients, USA, Washington | Healthy | September 12, 2018 (I work in assisted living as a nurse, overseeing over eighty residents.) Resident’s Daughter: “I’ve been thinking about talking to the doctor about stopping my mom’s [antipsychotic medication].” Me: “Is there a particular reason you’ve been thinking about this?” Resident’s Daughter: “Yes, after visiting her a lot I can see she’s been doing much better, and I don’t think she needs it anymore.” (This specific medication stops hallucinations, delusions, etc., and the resident has been on it over a year without side effects.) Me: “Yes, she is doing great; the medication is working great for her.” Resident’s Daughter: “Well, I want her to stop the medication; she doesn’t need it anymore.” (At this point the resident’s daughter is getting irritated, and there is no reasoning with her.) Me: “Well, the doctor will need to fax us a signed order to stop any medications; you can call and request this. But I can’t just stop a medication without a doctor’s orders.” (The resident’s daughter stormed off in a huff.) |
This Nurse Doesn’t Get A Thumbs Up
Australia, Ignoring & Inattentive, Medical Office, New South Wales, Nurses, Sydney | Healthy | September 10, 2018 (I am thirteen years old. I break my wrist and end up with a fibreglass cast. After about six weeks, when it is time to get it off, my dad takes me to a medical centre. The nurse who is allocated to the task of removing it is a little abrupt when describing the process, but in a way that makes me think she is just busy.) Nurse: “So, we’ll be using this saw to cut along the length of the cast on your arm and then make a cut around the thumb. You’ll feel a small tickling sensation.” Me: “Sounds good; ready when you are!” (The nurse inserts what is essentially a wooden tongue depressor under the cast so that the drill hits that and not skin, and then cuts along the length of my arm. It feels fine; there’s no pain or tickling. The nurse changes to the thumb section, puts the wooden thing under the cast, and starts to saw. I start to realize that it’s hurting rather than kind of vibrating.) Me: “Um, that’s actually kind of hurting; can we stop?” Nurse: *stops, but scoffs* “We can’t stop! Do you want a cast on your arm forever?” Me: “Um, no, it just really hurts.” Dad: *getting concerned* “She’s normally pretty good with pain; can we try it a different way?” Nurse: “There’s no other way to do it. We need to cut it loose around the thumb, and I’m nearly done, anyway!” (FINALLY, after about a minute of me trying to hold still and not flinch, the cut around my thumb was finally done and the cast could be removed. As soon as it came off, the nurse went white, kind of muttered something about getting a doctor, and walked out of the room. I then looked down and realised my thumb was dripping with blood, because the saw wasn’t sitting on the wooden depressor but instead cutting into my hand the whole time. My hand was fine, and the cut was super-glued shut, which gave me a fun story to tell at school for a week! To all nurses out there: I understand how busy and overworked you are, and that sometimes people complain of pain when there’s really nothing there, but sometimes there is something wrong with your routine procedure!) |
Smearing Your Education
Alabama, Doctor/Physician, Jerk, Medical Office, USA | Healthy | September 8, 2018 (At the age of 19 my mother decides it is time for me to get my first pap smear and checkup with a gynecologist. My appointment starts out normally; the nurse is very nice and explains what will happen, before leaving me alone to change into a gown. I settle myself on the table before the doctor comes in. He is an older man in his late 50s, rather heavy set, and with a bulbous nose.) Ob/Gyn: “Good morning! So, what brings you in today?” Me: “I recently turned 19, and my mother suggested it was time for me to get my first pap smear, since I am sexually active.” Ob/Gyn: “Your mom is silly to worry about that. You really shouldn’t be here before you’re 23.” Me: *remains silent as the doctor explains the procedure again* Ob/Gyn: “So, are you a student? What are you studying?” Me: *not wanting to explain my complex writing major* “Oh, I’m majoring in English.” Ob/Gyn: “So, what are you going to do with that other than be unemployed?” *chuckles* “Serve burgers?” (The rest of my appointment was spent in stony silence while the doctor began an already nerve-wracking and intimate procedure.) |
Doesn’t Always Feel Good Getting Stoned
Doctor/Physician, Ignoring & Inattentive, Medical Office, Ohio, USA | Healthy | September 5, 2018 (I’ve been having awful pains for months now. I keep bringing it up to my family doctor, who passes it off as period cramps, as I’m a twenty-something female. I finally talk him into looking into it more, and he says it might be a kidney stone. I get referred to a urologist, all while being told, “I still think it’s period cramps.” I go in for my first visit after taking an x-ray.) New Doctor: “Okay, so, where is your pain at?” Me: “It’s mostly on my right side, a little bit higher up.” (He looks at where I’m pointing, then at some paperwork. He shuffles through it a bit.) New Doctor: “Okay, yeah. You have a kidney stone. It’s a good-sized one, too. We’re going to get some more images of it to confirm size and position before we talk about how to deal with it. Any questions about that?” Me: “I… don’t think so. You’re sure it’s a kidney stone?” New Doctor: “Unless you have a frozen pea in your urinary tract, it’s a stone.” (I ended up having surgery, and passed it all with no problem. My family doctor never blamed pain on period cramps again.) |
The Last Time The Medicine Was A Steal
Georgia, Jerk, Patients, Pharmacy, USA | Healthy | September 2, 2018 (I work in a retail pharmacy. One day a patient brings in a prescription for a blood pressure monitor. My coworker is taking prescriptions.) Coworker: “I’m sorry, ma’am, but we can’t fill this. We sell them over the counter but we can’t bill them to insurance.” *tries to hand it back* Patient: *upset* “Yes, you can fill them. I had one filled here a few years ago.” Coworker: “We have never been able to fill blood pressure monitors; our company isn’t authorized to dispense medical equipment.” Patient: *angry* “Then it must have been before you started here, but I had one filled at this store!” Coworker: *getting frustrated* “I have worked at this store since it opened eleven years ago, and have been in the pharmacy for seven years, and we have never dispensed blood pressure monitors.” Patient: “Yes, you have! The first time I brought a prescription in, the pharmacist showed me where they were, handed me one, and I walked out with it!” Coworker: *shocked* “If you walked out with it, then you just walked out with it.” Patient: “I am not a thief! I have never stolen anything in my life!” *stomps off* (She called corporate on my coworker for “calling her a thief,” but we had already sent an email to our district manager detailing the incident, so nothing came of it.) |
A Controlled Substance For A Controlling Patient
Crazy Requests, Patients, USA, Vet | Healthy | September 1, 2018 Me: “Thank you for calling [Animal Hospital]. This is [My Name]. How can I help you?” Client: “Hi, I just moved from [State] and need a refill of phenobarbital for my dog.” (Phenobarbital is used as a seizure medication in dogs, and it is a controlled substance because of its potential for abuse.) Me: “Okay, we actually can’t get you any medication without examining your dog, but I would be happy to set up an appointment for you. Then we can certainly get your dog some medication. We have a few appointments left today, or we could set something up at a more convenient time.” Client: “I don’t want an exam; he just needs more of his seizure medication.” Me: “Ma’am, we can’t prescribe him anything without an exam first.” Client: “But he’s been on it for years; you can ask my old vet.” Me: “Unfortunately, one veterinary clinic is not able to act as a pharmacy for a different veterinarian. We cannot give you any medication without examining your dog.” (At this point my coworkers are starting to listen to my end of the phone call, amused as I repeat myself.) Client: “But he just needs his medication.” Me: “I’m sorry, ma’am, but a vet must have a relationship with a patient in order to prescribe any medication. It’s not just a clinic policy; if one of our doctors prescribed you medication without examining your dog she could lose her license.” Client: “Ugh, how much would an exam cost?” Me: “$46.” Client: “I think I’ll call some other places first.” Me: “Have a great day. Give us a call if you decide to come in for an exam.” (I hang up the phone.) Me: *to my watching coworkers* “She can call around all she wants, but she’s not going to find a vet who will prescribe a controlled substance to a dog he’s never examined.” |
It’s A Matter Of Record That They Don’t Update Their Records
Ignoring & Inattentive, Jerk, Medical Office, Patients, USA | Healthy | August 31, 2018 (I am a medical assistant and a large part of my day is getting patients into rooms and asking all of the questions before a doctor sees them. This scenario happens far too often:) Me: “Okay, let’s go over your med list.” Patient: “It’s all up to date.” Me: “I know we do this at every visit, but we do it to make sure there aren’t duplicates or old meds that didn’t fall off.” Patient: *with a heavy, dramatic sigh, dripping with disdainful attitude while slouching in their chair in protest* “I know it’s up to date, but okay.” (I list one or two medications and they sigh dramatically and impatiently reply that, YES, it is one they’re taking. Some will use medical abbreviations such as PRN as if it’ll make me suddenly believe them. Then, this happens:) Me: “[Medication]?” Patient: *sitting up in full alert* “I’m not taking that anymore! Why is that on there?” Me: “I couldn’t tell you, but I’ll discontinue it on your chart. When did you stop taking it?” (The patient now usually gives some date preceding at least two appointments in our clinic, and usually because the patient decided to stop taking it or an outside provider advised the change, not something we would know unless they tell us. Usually at this point the patient’s attention becomes devoted to correcting this grave error as if we are just randomly inserting old medications for grins and giggles. I’ve only ever had one acknowledge that his attitude should probably change regarding his contributions to the accuracy of his medical records.) |
Need Some Protective Services From That Nurse
Doctor/Physician, Hospital, Jerk, Nurses, USA, Washington | Healthy | August 30, 2018 (I’ve just had my first child. I went into labor at night and he was born just after midnight. My boyfriend manages to get the next morning off, but as he’s the assistant manager of a dock, he has to go in the next afternoon. I’m not worried, as there’s not much concern for me or my son. The next day, my OBGYN comes in.) Doctor: “Hey, [My Name], how are you feeling?” Me: “Still sore. Is everything all right?” Doctor: “Oh, yeah. I just want to let you know that a nurse wanted me to call Child Protection Services for you.” (I freak out a bit, but he laughs.) Doctor: “Don’t worry; I won’t. Apparently, because of your boyfriend having to go to work, she didn’t think you guys were capable of taking care of your son. It’s pretty stupid.” (I relaxed after that. My son came home a day later and, with some help from friends, we had no problems with taking care of him.) |
Allergic To Bad Nurses
Hospital, Jerk, Non-Dialogue, Nurses, Patients, UK | Healthy | August 29, 2018 I have been dating my boyfriend for a few years. He is allergic to nuts. Eating them makes him very sick, so since we started dating I have stayed away from nuts, out of fear of cross contamination making him sick. This particular day my work was doing a bake sale for charity. One of the things for sale was a Reese’s Pieces brownie, with whole chunks of peanut. I was very happy to have a place where it would be safe for me to have peanuts, so I bought one and ate it straight away. Pretty much instantly I thought that my tongue felt a bit strange, but being an idiot I thought it was just my imagination and I ate that brownie in about half a minute. In the next few minutes my thoughts went from, “My mouth feels a little strange,” to, “It’s definitely getting harder to breathe.” I mentioned this to my manager, a first aider, but she thought I was joking. So I went to the receptionist, also a first aider, and mentioned it to her. She realised I wasn’t joking and panicked, running to get my manager. An ambulance was called and the staff sat with me as I waited and waited, in discomfort, and with no idea if it was going to get any worse. I vaguely remember joking to the baker that “these brownies are killer.” I thought it was funny at the time. Pretty sure she didn’t. After about 45 minutes with no ambulance, they called 999 again. That’s when we found out that the first ambulance couldn’t find their way into the office block — through the clearly-marked entrance — so they just gave up. The second ambulance came, and a decision to go to hospital was made, considering that I had no history of an allergy. We got to A & E and it was unsurprisingly busy. The paramedics were told to put me in resus until another bed cleared, as there was a space in there. They gave me antihistamines and steroids, and by this point I was feeling a lot better, but a secondary reaction was possible, so I still needed an eye on me. That’s when a nurse came in with a face like thunder, took one look at me, and declared to the whole room at full volume, “She’s not sick! She shouldn’t be in here!” She repeated this several times, while I just sat there nervously; I’m anxious enough most days, without someone telling me off for being somewhere I have no control over. I had no idea how to respond, so I just sat there ignoring her. She wasn’t doing anything except look at me and make these comments again and again. Eventually they found a normal bed to put me in, and I got moved, but as they moved me, she declared to the medics and porters around her, “See?! I told you she’s not sick!” A later blood test confirmed that I had developed a peanut allergy at 23. Luckily I didn’t have a secondary reaction, and it was a pretty easy lifestyle change to avoid, since I was already avoiding them for my partner. |
Ankle-Deep In Misdiagnoses
Baltimore, Extra Stupid, Hospital, Maryland, Non-Dialogue, Nurses, USA | Healthy | August 29, 2018 I am going down the steps from my porch and misstep, and end up breaking my leg in three places right near my ankle. It is a Friday night, so I can’t get an appointment with the orthopedic surgeon until Monday. When I go in for my appointment, I first see a nurse assistant with a very unique name. We talk about how it happened and my medical history. And because I’m female, she asks when my last period was. It has been almost a year. I’m on continuous birth control, despite not being sexually active, because during that time of the month, my migraines and fibromyalgia get to the point where I can’t function. She then goes to get the doctor, and from the room she has taken us to, we hear an argument break out over “who cancelled the appointment of the broken ankle girl.” I still don’t see how that’s possible, considering we made that appointment only an hour earlier. I end up being seen by another doctor with more of a specialty in what I need, so it works out and I forget about the weirdness. Fast forward a week to when I can finally have surgery. I’m in the hospital gown, have an IV in, and I’m being asked the same questions again and again: spell my name, what’s my birth date, etc. Finally the nurse looks at me funny and looks at my ankle splint — which has a ton of padding and is massive — and tells me, “I know it seems obvious, but I need you to tell me what you’re here for.” I tell her to fix my ankle. She nods and tells me that that nurse assistant — I remember her unique name — had put me down as coming in for a hysterectomy. I’m not sure if she was trying to — inaccurately — note in my file that I’d had one because I hadn’t had my period in a year, or somehow managed to screw up why I was seeing an orthopedic surgeon when I had three broken bones. But I guess that will forever be a mystery. |
Dated And Hated
Bad Behavior, Doctor/Physician, Hospital, Malaysia | Healthy | August 29, 2018 (I have a bad flu that doesn’t get better for two weeks, resulting in me coughing out bloody phlegm. I go to the hospital to get a checkup to see if anything is really wrong. When I get called into the clinic, the doctor, probably in his 50s or so, asks me about my sickness. He has this really smug look on his face, and I don’t think much about it until I start telling him about my symptoms. When I tell him that my illness began two weeks ago, he gets pissed off. He throws a calendar at me:) Doctor: “Don’t tell me when; tell me the exact date. Point it out on the calendar.” (I am dazed and try to recall the exact date I got sick. Meanwhile, he is mumbling about how youngsters have a worse memory than he does. I get pissed off, as well, from his attitude. I slam the calendar onto the table and point at the date. It isn’t the exact date but somewhere there. I take a wild guess.) Doctor: “I suspect that you may have tuberculosis, but it’s still too early to get an x-ray because it wouldn’t show up. So, you may or may not have it. I don’t know.” (After that, he had the d*** nerve to say I didn’t respect him, for slamming the calendar on the table. He prescribed antibiotics and I got better. Thank heavens I didn’t have to go back and see him.) |
Taking A Second Shot At Charging You
Billing, Jerk, Medical Office, Oregon, USA | Healthy | August 28, 2018 (I went to a doctor appointment, and during that appointment they were suppose to give me a tetanus shot. They gave me the wrong shot. So I had to go back into the doctor later to get the tetanus shot I was suppose to get the first time. When I went back in, I just got the shot, then left; no other service was provided. I then get a bill for the second visit, and this exchange happens when I call their billing department.) Me: “I am calling regarding a bill I got. I don’t think I should be charged for this appointment because the only reason I had to come in was because of an error by the nurse.” Billing: “I show here you had an appointment on [first date] and you paid your copay; is that correct?” Me: “Yes.” Billing: “Then I show you had a follow up appointment on [second date], and you did not pay your copay. That is why we are billing you.” Me: “That’s why I’m calling. The appointment on the [second date] was only required because your nurse made a mistake on the [first date]. If she had not made a mistake, I wouldn’t have come in for that appointment.” Billing: “I understand, sir, but since you came in for the second appointment, then we need to bill you for that appointment. Since your insurance covered everything but the copay, you have to pay that copay.” Me: “Let me explain again. On the first appointment, your nurse made a mistake. She gave me the wrong injection. I had to come in for the second appointment only because she made a mistake. If she had not made the mistake, I wouldn’t have come back in.” Billing: “It doesn’t matter; you still have to pay.” Me: *getting frustrated now* “Okay, let me ask you this another way. After your nurse made a mistake the first time, I could have gone to a lawyer, or filed a complaint against your practice. Also, I could have filed a complaint with my insurance provider, since you have actually billed them twice for getting the same injection. I did none of those things. So your choice is to now credit my account for the copay, or my next call will be to the medical practice board, and then my insurance company.” Billing: “One moment, please.” *puts me on hold for about five minutes then comes back* “I’ve talked to the doctor. We are going to waive that copay, but we will not do it again for any further visits.” (After that call I found a new doctor. No surprise, his practice went out of business a few months later. I know people complain how everyone is lawsuit-happy nowadays. You’d think if you had a patient who wasn’t interested in going the legal route but just didn’t want to be charged for their mistake they would happily oblige. I guess not.) |
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