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18 April 2010

Fearful all night.

When was the sh*t going to hit the fan and we get our normal drunken abusive pt's?

72F - Found outside a local nursing home, they thought she had suffered a fall. After going through her possessions and knocking on an address she thought she lived at I discovered she was a happy dementia pt for a nursing home miles away and that she had been reported missing and Police were looking for her. We left her with the social worker at the hospital until police could collect her.
One pleasant pt.

56M - Pancreatitis, truthful alcoholic, just needing some pain management.
Second pleasant pt.

24F - Discharge to a private clinic from ED post a less than ten second syncope.
Third pleasant pt.

59M - Diarrhoea, has eaten two containers of prunes???? no bloody wonder! After my primary examination I wanted to take him to hospital for hypotension that had not resolved, tachycardia and tachyponea and variations on the 12 lead ECG. He totally refused, he understood my concerns and what the possible worst outcome may be of not getting checked by a Dr tonight (death) but still refused in a very nice way.
Fourth pleasant pt.

18M - ???Thought??? he might have been bitten by a spider. No swelling, no bite site, no nothing. 'Go home Dude'.
He was pleasant, not bright but pleasant, number Six.

30M - Happy Scottish gent who had tripped and cut his head. Needed stitches and he was our Seventh pleasant pt.

33F - Bi-Polar, Attention Deficit Syndrome, Schizoid, Personality Disorder, Rat Cunning! Absconded from a hospital during treatment for an intentional overdose, found one hundred km away at a rail station threatening to jump????? Police wanted us to search and transport as our male officers can with our Mental Health powers. She was testing the boundaries during the transport but was pleasant enough.
Number Eight.

20something M - passed out, unable to locate. Very pleasant number Nine.

50something M - assaulted, unable to locate. Very pleasant number Ten.

22M - Mandible fracture after being king hit. Sounds like it was an innocent attack and I spoke to him hours later it was an unusual fracture mostly involving the teeth and near bone on the right side of the mandible. A very pleasant dude too, number Eleven.

22M - Push bike onto car. Yes onto the car. cars travelling along road, he's being a 'risk taking' male doing tricks on the footpath and mucks one up falls off bike onto the windscreen of the passing car.
Pleasant not bright. Number Twelve.

30F - Domestic assault. Really just a transport for the Cops.

And all this was accomplished on overtime!!

How's that?

Be careful out there and I'll see you at the Big One.

Taz

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