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10 December 2010

You can have a day full of nice patients.

52F - stumbled on the bus and struck her nose on a hand rail. There was a small lac and the bleeding had stopped but asked to see her photo ID and that thing as way off to the side. When she asked what an ED would do I was honest and said just take the x-ray and refer her to a specialist, She said well my LMO can do that and we agreed. Left to see her own Dr.

77F - A pt known to me or rather the wife of a pt. He has recently had to be admitted to full time care and she really isn't coping with the guilt feelings. This has lead to depression, anxiety and are manifesting as physical symptoms with no pathology. We transported to seek some professional directed care and assistance.

44F - Just on a quick connection layover at the airport and BAM, the abdo pain that has been slowly growing since they departed jumps to a 9/10 and she nearly faints. Good country stock, not prone to over doing illness and with no Hx I'm stumped. All her innards are in fine working order and she's already had the gall bladder out? Transport for tests, and re-schedule the flight.

89F - Had a fall two weeks ago interstate. Nothing found on the ED discharge letter and sent home with analgesia to self manage. The pain is not responding to the meds and has not shown signs speedy enough for her liking for recovery. Wants to go to our hospital to get re-examined.

29M - Fell over last night a bit drunk with his arm under his ribs. This morning it feels like he may have broken a rib or two. X-RAY!

Assist another car with a difficult extraction of a suspected spinal pt.

30F - 33/40 gestation and having a small haemorrhage but can't located from where PR or PV. Not really something we go looking at and with the advanced pregnancy transport is the best.

89M - Helping his son to move a filing cabinet and it dropped on his lower leg. Nasty big laceration nearly 3/4 the length of his shin and down to the bone.

See you at the big One.

Taz

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