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E-R Experience 2: What day is it?

May 8, 2006

*Just some interesting facts I got from the internet.

What day is it?

These are observations from a metropolitan ER on the Eastern Coast of the US.

Undeniably, certain diseases are more prevalent during certain seasons or days of the week. 

Friday and Saturday nights bring a preponderance of motor vehicle accidents, drunkenness, gunshot wounds, and laceration from bar brawls.

Motor vehicles accidents are also common on prom nights.


Sunday complaints reflect the mood of the weekend, mainly parties. They are mostly body aches and pains, abdominal pains and diarrhea.
Patients may come in late Sunday nights or early Monday morning hoping to get the next day off work.


Monday nights brings in the patients with the unmistaken “PID shuffle”(Pelvic Inflammatory Disease). Experienced doctors can tell these female patients apart a mile away. Typically, they are tilted slightly forwards and with slow deliberate steps as they walk into the ER. They complain of low abdominal pain. The problem can usually be traced to sexual exploits over the weekend.


During midweek urinary tract infections are common.


Serious medical problems can present at any time of the week.


In the winter months,broken bones from falls, skiing and sledding accidents are common. Hypothermia, frost bites from cold exposure, and carbon monoxide poisoning from kerosene heating stoves are prevalent. Exertional heart attacks are also common for people at risk shuffling snow.


Early morning rains and light snows on frozen roads, tend to wreck a lot of traffic havoc and accidents in metropolitan areas.


The warmer months bring a lot of outdoor accidents. Boating and fishing accidents: broken bones and lacerations from different sports including baseball, rock climbing and all terrain vehicles: and alcohol related accidents are common.


Many patients also present with symptoms relating to allergic insect bites and environmental allergens. They could manifest with breathing difficulty with a rapid disastrous effect.


And of course there are the malingerers, especially teenage girls, who deliberately mimic these symptoms of shortness of breath for secondary gains. They can show up at any time of the year.


With the full moon everything and anything can happen. Ask anyone who has put in enough hours in the ER and they would probably tell you some awry stories. The freaks do come out when the moon is full.

Contributed by A.J. MD., Frederick Maryland

 

Source: http://www.er-experience.com/

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