No Breaks.

Day 28. National Blog Posting Month

I am actually looking forward to the weekend. It has been a hellish week at work (see my earlier posts).  I’ve been insanely busy with appointments and double bookings and it seems like everyone’s lab tests are abnormal. I was supposed to have a meeting with my colleagues at dinner last night but I felt unwell all day and had to cancel.  I thought the stomach virus was coming back but I think I just needed some sleep. So this colleague and I have not actually spoken about the issue that came up this week and rather than hang around this afternoon to do so, I am going to get the hell out of here while I still can.  I have no one booked this afternoon, so I am finally going to get home before 6pm which is so nice for a change.

I got to work this morning thrilled that no one was booked after 1 pm and dug in to clear my inbox. And that’s when I found out a patient (60 years old) has had a 20+ point drop in their hemoglobin over the past six months. This patient has other serious problems, a degenerative neurological disease, and really doesn’t need me to call and tell him he’s now anemic and we have to find out why.

For those not in the know – a significant drop in hemoglobin, the molecule in the blood that carries oxygen and is a marker of the bleeding status of a patient, in an individual over the age of 50 is a red flag for a gastrointestinal malignancy until proven otherwise.  This patient has not had any overt bleeding events in the past 6 months.  The bowel pattern has changed but was being blamed by the medications used to treat his neurological condition.  This patient has been declining rapidly with respect to his neurological status but now I can’t help but think there was something going on all along this past year that we are only just now seeing.  Could this patient have cancer?  I fear the answer may very well be yes.

And why the hell does this have to happen on a Friday and a month before Christmas?

Really? What the F—!?

 

 

 

5 thoughts on “No Breaks.

  1. I was thinking about doing a post on this, myself… How everything from Halloween until the end of January is so much worse. Cancer, death, exacerbations of chronic diseases. I had in one afternoon this week already two hospitalizations and one STAT CT of the abdomen and a STAT LE Doppler. ‘Tis the season, I guess.

    • It is so strange. I will never forget working at a walk-in clinic in December eight years ago. A woman in her 60s came in with a history of chronic abdominal pain and her kids brough her because she was yellow. One week before Christmas she was diagnosed with pancreatic cancer and she died a month later. Awful.

  2. I guess “bad things” don’t ever stop for the holidays. It sure would be nice if they would, though! Sorry that you had such a hard week and I hope you have a great weekend to make up for it!

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