Recently was called over by a nurse who told me I Am A Grumpy Trucker 5 Level Of Stupidity Shirt. We pulled his bandages off and found a spurting femoral artery – at this point, the patient passed out. The patient was sent to theatres for an emergency operation. Then close the call for sure. In residency, I saw a cardiologist miss a STEMI (heart attack). By the time the patient came to us, some of the muscles supporting one of his heart valves had completely died and he was in cardiogenic shock (basically his heart function was so bad that it wasn’t circulating the blood in his body enough to support life). It was awful. Happily, he made it through though. For those who aren’t familiar, this is a great video about living with AS. If this post encourages someone to get a referral.
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Young student from, I think, Pakistan. He was complaining about his I Am A Grumpy Trucker 5 Level Of Stupidity Shirt. That would pass with some common anti-inflammatory drugs. When I visited him I saw many of the lymph nodes in his neck were swollen (which probably caused the stiffness) and not painful (not a good sign). Sent him right away to have a chest X-Ray that showed a huge mediastinal mass, suggestive of lymphoma. Sadly I don’t know what happened to him… Not as bad as that, but I had neck and shoulder pain and stiffness for about 5 years with docs telling me it was just soreness, “text neck”, etc. and prescribing NSAIDS and muscle relaxers. Finally, a new doc said to see a rheumatologist. Diagnosed with Ankylosing Spondylitis. Doc said it is often misdiagnosed or left undiagnosed.
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