I am feeling so much better. I was so sick when I wrote Wednesday’s blog that I was begging for the day to be over. By about 2:30 p.m., I started to sweat while working. About 20 minutes later, it was like a miracle. I was feeling so much better.
I had already had made a doctor’s appointment for the next morning. I went to my appointment anyway and was feeling pretty good by the time I got there. She gave me a Z-pack because she thought I might be harvesting a post-viral bacterial infection. My glands were still swollen and I was still having pain on swallowing. A day and a half later, I feel like a million bucks. It makes me not take feeling well for granted.
Today, I was having a normal day. Got patients coming and going. Some were actually walking in. A man walked into my room and he was swollen on the lower left side. He told me that he hadn't slept at all last night. We took an x-ray and then I started talking to him about his medical history. He has had three strokes. He is on an antiplatelet medication, aspirin, and about 4 other meds for his heart. Oh, and he is 56 years old.
Looking at the x-ray, he has a molar crown that has history of a root canal and crown with through and through decay and abscess all around both roots. The tooth needed to come out. This guy, although not in good shape medically, is having a dental problem that could possibly make his fragile health even worse.
I looked in his mouth and pushed around looking for spontaneous bleeding. Things looked okay. I wanted to get this tooth out, so I told my assistant I wanted topical. She looked at me and said out loud, "Where do I sign to say that I am not responsible?"
"Shut up and stop telling me what to do." I numbed him up and realized he had lost his color. I asked him if he was okay. I started to talk to him to make sure he was responding to me. We were having a conversation. I started to numb the tissue around the tooth. He told me that he has always hated the dentist and always gets nervous around needles. He asked to sit up, and this is the time I thought I might be in trouble.
He was sitting up and we were still having a conversation. But for safety’s sake, I called out to the reception area and had his wife come back. She was a trooper; she had obviously been down this road before with him. She started talking to him and he started to fade. He was sitting up and passing out at the same time. She said, "I think you better make that call." WHAT!!!????
I said as calmly I as could, "You mean call 911?"
And she said, as calmly as she could, "No, I mean call Domino's pizza and get some lunch while my husband is here dying in your chair."
No, she didn't say that. She said, "Yes, call 911."
While I was talking to the operator, he had come to and started feeling better. He was saying all the things that dudes say when they pass out. "Did I pass out? Are you going to make me go to the hospital?"
He really was fine and he was talking, but I still put in him in the Trendelenburg position and had him breathe oxygen until help arrived.
The guys came in and did their tests. They hooked up an EKG machine and blood pressure cuff and did their exam. Heart was good; blood pressure was little high but okay. Then they asked him what he wanted to do. He looked at me and asked me if I wanted to go ahead and finish. I said, "No fricking way."
The paramedic said, "Everything looks okay, I would recommend you going to the Primary Care physician when you get a chance. But for now let’s have you just stand up and see what happens." He stood up and, about 3 minutes later, he started to fall over. We made him sit down and the paramedic changed his tune. "I think you should go ahead and ride in bus to the hospital." They brought the chair in and wheeled him out.
I guess if you are going to have an emergency, this is the kind to have. You don’t want the kind that require CPR. Or the kind where lawyers have to get involved in later. Having the guy talking and laughing on his way out is definitely the way to go.
Just a great way to end a really crummy week. Now I have a good reason to hit the sauce tonight (I am not going to tell you how the AGD feels about drinking your stress away. I make that up by the way).
Have you had this happen to you? Anything crazy? Tell me, tell me.
Have a great weekend.