What a Day. Today in the ER, I diagnosed the following:
- New onset temporomandibular joint (TMJ) syndrome in a 29 year old woman.
- Phimosis and otitis externa in a 10 month old boy.
- Hip bursitis in a 72 year old man.
I participated in the care of:
- Man vs. table saw: the loser was a finger (unless the hand surgeons at Harborview can work a miracle).
- A young man with periodic familial hypokalemic paralysis.
- 51 year old man with suicide ideation and a plan. (See photo below.)
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The currents are deadly enough without having to deal with the impact. I have first hand experience (with the current, not the impact). Let me tell you: going through at slack tide is a much better idea than trying any other time. The current gets up to 8+ knots at flood and ebb. My wife once diagnosed me with suicidal ideation for trying to take this tidal rapid in my now deceased aluminum Grumman canoe.
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We admitted the the man with severe depression. Things are looking good for him. I am glad he came in today and decided to stay; he's also been an excellent teacher so far.
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