Problems

once i had a boil on my butt
and i went to the doctor. She told me

just to keep it clean and it will go away.
that was about a year ago now.

Now i get boils on my butt and in between my legs.
It is so annoying. It hurts when I sit down

and thats all we do in High School.
I am obese and my mother says

its because my legs are rubbing together.
She is probably right.

I am trying hard to lose weight
but these boils are getting in the way.

it is getting out of hand. Oh yeah, and
for some reason, which i don't know, all these boils

are leaving purple marks and not small ones.
I just need some help with this.

Is this a huge problem?



From a comment left at MedicineNet.com, 25 June 2013. Submitted by Jo Bell.

The intensive care ward

of a neurological hospital has an eerie calm
Patients are lined up on beds
in neat rows
Most of them hooked
to life-support machines
All of them still
All of them silent
The only sound is that of electronic beeping
and the whisperings of medical staff
It’s bleaker than a Thomas Hardy landscape



From A sudden stroke - and then Mum was gone, The Guardian, 26th January 2013. Punctuation removed. Submitted by Lisa Oliver.

Houndstooth

Things started to go downhill
while I was trying to
administer novocaine to a dog.
I'm still not entirely sure what happened.
I was trying to inject his gums with anesthesia
when a message popped up,
telling me I had failed.

Game over.


Taken from a review of an ipad app called 'Dental Surgery', 4th December 2012. Submitted by Mat Riches.

Dissecting Myself

Now I can start by
pulling the heart
Superiorally
And cutting through the inferior vena cava
Which is bringing the blood back
From the regions of the body
Inferior to the diaphram

Again I'll take the scissors
And cut through the aorta
and the pulmonary trunk
So those major outflow vessels
have now been cut

The last large vessel
That I need to cut through
Is the superior vena cava
Returning blood from
the upper limbs
and the head
back to the right atrium

So, again, I will cut through that
And the heart will be free.



Taken from a human anatomy dissection video, uploaded to youtube on 25 September 2010. Submitted by Isart.

Edits

Christmas episode.
Billboard of underwear
model in opening. Black.
Cup of tea or coffee prepared.
Fart sound. Tea served.
Black. Coffee served.
Two doctors are shown arguing with some physical contact as well.
Black. “Thank God
my husband is not my doctor.”
Coffee drunk, and coffee machine
in the background. Black.
Scene in operating room. A baby is born. Non-graphic
and the baby is covered with a cloth.
“Thank God.” “If God”
“If God really
chooses to bless
me” Black.



Taken from KBYU Edits Sheet for a Christmas Episode of "Doc", starring Billy Ray Cyrus on the 1st February 2012. Submitted by Ben.

Case History 5.1

The paramedics will be arriving
In four minutes
With a 34 year old patient who has
A blood pressure
Of 80 millimetre of mercury
(Systolic)
And a stab wound to the back,
between the shoulder blades.

What form of shock might this patient be
suffering from:

Haemorrhagic shock?
Pump failure due to pericardial tamponade?
Pump failure due to tension pneumothorax?
Neurogenic shock due to spinal cord transection?

All are possible.

What action may be necessary?



Case history taken from CCrISP (Care of the Critically Ill Surgical Patient), 2003, submitted by Jim.

Hepaticous

And then you're in an operating room,
Staring deep
Into a stellate smash of livid liver.

It oozes discontinuous destruction.
Fragments of hepatic mush are strewn
And coddled among clots of blood,
Stained with bile and mixed with stool.
The beauty of the enzyme pathways is nowhere to be seen;

Dr. Krebs is not in the building.
Weak indeed is the capsule holding it all in,
split apart like broiled bratwurst.
How little it takes!



By Jim, taken from Dr Schwab's blog, 8th October 2007.

Sawbones

I will reach in gently and caress the liver,
the stomach and spleen.
Slide over the top,
into the recesses,
curl the fingers enough to sense the texture,
the fullness.
The bowels move away and under,
and over the top as I direct my hand.
I can describe your kidneys now,
I’ve circled the top of your rectum,
held your uterus,
measured your ovaries between my fingers.
Part of you is gone at the moment,
but I’m here,
I know you now.
You trusted and let me in,
you opened your belly to me,
and I entered with force.
I’ll stay until it’s right.
It’s what I must do.
You think you’ll never touch me so
intimately as I’ve touched you.
But you have.
You have.



From a Surgeonsblog post published 7th October, 2006. Submitted by Marika Rose.

A silent fall of immense snow

He moved

forward a few

fine chattering gems.

He knew exactly who would

now sneeze calmly through an open
door. Had there been another year

of peace the battalion would have made
a floating system of perpetual drainage.

A silent fall of immense snow came near oily
remains of the purple-blue supper on the table.

We drove on in our old sunless walnut. Presently
classical eggs ticked in the new afternoon shadows.

We were instructed by my cousin Jasper not to exercise by country
house visiting unless accompanied by thirteen geese or gangsters.

The modern American did not prevail over the pair of redundant bronze puppies.
The worn-out principle is a bad omen which I am never glad to ransom on purpose.

By Jim. This is a Snellen chart (used to test eyesight) taken from the Oxford Handbook of Clinical Specialties, 2007.

The Love Song of I. Buprofen

If you suffer from any of the following
at any time during your treatment
stop taking the medicine and seek
immediate medical help:

Pass blood in your faeces.
Pass black tarry stools.
Vomit any blood or dark particles
that look like coffee grounds.
Develop a stiff neck, headache, nausea,
vomiting, fever and disorientation.

Stop taking the medicine and
tell your doctor if you experience:

Indigestion or heartburn.
Abdominal pains (pains in your stomach)
or other abnormal stomach symptoms.
Asthma, shortness of breath, skin rash,
itching or swelling of the face and tongue.

Fever, sore throat, mouth ulcers,
flu-like symptoms, severe exhaustion,
unexplained bleeding or bruising.

Other side effects that some patients
have had with ibuprofen include:

Stomach discomfort,
diarrhoea,
flatulence (wind),
constipation,
headache, dizziness,
vertigo, tinnitus

(ringing in the ears),

fluid retention,
high blood pressure,
visual disturbances,
feeling unwell,
tiredness and drowsiness,
sleeping problems,
nervousness, numbness
and tingling,

confusion, hallucinations and depression,
swelling of the feet and occasionally
blistering or flaking of the skin.

It has been known for Ibuprofen
to cause gastro-intestinal disturbances
such as abdominal pain, nausea,
vomiting or ulcers. Ibuprofen
can make colitis and Crohn's disease worse.

Very rarely,
blood in the urine,
kidney damage or
even failure,
liver damage
(including jaundice,
with yellowing of
the skin or eyes),
blood disorders or
sensitivity
to light may occur.

Some patients with
auto-immune disorders
(such as lupus)
have experienced a
kind of meningitis
(inflammation
of the brain) with
symptoms such as
stiff neck, headache,
nausea, vomiting,
fever or disorientation.

If you experience any other
unusual or unexpected symptoms
which persist or are troublesome,
consult your doctor or pharmacist.

If you experience
dizziness, drowsiness,
tiredness or problems with vision,
do not drive or
operate machinery.

Medicines such as Ibuprofen
tablets may be associated with
a small risk of heart attack
("myocardial infarction")

or stroke.



This is the 'While Taking Your Medicine' section of the Patient Information Leaflet for Ibuprofen Tablets BP 200mg, bought from the Co-op last week. Submitted by Gabriel Smy.