Doctors, What Is Your "One In A Million" Patient Story? (r/AskReddit)

dr. Zull read it what is a one in a million chance thing about your patient you have witnessed I'm a speech therapist speech language pathologist I was a student when I saw a person who had fallen 30 feet through a disused factory roof but they had skull fractures multiple strokes multi organ trauma and multiple spinal fractures and had a tracheotomy I was there to assess speech and review eating and drinking reading their notes I imagined there would be serious issues they were able to eat and drink with only slight texture modifications they could speak using a speaking valve and had no aphasia problems with understanding or finding words or dysarthria unclear speech they seemed slightly amused and bored off my assessments took my notebook and pen and wrote I can write to in Follis handwriting and handed it back I finished placement not long afterwards but they were expected to make a full recovery I had to tell a 104 year old patient that he was only the third oldest patient on the ward he was really disappointed the other two suspiciously died later that night not rare actually the opposite but something we don't see too often I had a patient with early stage pregnancy and some minor bleeding I did the ultrasound and saw normal fetus but no heartbeat and told her that it was likely due to pregnancy just being at an early stage I checked her ovaries and told her that I could print a picture of the fetus I moved the scan back to the fetus and there was the clear heartbeat during the minute or so that I was scanning the ovaries the heart started to beat I'm a nurse and this happened like the hospital I work at in the car park a staff member got out his car and it started rolling he reached him to pull the handbrake from where I was sitting in my car I didn't notice anything other than the car move and the guy jumped back in his car a few minutes later a lady walks by and starts screaming turns out he had been pinned half inside his car by his car door as his car had rolled towards the car next to him he was unconscious blue not breathing a bunch of us tried breaking into the car next to him to move it and eventually when there was about 20 of us we actually managed to his car back enough for ppl to pull him out luckily this happened at a hospital so the crash team had already been called they did CPR he lived I have a somewhat rare condition called Hema crania continua a migraine headache on one side all the time I haven't stimulator implanted to interrupt the signals it was an amazing thing to have it turned on after surgery and be headache free I was lucky to live near the number one doctor for the syndrome we walked in and he knew at once what it was it took five years to get to proved for the implant my mother now retired was a GP in the middle of nowhere in southwest France in the early 90s she had her first HIV cases with the met at a time they did not last long except one clearly HIV but not developing AIDS at all he was one of the few people with natural immunity we call them a leet suppresses and they probably still benefit from being on HIV meds because it probably reduces chronic inflammation in the body during my residency I worked in a unit which did a lot of urology we had a series of regular patients with urethral strictures narrowing of the urinary passage and they used to visit from time to time to get their strictures dilated these veterans would eventually learn how to catheterize themselves one of the patients a young boy of 14 whose original injury had been a pelvic fracture and a road traffic accident came to the OU on a Saturday in considerable discomfort I was on call and asked him what happened I passed this catheter in and I can't get it out what he was using wasn't really a conventional urinary catheter which has a balloon at the tip to keep it in place that can sometimes get stuck if the channel to deflate the balloon gets clogged but that was not the problem here he was using an infant feeding tube because the conventional catheters were too big for his narrow passage the feeding tube is just a simple tube with no swellings and no mechanism to retain itself in the bladder so I didn't really believe him however I found that he was right I couldn't get the catheter out either the catheter was fitting so snugly in the stricture that he couldn't pass urine and his bladder had filled up like a about to burst we took him to the Orang did a suprapubic cystoscopy basically made an opening into the bladder from the abdomen this relieved the pressure in the bladder next we passed a scope down the SPC and found that the feeding tube that he had used as a catheter had gone into the bladder and got snotted around itself every time we tugged on it the knot was getting tighter we had to cut it off below the knot to get the rest of the catheter out we got the knot out from the SPC holy crap poor kid had a patient come in with headaches and she was a young woman her entire body would go numb with these headaches got a CT she has three separate tumors in her brain inserted a urinary catheter to a female patient she complains of pain where the bladder is situated and it was distended no drainage pur catheter when we pull the catheter out there it was a one which got stuck inside the tube how the heck did the worm enter the bladder LabTech here we see worms very often disgusting and interesting at the same time one so when a female patient was submitting urine sample a full worm worked its way into the cup it was a scary slim Rockwoods Gotell of the medical field fruitful Jakob disease without relation to mad cow the prevalence of which is about one in a million persons worldwide yearly I had a patient with that once the neurosurgeon told me I don't know why he was being seen by him no surgery options that they can't even confirm the diagnosis until autopsy and they usually don't autopsy because they can't ever use the tools again seen a patient whose triglycerides were so high that it gave him pancreatitis they talked about it in the textbooks but it is extremely rare it was due to a combination of causes including drugs he was taking for HIV and now the crazy thing was when we drew blood it actually separated and there was a supernatant of fat that you could see in the vial my new doctor office called me about my latest blood work she says that my triglycerides are 269 and that is too high I say you mean they are down to 269 without a medic they are 5000 feet she say no you might mean 500 and I say no 5000 without this is about as low as we can get it not a doctor but a fireman EMT here we got called on a traffic accident one night and when we got there there was the guy hanging naked from a branch nine feet in the air and a pool of blood below him what happened as it was explained to us later the car he was driving lost control started spinning in the road and eventually hit a barrier and came to a sudden stop due to the centrifugal motion of the car and the fact he wasn't wearing a seat belt he came flying of the back window of his car landed on top of the tree and kept falling downwards losing clothes on his way out so we get him down put him on a stretcher and send him to a hospital sure he was dead as there were no vital signs well he survived and he comes and visits at the station every now and then I'm really impressed that tree branch has managed to rip all his clothes off that sounds like something only possible in a cartoon I was diagnosed with an ocular melanoma itself quite rare that went into tumor necrosis my doctor said one in five million I'd rather be boring I'm not a doctor but I am a patient who had an ACL avulsion that's where your ACL is so strong that instead of tearing it pulls a piece of bone off your tibia apparently it's pretty rare as a dentist we are used to seeing an erupted teeth still stuck in the bone which we call impacted teeth the third molars are notorious for this and after them the canine teeth also get impacted we confirm this when we see the radiographs of the patient I was seeing this radiograph of a colleague's patient who had a missing canine which we were expecting on find impacted we were not able to find it and thought it was missing on closer inspection we saw it impacted just below the eye lying horizontally my dad somehow got a blood infection that normally only dogs can get is your dad a good boy a nurse we give an antibiotic called Rocephin very frequently for patients diagnosed with aut the only complication i've ever seen from it is vomiting of it's pushed too fast I had a patient transferred to me from our urgent care site who had walked in fairly healthy but complaining of UT symptoms they had tested his urine diagnosed him with a UT given Rocephin and were planning on discharging him home with oral antibiotics we still don't know completely what happened but this is our best guess we think he had a gram-negative infection that reacted to the Rocephin by lysing the bacteria essentially exploded and raced through his body putting him into almost instant septic shock he had to be intubated and put on blood pressure medications to keep his BP high enough to perfuse his organs his temp went from 98.6 to 104 in under an hour a central line was placed because we kept running out of IVs to give medications he was transferred to an eye ku I have never before visited a patient of mine in the eye ku bid because all his drastic decline I had to see him and know how he was doing I cleared it with the IQ charge and visited him two days later he was extubated and walking almost on his own one of the fastest declines and recoveries I've ever seen had a very sick child with influenza spent six months in my eye ku had a month of blood gases that were not compatible with life had multiple collapsed lungs he's currently in sixth grade no ventilator no tracheostomy literally no complications for the long term I was a paramedic and I came to a scene where I had a patient who was talking to me but he had no blood pressure and no detectable pulse I couldn't even hear his heartbeat with a high-quality stethoscope they dumped a few bags of fluid in him in the IDI before they were barely able to get a BP on him worked oncology for five years and I've had several with no discernable BP and one with no palpable pulse that crap will make your own BP shoot through the roof had a veteran patient who had spina bifida on his problem list somehow he had made at though 20 plus years in the military and didn't get diagnosed with spina bifida occulta which is present at birth until after he got out have also seen a trial intramural hematoma blood between the tissue layers of one of the upper heart chambers mics edema coma and stage hypothyroidism which is quite rare in modern times midday or Tex syndrome calcified blockages of the major blood vessel of the body looks like coral on a CT scan in an adult veteran it is usually a childhood condition this was years ago saw the teenager 16 or 17 have a heart attack jacked athletic kid with eight pack abs fell on the ground clutching his chest during basketball practice everyone in the pediatric have thought it was a panic attack except for the adult a resident who said I've seen hundreds of heart attacks he's having a heart attack don't ask me why but that's what this looks like and that's what it was he had an inborn anomaly where one not coronary arteries cost between the pulmonary artery and the aorta during exercise the aorta and pulmonary artery expand with the increased cardiac output and for whatever reason that was the day that they squeezed a right coronary artery and caused a massive myocardial infarction it was Bad News Bears the damage was so bad kid needed a heart transplant he was transferred to a pediatric heart center a left ventricular assist device LVAD was implanted because his heart function was so poor a donor heart was found and as he was being prepared for surgery his own heart decided to suddenly start working again it turns out that hearts can heal after a massive heart attack especially teenage hearts and athletic kids this was only discovered after the advent of the LVAD because prior to that nobody would live long enough to recover at the time I think this kid was like one of the first 10 pediatric patients to get an LVAD at that hospital so the kid had to get his coronary artery re-implanted so that it wasn't going to get squeezed like that again but he got to keep his heart and I hear he recovered and returned playing basketball get is coronary artery re-implanted I'm imagining you fishing it out of the wastebasket and fetching a stapler story from last year after a pretty uneventful pregnancy a woman goes into labor but it doesn't advance as quickly as it should so she gets a secondary caesarean section standard procedure the baby gets out in its eyeball is almost pressed out of the eye socket everybody is in shock the parents start crying we don't know what to do turns out the child had a huge tumor of the temporal lobe which pushed the eye out we later analyzed the ultrasound picks and the tumor was already there so it just got overlooked brain tumors in neonates are even rarer than one in a million it's actually 0-3 per million so I hope I'll never see such a case again my research lab works on exactly these kinds of cases embryonal tumors are a nightmare for the family but from a science standpoint one of the remaining unknown frontiers so to speak one of my patients nearly died from an amniotic embolism while she was in labor it's so rare that the only way to diagnose it is by ruling pretty much everything else out first it's essentially when the amniotic fluid accidentally passes into the mums bloodstream but she had a cardiac arrest and we did CPR while doing an emergency c-section she is slowly recovering that has lost most of her brain function holy crap I am very glad I didn't know about that when I was pregnant that is absolutely terrifying I once saw an IV drug user who mange to break an old needle off in his vein when injecting and presented with chest pain it was only when we were doing an angiogram we noticed the needle fragment embedded in his heart I've never seen this before all sins I once saw a newborn baby who was a true mix of sexes intersex I was part of the meeting with the top pediatricians discussing the case the patient's sex was clinically indeterminate from external genitalia MRI showed one ovary and half her uterus on one side and a partially descended testicle on the other side to decide once and for all the used genetic analysis to analyze the chromosome makeup however this showed a 50/50 mosaic of cells some of which were xx female and some of which we're XY male a very confusing case as to what to do next unfortunately I was unable to follow this one up I'm a vet it wasn't the patient so much as the owners a dog was brought in because it was giving birth the only thing was that it was male the woman late 30 was screaming that she sees the head in reality those were his testicles in the end I had to sit and explain to her about the birds and the bees I was a nursing student years back and many of the students in my year thought that women pee out of their bags some were the people who believed this were old enough to have grandchildren I'm the patient but I have a type of mesothelioma that's extremely rare pelvic cystic mesothelioma I'm the 154th known person to ever have it sorry to hear that you're part of an incredibly exclusive club best of luck to you going forward medical student here had a 13 year old who presented to our service with a heart attack after we worked him up it turns out when he was a toddler he had unidentified Kawasaki diseases that went untreated one of the complications is coronary artery aneurysm which in his case clotted over and caused the heart attack overall he got better but has to be on blood thinners for the rest of his life my aunt and uncle in law are both doctors once she was lying on his stomach and she heard something odd on his pulse blood flow went to the hospital at night and he had surgery to resolve and blockage which if it had ruptured he would have been dead in ten minutes all by pure chance a guy with chronic kidney disease came to the owner deliriant state his consciousness rapidly declined and he went into cardiac arrest spent seven minutes doing CPR while we corrected his potassium levels the cause of the arrest he recovered with no long-term brain damage which is very doing unlikely to happen when you spend that much time brain dead some weeks ago we played a match of table tennis and he was okay good stuff my father is an anesthetist I remember his one-in-a-million way more air actually thing happened when I was like 13 he was mocking a patient out for the surgery did the pre-op staff the woman's consultation earlier show no flags for anything major she had a reaction which can happen such as malignant hyperthermia but this wasn't that her reaction to the medication was where her own skin started to split and peel away from her body and large chunks her own body was rejecting her skin the woman spent quite some time recovering there was an investigation into the whole thing but everything was done by the book and there was no reason for this to happen the drug company was contacted and they had never heard or seen about this happening with any of the drugs drugs were taken and retested this went on for a while turns out it was an allergic reaction to the drug and it's just the way presented it was so extremely rare no one had seen it with the drug that has been and used for decades all over the world my father ended up writing a paper on it sounds like some extreme version of toxic epidermal necrolysis but this usually takes several days to kick in don't quote me on that not a dermatologist here it's just stuff I remember from med school not a doctor but a nurse I work with a patient with CCHS also known as on dimes curse it affects around 1,200 to thousand people worldwide you know how you can generally breathe without even thinking about it well people with CCHS can't do that they are generally either on a ventilator or hooks a diaphragmatic pacemakers it sends an electric pulse to their phrenic nerve which then causes their diaphragm to draw breathe or they can do something called sprinting which is just being off equipment for a few minutes at a time if they focus on it they can usually breathe in their own there are a few other problems that are common besides just breathing but I don't feel like listing them off at the most interesting part to me is the law according to French and German mythology the nymph on Dean Undine discovered that her husband had committed adultery because he had promised his every waking breath to her she cursed him that so long as he was away key to brief but if he ever fell asleep he would stop breathing and die if you are new to the channel you can subscribe I publish new videos every day until then check another video bye for now [Music]

Channel: Internet Is Fun

Views: 63,215

Rating: 4.9028215 out of 5

Keywords: #updootst, updoot, updoot reddit, updoot everything, reddit on tap, toadfilms, pewdiepie, emkay, reddit, askreddit, funny reddit, reddit stories, top posts, reddit top posts, reddit cringe, comedy, reddit compilation, /r, r/, r/askreddit, top posts of r/, askreddit reading, best reddit posts, top posts of all time, people of reddit, askreddit question, ask reddit, subreddit, sub, askreddit school, r/askreddit how to, one in a million, doctors, reddit doctors, doctor stories, er, emergency

Id: vZczZy7-Hn0

Length: 20min 29sec (1229 seconds)

Published: Tue Feb 25 2020