Doctors, What Was the Most Difficult Situation You Had to Face in Your Medical Practice?

doctors over at it what was the most difficult situation you had to face in your medical practice not a doctor but a nurse i was working in a fairly busy hospital edie when a mum 22 weeks pregnant came in post slip and fall on her front steps we did a work up and i was in and out she wasn't strictly my patient but i remembered being pregnant and was assisting her ultrasound was okay with some decreased fetal movement but the attending said it was okay and they would watch her when i got off shift she was still there waiting on a follow-up from ob around three days later i was in the ed again and i hear this blood cuddling screaming coming from the ambulance bay dislike non-human groaning or i'm not really sure animalistic cries it made me viscerally respond i get out there and it's the mom she's being pushed by her husband and she's as pale as a sheet and she's dying like i could look at her and tell she was dying vomiting fever extreme pain sepsis she was septic someone missed the fetal vessels and baby had died in utero and she was fully septic many washouts many many codes on the oar table i beat myself up so so much if i had stayed if i had checked the chart again if i had questioned the radiologist if if if i blamed myself for a long time i'll never forget her i never ever will forget her husband who came in with a family and left alone i was so angry too i was angry we had missed that i was angry at the fizz doctrine taking away any chance of justice i was angry that i felt like i couldn't question my superior officers because i was new psychiatrist here some 22 years ago a visiting foreigner was referred to me she had left her home a native country for the first time and found the experience rather anxiety provoking and depressing i sent her to a therapist the patient had poor comprehension of accents and it was a bit difficult for her to express herself no big deal at all well i was wrong therein as far as the therapist and the patient interaction was concerned therapists came to my office the next day and complained loudly about the person that i had sent she taxed my patients and drained my energies her exact words that i remember still i was surprised frankly i did not and still do not expect such from a therapist or a doc psychiatrist at all i suggested that she could withdraw if she felt that way and let some other therapist take her over she shrugged and said i will manage it have no worries three weeks later i was greeted by the news the moment that i stepped into my department there was a new case for me the hospital administration wanted my opinion asap on that case it was the same therapist the previous day while in session with the foreigner she lost her cool screamed banged the table and as the patient got very nervous scared and began to cry lost it completely threw stuff in her office around and had to be calmed down another psychiatrist witnessed the meltdown admitted her and she was under observation she lost her license and her job ro i did witness a few meltdowns of healthcare workers but never to this extent and in front of a patient i'm glad she lost her license but still somehow hope she got help for that one late 30s asian woman with metastatic breast cancer same ethnicity as me severe pain from tumors in her bone dying any moment all i could do was try to control her pain with ivo pierce too much meds made her sleepy and she wanted to be awake to talk and speak with her husband when she died her husband was sobbing and put two pictures of her kids on either side of her head he asked me for some scissors to cut a lock of hair she has just some peach fuzz from recent chemo hardest i ever cried for a patient felt like i lost my sister if i had one two twenty something you kid with a rare metastatic cancer had taken care of him a few times there was one time i thought he was going to die tumor invading his lung and he was coughing blood i had a heart to heart with him and mom about no resuscitation dnr miraculously he actually got on a drug trial that worked for about six months was finishing a shift and saw he was in the ear so i went to see him his cancer spread and now he had brain meds and bleeding in his brain he was now partially blind and paralyzed so brutal eventually family took him home on hospice and he passed three 60-year man with liver cancer very advanced began to have liver failure and blood pressure dropped sent him to the iq to put him on presses meds to artificially keep your blood pressure up when your blood pressure is too low you stop perfusing and you die he was completely awake and lucid he was not a liver transplant candidate there were two options stay in the iq on these meds until an inevitable complication that will lead to your death or choose to stop the meds and pass away his last wish was to watch his favorite nba team play in the playoffs that night i was thinking goddamn you better win this fine game they did he asked to have meds turned off and he passed the next day i'm waiting to be put on the liver transplant list was just told a month ago i have liver cancer it's contained won't spread thank god and this is my worst fear i'm glad his team won though i'm sending good vibes your way it must get really really tough to see such sad outcomes hopefully the good balances are bad this is actually based upon what the doctor said in the newspaper article but many moons ago before i was born my dad got stabbed by his ex-wife she sliced open something major and my dad was well on his way to bleeding out he was in the golden hour another guy was brought into the same from a car accident and they rushed back and forth between this guy and my dad trying to save them both the doctor said that they both were within the golden hour and they weren't sure that either one would survive he said it was really difficult to make the choice to stop working on the other guy when my dad showed just a smidge more promise that he might make it holy frick that must have been rough on your dad an aesthetica two doctor here so difficult situations aren't uncommon sad stories but some stick with you more than others the first time i told a family their loved one had dyed sticks the most i was working in a ind at the time in resist most acute area had an alert coming mid sick as anything we threw everything in the kitchen sink at him but it was very quickly clear he was circling the drain when he arrived but not unexpectedly he had a cardiac arrest within 20 minutes of arriving we got rosc return of spontaneous circulation quite quickly but it was obvious he was about to arrest again this time we were unsuccessful not an unusual story the guy had a medical history as long as your arm overweight smoker heart problems bad chest he'd had a bad infection for a few days and his heart couldn't take the strain and failed this was the first patient who was this sick whose management and subsequent arrest i managed team led with support so it fell to me to tell his family who had arrived whilst we were attempting to bring him back he had two daughters the same age as me who knew the minute i walked into the relative's room what i was about to say and fell apart i kept it together just to tell them what had happened and that he had died what got to me the most was they apologized to me and said it must be hard on me too that really broke me i returned to the resist room hid behind the curtain and cried my favorite nurse bought me a cup of tea we had a chat and then i moved on to the next patient but i still remember him and his family it's not all miserable thought had a few really good outcomes lately too two from my intern year a lady in her 40s with a husband and a young daughter was dying from incurable lung disease her family decided to withdraw care and donate her organs it fell on me the intern on call in the middle of the night to go to the all with the surgical team order her extubated keep her comfortable with pain medication until she died and then pronounce her dead so they could harvest her organs her brother was allowed to come into the ore as well and he was just holding her head and sobbing i was sobbing it took her 25 minutes to die also as an intern had an elderly man with some decreased cognitive function who apparently had hit someone with his cane in his group home he was brought to the air i believe for not acting right and admitted until he could be placed in another group home a placement was very difficult we had to use restraints on this patient one morning he ended up throwing up and aspirating his breakfast we coded him but couldn't get him back it was awful all because he hit someone with a cane and lots of other subsequent issues obviously now as a radiologist i hate reading post-mortem x-rays especially on kids not a doctor but x-ray tech car accident mom likely got distracted by her two kids coming around a bend slammed head-on with a pickup i think don't really know the details older brother arrives mostly superficial injuries but arm is traumatically amputated initial plane films for chest pelvis etc to check for big issues dedicated views of the shoulder nasty amputation then plastic stops us and says hey pediatric hospital on the phone says they'd like to see the other end to see if we can salvage and reattach i picked up the kid's arm sitting in the next trauma bay in a tray of ice weighed more than i thought it would i was holding the proximal end my colleague the distal end with the hand honestly felt like i was pulling a chicken breast out of the freezer mom and the younger brother never made it to emerg found out later that they couldn't salvage the arm a nurse here had a patient who just before we intubated for saab said can someone look after my cat she ended up dying from a pay i honestly pulled up her address to see if i could drop food though a mail slot or let the landlord know or something she had a p.o box listed of all the stupid stuff that you see it surprises me what sticks with you pay is pulmonary embolism or blood clot in the lung for anyone who didn't know ran out of iq beds had a patient code on the floor go to make room i guess i used a whole bunch of lingo there we were running full capacity in the iq and that's typically a panic situation because we always need to have room for patients that emergently need an ico bed so we had a patient cardiac arrest on one of the general medical wards and we needed to move them to the iq but there was no space for that patient so we needed to make room which typically means we need to get a patient out of the aiku first but they're all in the iq for a reason so there is a lot of yelling at nursing supervisors and painful family discussions that all happen at 3am while we are trying to keep someone alive on a general medical floor that is overwhelmed with an actively dying patient well at least you had a stable working surface nurse not a doctor i work in labor and delivery and i have held so many dead babies from miscarriages or preemies before the age of viability i never forget those families we usually get some keepsake photos after birth for the grieving family prepare the bodies for whatever ceremony or funeral is desired and take care of fetus specific body handling provide blankets that don't stick to the skin warm blankets up before we wrap the bodies so parents don't have to hold a cold baby talk to family members as appropriate etc one night a 15 year old came in suffering a miscarriage of 18 weak twins the first baby was born dead but the second had a heartbeat which you could see through his skin for almost an hour there was no way it was remotely salvageable at 18 weeks and there were other obvious deformities the mom was exhausted overwhelmed and as a young 15 year old barely more than a kid herself she wanted to cry with her mum and she asked us to take the babies away for now the patient was held in bed by her mother both of them sobbing while a co-worker and i held the baby with his tiny useless heartbeat wrapped up close to the body of his sibling in the next room we kept telling him it was okay to let go and waited until he did that night has stayed with all of us the thought of warming blankets so bereaved parents don't have to hold a cold baby brought tears to my eyes l d nurses are amazing [Music] doctor here i have two i remember the eight-year-old afghan kid whose fourteen-year-old brother held him underneath a train from france to king's cross he'd hit his head and gone limp at the other end in france his brother didn't know what to do and just held him till he got to the uk then there was the one with a senior staff member that got killed 100 meters away from the hospital was on a bike and got hit by a lorry she had a clam shell done on the road came in with a leg amputated we did everything she had a bypass and ecmo and i remember hearing the theater had a pool of blood and the surgeons had ruined their shoes i've never seen a trauma surgeon in tears before that day he'd been the one to hire her and knew her family hardest part was all the staff members asking where such and such today i haven't seen her and why are you so quiet today nico and pediatric oncology is also not very fun i remember one poor mum with her son who i'd met a few times finally get told he would pass her away a hysterical on the floor in anguish is something i will never forget there's a 30 year old with newly discovered metastatic liver cancer today he was so anxious and knew something was wrong my job depresses me sometimes this is one of the reasons why i hate oncology constantly seeing people slowly dying because of something that was not their fault makes me feel terrible that's why i'm going with orthopedics my respects for anybody dedicated to oncology radiographer not a doc as part of our training we did two days helping out nurses on the neurocritical care unit one of the patients i was caring for was a young woman who'd been pushed out of her apartment window by her boyfriend and suffered massive head trauma although she was stable she could basically only look around the room no speech no real reaction to stimuli the thing that really got to me over my two days looking after her was the card on the side that read in messy handwriting get well soon mummy god that was hard to read knowing that child's mother would most likely never walk or talk again something that has stayed with me ever since she came in very sick she had been sitting by her husband for weeks as he slowly died in hospice from cancer she had cancer long before he was diagnosed but managed to outlive him her cancer had become refractory to chemotherapy so there was little i could offer her with hydration alone her strength returned and she requested to leave the hospital to attend her husband's funeral we made it happen and she returned the next day nearly as sick as when she initially came in we would send her out to the same hospice room where her husband died this alone is tragic but what made this difficult was when her son explained that he would be returning home soon and wanted to know approximately how long his mother would survive so he could plan for his return trip you can't go i explained it will happen within days after she leaves i will never forget the hollow look in his eyes mental health worker at a state hospital had a kid come in with severe behavioral issues built like an ox he was a tough one to restrain when necessary compounding that he'd had heart complications as an infant so we had to be hyper vigilant of signs of cardiac arrest when he was being restrained so one day he gets all worked up and starts busting one of outdoors up breaks the arm off of the pneumatic lock so he's swinging this thing around and we go in to remove to weapon and restrain he smacks one of my buddies good and puts him into the wall breaks his collar bone we back off and calls for a police intervention eventually before the police arrive kidd drops the pneumatic lock arm and comes at us barehanded we restrain it ends up going to the floor just as emt and police arrive i watch this kids eyes completely glass over i call emt over and show them what's up he's not verbally responding he won't trace my finger with his isacked so we release the restraint and the emts flip him over sure enough he's in cardiac arrest emts perform cpr and fib and manage to miraculously stabilize him they cut him off to the hospital and then take care of buddy's broken collarbone the original reason they'd shown up he came back to this a week later it sticks with me to this day that if he hadn't taken a swing at my friend emt may not have been there on time he was 13. comma he was 13. freaking christ i can't even picture this crap i believe you it's just hard to imagine what a 13 year old would look like to be able to do what you described must have been one pretty freaking tall 13 year old one of my most memorable deaths for many reasons had a patient come in semi unstable hypotensive with signs of a stroke rushed pt to ct labs etc turned out at a new bleed and started to have secondary seizures patient codes we got them back established a central line more meds doing better my nurse calls me and stays um the patient is doing something the tone is all it took to shoot me out of my chair to their room secondary seizure activity codes again meanwhile i know their daughter is sitting in the family room waiting on baited breath for me to return tried everything to get this patient back without success time of death called worst part of this is not the death however it was the door's reaction she was calm when i had told her we had not been successful with the revive however it was when i walked her to the room and she ran in screaming and crying throwing herself into the bed with the patient it broke my heart second would be a pediatric abuse case as many other comments have shared a small child came was brought in with a strange story for a head injury sent to the scanner where i found evidence of acute and chronic head bleeds report was filed and cps was so disturbed by my story they showed up at 3am in the air the kicker was this mother was given the choice of keep her children or give up her children patient and a sibling because it was a boyfriend who had been abusing neglecting she choose her boyfriend leaving work that night i sat in my car and cried it is truly these moments that make our jobs so difficult my son is a surgical tech and the other day he came home pretty shaken after assisting in the or on a young patient with a clitorectomy i can't imagine anyone doing something so barbaric like that to their daughter for any reason he was with a very experienced nurse in the room who had difficulty inserting a foley and was affected as well female circumcision and genital mutilation is more common than people think it's freaked up once had a roughly six month old baby get brought into the air had been shaken and beaten covered in fresh purple and older green bruises she died that night and i still think about her years later the saddest part of the story is why the parents did it but i couldn't reveal the full truth without it pointing directly to the case as it was on the news jesus my dad had a medical practice owned by four doctors two of the doctors go divorced and instead of four doctors in charge of the practice it became four doctors an ex-husband and an ex-wife try making a decision about new equipment or billing companies or hiring a manager with a group like that you could have probably made a tv show out of that not a doctor but a respiratory therapist i have to that come to my mind when i was still in school and was doing my internship in aiku i had to see a patient in his 50s to give him breathing treatments he was a really nice guy spoke to me of everyday life and cracked some jokes it stayed like that and went to see other patient after about two hours later he died on a massive infarctus i had to be there to manage his ventilation with a senior rt that watched me after quite some time he ended up going to surgery and died there that was my first code and i was wrecked i told my senior rt how i felt and this was her response well what did you expect he was in aikus so this kind of crap happens get over it so yeah that was my first two a patient died while on ventilator and the nurse forgot to ask me to turn it off before the family came back to mourn 15 so i had to stop the ventilator in front of them all they saw was that he was breathing and suddenly he wasn't anymore they all started crying while i was leaving i gave a glare to the nurse and simply said please tell me next time to close the ventilator before the family comes back i'm really sad for the family since they had to watch me turn it off she never forgot to tell me afterward if you are new to the channel you 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Channel: Updoot Everything

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Keywords: doctors, doctor stories, medical, hospital, emergency room, surgery, hardest medical exam, #updootst, updoot, reddit, r/askreddit, askreddit, ask reddit, r/, \r, r\, best of reddit, reddit stories, reddit story, top posts, funniest posts, funny, funny posts, funny reddit stories, funny askreddit, reddit funny, askreddit funny, askreddit stories, reddit stories 2019, people of reddit, sub, reddit cringe, memes, toadfilms, updoot everything, updoot reddit, story, stories, rslash, comedy, fresh

Id: zxxDLK-nPLU

Length: 22min 22sec (1342 seconds)

Published: Fri Oct 23 2020