It was nice to be back at work for a while. We'll be in the hospital for chemo round #2 for several days now. Looking back on the week spent in my "old life", it was an interesting one. Two patients stick out in my memory.
The first, a mid-60s female who doesn't complain, presented with 5 days of "feeling sick", lying in bed, and having fevers without localizing symptoms.
The second, a late 50s female who can't open her mouth without whining whining whining, had 5 days of "feeling sick", lying in bed, and having low-grade fevers without localizing symptoms.
The first had a pulse of 120, a temp of 100.4, and a BP of 170/100.
The second had a pulse of 76, a temp of 98, and a BP of 140/90.
I sent them both for bloodwork and a chest Xray after a negative physical exam.
The first was admitted to the hospital for 5 days for urosepsis and renal failure (and is doing great back at home now).
The second had stone cold normal labs and called begging for an antibiotic to help with her fatigue.
Ask me if I was surprised.