Monday, January 12, 2009

Rotations - Case 1: Bacterial Meningitis


Today was day one of rotations at the hospital. I'm spending the first two weeks at Sir Charles Gairdner Hospital which is just up the road from our place. It's a general hospital and they do pretty much everything including emergency. Its a public hospital which means it's in a dilapidated state - it's seriously shocking. Anyway, I had a great day there and learned a lot. The case I wrote up involved a 17 year old male with bacteria meningitis. Untreated meningitis is lethal and can kill the patient within an hours of seeing symptoms which means presumptive treatment is key and definietly saved this guys life. In fact, he left work early because he wasn't feeling well and an hour later he called the ambulance from home. By the time he arrived at the hospital he had gotten a lot worse - his GCS reading changed from 13 to 3 in 30 minutes. Rapid decline. Anyway the ceftriaxone (2g by IV) they gave based on the symptoms saved his life. I had to pick a case and write it up then do a 20 minute presentation in the afternoon. It went really well.
Tomorrow will be a new case.
We also have a clinical meeting at 8:00 AM so i'll invovle getting up nice and early.

4 comments:

Spencer said...

O
M
F
G
!

I am sitting here barely able to contain my laughter. It is awesome after all the crazy we have had.

Lol times a billion.

You and your clinical meeting! I am busting a freaking gut here. :) Seriously. I am holding in the laughter as I write this. You are hilarious.

I. Love. It.

Unknown said...

My bad. That was me, but I'm sure you knew that!

Anonymous said...

It was great to skype with you last night (3:00 am my time)you sounded very excited about the hospital stuff and understandably so . . . stay charged!

Wince Tuttle said...

That's intense man.
I went to Junior High with a guy from St.Albert who died from Meningitis. Scary.