You might have friends who debate the merits of eastern medicine versus western medicine. Modern sciences stacked up against thousands of years of natural remedies. While both sides carry multitudes of legitimate arguments, it's possible both sides would agree that all of the below treatments are a little out there.
Reddit user, u/1234byfeist, wanted to know:
Check. Double Check. Check Fifteen More Times.Giphy
It was many years ago and I was working with end-stage cancer patients. This one woman, who began her treatment outside of the United States, was given a mixture of cocaine, heroin, alcohol, morphine, phenothyazine and some other antiemetics. It was specially made into a liquid and imported from somewhere in Europe. I remember this med so vividly because it's not everyday you give someone heroin. I think it was called something like Bromton Cocktail and the lengths that were gone to to check out and administer a dose of that stuff - we're talking who's got the nuclear codes type of system. I have to admit though, it worked like magic.
The Costs Add Up Over A Year
The rarest medication I have administered is eculizumab (Soliris) which is used for PNH. A single dose costs around $20,000 and it is administered every two weeks at a cost of around $540 000 per year. It is delivered by armoured courier and the patients do get a 24h concierge they can always contact.
The patient told me it was expensive, and being aware of very expensive biologics I told her, "Yes, many of the new monoclonal antibodies are very expensive and can cost up to $20 000 per year."
She corrected me, that it cost $20 000 per dose. I didn't believe her but while organizing the infusion I figured I better read up on a drug I was administering for the first time and, yup, $20 000 a dose--26 doses a year--for the rest of her life.Aquamans_Dad
Speak Your Truth To Yourself
Sodium thiopental-truth serum.
In residency, someone had a conversion disorder in a movie theater (I know, way back when it was a normal thing to do). The entire place cleared out after the movie, his buddies are talking and realize he's not getting up. He finally tells them he is paralyzed and can't move.
Medics brought him in, he's laying in the gurney in the sitting position, like he's an astronaut. I walk in the room and think to myself, whaaat the f---ck. I go ahead and take his history, go back and present him to my attending. Attending asks me what I want to do. I'm at a serious loss here, I have no f-cking clue other than wait him out, nobody's core is that strong. He says we should give him thiopental.
Of course I say lets do it. We go in with just us and a nurse, he turns the lights off, the nurse pushes the meds. My attending proceeds to walk this guy down with confidence and empathy, like he's walking him through the worst lsd trip ever.
Sure enough, my attending asks him to realize that his arm is attached to his chest which is attached to his back which connects to his neck which connects to his brain. He tells the guy, now is the time to move your arm. The kid moves his f-cking arm! AMAZING. After a bit longer the kid is lying flat. Soon enough he's up a moving. Craziest sh-t I saw that year. Emergency medicine, still not dull 10 years later.spewgene
Activated protein c. Can't remember exactly but it was about £50k a dose. Used in severe last ditch sepsis treatment. Not a vial you want to drop.
Artificial Body Parts
It's been a few years so I might butcher the name... Alpha-1 antitrypsin proteinase inhibitor? I've only given it to two patients but they had to get it regularly. It's a synthetic version of a protein, I think, that is made in the liver and usually inhibits the action of a particular enzyme in the lungs that breaks down tissue to ensure that dead cells don't interfere with lung function or something like that.
But in these patients, either the protein was being made wrong in such a way that it couldn't pass through the bile duct and escape the liver, or it just wasn't being made. Without an inhibitor, the enzyme just keeps breaking down tissue, and that causes emphysema. These patients had to get this medication once a week, for the entirety of their lives, but they're the only patients I ever heard of that needed it.
I was only a Hospital Corpsman in the Navy at the time, not even a licensed nurse; I only have a surface understanding of what exactly was going on, so sorry if I got anything wrong in the explanation. This was administered in an ambulatory infusion clinic at a naval hospital; I administered it and had to understand it to anticipate any potential side effects and double check dosing and rate but an actual doctor created the treatment plan and everything.
Space Age MedicineGiphy
Methylene blue. I gave it to a girl who tried overdosing on Orajel. The active ingredient is benzocaine which caused her to develop a methemoglobinemia, treated with the blue drug. It truly is an artificial looking bright blue and I gave it to her in her IV.
Redirect That Blood Flow
Viagra for patient with pulmonary hypertension, only serve it once.
Other than that, thalidomide for anti nausea which is very rare and anti venom for snake bite.
One dose per eye, USD $425,000.00 per eye.
THE MOST EXPENSIVE TREATMENT IN THE WORLD.
What does it treat?
The answer to tour question is very technical, but here it goes.
LUXTURNA is for individuals with an inherited retinal disease caused by mutations in both copies of the RPE65 gene and who have enough remaining cells in the retina
A gene is the basic unit of hereditary information that is passed on to a child from their parents. Typically, every person has 2 copies of a gene, one from each parent. In the case of RPE65 gene mutations, both of the genes passed onto the child were mutated.
There are many inherited retinal diseases
For example, Leber congenital amaurosis and retinitis pigmentosa are two inherited retinal diseases. These are clinical diagnoses that are not based on mutations in specific genes, such as mutations in both copies of the RPE65 gene. To get a genetic diagnosis, you will need a genetic test.
LUXTURNA is a one-time gene therapy for each eye
Gene therapy is a method for treating a genetic disease. One approach to gene therapy is delivering a new or functional gene into a cell.
LUXTURNA works to restore the visual cycle.
The visual cycle is a process that allows you to see. LUXTURNA provides a working RPE65 gene to act in place of a mutated RPE65 gene. This working gene has the potential to make the visual cycle work properly again.
So, There's A Wrong Way To Take This?
I had a woman who was on Ziconotide, which is an analgesic derived from Cone Snail venom. If it isn't administered correctly (through the spine), it causes hallucinations.
Pharmacist here and leeches. We use them to keep blood flowing if you get a finger or ear or something cut off and sewn back on.
Nope. Too Much. Leaving.
Maggots. We had a drug addict come in who had let an infection go so long in his arm from repeated needle usage that all our attempts to clean it failed. We ended up using maggots to eat away the dead tissue, while leaving the healthy tissue intact. Dude just had an open wound full of maggots loosely covered in some gauze for like... several days.
The worst part is always having to collect them afterward.
The medication most people are shocked by is cocaine hydrochloride. Yep. Cocaine. It's a good vasoconstriction agent, and topical anesthetic.
Everyone, You Know The Words To "We Didn't Start The Fire!"
In 15 years of hospital pharmacy, I've twice had occasion to dispense Thalidomide. It's used as an end-stage anti-nausea med, and comes very carefully packed, with all sorts of warnings about not coming near it if pregnant, and even has little pictures of Thalidomide babies.
A poop/fecal transplantation. At my first internship during nursing school, there was a patient with a bowel infection caused by clostridium difficile. A few months before he got treated with broad-spectrum antibiotics for a pneumonia, which caused the infection. They tried other treatments to cure the infection, but nothing worked. Eventually, the patient got accepted in a clinic trial for a fecal transplant. One of his kids was the poop donor. After the transplantation the infection actually cleared up!
Getting Crunk In The ERGiphy
Vodka, because of methanol poisoning.
I was going to say the most surprising thing I saw in the fridge in the med room was a can of beer. Labeled (prn qd) and chilled for the patient.
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There are few things more satisfying than a crisp $20 bill. Well, maybe a crisp $100 bill.
But twenty big ones can get you pretty far nonetheless.
Whether it's tucked firmly in a birthday card, passing from hand to hand after a knee-jerk sports bet, or going toward a useful tool, the old twenty dollar bill has been used for countless purposes.
Breaking Even<p>"I got a jacket and a pair of jeans at goodwill for about $20. My first time wearing the jacket I found a tiny zipper inside a pocket."</p><p>"There was a secret inner pocket with a twenty in it."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdv70q?utm_source=share&utm_medium=web2x&context=3" target="_blank">TheBrontosaurus</a></p>
Keeps On Giving<p>"23 Years ago I was in the US for some work and was not prepared for the cold of Chicago. Went to wal-mart and bought myself a cheap, warm jacket."</p><p>"I'm wearing that jacket right now - still looks fine, still keeps me warm."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe41xv?utm_source=share&utm_medium=web2x&context=3" target="_blank">TastyEnd</a></p>
As Good As They Come<p>"Wool pinstripe double breasted suit from Goodwill, fit perfectly and was brand new. Ended up wearing it to get married the next year." -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdw6mx?utm_source=share&utm_medium=web2x&context=3" target="_blank">verminiusrex</a></p><p style="margin-left: 20px;">"God I love Goodwill!!" -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe5aee?utm_source=share&utm_medium=web2x&context=3" target="_blank">Neverthelilacqueen</a></p>
The Socks She Needed<p>"I work at a thrift shop. A homeless lady came in and asked us where the socks were. We only sell new socks, so I directed her towards the new socks and she was... shocked and disappointed by the price tag, surely."<br></p><p>"I gave her a moment as she looked, and she moved to some kids' socks and picked them up, and I... just couldn't let that happen. I told her that I would help her, and told her to get herself some socks and a jacket."</p><p>"She kind of just... held out the children's socks, so I took them, put them back, and grabbed the extra fluffy socks that were hanging."</p><p>"She grabs a jacket and some pants, and I pay for it. My coworker looks the other way since we're not supposed to purchase anything while on the clock. The lady is in tears as she walks out."</p><p>"I notice that she's still outside a minute later putting them on, and ask her if they fit her or if she needed something else; and she told me they were perfect and proceeded to cry. I cried in return."</p><p>"It was a good day."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpen3w1?utm_source=share&utm_medium=web2x&context=3" target="_blank">Snowodin</a></p>
Not Forgotten<p>"A guy came into my work when I managed a mom and pop Pizza Place. He said he was stranded with no phone, and no money, but that the people at the Verizon store next door to us said they could get him a cheap phone with some minutes on it for 20 bucks."</p><p>"He offered to do dishes for a few hours to make some money so he could get this phone. I told him not to worry about it and gave him a 20 from my wallet. He thanked me, asked me for my name, and then he left and I never saw him again."</p><p>"Skip forward about 5 months, and when I get into work the owner was there and said she had gotten a letter addressed to me. 'Weird,' I thought."</p><p>"But when I opened it there was a 50 dollar bill and a short note from the guy I gave 20 dollars to thanking me for my kindness and for not turning him away."</p><p>"Turns out he was in a bad way (addicted to hard drugs and homeless) and really was stranded there. He was trying to get a phone so he could contact his parents (who lived in another state) for help."</p><p>"From what it sounded like, he seemed to really turn his life around. He was clean and working a stable job while still living with his parents."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpem2xc?utm_source=share&utm_medium=web2x&context=3" target="_blank">Mixmaster-McGuire</a></p>
The Best Finale<p>"It was the day before payday. My wife came to see me at work. My break was in an hour, so I asked for her to wait a bit, so we could enjoy it together. She did."</p><p>"I bought her some lunch, because it was what I could afford. I bought her a ham and cheese sub sandwich and two iced teas. These were her favorite. I bought gas with the rest of the twenty so she could get home. She dropped me back off at work."</p><p>"That night, she passed away. It brings me comfort to know that I bought her favorite sandwich and drink for her that afternoon. It was likely the last thing she ate, since it was near dinner. I'll never forget it. Best $20 I ever spent, because it was for her."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe9c6d?utm_source=share&utm_medium=web2x&context=3" target="_blank">LollipopDreamscape</a></p>
Leaning Into the Nerdery<p>"It was my ninth or tenth birthday. My grandparents gave me $20. The first $20 bill I ever held in my hand! I knew exactly what I wanted to do with it."</p><p>"A week later, we went into the city and Toys R Us. I went straight to the Transformers aisle. And there he was. My favourite Transformer. The one I always wanted...Soundwave."</p><p>"He's the one who turned into a Walkman and he could eject cassettes that turned into robot animals. The price tag said $19.99. It was meant to be."</p><p>"I took Soundwave to the clerk and gave her my $20 bill. "And here's your change!" she said, as she gave me a single penny."</p><p>"Ah, Soundwave. The best friend a lonely little nerd could have."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdzzxe?utm_source=share&utm_medium=web2x&context=3" target="_blank">originalchaosinabox</a></p>
Different Time<p>"I went to a Rush concert in 1982. The ticket was $9.50 and the t-shirt was $10." -- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdyr0k?utm_source=share&utm_medium=web2x&context=3" target="_blank">PaulsRedditUsername</a></p>
Motivational Spending<p>"My then six year old niece had a loose tooth she loved to show off and had resisted pulling out for two weeks. We were all at my parents and I was getting ready to leave, I pulled out a $20 and said 'I'll give you this right now if you pull out your tooth.' "</p><p>"She was already crying because her little sister had did something so when she ran into the bathroom none of us had no idea in what she was about to do."</p><p>"So she comes out crying still, but a little bit of blood I'm her mouth because of course, she pulled out her tooth. But the now removed tooth fell down the drain to the sink and she was crying because she lost her proof!"</p><p>"After she calmed down she was happy as a clam with a brand new $20 and everyone was quite proud of her. My sister told me she spent it on candy and shared with her little sister."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpdxi4k?utm_source=share&utm_medium=web2x&context=3" target="_blank">themasimumdorkus</a></p>
For the Story<p>"It was actually to a scammer in Rome. There was this guy right outside of Colosseum who started tying strings around my wrist and told me to make a wish. I knew it was going to cost but I thought what the hell, last day in Rome so might as well go with it. </p><p>"My wish was to find love."</p><p>"I spent rest of the day getting lost in the city and stumbled across two weddings and one baptism ceremony. So I did find love, just not for myself."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/lvu5aq/whats_the_best_20_you_ever_spent/gpe7b2w?utm_source=share&utm_medium=web2x&context=3" target="_blank">FatalFinn</a></p>
I realize that school safety has been severely compromised and has been under dire scrutiny over the past decade and of course, it should be. And when I was a student, my safety was one of my greatest priorities but, some implemented rules under the guise of "safety" were and are... just plain ludicrous. Like who thinks up some of these ideas?Redditor u/Animeking1108 wanted to discuss how the education system has ideas that sometimes are just more a pain in the butt than a daily enhancement... What was the dumbest rule your school enforced?
Don't Peek<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDc4OS9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTYzNDE0Mzc2OH0.Y1Lzy1MTqxyVqOCe9xjeHTRZsKnbyVjYzdb4-Heldyo/img.gif?width=980" id="78b19" class="rm-shortcode" data-rm-shortcode-id="e14a90be026b734830e7661f776ba4a8" data-rm-shortcode-name="rebelmouse-image" data-width="475" data-height="475" />schitts creek wtf GIF by CBCGiphy<p>Took all the doors off the men's room bathroom stalls because of vandalism for 2 months.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphrfce?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Endless_Vanity</a><a href="https://www.reddit.com/user/Endless_Vanity/" target="_blank"></a></p>
Scanned<p>School added thumb print scanners at gates of school which counted as registration - needless to say I would just walk to school scan my thumb and walk back home with them none the wiser. Was a great few months until they noticed. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpidnou?utm_source=share&utm_medium=web2x&context=3" target="_blank">richpianofan5</a></p>
Age of Empires...<p>Conservative Christian College. A group of us played Age of Empires one weekend. They didn't like it and called a meeting. Everyone involved got misdemeanors on their records. There was nothing in the handbook about it being against the rules. The only person that didn't get any punishment was the son of the president even though he was just as involved as the rest of us. <span></span></p>
"Genius"<p>In my freshman year of high school we had a terrible vandalism problem, the bathrooms would be broken in various ways almost constantly. In a stroke of pure genius, the staff decided that any bathroom that was vandalized would be closed for the week on first offense, the quarter for second, and permanently on the third offense.</p><p>They took back the rule after closing every bathroom on day one. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi77co?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Samus388</a><a href="https://www.reddit.com/user/Samus388/" target="_blank"></a></p>
Is this Footloose?<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDc5Ny9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTYzMzg0MjU2M30.PeBUt-YWZeeRStaD_RZlGPQzo29E9t733yqZbIiJlYs/img.gif?width=980" id="3a5bd" class="rm-shortcode" data-rm-shortcode-id="102730e3b1b90ba9cb393561c702c9af" data-rm-shortcode-name="rebelmouse-image" data-width="500" data-height="500" />kevin bacon dancing GIF by STARZGiphy<p>Prom was a mandatory lockdown for the night in order to avoid students going to parties after prom.</p><p>Prom was held at various house parties across town instead. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi37x7?utm_source=share&utm_medium=web2x&context=3" target="_blank">Coffee-spree</a></p>
HOLDEN FOREVER!!!<p>My high school mascot was Daniel Boone holding a musket. A kid wore a Guns 'n Roses shirt to school and was told he had to change shirts because of the pistols on the shirt. He pointed out the hypocrisy of the school mascot and they changed EVERYTHING. The mascot was switched to holding a flag pole instead. <span></span></p>
No Dots<p>You couldn't wear ANY kind of head items that were "gang colours" (red or blue) - this No included hair bands, scrunchies, beads in your hair, ribbons - ANYTHING. I got in trouble for wearing a blue hair band with white polka dots. </p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphzpyf?utm_source=share&utm_medium=web2x&context=3" target="_blank">Pleasant-Flamingo344</a></p>
Clothes Check<p>We had to wear belts. Someone snitched that people weren't wearing belts under their sweaters, and they actually checked and a bunch of people got detentions. Stupid. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphz3y6?utm_source=share&utm_medium=web2x&context=3" target="_blank">ooo-ooo-oooyea</a></p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gphz3y6?utm_source=share&utm_medium=web2x&context=3" target="_blank" rel="noopener noreferrer"></a>We had belt raids at my school where the dean would burst into classes, completely interrupting any education, to check that everyone was wearing a belt. </p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpia8pp?utm_source=share&utm_medium=web2x&context=3" target="_blank">GuinnessMicrodose</a></p>
Chase the Flat<p>We weren't allowed to play tag football at lunch, only frisbee. When I asked the principal what the difference was, he responded with a sarcastic tone, "A football is round and a frisbee is a flat disk."</p><p>He left the school later that year, went to another school, and a few years later was brought up on charges for failing to report the abuse of a student by a teacher. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpi6lh3?utm_source=share&utm_medium=web2x&context=3" target="_blank">uninc4life2010</a></p>
Poke-Thief<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDgwMy9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY0ODg5MzY2Nn0.5LMPk1suou6U2SvAURKP-sHEuK7Izpkbxm0PWqvx95E/img.gif?width=980" id="b6e9f" class="rm-shortcode" data-rm-shortcode-id="92383d30e34aa92fd74cf6c1374ec294" data-rm-shortcode-name="rebelmouse-image" data-width="480" data-height="480" />hotline bling pokemon GIFGiphy<p>Pokemon cards got banned in middle school because someone stole the vice principal's kid's cards. Yep. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpiapym?utm_source=share&utm_medium=web2x&context=3" target="_blank"> Skadoosh_it</a><a href="https://www.reddit.com/user/Skadoosh_it/" target="_blank"></a></p>
In the Face...<p>If you were involved in a fight, you got suspended. While it sounds reasonable, context didn't matter.</p><p>I got suspended once not for throwing a single punch, kick, whatever. I got suspended because someone knocked the books out of my hand and when I reached down to grab them they punched me in the face.</p><p>I got suspended for walking down the hallway and unprovoked getting punched in the face.</p><p>Forget Brandon Valley Middle School. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lwjlif/what_was_the_dumbest_rule_your_school_enforced/gpicbyx?utm_source=share&utm_medium=web2x&context=3" target="_blank">CLG_MianBao</a></p>
One of the golden rules of life? Doctors are merely human. They don't know everything and they make mistakes. That is why you always want to get another opinion. Things are constantly missed. That doesn't mean docs don't know what they're doing, they just aren't infallible. So make sure to ask questions, lots of them.Redditor u/Gorgon_the_Dragon wanted to hear from doctors about why it is imperative we always get second and maybe third opinions by asking... Doctors of Reddit, what was the worse thing you've seen for a patient that another Doctor overlooked?
Grandma Wins<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDcxOC9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY0OTQxNTgzOX0.n9IaFGgHwnULMlI2kg7RUftxDg6lyWvdM9CnhvptCRY/img.gif?width=980" id="a0857" class="rm-shortcode" data-rm-shortcode-id="9762f97a23c27ccf6b75974caa854361" data-rm-shortcode-name="rebelmouse-image" data-width="480" data-height="270" />Old Lady Wine GIF by MattielGiphy<p>Not a doctor, but my grandmother saved my father's eyesight because she didn't listen to their doctor. </p>
The Mummy Appendage<p>When I was a resident, an 80yo female was admitted from the nursing home for confusion. Workup showed some mild UTI and we were giving her antibiotics. The nurse mentioned that her toe looked dark and asked me to look at it. The toe wasn't just dark, it was mummified. It looked like dry beef jerky. I touched it and pieces flaked off. So the patient from a nursing home, had a mummified toe, probably for months, that no one knew about. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpg00qn?utm_source=share&utm_medium=web2x&context=3" target="_blank">Dr2ray</a></p>
The CT Save<p>Here's my story:</p><p>A guy came in to our ICU and was very septic but still talking. He had visited his primary care MD with complaints of a sore throat for a couple of days. Dismissed without any intervention since he didn't appear to have strep throat or the flu. At this point he was having pretty severe abdominal discomfort, so we sent him for a CT scan. As the scan was finishing, he coded and had to be intubated, multi-organ failure, etc. </p>
Patches<p>When I was an ER nurse we got an elderly lady in for altered mental status from a nursing home, when we undressed her to put her in a gown and hook her up to the monitor, I noticed no less than 5 fentanyl patches on her, guess I discovered the cause of the AMS. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpg1lml?utm_source=share&utm_medium=web2x&context=3" target="_blank">ChewbaccaSlim426</a></p>
Use your Words<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxNDcyMi9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY1MDA1NjI0MH0.WtyCdxL1vRZwD2-jpKZXMOEakwhiBaJIkp1YPnOzlvo/img.gif?width=980" id="e45ca" class="rm-shortcode" data-rm-shortcode-id="f5b98e6a4605a587dbd97579468a51d8" data-rm-shortcode-name="rebelmouse-image" data-width="498" data-height="367" />Communication GIF by memecandyGiphy<p>Neurologist sent patient to our ED without informing her that imaging showed a glioblastoma assuring her impending death. He didn't overlook the disease, he overlooked the communication. </p><p><a href="https://www.reddit.com/r/AskReddit/comments/lw2g2z/doctors_of_reddit_what_was_the_worse_thing_youve/gpfl5t5?utm_source=share&utm_medium=web2x&context=3" target="_blank">AzureSkye27</a></p>
Mad Cow Realty<p>During my residency we had this lady in her 60s who was getting progressively more forgetful, just overall declining and getting less and less able to take care of herself. She had been seeing her pcp who diagnosed her with dementia. And she saw a neurologist who agreed. She was not really able to provide an accurate history. <span></span></p>
After Birth...<p>I used to work in maternal-fetal medicine, and every single week, we would have women referred to us "because the doctor couldn't see something clearly with the baby and wanted to double check." Nope, they just didn't want to have to be the ones to tell you that your baby had a complex cardiac defect or multiple anomalies indicative of a genetic syndrome or any other of a large number of horrible things that can happen during fetal development. Still pisses me off when I think about how many women waited weeks for more information because their doctors were cowards who couldn't tell them, "There's something seriously wrong here." <span></span></p>
bad doctors<p>I'm not a doctor, but a RN. This happened to me, but isn't nearly as bad as most of the stories on here.</p><p>When I was in college, I got to where I couldn't swallow. It started with difficulty swallowing, progressed to me having to swallow bites of food multiple times/regurgitating it, and then got to where all I could swallow was broths and mashed potatoes with no chunks. I went to the doctor multiple times, and was told every time it was acid reflux and part of my anxiety disorder. <span></span></p>
The Valve...<p>He put the pacemaker lead in the subclavian artery (and across the aortic valve into the left ventricle). The proper approach is: subclavian vein to right ventricle). And then he didn't notice it for over a year. I saw the patient (a 25 yo woman who didn't need the pacemaker in the first place) when she was in congestive heart failure. <span></span><br></p>
Bitten<p>Rattlesnake bite. On a 2 year old. Patient and dad out in the fields near a small town that is several hours away from the nearest big city, where I work.</p>
When we think about learning history, our first thought is usually sitting in our high school history class (or AP World History class if you're a nerd like me) being bored out of our minds. Unless again, you're a huge freaking nerd like me. But I think we all have the memory of the moment where we realized learning about history was kinda cool. And they usually start from one weird fact.
Here are a few examples of turning points in learning about history, straight from the keyboards of the people at AskReddit.