The last thing you want to hear...

[bbbr]

When i was rolled into the OR for my 5th knee surgery (6 total since 2005 + shoulder surgery this past fall) at the same hospital, the nurse in charge greeted me with this- "Welcome back bbbr, we see you far too often. What ever you are doing, please stop..."

[AccountingDrone]

Yeah, I pulled this one today while making a hospice visit.

The patient's urine looked like tomato soup. Literally. The wife wanted to know why.

It beat the hell out of me. He didn't have any symptoms at all. My best guess is just a lot of sediment, with orange color because it's really concentrated from lack of water intake. So I pulled the "Hmm," card, and turfed the issue to his regular nurse (who will see him Monday) since he had NO symptoms.

I thought about getting a sample, but it had been sitting out for awhile so the wife could show it to me, so it was contaminated.

I have never seen anything like it before in my nearly 28 years in this job.

porphyria? If it had been sitting long enough perhaps the proteins got denatured from the other chemicals in the urine?

[Sapphire Silk]

porphyria? If it had been sitting long enough perhaps the proteins got denatured from the other chemicals in the urine?

Hmm. Not typical even for that. I'll have to look into his history and ask his staff nurse what they made of my report next time I work a shift (this weekend as it happens).

[AccountingDrone]

Hmm. Not typical even for that. I'll have to look into his history and ask his staff nurse what they made of my report next time I work a shift (this weekend as it happens).

Trying to figure out what can cause discolored urine that strongly. I have been seriously dehydrated and it still didn't go orange, just really yellow. Though tobramycin did turn it brownish orange. Something in the diet? I seriously doubt someone snuck up on them and shot them up with tobramycin...

[crazylegs]

Yeah, I pulled this one today while making a hospice visit.

The patient's urine looked like tomato soup. Literally. The wife wanted to know why..

Blood from the catheter trauma..? (complete guess mind...)

[wolfie]

porphyria? If it had been sitting long enough perhaps the proteins got denatured from the other chemicals in the urine?

A note about protein in urine. If a urine sample from a male patient (especially a "collect first urine in morning" at home sample) comes back positive for protein, it may be for a harmless reason. To avoid this "false positive" (real protein, but not a pathology), when giving them the "take home" sample cup, remind them to avoid all forms of sexual activity and arousal (including a date with Rosie Palm and her 5 sisters, or watching porn).

[AccountingDrone]

A note about protein in urine. If a urine sample from a male patient (especially a "collect first urine in morning" at home sample) comes back positive for protein, it may be for a harmless reason. To avoid this "false positive" (real protein, but not a pathology), when giving them the "take home" sample cup, remind them to avoid all forms of sexual activity and arousal (including a date with Rosie Palm and her 5 sisters, or watching porn).

A quick run through a microscope can confirm which set of tubes the proteins ran through, produced by the kidneys the protein is frequently formed into little cones [or maybe spirals, my brains are dead this evening] from the way they are deposited in the kidneys before they are stripped off and peed out. Let me try and google ... my google fu has also been weak tonight. Nope no luck with all the usual suspects but I know I have a book on neprology that shows slides. Pre 1950 something the way to check for certain conditions was to physically look for the strands of protein in the urine. It was something for hypertension, diabetes, and certain kidney conditions.

Bilirubin breakdown products were eliminated?

Draper Mel I remember the neurosurgeon who took the tumor out of my spine saying they were all fascinated by my MRI. The tumor had been growing very slowly, and in such a way that it actually pushed bone aside as it grew. It wasn't quite paper worthy, but they all apparently thought it was cool.

The tumor that triggered my hysterectomy was a stage 2 teratoma combined with a stage 0 lipoma clinging on to an ovary for dear life, and was then about the size of a tennis ball. This being the second time around they decided to not give me the option of trying to mutate further so they ripped the works out. They actually wrote me up the first time [back in 1995]

[AnqeiicDemise]

I got my root canal done today. Just as he was finishing off both the vicodin and the novacaine wore off. Doc begs me to just hold out a little longer as he's almost done and was putting in the cement.

So he's feeding something in and I hear him desperately whisper "Crap, I can't find it!" (I guess the right channel to fill?) Cue the extra pressure on my already tired jaw (I have tmj) and him asking me to try and open my mouth wider.

I start to cramp and then I felt it-- sharp, burning pain from where he found the right channel with the tip of the needle. -.-

Yeah "I can't find it" is not something I'd want to hear at such moments.

[fireheart]

I'm not sure about whether to take this one as a compliment or not....

technically I wasn't "under" since it was my Implanon being inserted, but I had my iPod cranked up (which helped me get distracted from the freaking huge needle...It is about this big: O ).

The last thing I heard was the doctor going "ooh this arm's quite muscly." When he was grabbing what was more than likely fat.

This was 3 years ago. At the height of my depression.