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That NEVER happens. usually patients are a mixed bag of diabetes, hypertension, high cholesterol, heart failure, and maybe a stroke or kidney disease or gout or schizophrenia mixed in (seriously. last week a patient began giving us recipes for yogurt smoothies and then his wife told us how he stopped up the toilet and it took her two hours to unclog it). People never have simple disease process at a county hospital that serves the destitute for free. They wait until they are vomiting blood or feel like their chest is ripping into two pieces before they come in. Then they get put on 10 or more medications and a morphine drip and stay in the hospital until they are at some acceptably reduced risk for imminent death. The system makes very little sense and it's hard to sort out and try and diagnose five problems that are all intertwined. So the simple patient was a blessing.
We started Neurology this week and it's pretty terrifying. 40 lectures in 3 weeks, with about 120 drugs. yikes. pray for my patience.
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