Tuesday, February 19, 2019

CUTE LITTLE NURSIES

My apartment mate's ex-boyfriend, 'Wheelie Boy', is both neurotic, and notoriously hypochondriac. As well as not entirely sensible about the correct approach to health. So, when he called late one night recently with a medical emergency that required help getting to the hospital, I was a bit sceptical.
But there is nothing imaginary about a kidney stone.
And passing one is intensely painful.

He was miserable. But calm.


Kidney stones are a little more common in men than women.

Per Wikipedia: "High dietary intake of animal protein, sodium, sugars including honey, refined sugars, fructose and high fructose corn syrup, oxalate, grapefruit juice, and apple juice may increase the risk of kidney stone formation".
End cite.


About oxalate, Wikipedia says: "Plants that contain significant concentrations of oxalate include, in decreasing order, star fruit (carambola), black pepper, parsley, poppy seed, amaranth, spinach, chard, beets, cocoa, chocolate, most nuts, most berries, ( ... ) and beans. Leaves of the tea plant (Camellia sinensis) contain among the greatest measured concentrations of oxalic acid relative to other plants. However, the beverage derived by infusion in hot water typically contains only low to moderate amounts of oxalic acid due to the small mass of leaves used for brewing.

And: "In the body, oxalic acid combines with divalent metallic cations such as calcium (Ca2+) and iron(II) (Fe2+) to form crystals of the corresponding oxalates which are then excreted in urine as minute crystals. These oxalates can form larger kidney stones that can obstruct the kidney tubules. An estimated 80% of kidney stones are formed from calcium oxalate."
End cite.

He did the right thing in calling her. In San Francisco, ambulances and other emergency service will wipe out your rent money, and taxis are notoriously unwilling to take people with ambulatory issues (my nickname for him, 'Wheelie Boy', is because he is in a wheelchair).

She thanked me for waking her up.
And I am glad I did.



My own recent experiences with hospitals and medical care, as well as all the scrub-wearers whom I know, indicate that while in agony he will have been exposed to some very nice people, who are intelligent and capable. And of an equitable temperament. In between waves of pain he might have had quite enjoyable conversations. But I don't know.
When I went to the clinic on January second, the nurse who took my vital signs struck me as calm, capable, and to the point. Which are always great conversational characteristics, no matter the context. Umm, no, I didn't pay attention to her physical attributes -- and should point out that one hospital worker I know looks like a sailor, except when (or perhaps especially when) he's wearing pale lavender scrubs and huffing cigars -- but I would certainly recognize her in civilian garb.


The one thing about which people in the medical profession are obdurate is that smoking is bad. Even if they themselves indulge.

Wheelie Boy does not smoke. So that will not have been an issue.


Again, kidney stones can be extremely painful.

Which may have inhibited chit-chat.

"Do you come here often?"



I have been exposed to the medical profession significantly more in the past month and a half than 'Wheelie Boy', but overall it has been an enjoyable experience. Except, of course, for the need that drove me to it.



By the way, one of the regulars at work left behind a collection of essays about ear, nose, and throat emergencies. I have temporarily borrowed the book, because it is fascinating and filled with lovable phrases.
Example: "The nose is richly vascularized." Which means that your schnozz is full of it, and you may bleed like a stuck pig if punched.
Which you've known since grammar school.


From the piece on peripheral vertigo: "A clinician should have a low threshold for a formal echo-cardiogram and cardiology follow-up." Because inexplicable dizziness may be a sign of underlying conditions.


A tattooed cigar-smoking sailor wearing lavender scrubs.

Yep.




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