A sus ordenes señora

FullSizeRender

Hay verdades en urgencias que no se pueden eludir y esta es una de ellas.
Cuando vas a un domicilio a las 5 de la mañana y te encuentras a una paciente mayor, perfectamente vestida y arreglada, con su jersey, chaquetón y bolso, y cuando tú todavía no acabas de entrar a su casa cargado con las mochilas ya le escuchas la frase “¿ya llegó la ambulancia?” y enseguida ves que se pone de pie como si llegara tarde a una cita. Es que le va a dar igual lo que digas o hagas después de explorarla. Ella irá al hospital a que la vean si o si.
Compañeros, amigos del gremio, residentes y estudiantes de enfermería, ¡nadie está tan bien peinada a esas horas de la madrugada para quedarse en casa!, ¡nadie!. Sería todo una ofensa dejarla, si no para que creéis que llama.
No suele ser la primera vez que lo hace, es experta en estas batallas. Ya tiene preparada la carpeta azul con sus antiguos informes de ingresos hospitalarios junto con todas sus medicinas en una bolsa. Hasta conserva esa arrugada caja de aquel medicamento que un día su médico le recetó y no le sentó bien, para que no se lo prescriban nuevamente. Y es que lo mires por donde lo mires, no hay excusas para dejarla en observación domiciliaria, la puerta de urgencias del hospital no se puede perder su visita.
La tensión, saturación de oxígeno y glucemia mejor que la de gran parte de mi equipo de urgencias a esas horas, un color de piel envidiable y lleva puesta su colonia de los domingos. Además, la vecina ya sabe que le tiene que regar sus plantas. Nada que hoy toca viaje.
Las fotos del salón nos descubren que tiene una familia numerosa e ilusamente pienso que tal vez alguien pueda acercarla al hospital. Pero ella rápidamente me baja de mi nube y suelta la tan repetida frase, “no quiero molestar a mis hijos porque ellos mañana trabajan”.
Así que solo me queda sonreir, sobredosis de paciencia y solicitar la ambulancia. Si no la derivo yo, más tarde le tocará a mi compañero.
En definitiva, hay fuerzas de la naturaleza contra las que no se puede luchar, y por mi experiencia se, que esta es una de ellas.

JM Salas

{Este post aparecerá en el libro Con Tinta de Médico. Diario de un Médico de Urgencias adicto a la noche}.

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  202. Hmm is anyone else encountering problems with the images on this blog loading? I’m trying to determine if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.

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  239. Howdy would you mind sharing which blog platform you’re using? I’m looking to start my own blog soon but I’m having a difficult time deciding between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design and style seems different then most blogs and I’m looking for something unique. P.S Sorry for getting off-topic but I had to ask!

  240. My developer is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the costs. But he’s tryiong none the less. I’ve been using WordPress on a number of websites for about a year and am nervous about switching to another platform. I have heard very good things about blogengine.net. Is there a way I can import all my wordpress content into it? Any help would be greatly appreciated!

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  244. Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

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  246. At this time it appears like WordPress is the top blogging platform out there right now. (from what I’ve read) Is that what you are using on your blog?

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  255. Hello are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you need any coding expertise to make your own blog? Any help would be really appreciated!

  256. Hi there, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam remarks? If so how do you protect against it, any plugin or anything you can recommend? I get so much lately it’s driving me insane so any support is very much appreciated.

  257. Today, I went to the beach with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone!

  258. Interesting blog! Is your theme custom made or did you download it from somewhere? A design like yours with a few simple tweeks would really make my blog shine. Please let me know where you got your theme. Cheers

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