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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Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You obviously know what youre talking about, why throw away your intelligence on just posting videos to your site when you could be giving us something enlightening to read?
Wow that was odd. I just wrote an really long comment but after I clicked submit my comment didn’t show up. Grrrr… well I’m not writing all that over again. Regardless, just wanted to say great blog!
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I was curious if you ever thought of changing the page layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or two pictures. Maybe you could space it out better?
Howdy just wanted to give you a quick heads up. The words in your post seem to be running off the screen in Ie. I’m not sure if this is a formatting issue or something to do with browser compatibility but I thought I’d post to let you know. The design look great though! Hope you get the issue solved soon. Thanks
Currently it seems like Drupal is the top blogging platform available right now. (from what I’ve read) Is that what you are using on your blog?
When I originally commented I clicked the «Notify me when new comments are added» checkbox and now each time a comment is added I get four emails with the same comment. Is there any way you can remove me from that service? Thanks a lot!
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Howdy! I know this is kind of off topic but I was wondering which blog platform are you using for this site? I’m getting sick and tired of WordPress because I’ve had issues with hackers and I’m looking at alternatives for another platform. I would be awesome if you could point me in the direction of a good platform.
I’m curious to find out what blog platform you’re using? I’m having some small security problems with my latest site and I’d like to find something more safeguarded. Do you have any solutions?
I’m curious to find out what blog platform you have been utilizing? I’m having some small security problems with my latest blog and I’d like to find something more risk-free. Do you have any recommendations?
Currently it appears like Movable Type is the preferred blogging platform out there right now. (from what I’ve read) Is that what you are using on your blog?
Hi there, i read your blog occasionally and i own a similar one and i was just curious 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 crazy so any assistance is very much appreciated.
Hey this is somewhat of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding knowledge so I wanted to get guidance from someone with experience. Any help would be greatly appreciated!
Heya this is kinda of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding experience so I wanted to get advice from someone with experience. Any help would be enormously appreciated!
Hi there just wanted to give you a brief heads up and let you know a few of the images aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same outcome.
Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why waste your intelligence on just posting videos to your weblog when you could be giving us something enlightening to read?
Hello would you mind stating which blog platform you’re using? I’m planning to start my own blog in the near future but I’m having a tough time selecting between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design seems different then most blogs and I’m looking for something unique. P.S My apologies for getting off-topic but I had to ask!
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Hello, I think your website might be having browser compatibility issues. When I look at your blog site in Firefox, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, wonderful blog!
Hello just wanted to give you a quick heads up. The words in your article seem to be running off the screen in Firefox. I’m not sure if this is a formatting issue or something to do with internet browser compatibility but I figured I’d post to let you know. The design look great though! Hope you get the issue resolved soon. Kudos
Hmm is anyone else experiencing problems with the images on this blog loading? I’m trying to find out if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.
Hi there! This is kind of off topic but I need some guidance from an established blog. Is it tough to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about setting up my own but I’m not sure where to start. Do you have any tips or suggestions? Thank you
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Hi just wanted to give you a quick heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different internet browsers and both show the same outcome.
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Neat 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. Thanks
Yesterday, while I was at work, my cousin stole my apple ipad and tested to see if it can survive a 30 foot drop, just so she can be a youtube sensation. My iPad is now destroyed and she has 83 views. I know this is completely off topic but I had to share it with someone!
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Good day! This is kind of off topic but I need some help from an established blog. Is it tough to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about creating my own but I’m not sure where to begin. Do you have any ideas or suggestions? Thanks
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Hi, i read your blog from time to time 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 advise? I get so much lately it’s driving me mad so any support is very much appreciated.
I love your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz answer back as I’m looking to design my own blog and would like to know where u got this from. appreciate it
First off I want to say wonderful blog! I had a quick question in which I’d like to ask if you don’t mind. I was curious to find out how you center yourself and clear your head before writing. I have had a difficult time clearing my mind in getting my ideas out. I do take pleasure in writing however it just seems like the first 10 to 15 minutes are generally wasted just trying to figure out how to begin. Any suggestions or hints? Thank you!
I was curious if you ever considered changing the page layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or two pictures. Maybe you could space it out better?
Everyone loves what you guys tend to be up too. This sort of clever work and exposure! Keep up the great works guys I’ve incorporated you guys to my personal blogroll.
Hi, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam responses? If so how do you protect against it, any plugin or anything you can advise? I get so much lately it’s driving me insane so any support is very much appreciated.
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Hmm is anyone else encountering problems with the pictures on this blog loading? I’m trying to find out if its a problem on my end or if it’s the blog. Any feedback would be greatly appreciated.
My programmer is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using Movable-type on a variety of websites for about a year and am nervous about switching to another platform. I have heard great things about blogengine.net. Is there a way I can transfer all my wordpress posts into it? Any kind of help would be really appreciated!
Today, I went to the beach with my children. 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 completely off topic but I had to tell someone!
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Have you ever considered about including a little bit more than just your articles? I mean, what you say is valuable and everything. Nevertheless just imagine if you added some great graphics or videos to give your posts more, «pop»! Your content is excellent but with images and clips, this website could definitely be one of the best in its field. Awesome blog!
First of all I would like to say terrific blog! I had a quick question that I’d like to ask if you do not mind. I was interested to find out how you center yourself and clear your head before writing. I’ve had a tough time clearing my thoughts in getting my ideas out there. I truly do enjoy writing but it just seems like the first 10 to 15 minutes tend to be lost simply just trying to figure out how to begin. Any suggestions or hints? Appreciate it!
First off I want to say superb blog! I had a quick question which I’d like to ask if you don’t mind. I was curious to find out how you center yourself and clear your mind prior to writing. I have had difficulty clearing my thoughts in getting my ideas out. I truly do take pleasure in writing however it just seems like the first 10 to 15 minutes are usually wasted simply just trying to figure out how to begin. Any suggestions or tips? Thank you!
Currently it appears like Movable Type is the preferred blogging platform available right now. (from what I’ve read) Is that what you’re using on your blog?
Appreciating the persistence you put into your website and in depth information you provide. It’s good to come across a blog every once in a while that isn’t the same old rehashed information. Fantastic read! I’ve saved your site and I’m including your RSS feeds to my Google account.
Hi there! Do you use Twitter? I’d like to follow you if that would be ok. I’m undoubtedly enjoying your blog and look forward to new posts.
Hello, I think your site might be having browser compatibility issues. When I look at your blog in Firefox, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, fantastic blog!
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Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why waste your intelligence on just posting videos to your weblog when you could be giving us something enlightening to read?
Woah! I’m really digging the template/theme of this website. It’s simple, yet effective. A lot of times it’s difficult to get that «perfect balance» between user friendliness and visual appeal. I must say that you’ve done a great job with this. Additionally, the blog loads super fast for me on Firefox. Exceptional Blog!
Hey there! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My weblog looks weird when browsing from my apple iphone. I’m trying to find a theme or plugin that might be able to resolve this issue. If you have any recommendations, please share. With thanks!
Hey! Quick question that’s totally off topic. Do you know how to make your site mobile friendly? My blog looks weird when viewing from my iphone 4. I’m trying to find a theme or plugin that might be able to fix this issue. If you have any suggestions, please share. Thank you!
Yesterday, while I was at work, my cousin stole my iPad and tested to see if it can survive a 25 foot drop, just so she can be a youtube sensation. My apple ipad is now broken and she has 83 views. I know this is entirely off topic but I had to share it with someone!
Very good site you have here but I was wanting to know if you knew of any message boards that cover the same topics discussed here? I’d really love to be a part of group where I can get comments from other experienced people that share the same interest. If you have any recommendations, please let me know. Many thanks!
I was curious if you ever thought of changing the structure of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two images. Maybe you could space it out better?
At this time it appears like Drupal is the preferred blogging platform available right now. (from what I’ve read) Is that what you’re using on your blog?
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Howdy! This is kind of off topic but I need some advice from an established blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about creating my own but I’m not sure where to start. Do you have any tips or suggestions? Many thanks
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«Great Blogpost! Thanks for one’s marvelous posting! I _genuinely enjoyed»
Hello, I think your site might be having browser compatibility issues. When I look at your website in Opera, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, amazing blog!
It’s a pity you don’t have a donate button! I’d definitely donate to this brilliant blog! I guess for now i’ll settle for bookmarking and adding your RSS feed to my Google account. I look forward to new updates and will talk about this website with my Facebook group. Talk soon!
With havin so much content and articles do you ever run into any problems of plagorism or copyright infringement? My site has a lot of completely unique content I’ve either created myself or outsourced but it looks like a lot of it is popping it up all over the web without my permission. Do you know any ways to help stop content from being ripped off? I’d genuinely appreciate it.
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.
Hmm is anyone else experiencing 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 feed-back would be greatly appreciated.
Hello, I think your website might be having browser compatibility issues. When I look at your blog in Opera, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, fantastic blog!
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Please let me know if you’re looking for a author for your blog. You have some really great articles and I think I would be a good asset. If you ever want to take some of the load off, I’d really like to write some material for your blog in exchange for a link back to mine. Please send me an email if interested. Regards!
I am really loving the theme/design of your website. Do you ever run into any browser compatibility problems? A small number of my blog readers have complained about my site not working correctly in Explorer but looks great in Opera. Do you have any suggestions to help fix this problem?
Good day! Do you know if they make any plugins to safeguard against hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any tips?
I’m not sure exactly why but this website is loading extremely slow for me. Is anyone else having this problem or is it a issue on my end? I’ll check back later on and see if the problem still exists.
Outstanding post however , I was wondering if you could write a litte more on this topic? I’d be very thankful if you could elaborate a little bit more. Thank you!
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I’m not sure exactly why but this site is loading extremely slow for me. Is anyone else having this issue or is it a issue on my end? I’ll check back later and see if the problem still exists.
Hi there, i read your blog from time to time and i own a similar one and i was just curious if you get a lot of spam comments? If so how do you reduce it, any plugin or anything you can recommend? I get so much lately it’s driving me mad so any assistance is very much appreciated.
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When I initially commented I clicked the «Notify me when new comments are added» checkbox and now each time a comment is added I get three emails with the same comment. Is there any way you can remove people from that service? Thank you!
Hi there! I just wanted to ask if you ever have any issues with hackers? My last blog (wordpress) was hacked and I ended up losing many months of hard work due to no backup. Do you have any solutions to stop hackers?
I’m curious to find out what blog system you have been utilizing? I’m experiencing some small security problems with my latest blog and I’d like to find something more safeguarded. Do you have any suggestions?
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I know this if off topic but I’m looking into starting my own weblog and was curious what all is required to get setup? I’m assuming having a blog like yours would cost a pretty penny? I’m not very web smart so I’m not 100% positive. Any suggestions or advice would be greatly appreciated. Cheers
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«Great Blogpost! Way cool! Some extremely valid points! I _appreciate you writing this post and also the rest of the website is also very good.»
Admiring the commitment you put into your website and detailed information you present. It’s nice to come across a blog every once in a while that isn’t the same unwanted rehashed information. Fantastic read! I’ve saved your site and I’m including your RSS feeds to my Google account.
I was curious if you ever thought of changing the structure of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or 2 pictures. Maybe you could space it out better?
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Howdy outstanding website! Does running a blog similar to this require a lot of work? I’ve absolutely no knowledge of computer programming but I had been hoping to start my own blog in the near future. Anyways, if you have any suggestions or techniques for new blog owners please share. I know this is off topic but I simply wanted to ask. Kudos!
I was curious if you ever considered changing the page layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or two pictures. Maybe you could space it out better?
Hello there! Do you know if they make any plugins to protect against hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any suggestions?
This design is steller! You obviously know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Great job. I really loved what you had to say, and more than that, how you presented it. Too cool!
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!
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!
Good post however , I was wanting to know if you could write a litte more on this topic? I’d be very thankful if you could elaborate a little bit more. Cheers!
Hey there! I know this is kinda off topic but I was wondering which blog platform are you using for this site? I’m getting tired of WordPress because I’ve had issues with hackers and I’m looking at options for another platform. I would be great if you could point me in the direction of a good platform.
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.
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.
Good day! Do you use Twitter? I’d like to follow you if that would be ok. I’m definitely enjoying your blog and look forward to new posts.
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?
There is perceptibly a bundle to realize about this. I assume you made certain nice points in features also.
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I’ve been browsing online more than 3 hours today, yet I never found any interesting article like yours. It is pretty worth enough for me. In my opinion, if all site owners and bloggers made good content as you did, the net will be much more useful than ever before.
I haven¡¦t checked in here for some time since I thought it was getting boring, but the last few posts are good quality so I guess I¡¦ll add you back to my daily bloglist. You deserve it my friend 🙂
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Pretty nice post. I just stumbled upon your blog and wanted to say that I’ve really enjoyed browsing your blog posts. In any case I will be subscribing to your feed and I hope you write again soon!
«Great Blogpost! I couldn’t refrain from commenting. _Perfectly written!»
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!
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.
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!
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