12/23/09

conversations in a hospital #10

this is, by far, one of my most favourite patients ever.
a horribly sad story, she was almost killed by her brother and his girlfriend...they attempted murder and left her with a closed head injury, subdural hematoma, a gash in her neck so big that i'm surprised she's still alive, and ultimately a traumatic brain injury...
she has improved dramatically in the few months she's been here, but has gone between our trauma unit and the trauma/neuro ICU multiple times, near death, battling multiple infections, and the deepest pressure sores i have ever seen...
she is now eating and talking and moving, but is moody, sometimes agitated, sometimes tearful, confused as to place and time and generally everything, but i am sure that she has brief moments of lucidity...and she's just funny as all hell sometimes...
~

on initial assessment, trying to locate the pt's feet under a gazillion blankets:

me: where are your feet?
pt: i usually like to find them at the bottom of my ankles.

on the afterlife...

me: do you still talk to your mom?
pt: well she's dead, so it's a little difficult...of course, i still do sometimes


on italian heritage...
(which, by the way, she is not...but i am...and she seemed to be using random memories as her own experiences to share with me...too funny)

pt: i mean, how many pictures of an italian horse do i really need?

leaving the room:

pt: be careful!
me: why?
pt: it's crazy out there.



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