Bolster my courage

I am having nightmares. About clinic. Yesterday I bolstered my courage and sat down to write my dream out. What are my dreams trying to tell me? Should I extend my contract or not?

I dream that in clinic I have a male patient with his wife in the room. He is very dramatic, saying, “I am so ill, help me, help me.” He says, “I am on quercetin. You have to help me.”

He won’t tell me what his symptoms are, so I respond to what he says: “Who prescribed quercetin? What is your diagnosis?”

“Oh, you don’t want to help me,” he says. His wife just watches.

“Do you have pain somewhere? Any chest pain? Any abdominal pain? Any pain anywhere?”

“No, no, you don’t understand!” he says, “You aren’t listening!”

“I am trying to help you,” I say. “Can we reschedule you for a longer visit?” This is one of the impossible 20 minute ones. Honestly, he doesn’t look like he’s in pain. I do a quick listen to heart and lungs and feel his abdomen.

“No, I need to be in the hospital, I can’t go home!”

“I can’t put you in the hospital without a diagnosis, but we can move you to the emergency room.” Of course, the ER won’t be happy about this.

I leave the room and call the ER. The ER doctor is understandably grumpy, since I have no idea what this is about and am suspecting a psychiatric cause. “Urine drug screen,” I say. “He doesn’t smell drunk. I do not think it’s meth withdrawal.” “Make sure you do a note,” snarls the ER doctor. Good luck, since he won’t answer any questions. “How behind am I?” I ask the nurse. She just rolls her eyes. I probably have at least four or five more on the schedule. I come back to the room. Now two preteens are in the room, looking in the drawers and taking things out. Their parents do nothing to stop them.

“Please sit down now!” I say. “Put that down!”

The teens sullenly comply. The father is moaning. He has the prescriber on his cell phone. He hands it to me. I introduce myself. “What is your diagnosis?” I say. “Why is he on quercetin?” The person at the other end mumbles. “Excuse me, what did you say?” He’s gone. I say to the mother, “Please take the children to the waiting room. Sir, are you requesting that we call 911?” It would be a call saying man moaning, no idea what he’s on about. Vitals are normal, he denies chest pressure or pain, he doesn’t have an acute abdomen, his oxygen level is fine, no fast heart rate, no fever. Drama.

I wake up, thinking that I may have to call 911 to get the wife and kids out and I have to have someone monitor him while I see other patients and we just don’t have enough staff and I am ready to just cancel the rest of the afternoon. If I were in a hospital, I could call security, but we are a satellite small clinic.

So… what the heck is THIS dream about? And do we really get patients like this? Yes, but not often and I haven’t had any like this here. I think it’s funny that this dream has so much detail, down to the supplement that the man is taking as well as the clinic room. I usually work in room 1 and 2, but this was in room 5.

To be continued.

For the Ragtag Daily Prompt: bolster.



5 thoughts on “Bolster my courage

  1. screed64's avatar screed64 says:

    Having worked for 41 years in an allied health setting, may I say hats off to all the medical professionals out there who on a daily basis not only face demanding situations and tight schedules, but also deal with patients who have self diagnosed. I can identify with the work related dreams, which seemed to place one in nightmarish situations that were good to wake from!

  2. […] did not even occur to me that yesterday’s dream could be taken as complaints about patients! That was not my […]

  3. Forgive me, Doc, but my pharmacy recently said they couldn’t refill a drug that helps me breathe until I called my doctor for an annual exam. Huh? I’ve never had an annual exam. So I did. They said I could see any one of three people, but I have a doctor. I told them. So I go see her Monday. She will look at the computer screen. Maybe other things will happen. I don’t want to go. These nightmares go two ways. This is real life, though. As for your nightmare, I think it’s catharsis. πŸ€—

    • drkottaway's avatar drkottaway says:

      I do need to see people at least yearly and most people who are on chronic medicines need an interval laboratory check to be sure that their liver and kidney function is not tanking. Medicines and supplements are metabolized by liver or kidneys or both. There is a bit of method to the madness. Coumadin needs monthly labs, chemotherapy all the time, most blood pressure meds yearly.

Comments are closed.