Sunday night call check out

Dr. Grumpy: "Next one, in room 734 is Mr. Spin, admitted for severe vertigo. I think it's peripheral, but ordered an MRI and..."Dr. Nerve: "What kind of vertigo?"Dr. Grumpy: "Positional vertigo. It happens when he turns his head left."Dr. Nerve: "Which of the semicircular vestibular canals is involved?"Dr. Grumpy: "Are you serious?"Dr. Nerve: "Yes. Which canal is involved? Superior, Horizontal, or Posterior? They taught you that in residency, didn't they?'Dr. Grumpy: "I have no f.ing clue. I had 29 consults this weekend, and breaking that down isn't going to change my management."Dr. Nerve: "I think these things are important."Dr. Grumpy: "I don't when I'm swamped. On call my main question is whether it's central or peripheral. You want more than that, call an ENT."Dr. Nerve: "Personally, I examine them closely until I've localized the canal."Dr. Grumpy: "You do that. He's in 734. The MRI is pending. The next patient is..."
Source: Doctor Grumpy in the House - Category: Neurologists Authors: Source Type: blogs