Feet First

“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” - Sir William Osler

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    Tuesday, October 14, 2003
    Patient Complaint of the Day

    "Kicked in chest by horse."

    The patient came in today although the injury happened three days previously. She was still having a lot of pain and wanted to make sure she hadn't fractured anything; I was more concerned about the possibility of cardiac arrhythmia (she'd taken two hooves to the sternum and was thrown across the horse's stable).

    "He didn't mean it," she said. "He's just six months old, he's still a baby!"

    "You sound like Sigfried and Roy: 'He didn't mean it!'" I replied. She grinned.

    Fortunately, nothing was fractured, she didn't have a pneumothorax and she denied any palpitations; her heart exam was normal. I gave her some codeine and sent her out. Happy ending.



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