Saturday, August 05, 2006

Perspective is important

A teenage girl who was pregnant tried to kill herself by ingesting a bunch of pills. In the vast majority of cases of overdose, the patient takes a medication that wouldn't kill them no matter how many they took, or takes an inadequate amount. It's an attention-seeking move....a call for help.

Nevertheless, in my younger days, I used to pump their stomach anyway as a form of negative reinforcement. Getting one's stomach pumped is very unpleasant. The tube we shove down the esophagus is as thick as your thumb, then we pump in and suck out a gallon of saline or tap water, then we pump in a pint of charcoal mixed with sorbitol, which acts as a laxative. We have big beefy guys to hold the patient down, if necessary.

Now, in my kinder gentler middle age, I give them the opportunity to just drink the charcoal if they prefer. That is memorable enough, usually just as effective, and there is less risk of injury.

Anyway, this pregnant girl got her stomach pumped, and some of the charcoal/vomit mixture got on her T-shirt after we pulled the tube out. When she realized this, after she had tried to kill herself and her baby mind you, and after we (perhaps) saved her life... she complained that we had ruined her T-shirt.

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