I threatened to break a little old lady’s arm

arms

I trained at the “House of God”. It was pretty much at Samuel Shem described it; its medical floors were filled with elderly victims of dementia, suffering from various medical problems which we should not have been treating as aggressively as we were. You could walk down the hall and see a neat row of elderly women posied (tied) into reclining chairs staring into space, or repeating meaningless sounds, or talking but making no sense. They were all named Ida or Rose.

Like most obstetricians, I did a rotating internship which included 6 months of general medicine. I absolutely abhorred it. Taking call was the worst of all. You ran around like a crazy person all night, treating chest pain and various complications, all the while hoping that you would not get another “hit”.

A “hit” was a new patient. Right away you can tell that we did not view a new patient as an opportunity to heal and learn. Far from it. In our sleep deprived, egocentric world, a new patient was admitted to the hospital to knock us down. The fact that she was actually sick just indicated her malevolence. Sure, she had been sick for days, but she had deviously chosen our night on call to show up at the hospital.

One winter evening, I was called to the ER with my resident to accept our latest “hit”. Ida (of course) was an 88 year old, unpleasantly demented resident of a local nursing home. She had a bleeding gastic ulcer and was sent to the hospital for transfusions because of a very low hematocrit. When I got to the ER I saw that Ida was unaware that her hematocrit was barely compatible with life, and was scratching and spitting at the nurses while issuing a stream of invective.

Our first mission was to get IV access. Everyone who had tried in the ER had been unsuccessful. My resident and I assessed the situation and handled it in a way that seemed perfectly logical to us at the time. We tied Ida to the stretcher with rolls of Kling gauze. While the resident tried to keep the patient from spitting on me, I put in the IV after a great deal of difficulty. The red blood cells started running in.

My resident cautioned me that I should accompany Ida to the floor and supervise her placement in bed. The IV was extremely precious, and I should do whatever I needed to do to preserve it. That also seemed perfectly logical to me. I trailed behind the stretcher on the way up to the medical floor, and after the patient was placed in bed, I personally tied each of her limbs to the bedrail TWICE. I was taking no chances. At the time, I saw absolutely nothing wrong with what I was doing. Indeed, it seemed merely prudent.

I did not hear anything more about Ida throughout that evening. At about 3 AM, after managing another patient’s chest pain, I happened to pass by Ida’s room on the way back to my bed. Two bright eyes peered at me from the gloom. As my eyes adjusted to the darkness, I saw that Ida, clearly a protegee of Houdini, had managed to remove all four of her double restraints. She had pulled off the bandages covering her IV site and was holding the IV tubing in her hand in preparation to pulling it out.

That is when I uttered the fateful words in a voice so loud that nurses came running from up and down the floor:

“Ida,” I shouted, “if you don’t let go of that IV, I will break your arm!”

Ida, of course, smiled sweetly, pulled out the IV and spit on me for good measure. I turned to find a circle of nurses staring at me with mouths agape. I burst into tears, the one any only time during my entire residency. The nurses figured that I was too distraught to manage the situation, and called the resident to restrain Ida yet again, and replace the IV. Although people tried to console me, I was inconsolable. I just kept saying over and over again,

“What has happened to me? I threatened to break a little old lady’s arm.”

I don’t remember what happened between then and morning rounds. I do recall that by the time of morning rounds, I was completely recovered and back to work again.

100 Responses to “I threatened to break a little old lady’s arm”

  1. Cellist
    February 17, 2013 at 7:20 pm #

    Wow. Thank you for sharing this. Few people realise the heart breaking and soul destroying nature of providing medical care for people with dementia.

Trackbacks/Pingbacks

  1. Volkswagen Cocaine For Sale - July 29, 2021

    Volkswagen Cocaine For Sale

    […]the time to read or take a look at the content material or web sites we have linked to beneath the[…]

  2. trauma healing - July 28, 2021

    trauma healing

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nevertheless definitely worth taking a appear, whoa did a single understand about Mid East has got far more problerms too […]

  3. canada pharmacy canada pharmacy canada pharmacy - July 27, 2021

    canada pharmacy canada pharmacy canada pharmacy

    […]below you will uncover the link to some web pages that we assume you’ll want to visit[…]

  4. canada pharmacy canada pharmacy canada pharmacy - July 27, 2021

    canada pharmacy canada pharmacy canada pharmacy

    […]check below, are some entirely unrelated web sites to ours, on the other hand, they are most trustworthy sources that we use[…]

  5. buy glo extracts online - July 26, 2021

    buy glo extracts online

    […]usually posts some extremely exciting stuff like this. If you are new to this site[…]

  6. order weed online usa - July 26, 2021

    order weed online usa

    […]Here is a superb Blog You might Locate Exciting that we Encourage You[…]

  7. buy weed in Missouri - July 26, 2021

    buy weed in Missouri

    […]the time to read or check out the content material or sites we have linked to below the[…]

  8. معرفة هوية المتصل - July 26, 2021

    معرفة هوية المتصل

  9. Canada Pharmacy - July 26, 2021

    Canada Pharmacy

    […]although sites we backlink to beneath are considerably not associated to ours, we really feel they are in fact really worth a go through, so have a look[…]

  10. Canada pharmacy - July 26, 2021

    Canada pharmacy

    […]check beneath, are some totally unrelated sites to ours, nevertheless, they may be most trustworthy sources that we use[…]

  11. where to buy mango juul pods 2021 - July 25, 2021

    where to buy mango juul pods 2021

    […]below you will find the link to some web-sites that we believe you ought to visit[…]

  12. Buy Guns Online - July 25, 2021

    Buy Guns Online

  13. hbcuex.com - July 25, 2021

    hbcuex.com

    […]check beneath, are some entirely unrelated web sites to ours, on the other hand, they may be most trustworthy sources that we use[…]

  14. best software list - July 25, 2021

    best software list

    […]the time to study or take a look at the content material or internet sites we have linked to below the[…]

  15. click here - July 24, 2021

    click here

  16. موقع سكس - July 24, 2021

    موقع سكس

    […]Here are a number of the web pages we suggest for our visitors[…]

  17. نيك - July 24, 2021

    نيك

    […]Here is an excellent Weblog You may Uncover Exciting that we Encourage You[…]

  18. adult toys - July 23, 2021

    adult toys

    […]very few websites that come about to become comprehensive below, from our point of view are undoubtedly well worth checking out[…]

  19. painted sheds - July 21, 2021

    painted sheds

    […]one of our visitors not too long ago recommended the following website[…]

  20. garden shed bunnings - July 21, 2021

    garden shed bunnings

    […]Here is an excellent Weblog You might Come across Intriguing that we Encourage You[…]

  21. how to lose belly fat naturally - July 18, 2021

    how to lose belly fat naturally

    […]please go to the websites we follow, including this 1, because it represents our picks in the web[…]

  22. golden tilefish price - July 16, 2021

    golden tilefish price

    […]please stop by the internet sites we comply with, such as this one, because it represents our picks in the web[…]

  23. Dumbbell Set - July 16, 2021

    Dumbbell Set

    […]Here is an excellent Blog You might Obtain Exciting that we Encourage You[…]

  24. beowulf 50 ammo - July 16, 2021

    beowulf 50 ammo

    […]usually posts some really interesting stuff like this. If you are new to this site[…]

  25. Treadmill For Sale - July 16, 2021

    Treadmill For Sale

    […]The information and facts mentioned in the article are a few of the ideal readily available […]

  26. Pallas Cat - July 14, 2021

    Pallas Cat

    […]Every the moment in a when we decide on blogs that we study. Listed below are the most up-to-date web sites that we decide on […]

  27. Buy Vape Carts Online - July 14, 2021

    Buy Vape Carts Online

    https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.

  28. Sig Sauer Red Dot - July 14, 2021

    Sig Sauer Red Dot

    […]Here is a great Blog You may Obtain Exciting that we Encourage You[…]

  29. boho coffee table - July 14, 2021

    boho coffee table

    […]The information and facts talked about in the write-up are some of the best available […]

  30. online pharmacies canada - July 13, 2021

    online pharmacies canada

    […]although web sites we backlink to below are considerably not related to ours, we really feel they’re essentially worth a go as a result of, so possess a look[…]

  31. Roofing Company - July 13, 2021

    Roofing Company

    […]just beneath, are quite a few absolutely not associated sites to ours, even so, they are surely worth going over[…]

  32. istanbul escort - July 13, 2021

    istanbul escort

    […]Here is a great Blog You might Discover Interesting that we Encourage You[…]

  33. maltepe escort - July 13, 2021

    maltepe escort

    […]check beneath, are some absolutely unrelated internet sites to ours, even so, they’re most trustworthy sources that we use[…]

  34. MILF Porn Land - July 12, 2021

    MILF Porn Land

    […]The details talked about within the post are some of the very best obtainable […]

  35. MURANG'A UNIVERSITY OF TECHNOLOGY - July 9, 2021

    MURANG’A UNIVERSITY OF TECHNOLOGY

  36. Takeout - July 8, 2021

    Takeout

    […]very few web sites that take place to be detailed below, from our point of view are undoubtedly effectively worth checking out[…]

  37. Restaurants - July 8, 2021

    Restaurants

    […]here are some hyperlinks to web sites that we link to due to the fact we assume they may be really worth visiting[…]

  38. Glock Guns for sale - July 8, 2021

    Glock Guns for sale

    […]Sites of interest we have a link to[…]

  39. professional movers - July 7, 2021

    professional movers

    […]we came across a cool website which you may well love. Take a look if you want[…]

  40. movers Kelowna - July 7, 2021

    movers Kelowna

    […]Here is an excellent Blog You may Locate Interesting that we Encourage You[…]

  41. shop ruger guns online - July 6, 2021

    shop ruger guns online

    […]Here are some of the web-sites we recommend for our visitors[…]

  42. vape carts for sale - July 6, 2021

    vape carts for sale

  43. Ruger Handguns - July 6, 2021

    Ruger Handguns

    […]although web sites we backlink to beneath are considerably not associated to ours, we feel they are actually worth a go by way of, so have a look[…]

  44. shroom chocolate - July 6, 2021

    shroom chocolate

    […]here are some links to web sites that we link to mainly because we consider they’re worth visiting[…]

  45. shroom supply - July 6, 2021

    shroom supply

    […]one of our guests a short while ago encouraged the following website[…]

  46. tiktok followers - July 6, 2021

    tiktok followers

    […]one of our visitors recently proposed the following website[…]

  47. buy weed online - July 5, 2021

    buy weed online

    […]Here are a number of the web sites we recommend for our visitors[…]

  48. weed near me - July 5, 2021

    weed near me

    […]The information and facts mentioned in the article are several of the ideal obtainable […]

  49. buy weed online - July 5, 2021

    buy weed online

    […]Sites of interest we’ve a link to[…]

  50. marijuana dispensaries - July 5, 2021

    marijuana dispensaries

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nevertheless really really worth taking a search, whoa did one find out about Mid East has got additional problerms at the same time […]

  51. buy weed online - July 5, 2021

    buy weed online

    […]just beneath, are various completely not associated websites to ours, nevertheless, they may be certainly worth going over[…]

  52. buy weed online - July 5, 2021

    buy weed online

    […]just beneath, are quite a few totally not related websites to ours, nevertheless, they may be surely worth going over[…]

  53. BUY SHARKLATO EXOTICS - July 4, 2021

    BUY SHARKLATO EXOTICS

    […]we came across a cool site that you just may possibly take pleasure in. Take a look if you want[…]

  54. g-spot vibrator - July 3, 2021

    g-spot vibrator

    […]Here are some of the websites we advocate for our visitors[…]

  55. rechargeable bullet vibrators - July 3, 2021

    rechargeable bullet vibrators

    […]although internet websites we backlink to below are considerably not connected to ours, we feel they may be essentially really worth a go by, so have a look[…]

  56. bullet vibrator - July 3, 2021

    bullet vibrator

    […]usually posts some incredibly intriguing stuff like this. If you are new to this site[…]

  57. sasha grey sex toy - July 3, 2021

    sasha grey sex toy

  58. bachelor's degree - July 1, 2021

    bachelor’s degree

  59. delta 8 products - June 29, 2021

    delta 8 products

    […]we came across a cool web-site that you simply could appreciate. Take a look should you want[…]

  60. Observer - June 29, 2021

    Observer

    […]check beneath, are some entirely unrelated websites to ours, having said that, they are most trustworthy sources that we use[…]

  61. strap on for beginners - June 27, 2021

    strap on for beginners

    […]although web sites we backlink to beneath are considerably not related to ours, we really feel they may be truly worth a go by, so possess a look[…]

  62. Food License in Hyderabad - June 26, 2021

    Food License in Hyderabad

  63. tides today at tides.today - June 24, 2021

    tides today at tides.today

    […]although web-sites we backlink to below are considerably not associated to ours, we feel they may be truly worth a go by, so have a look[…]

  64. adam and eve dildo - June 22, 2021

    adam and eve dildo

    […]although sites we backlink to below are considerably not related to ours, we feel they are truly worth a go as a result of, so have a look[…]

  65. best delta 8 thc gummies - June 22, 2021

    best delta 8 thc gummies

    […]that would be the end of this write-up. Here you will find some sites that we think you will appreciate, just click the hyperlinks over[…]

  66. Samsung phone repair - June 22, 2021

    Samsung phone repair

  67. best delta 8 THC vape cartridges - June 21, 2021

    best delta 8 THC vape cartridges

    […]Wonderful story, reckoned we could combine some unrelated information, nonetheless truly worth taking a search, whoa did 1 find out about Mid East has got additional problerms as well […]

  68. buy Instagram likes - June 21, 2021

    buy Instagram likes

    […]here are some hyperlinks to web pages that we link to due to the fact we consider they are worth visiting[…]

  69. kratom for sale - June 21, 2021

    kratom for sale

    […]although internet websites we backlink to beneath are considerably not related to ours, we feel they are really worth a go by way of, so have a look[…]

  70. where to buy kratom - June 21, 2021

    where to buy kratom

    […]just beneath, are numerous absolutely not connected internet sites to ours, nevertheless, they’re surely worth going over[…]

  71. best kratom capsules - June 21, 2021

    best kratom capsules

    […]very handful of web-sites that transpire to be comprehensive beneath, from our point of view are undoubtedly very well really worth checking out[…]

  72. MASALA MACHINE - June 17, 2021

    MASALA MACHINE

    […]Sites of interest we’ve a link to[…]

  73. software review - June 16, 2021

    software review

  74. Odihr Login - June 16, 2021

    Odihr Login

    […]Here is an excellent Weblog You may Obtain Exciting that we Encourage You[…]

  75. Pound of Weed - June 16, 2021

    Pound of Weed

    […]just beneath, are a lot of entirely not related web-sites to ours, even so, they may be certainly really worth going over[…]

  76. PARROTS FOR SALE - June 16, 2021

    PARROTS FOR SALE

    […]although websites we backlink to beneath are considerably not connected to ours, we feel they’re in fact worth a go by way of, so have a look[…]

  77. GOLDEN RETRIEVER PUPPIES FOR SALE - June 16, 2021

    GOLDEN RETRIEVER PUPPIES FOR SALE

    […]although web-sites we backlink to below are considerably not connected to ours, we really feel they are essentially worth a go via, so possess a look[…]

  78. alligator meat online - June 15, 2021

    alligator meat online

    […]Here is a superb Weblog You may Find Intriguing that we Encourage You[…]

  79. Pinball for sale - June 15, 2021

    Pinball for sale

    […]although websites we backlink to below are considerably not associated to ours, we feel they may be really really worth a go by, so have a look[…]

  80. Monster Bash Pinball Machine by Williams - June 15, 2021

    Monster Bash Pinball Machine by Williams

    […]Sites of interest we’ve a link to[…]

  81. g spot vibrator - June 15, 2021

    g spot vibrator

    […]Here is a superb Weblog You might Locate Intriguing that we Encourage You[…]

  82. Google - June 12, 2021

    Google

    Very couple of websites that transpire to be comprehensive below, from our point of view are undoubtedly properly really worth checking out.

  83. best p spot toy - June 11, 2021

    best p spot toy

    […]that will be the end of this article. Here you will uncover some web-sites that we feel you will appreciate, just click the hyperlinks over[…]

  84. Beauty Spa Salon in Irvine - June 7, 2021

    Beauty Spa Salon in Irvine

    […]just beneath, are a lot of entirely not connected websites to ours, on the other hand, they’re certainly worth going over[…]

  85. youtube shorts - June 6, 2021

    youtube shorts

    […]Sites of interest we have a link to[…]

  86. kratom powder - June 6, 2021

    kratom powder

    […]The details mentioned in the post are a few of the best readily available […]

  87. best thrusting vibrator - June 4, 2021

    best thrusting vibrator

    […]Here are several of the sites we recommend for our visitors[…]

  88. phone repair tustin - June 3, 2021

    phone repair tustin

    […]Sites of interest we have a link to[…]

  89. best delta 8 gummies - June 3, 2021

    best delta 8 gummies

    […]one of our visitors lately proposed the following website[…]

  90. dentalplanscanada.ca - June 2, 2021

    dentalplanscanada.ca

    […]here are some links to web sites that we link to for the reason that we believe they are worth visiting[…]

  91. order sig sauer firearms online - June 2, 2021

    order sig sauer firearms online

    […]the time to read or stop by the content or web-sites we have linked to beneath the[…]

  92. Google - May 31, 2021

    Google

    One of our guests recently advised the following website.

  93. appetite suppressant vitamins - December 18, 2014

    in order to get website traffic, to

    find that your site no longer exists. choosing the software from the outset, prevents any upset. only you will make the decisions on what happens to your blog, by deciding on its content.the best software allows you to create, maintain and

  94. panic attack treatment without medication - March 21, 2013

    Title…

    […]Here is a superb Blog You might Obtain Interesting that we Encourage You[…]…

  95. games yepi - February 16, 2013

    Title…

    […]we came across a cool internet site that you simply may enjoy. Take a search should you want[…]…

  96. Photographers - February 16, 2013

    Title…

    […]usually posts some extremely fascinating stuff like this. If you are new to this site[…]…

  97. hair loss cure - February 15, 2013

    Title…

    […]we came across a cool web page that you could love. Take a look in case you want[…]…

  98. 2013 business ideas for women - February 15, 2013

    Title…

    […]very handful of web-sites that come about to be detailed below, from our point of view are undoubtedly effectively really worth checking out[…]…

  99. Garcinia Cambogia Extract - February 15, 2013

    Title…

    […]always a major fan of linking to bloggers that I really like but do not get a great deal of link adore from[…]…

Leave a Reply

You must be logged in to post a comment.