* * Anonymous Doc: A sandwich

Tuesday, December 27, 2011

A sandwich

They catered in lunch for a staff holiday party this afternoon. Sandwiches, soda, some cookies. I'm rounding on a couple of patients an hour later, and I get to the room with my two cirrhotic diabetics-- low salt diets, etc--

And they each have a sandwich in their hands and a can of Coke on their bedside tables.

"Uh... where'd you get that food?"

"Seemed like there was a party."

"The party wasn't for the patients. You shouldn't be eating that."

"Come on, doc. What's it gonna do, kill us?"

"Uh... what if I said yes?"

"I'd eat it anyway."

* * *

An hour later, their nurse pages me.

"BP is 90/50, what should I do?"

"Um... I'll come by again. What did it drop from?"

"Drop from? No, it was 61/41 half an hour ago."

"Excuse me-- I think I misheard you. Did you say 61? Six-one?"

"Yes, doctor."

"Why didn't you call a rapid response?"

"There were no symptoms?"

"You mean he wasn't dead?"

"I don't know."

"So 60/40 you ignored, but 90/50 and you call me?"

"Yes, doctor."

"I'll be right there."

* * *

"So you think it was the sandwich that caused the blood pressure to drop?"


"So I can eat another sandwich? I put one in my closet."


"Come on, why not?"


  1. the best part is this post now has ads from jimmy johns sandwiches

  2. Perhaps some cocaine would improve his BP even further...

  3. Sometimes one of the best joys in live is a good sammich. And after hospital food, I bet that was one of those times.