CASE 1: A young male I'll call Pekka came in on a Wednesday, as the damages from a weekend of heavy partying began to bother him. Lacerations and abrasions covered his entire backside, from his ankles to the top of his head. But Pekka's main concern was a dislocated thumb. It was sticking out at a 90-degree angle from his palm, and coloured a nice shade of purple. I ordered X-rays. Luckily for Pekka, he had no fractures, and we reset his thumb joint.
How had these wounds occured?
Pekka's friend was driving him home from the local waterhole. As they sped along somewhat faster than the speed limit, as one does when one is living in the middle of nowhere, Pekka realized that the driver was as drunk as he was! He decided to take action, and get out of the car. While the driver was preoccupied with a sharp bend in the road, Pekka opened the passenger door and quit the car.
Pekka was a regular customer over the summer, coming in when the anaesthetic effects of a weekend's libations began to wear off. He had his cast replaced, and the thumb reset, and reset, and reset yet again. I am sure he's still out there working towards a Darwin Award!
CASE 2: A middle-aged woman came in complaining of a horrible headache. Two days earlier, she had been driving to work when she suffered a "blackout" and woke up upside down. Her car was now resting on its roof. She extricated herself and walked to work! But the headache had grown steadily worse. She thought it might be whiplash.
To demonstrate that the pain was worse when she moved her head, she suddenly started shaking her head vigorously! The nurse and I both jumped to intervene, and hold her until we could fit a collar and have the madwoman transported by gurney to Radiology. She had a fractered cervical vertebra, which luckily had not been displaced even though she'd done her very best right there in my office! She, too, lived to tell the tale.
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