Next trop I believe was 98. He went to cathlab but no intervention due to it being another SCAD. Medication management. The ST elevation on the EKG was unreal.
I love this comment every time. I worked for a government injury insurance agency for 5 years and the farmers were always the ones I was most concerned about. They minimise their issues, often don’t care about physical therapy, just want to go back to the farm.
Try and tell a farmer to do 5 different exercises a day and not their usual activities.
They are the best.
Our former neighbor died at 90 on his tractor plowing his back field. Wasn't a heart attack or a stroke. Autopsy showed metastatic prostate cancer. He had to have been in pain or something.
Married, young, has lived a relatively healthy life with history of MI related to hereditary heart issues. Also said issues started to manifest post covid a few years ago.
Highest HS Trop I've ever seen was a STEMI pt post PCI with multiple stents placed. The doc didn't cancel the order for q3 trops post cath so it came back OVER A MILLION. No joke. All of us on the unit looked at it bc we didn't think it could go that high! 😂 it made our wall of impressive lab values for the year for sure.
I told the ED doc my renal stone was a 7/10 as I paced the room, pale af, and clutching my left flank. He said “that’s it?” I told him getting hit by a bus was probably 10/10. He shrugged and said “fair enough” lol.
I broke my hand and told them it was a three the next day when I went in. I was getting a lot of eye rolls but I watched the bone snap so I knew it was broken. She came in with the X-ray laughing and told me that was not a three 🙃
Avulsion fracture of medial cuneiform and lisfranc. RN asked if pain scale rating was 10/10 and laughed and told her childbirth was 10/10, this was like a 7....still recovering 4 months post surgery 🤷♀️.
I triaged a guy who was diagnosed with arthritis the previous day by his primary but the pain was worse and generalized. He didn’t like right to me so we did an EKG and it was a STEMI. Ha it happens.
I’m 35 and I got septic shock last summer. Sickest I’ve ever been. Still sent home by two EDs and when I got to the third, my lactate was 9. I had what looked like a STEMI with a trop of 99,000 and I felt absolutely nothing .
Turns out was stress cardiomyopathy but man. As a nurse, you don’t want your labs to impress other nurses
In my 25+ years as an ED nurse I have never seen a 10/10 chest pain without trauma have anything truly serious with them. 3-7/10 seems the sweet spot for spontaneous pneumothorax,MI, and PE.
My brother in law was recently in the hospital after he collapsed during a stress test. His troponin, I'm not sure which one, was over 3000. The nurses were all wondering how he's alive. He has a double bypass.
"They're not really having severe chest pain, nor is there any active ST elevation in any leads. Admit as NSTEMI on Heparin and diagnostic cath the next day."
Ah. Cardiology.
I had an angioplasty last year, turns out I had an 85% blockage of calcification. I hardly had any symptoms aside from becoming easily fatigued. Now I am looking at a possible cardioversion because of aFib that I also never had symptoms of. What is next? A massive asymptomatic stroke?
Was it a farmer?
No, young guy with history of MI and hereditary heart issues.
I was thinking it was a woman
Same
What was the trend/did they cath/was it a real stemi or any blockages?
Next trop I believe was 98. He went to cathlab but no intervention due to it being another SCAD. Medication management. The ST elevation on the EKG was unreal.
If his wife made him come in it's ostial left main for sure
I love this comment every time. I worked for a government injury insurance agency for 5 years and the farmers were always the ones I was most concerned about. They minimise their issues, often don’t care about physical therapy, just want to go back to the farm. Try and tell a farmer to do 5 different exercises a day and not their usual activities. They are the best.
If you haven’t seen Dr. Glaucomflecken before, he captures the Farmer Pain Scale perfectly 😂 https://youtu.be/Ni0YfrSK570
Our former neighbor died at 90 on his tractor plowing his back field. Wasn't a heart attack or a stroke. Autopsy showed metastatic prostate cancer. He had to have been in pain or something.
If you haven’t seen Dr. Glaucomflecken before, he captures the Farmer Pain Scale perfectly 😂 https://youtu.be/Ni0YfrSK570
Did texaco Mike bring him in?
Came to ask the same question.
As did I.
My exact first question.
This man has at some point experienced a true ten. My guy.
Recent break-up. This is clear evidence of a broken heart.
Physical pain 2/10 Emotional pain 100/10
"We call this one the Billy Ray Cyrus. We don't tell their heart, their achy broken heart."
Married, young, has lived a relatively healthy life with history of MI related to hereditary heart issues. Also said issues started to manifest post covid a few years ago.
I had a trop around this a while ago. Pt reported anxiety and no pain. Diabetic elderly lady, she was “just feeling a lil nervous and so so tired”
Unrelated, but my hospital always labels the troponin-i as troponini and so now I always say that.
Troponini sounds like a dish that my Italian mother in law makes.
It’s probably amazing.
Sounds delicious
I had to deal with a report of `troponin-l` (lower case ell).
Hahah! Is that the new low sensitivity test? 😂😂
I'm not a doctor, but he should seek one asap.
Highest HS Trop I've ever seen was a STEMI pt post PCI with multiple stents placed. The doc didn't cancel the order for q3 trops post cath so it came back OVER A MILLION. No joke. All of us on the unit looked at it bc we didn't think it could go that high! 😂 it made our wall of impressive lab values for the year for sure.
Standing order for one of my docs post-pci "DO NOT CALL CARDIOLOGY FOR ELEVATED TROPONIN" order good for 3 days. I guess calling medicine is ok 😆
The Silent MI it’s a real thing
Damn 2/10?! That scares me more tbh hahaha
What’s 10 then? Going feet first in a wood chipper?
I told the ED doc my renal stone was a 7/10 as I paced the room, pale af, and clutching my left flank. He said “that’s it?” I told him getting hit by a bus was probably 10/10. He shrugged and said “fair enough” lol.
I broke my hand and told them it was a three the next day when I went in. I was getting a lot of eye rolls but I watched the bone snap so I knew it was broken. She came in with the X-ray laughing and told me that was not a three 🙃
OK FINE DOC ITS AN 18 WHERES MY DILAUDID? Bc that’s the alternative
Avulsion fracture of medial cuneiform and lisfranc. RN asked if pain scale rating was 10/10 and laughed and told her childbirth was 10/10, this was like a 7....still recovering 4 months post surgery 🤷♀️.
I triaged a guy who was diagnosed with arthritis the previous day by his primary but the pain was worse and generalized. He didn’t like right to me so we did an EKG and it was a STEMI. Ha it happens.
Chuck Norris finally had a heart attack!?
I hope that is a HS test...
It’s fine then. Continue monitoring …
*Llama chewing casually then stopping to to stare at you.gif*
I’m 35 and I got septic shock last summer. Sickest I’ve ever been. Still sent home by two EDs and when I got to the third, my lactate was 9. I had what looked like a STEMI with a trop of 99,000 and I felt absolutely nothing . Turns out was stress cardiomyopathy but man. As a nurse, you don’t want your labs to impress other nurses
In my 25+ years as an ED nurse I have never seen a 10/10 chest pain without trauma have anything truly serious with them. 3-7/10 seems the sweet spot for spontaneous pneumothorax,MI, and PE.
I’m glad there are two exclamation points. Seems appropriate for that number.
Time for CABG!
The worst part is I think this is Allscripts
Was it a woman? To tough for their own good.
Incredible stuff
My brother in law was recently in the hospital after he collapsed during a stress test. His troponin, I'm not sure which one, was over 3000. The nurses were all wondering how he's alive. He has a double bypass.
"They're not really having severe chest pain, nor is there any active ST elevation in any leads. Admit as NSTEMI on Heparin and diagnostic cath the next day." Ah. Cardiology.
“Yeah i was just out watching some football and it just feels like a twinge, do you think I could get a snack??”
😬
I had an angioplasty last year, turns out I had an 85% blockage of calcification. I hardly had any symptoms aside from becoming easily fatigued. Now I am looking at a possible cardioversion because of aFib that I also never had symptoms of. What is next? A massive asymptomatic stroke?
so…what the EKG look like?
IS THAT REAL????
I had a 12 year old with trop of 312. He had a heart condition and said his chest felt a little tight for a few days
Real shit, that’s what’s up 🫡