My registrar and I went to see a patient this morning. Normally we'd knock on his door, disrupt whatever he's doing and come to the interview room for a chat. But he was lying in bed this morning, and the nurse told us that he's been feeling weird since they gave him his olanzapine PRN.
"Are you feeling a little bit funny?" the Reg concerned, "yes, this feeling inside." Said the lethargic patient.
I almost burst out laughing to this reference to Elton's "Your Song", I had to bite my lips to contain the grin on my face. I would probably be the only one finding this hilarious.
It's probably nothing vicious, but we end up deciding that it's a ?chest pain, and did a full work up on him with serial ECGs and took some blood for troponin T as per suggested by the cardiology Reg. I dont think the patient find his feeling funny anymore.
I'd have laughed, too, so in my head it's a perfectly appropriate response :)
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