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Re: Mystery Diagnosis 2

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Possibly a DVT forming in the leg or just below the bifurcation of the vena

cava?

Chris

From: texasems-l [mailto:texasems-l ] On Behalf

Of krin135@...

Sent: Thursday, July 14, 2011 12:45 PM

To: texasems-l

Subject: Re: Mystery Diagnosis 2

that is a change. Many of the old off shore workers used to stock up on

Nyquel because booze was banned...

ck

In a message dated 07/14/11 12:35:22 Central Daylight Time,

amwoods8644@... writes:

Pt denies smoking or drug use.

Both are contraband on the vessel; all medications, even OTC, must go

through you.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> ok...so how much does the patient smoke?

>

> and how much Nyquel did he bring on board?

>

> ck

>

>

> In a message dated 07/14/11 08:21:53 Central Daylight Time,

> amwoods8644@... writes:

>

> CBC:

> Hemoglobin-----17 *H

> Hematocrit-------52 *H

> RBC---------------5.2

> MCV---------------100

> MCH---------------32.7

> MCHC-------------32.7

> Platelets----------276 000

> WBC---------------11 000 *H

>

>

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No DVT.

Any basics that want to swoop in and save the day?

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> Possibly a DVT forming in the leg or just below the bifurcation of the vena

cava?

> Chris

>

> From: texasems-l [mailto:texasems-l ] On Behalf

Of krin135@...

> Sent: Thursday, July 14, 2011 12:45 PM

> To: texasems-l

> Subject: Re: Mystery Diagnosis 2

>

> that is a change. Many of the old off shore workers used to stock up on

> Nyquel because booze was banned...

>

> ck

>

> In a message dated 07/14/11 12:35:22 Central Daylight Time,

> amwoods8644@... writes:

>

> Pt denies smoking or drug use.

>

> Both are contraband on the vessel; all medications, even OTC, must go

> through you.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > ok...so how much does the patient smoke?

> >

> > and how much Nyquel did he bring on board?

> >

> > ck

> >

> >

> > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > amwoods8644@... writes:

> >

> > CBC:

> > Hemoglobin-----17 *H

> > Hematocrit-------52 *H

> > RBC---------------5.2

> > MCV---------------100

> > MCH---------------32.7

> > MCHC-------------32.7

> > Platelets----------276 000

> > WBC---------------11 000 *H

> >

> >

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Is he working on a little heat exhaustion..

chris

From: texasems-l [mailto:texasems-l ] On Behalf

Of Alyssa Woods

Sent: Thursday, July 14, 2011 3:16 PM

To: texasems-l

Subject: Re: Mystery Diagnosis 2

No DVT.

Any basics that want to swoop in and save the day?

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...

> wrote:

> Possibly a DVT forming in the leg or just below the bifurcation of the vena

cava?

> Chris

>

> From: texasems-l

[mailto:texasems-l ] On

Behalf Of krin135@...

> Sent: Thursday, July 14, 2011 12:45 PM

> To: texasems-l

> Subject: Re: Mystery Diagnosis 2

>

> that is a change. Many of the old off shore workers used to stock up on

> Nyquel because booze was banned...

>

> ck

>

> In a message dated 07/14/11 12:35:22 Central Daylight Time,

>

amwoods8644@...

writes:

>

> Pt denies smoking or drug use.

>

> Both are contraband on the vessel; all medications, even OTC, must go

> through you.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jul 14, 2011, at 12:09,

krin135@... wrote:

>

> > ok...so how much does the patient smoke?

> >

> > and how much Nyquel did he bring on board?

> >

> > ck

> >

> >

> > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> >

amwoods8644@...

writes:

> >

> > CBC:

> > Hemoglobin-----17 *H

> > Hematocrit-------52 *H

> > RBC---------------5.2

> > MCV---------------100

> > MCH---------------32.7

> > MCHC-------------32.7

> > Platelets----------276 000

> > WBC---------------11 000 *H

> >

> >

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Guest guest

Anyone asked for a head to toe exam yet?

Wes

On the move from my iPhone

> No DVT.

>

> Any basics that want to swoop in and save the day?

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

>

> > Possibly a DVT forming in the leg or just below the bifurcation of the vena

cava?

> > Chris

> >

> > From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

> > Sent: Thursday, July 14, 2011 12:45 PM

> > To: texasems-l

> > Subject: Re: Mystery Diagnosis 2

> >

> > that is a change. Many of the old off shore workers used to stock up on

> > Nyquel because booze was banned...

> >

> > ck

> >

> > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > amwoods8644@... writes:

> >

> > Pt denies smoking or drug use.

> >

> > Both are contraband on the vessel; all medications, even OTC, must go

> > through you.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > ok...so how much does the patient smoke?

> > >

> > > and how much Nyquel did he bring on board?

> > >

> > > ck

> > >

> > >

> > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > amwoods8644@... writes:

> > >

> > > CBC:

> > > Hemoglobin-----17 *H

> > > Hematocrit-------52 *H

> > > RBC---------------5.2

> > > MCV---------------100

> > > MCH---------------32.7

> > > MCHC-------------32.7

> > > Platelets----------276 000

> > > WBC---------------11 000 *H

> > >

> > >

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Guest guest

Anyone asked for a head to toe exam yet?

Wes

On the move from my iPhone

> No DVT.

>

> Any basics that want to swoop in and save the day?

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

>

> > Possibly a DVT forming in the leg or just below the bifurcation of the vena

cava?

> > Chris

> >

> > From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

> > Sent: Thursday, July 14, 2011 12:45 PM

> > To: texasems-l

> > Subject: Re: Mystery Diagnosis 2

> >

> > that is a change. Many of the old off shore workers used to stock up on

> > Nyquel because booze was banned...

> >

> > ck

> >

> > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > amwoods8644@... writes:

> >

> > Pt denies smoking or drug use.

> >

> > Both are contraband on the vessel; all medications, even OTC, must go

> > through you.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > ok...so how much does the patient smoke?

> > >

> > > and how much Nyquel did he bring on board?

> > >

> > > ck

> > >

> > >

> > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > amwoods8644@... writes:

> > >

> > > CBC:

> > > Hemoglobin-----17 *H

> > > Hematocrit-------52 *H

> > > RBC---------------5.2

> > > MCV---------------100

> > > MCH---------------32.7

> > > MCHC-------------32.7

> > > Platelets----------276 000

> > > WBC---------------11 000 *H

> > >

> > >

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Guest guest

Nope.

Pt requests to keep his socks & underwear on, because the room is rather cold.

Other than that, your exam is unremarkable.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> Anyone asked for a head to toe exam yet?

>

> Wes

>

> On the move from my iPhone

>

>

>

> > No DVT.

> >

> > Any basics that want to swoop in and save the day?

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> >

> > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > Chris

> > >

> > > From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

> > > Sent: Thursday, July 14, 2011 12:45 PM

> > > To: texasems-l

> > > Subject: Re: Mystery Diagnosis 2

> > >

> > > that is a change. Many of the old off shore workers used to stock up on

> > > Nyquel because booze was banned...

> > >

> > > ck

> > >

> > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > amwoods8644@... writes:

> > >

> > > Pt denies smoking or drug use.

> > >

> > > Both are contraband on the vessel; all medications, even OTC, must go

> > > through you.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > >

> > > > ok...so how much does the patient smoke?

> > > >

> > > > and how much Nyquel did he bring on board?

> > > >

> > > > ck

> > > >

> > > >

> > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > amwoods8644@... writes:

> > > >

> > > > CBC:

> > > > Hemoglobin-----17 *H

> > > > Hematocrit-------52 *H

> > > > RBC---------------5.2

> > > > MCV---------------100

> > > > MCH---------------32.7

> > > > MCHC-------------32.7

> > > > Platelets----------276 000

> > > > WBC---------------11 000 *H

> > > >

> > > >

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Guest guest

Nope.

Pt requests to keep his socks & underwear on, because the room is rather cold.

Other than that, your exam is unremarkable.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> Anyone asked for a head to toe exam yet?

>

> Wes

>

> On the move from my iPhone

>

>

>

> > No DVT.

> >

> > Any basics that want to swoop in and save the day?

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> >

> > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > Chris

> > >

> > > From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

> > > Sent: Thursday, July 14, 2011 12:45 PM

> > > To: texasems-l

> > > Subject: Re: Mystery Diagnosis 2

> > >

> > > that is a change. Many of the old off shore workers used to stock up on

> > > Nyquel because booze was banned...

> > >

> > > ck

> > >

> > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > amwoods8644@... writes:

> > >

> > > Pt denies smoking or drug use.

> > >

> > > Both are contraband on the vessel; all medications, even OTC, must go

> > > through you.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > >

> > > > ok...so how much does the patient smoke?

> > > >

> > > > and how much Nyquel did he bring on board?

> > > >

> > > > ck

> > > >

> > > >

> > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > amwoods8644@... writes:

> > > >

> > > > CBC:

> > > > Hemoglobin-----17 *H

> > > > Hematocrit-------52 *H

> > > > RBC---------------5.2

> > > > MCV---------------100

> > > > MCH---------------32.7

> > > > MCHC-------------32.7

> > > > Platelets----------276 000

> > > > WBC---------------11 000 *H

> > > >

> > > >

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Guest guest

and having treated a case of tetanus some years ago, your patient can be

expected to spend at least a month in the ICU, and possibly up to a year in

rehab after that....

NOT a fun disease...

ck

In a message dated 07/15/11 17:53:27 Central Daylight Time,

amwoods8644@... writes:

- the mortality rate of Tetanus being 45% (1 in 2 chance your patient will

not survive). (3)

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Guest guest

I said a complete head to toe...

On the move from my iPhone

> Nope.

>

> Pt requests to keep his socks & underwear on, because the room is rather cold.

Other than that, your exam is unremarkable.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > Anyone asked for a head to toe exam yet?

> >

> > Wes

> >

> > On the move from my iPhone

> >

> >

> >

> > > No DVT.

> > >

> > > Any basics that want to swoop in and save the day?

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > >

> > > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > > Chris

> > > >

> > > > From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

> > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > To: texasems-l

> > > > Subject: Re: Mystery Diagnosis 2

> > > >

> > > > that is a change. Many of the old off shore workers used to stock up on

> > > > Nyquel because booze was banned...

> > > >

> > > > ck

> > > >

> > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > amwoods8644@... writes:

> > > >

> > > > Pt denies smoking or drug use.

> > > >

> > > > Both are contraband on the vessel; all medications, even OTC, must go

> > > > through you.

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > >

> > > > > ok...so how much does the patient smoke?

> > > > >

> > > > > and how much Nyquel did he bring on board?

> > > > >

> > > > > ck

> > > > >

> > > > >

> > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > amwoods8644@... writes:

> > > > >

> > > > > CBC:

> > > > > Hemoglobin-----17 *H

> > > > > Hematocrit-------52 *H

> > > > > RBC---------------5.2

> > > > > MCV---------------100

> > > > > MCH---------------32.7

> > > > > MCHC-------------32.7

> > > > > Platelets----------276 000

> > > > > WBC---------------11 000 *H

> > > > >

> > > > >

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Guest guest

Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> I said a complete head to toe...

>

> On the move from my iPhone

>

>

>

> > Nope.

> >

> > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > Anyone asked for a head to toe exam yet?

> > >

> > > Wes

> > >

> > > On the move from my iPhone

> > >

> > >

> > >

> > > > No DVT.

> > > >

> > > > Any basics that want to swoop in and save the day?

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > >

> > > > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > > > Chris

> > > > >

> > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > To: texasems-l

> > > > > Subject: Re: Mystery Diagnosis 2

> > > > >

> > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > Nyquel because booze was banned...

> > > > >

> > > > > ck

> > > > >

> > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > amwoods8644@... writes:

> > > > >

> > > > > Pt denies smoking or drug use.

> > > > >

> > > > > Both are contraband on the vessel; all medications, even OTC, must go

> > > > > through you.

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > >

> > > > > > ok...so how much does the patient smoke?

> > > > > >

> > > > > > and how much Nyquel did he bring on board?

> > > > > >

> > > > > > ck

> > > > > >

> > > > > >

> > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > CBC:

> > > > > > Hemoglobin-----17 *H

> > > > > > Hematocrit-------52 *H

> > > > > > RBC---------------5.2

> > > > > > MCV---------------100

> > > > > > MCH---------------32.7

> > > > > > MCHC-------------32.7

> > > > > > Platelets----------276 000

> > > > > > WBC---------------11 000 *H

> > > > > >

> > > > > >

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Guest guest

Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> I said a complete head to toe...

>

> On the move from my iPhone

>

>

>

> > Nope.

> >

> > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > Anyone asked for a head to toe exam yet?

> > >

> > > Wes

> > >

> > > On the move from my iPhone

> > >

> > >

> > >

> > > > No DVT.

> > > >

> > > > Any basics that want to swoop in and save the day?

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > >

> > > > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > > > Chris

> > > > >

> > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > To: texasems-l

> > > > > Subject: Re: Mystery Diagnosis 2

> > > > >

> > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > Nyquel because booze was banned...

> > > > >

> > > > > ck

> > > > >

> > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > amwoods8644@... writes:

> > > > >

> > > > > Pt denies smoking or drug use.

> > > > >

> > > > > Both are contraband on the vessel; all medications, even OTC, must go

> > > > > through you.

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > >

> > > > > > ok...so how much does the patient smoke?

> > > > > >

> > > > > > and how much Nyquel did he bring on board?

> > > > > >

> > > > > > ck

> > > > > >

> > > > > >

> > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > CBC:

> > > > > > Hemoglobin-----17 *H

> > > > > > Hematocrit-------52 *H

> > > > > > RBC---------------5.2

> > > > > > MCV---------------100

> > > > > > MCH---------------32.7

> > > > > > MCHC-------------32.7

> > > > > > Platelets----------276 000

> > > > > > WBC---------------11 000 *H

> > > > > >

> > > > > >

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Guest guest

Didn’t we see this as an episode on House? :D

Toni

From: texasems-l [mailto:texasems-l ] On Behalf

Of Alyssa Woods

Sent: Friday, July 15, 2011 2:08 PM

To: texasems-l

Subject: Re: Mystery Diagnosis 2

Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jul 15, 2011, at 14:04, Wes Ogilvie wes.ogilvie@...

> wrote:

> I said a complete head to toe...

>

> On the move from my iPhone

>

> On Jul 15, 2011, at 13:56, Alyssa Woods amwoods8644@...

> wrote:

>

> > Nope.

> >

> > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jul 15, 2011, at 13:53, Wes Ogilvie wes.ogilvie@...

> wrote:

> >

> > > Anyone asked for a head to toe exam yet?

> > >

> > > Wes

> > >

> > > On the move from my iPhone

> > >

> > > On Jul 14, 2011, at 15:16, Alyssa Woods amwoods8644@...

> wrote:

> > >

> > > > No DVT.

> > > >

> > > > Any basics that want to swoop in and save the day?

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...

> wrote:

> > > >

> > > > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > > > Chris

> > > > >

> > > > > From: texasems-l

[mailto:texasems-l ] On

Behalf Of krin135@...

> > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > To: texasems-l

> > > > > Subject: Re: Mystery Diagnosis 2

> > > > >

> > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > Nyquel because booze was banned...

> > > > >

> > > > > ck

> > > > >

> > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > amwoods8644@...

writes:

> > > > >

> > > > > Pt denies smoking or drug use.

> > > > >

> > > > > Both are contraband on the vessel; all medications, even OTC, must go

> > > > > through you.

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > >

> > > > > > ok...so how much does the patient smoke?

> > > > > >

> > > > > > and how much Nyquel did he bring on board?

> > > > > >

> > > > > > ck

> > > > > >

> > > > > >

> > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > amwoods8644@...

writes:

> > > > > >

> > > > > > CBC:

> > > > > > Hemoglobin-----17 *H

> > > > > > Hematocrit-------52 *H

> > > > > > RBC---------------5.2

> > > > > > MCV---------------100

> > > > > > MCH---------------32.7

> > > > > > MCHC-------------32.7

> > > > > > Platelets----------276 000

> > > > > > WBC---------------11 000 *H

> > > > > >

> > > > > >

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Guest guest

Didn’t we see this as an episode on House? :D

Toni

From: texasems-l [mailto:texasems-l ] On Behalf

Of Alyssa Woods

Sent: Friday, July 15, 2011 2:08 PM

To: texasems-l

Subject: Re: Mystery Diagnosis 2

Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jul 15, 2011, at 14:04, Wes Ogilvie wes.ogilvie@...

> wrote:

> I said a complete head to toe...

>

> On the move from my iPhone

>

> On Jul 15, 2011, at 13:56, Alyssa Woods amwoods8644@...

> wrote:

>

> > Nope.

> >

> > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jul 15, 2011, at 13:53, Wes Ogilvie wes.ogilvie@...

> wrote:

> >

> > > Anyone asked for a head to toe exam yet?

> > >

> > > Wes

> > >

> > > On the move from my iPhone

> > >

> > > On Jul 14, 2011, at 15:16, Alyssa Woods amwoods8644@...

> wrote:

> > >

> > > > No DVT.

> > > >

> > > > Any basics that want to swoop in and save the day?

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...

> wrote:

> > > >

> > > > > Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

> > > > > Chris

> > > > >

> > > > > From: texasems-l

[mailto:texasems-l ] On

Behalf Of krin135@...

> > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > To: texasems-l

> > > > > Subject: Re: Mystery Diagnosis 2

> > > > >

> > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > Nyquel because booze was banned...

> > > > >

> > > > > ck

> > > > >

> > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > amwoods8644@...

writes:

> > > > >

> > > > > Pt denies smoking or drug use.

> > > > >

> > > > > Both are contraband on the vessel; all medications, even OTC, must go

> > > > > through you.

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > >

> > > > > > ok...so how much does the patient smoke?

> > > > > >

> > > > > > and how much Nyquel did he bring on board?

> > > > > >

> > > > > > ck

> > > > > >

> > > > > >

> > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > amwoods8644@...

writes:

> > > > > >

> > > > > > CBC:

> > > > > > Hemoglobin-----17 *H

> > > > > > Hematocrit-------52 *H

> > > > > > RBC---------------5.2

> > > > > > MCV---------------100

> > > > > > MCH---------------32.7

> > > > > > MCHC-------------32.7

> > > > > > Platelets----------276 000

> > > > > > WBC---------------11 000 *H

> > > > > >

> > > > > >

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Guest guest

When was his last tetanus shot?

Wes

On the move from my iPhone

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> >

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > >

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > >

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Share on other sites

Guest guest

When was his last tetanus shot?

Wes

On the move from my iPhone

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> >

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > >

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > >

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Share on other sites

Guest guest

When was his last tetanus shot?

Wes

On the move from my iPhone

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> >

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > >

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > >

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Share on other sites

Guest guest

? I'm a pretty big House fan and I don't remember it....

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> Didn’t we see this as an episode on House? :D

>

> Toni

>

> From: texasems-l [mailto:texasems-l ] On Behalf

Of Alyssa Woods

> Sent: Friday, July 15, 2011 2:08 PM

> To: texasems-l

> Subject: Re: Mystery Diagnosis 2

>

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jul 15, 2011, at 14:04, Wes Ogilvie wes.ogilvie@...

> wrote:

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> > On Jul 15, 2011, at 13:56, Alyssa Woods amwoods8644@...

> wrote:

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > > On Jul 15, 2011, at 13:53, Wes Ogilvie wes.ogilvie@...

> wrote:

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > > On Jul 14, 2011, at 15:16, Alyssa Woods amwoods8644@...

> wrote:

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...

> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l

[mailto:texasems-l

] On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@...

writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@...

writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Share on other sites

Guest guest

So when was his last tetanus shot?

On the move from my iPhone

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> >

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > >

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > >

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Guest guest

So when was his last tetanus shot?

On the move from my iPhone

> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

>

>

> > I said a complete head to toe...

> >

> > On the move from my iPhone

> >

> >

> >

> > > Nope.

> > >

> > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > >

> > > Alyssa Woods, NREMT-B

> > >

> > >

> > > Sent from the itty bitty keyboard on my iPhone

> > >

> > >

> > >

> > > > Anyone asked for a head to toe exam yet?

> > > >

> > > > Wes

> > > >

> > > > On the move from my iPhone

> > > >

> > > >

> > > >

> > > > > No DVT.

> > > > >

> > > > > Any basics that want to swoop in and save the day?

> > > > >

> > > > > Alyssa Woods, NREMT-B

> > > > >

> > > > >

> > > > > Sent from the itty bitty keyboard on my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > >

> > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > Chris

> > > > > >

> > > > > > From: texasems-l [mailto:texasems-l ]

On Behalf Of krin135@...

> > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > To: texasems-l

> > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > >

> > > > > > that is a change. Many of the old off shore workers used to stock up

on

> > > > > > Nyquel because booze was banned...

> > > > > >

> > > > > > ck

> > > > > >

> > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > amwoods8644@... writes:

> > > > > >

> > > > > > Pt denies smoking or drug use.

> > > > > >

> > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > through you.

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 12:09, krin135@...

wrote:

> > > > > >

> > > > > > > ok...so how much does the patient smoke?

> > > > > > >

> > > > > > > and how much Nyquel did he bring on board?

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > >

> > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > CBC:

> > > > > > > Hemoglobin-----17 *H

> > > > > > > Hematocrit-------52 *H

> > > > > > > RBC---------------5.2

> > > > > > > MCV---------------100

> > > > > > > MCH---------------32.7

> > > > > > > MCHC-------------32.7

> > > > > > > Platelets----------276 000

> > > > > > > WBC---------------11 000 *H

> > > > > > >

> > > > > > >

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Guest guest

He can't really remember. 1992, maybe?

Now, does this patient need the MedEvac?

Alyssa Woods, NREMT-B

Sent from the itty bitty keyboard on my iPhone

> So when was his last tetanus shot?

>

> On the move from my iPhone

>

>

>

> > Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > I said a complete head to toe...

> > >

> > > On the move from my iPhone

> > >

> > >

> > >

> > > > Nope.

> > > >

> > > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > >

> > > >

> > > > > Anyone asked for a head to toe exam yet?

> > > > >

> > > > > Wes

> > > > >

> > > > > On the move from my iPhone

> > > > >

> > > > >

> > > > >

> > > > > > No DVT.

> > > > > >

> > > > > > Any basics that want to swoop in and save the day?

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > > >

> > > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > > Chris

> > > > > > >

> > > > > > > From: texasems-l

[mailto:texasems-l ] On Behalf Of krin135@...

> > > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > > To: texasems-l

> > > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > > >

> > > > > > > that is a change. Many of the old off shore workers used to stock

up on

> > > > > > > Nyquel because booze was banned...

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > Pt denies smoking or drug use.

> > > > > > >

> > > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > > through you.

> > > > > > >

> > > > > > > Alyssa Woods, NREMT-B

> > > > > > >

> > > > > > >

> > > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > > >

> > > > > > > On Jul 14, 2011, at 12:09,

krin135@... wrote:

> > > > > > >

> > > > > > > > ok...so how much does the patient smoke?

> > > > > > > >

> > > > > > > > and how much Nyquel did he bring on board?

> > > > > > > >

> > > > > > > > ck

> > > > > > > >

> > > > > > > >

> > > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > > amwoods8644@... writes:

> > > > > > > >

> > > > > > > > CBC:

> > > > > > > > Hemoglobin-----17 *H

> > > > > > > > Hematocrit-------52 *H

> > > > > > > > RBC---------------5.2

> > > > > > > > MCV---------------100

> > > > > > > > MCH---------------32.7

> > > > > > > > MCHC-------------32.7

> > > > > > > > Platelets----------276 000

> > > > > > > > WBC---------------11 000 *H

> > > > > > > >

> > > > > > > >

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Guest guest

He can't remember - 1992, maybe?

Now... Does this patient need MedEvac?

Regards,

Alyssa Woods, NREMT-B

> When was his last tetanus shot?

>

> Wes

>

> On the move from my iPhone

>

>

>

> > Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > I said a complete head to toe...

> > >

> > > On the move from my iPhone

> > >

> > >

> > >

> > > > Nope.

> > > >

> > > > Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > >

> > > >

> > > > > Anyone asked for a head to toe exam yet?

> > > > >

> > > > > Wes

> > > > >

> > > > > On the move from my iPhone

> > > > >

> > > > >

> > > > >

> > > > > > No DVT.

> > > > > >

> > > > > > Any basics that want to swoop in and save the day?

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

> > > > > >

> > > > > > > Possibly a DVT forming in the leg or just below the bifurcation of

the vena cava?

> > > > > > > Chris

> > > > > > >

> > > > > > > From: texasems-l

[mailto:texasems-l ] On Behalf Of krin135@...

> > > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > > To: texasems-l

> > > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > > >

> > > > > > > that is a change. Many of the old off shore workers used to stock

up on

> > > > > > > Nyquel because booze was banned...

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > Pt denies smoking or drug use.

> > > > > > >

> > > > > > > Both are contraband on the vessel; all medications, even OTC, must

go

> > > > > > > through you.

> > > > > > >

> > > > > > > Alyssa Woods, NREMT-B

> > > > > > >

> > > > > > >

> > > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > > >

> > > > > > > On Jul 14, 2011, at 12:09,

krin135@... wrote:

> > > > > > >

> > > > > > > > ok...so how much does the patient smoke?

> > > > > > > >

> > > > > > > > and how much Nyquel did he bring on board?

> > > > > > > >

> > > > > > > > ck

> > > > > > > >

> > > > > > > >

> > > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > > amwoods8644@... writes:

> > > > > > > >

> > > > > > > > CBC:

> > > > > > > > Hemoglobin-----17 *H

> > > > > > > > Hematocrit-------52 *H

> > > > > > > > RBC---------------5.2

> > > > > > > > MCV---------------100

> > > > > > > > MCH---------------32.7

> > > > > > > > MCHC-------------32.7

> > > > > > > > Platelets----------276 000

> > > > > > > > WBC---------------11 000 *H

> > > > > > > >

> > > > > > > >

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Guest guest

Definitely. I'm going to go ahead and get an IV established, administer a

tetanus shot, and be ready to provide ventilatory support.

Wes

On the move from my iPhone

> He can't remember - 1992, maybe?

>

> Now... Does this patient need MedEvac?

>

> Regards,

>

> Alyssa Woods, NREMT-B

>

>

>

>

>

>

>> When was his last tetanus shot?

>>

>> Wes

>>

>> On the move from my iPhone

>>

>>

>>

>>> Ok, when you talk him into removing his socks & underwear, you notice an old

puncture wound on his foot. He states it's probably been about 2 weeks since the

injury.

>>>

>>> Alyssa Woods, NREMT-B

>>>

>>>

>>> Sent from the itty bitty keyboard on my iPhone

>>>

>>>

>>>

>>>> I said a complete head to toe...

>>>>

>>>> On the move from my iPhone

>>>>

>>>>

>>>>

>>>>> Nope.

>>>>>

>>>>> Pt requests to keep his socks & underwear on, because the room is rather

cold. Other than that, your exam is unremarkable.

>>>>>

>>>>> Alyssa Woods, NREMT-B

>>>>>

>>>>>

>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>

>>>>>

>>>>>

>>>>>> Anyone asked for a head to toe exam yet?

>>>>>>

>>>>>> Wes

>>>>>>

>>>>>> On the move from my iPhone

>>>>>>

>>>>>>

>>>>>>

>>>>>>> No DVT.

>>>>>>>

>>>>>>> Any basics that want to swoop in and save the day?

>>>>>>>

>>>>>>> Alyssa Woods, NREMT-B

>>>>>>>

>>>>>>>

>>>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>>>

>>>>>>> On Jul 14, 2011, at 14:49, " McClanahan, "

chris.mcclanahan@...> wrote:

>>>>>>>

>>>>>>>> Possibly a DVT forming in the leg or just below the bifurcation of the

vena cava?

>>>>>>>> Chris

>>>>>>>>

>>>>>>>> From: texasems-l [mailto:texasems-l ] On

Behalf Of krin135@...

>>>>>>>> Sent: Thursday, July 14, 2011 12:45 PM

>>>>>>>> To: texasems-l

>>>>>>>> Subject: Re: Mystery Diagnosis 2

>>>>>>>>

>>>>>>>> that is a change. Many of the old off shore workers used to stock up on

>>>>>>>> Nyquel because booze was banned...

>>>>>>>>

>>>>>>>> ck

>>>>>>>>

>>>>>>>> In a message dated 07/14/11 12:35:22 Central Daylight Time,

>>>>>>>> amwoods8644@... writes:

>>>>>>>>

>>>>>>>> Pt denies smoking or drug use.

>>>>>>>>

>>>>>>>> Both are contraband on the vessel; all medications, even OTC, must go

>>>>>>>> through you.

>>>>>>>>

>>>>>>>> Alyssa Woods, NREMT-B

>>>>>>>>

>>>>>>>>

>>>>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>>>>

>>>>>>>> On Jul 14, 2011, at 12:09, krin135@...

wrote:

>>>>>>>>

>>>>>>>>> ok...so how much does the patient smoke?

>>>>>>>>>

>>>>>>>>> and how much Nyquel did he bring on board?

>>>>>>>>>

>>>>>>>>> ck

>>>>>>>>>

>>>>>>>>>

>>>>>>>>> In a message dated 07/14/11 08:21:53 Central Daylight Time,

>>>>>>>>> amwoods8644@... writes:

>>>>>>>>>

>>>>>>>>> CBC:

>>>>>>>>> Hemoglobin-----17 *H

>>>>>>>>> Hematocrit-------52 *H

>>>>>>>>> RBC---------------5.2

>>>>>>>>> MCV---------------100

>>>>>>>>> MCH---------------32.7

>>>>>>>>> MCHC-------------32.7

>>>>>>>>> Platelets----------276 000

>>>>>>>>> WBC---------------11 000 *H

>>>>>>>>>

>>>>>>>>>

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Guest guest

Apparently, my messages have not been getting out to the group, so I'm

trying this on another computer.

He can't remember the last time he had a tetanus shot.

Now the important question -- does he need the MedEvac?

Regards,

Alyssa Woods, NREMT-B

> **

>

>

> When was his last tetanus shot?

>

> Wes

>

> On the move from my iPhone

>

>

>

> > Ok, when you talk him into removing his socks & underwear, you notice an

> old puncture wound on his foot. He states it's probably been about 2 weeks

> since the injury.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> >

> >

> > > I said a complete head to toe...

> > >

> > > On the move from my iPhone

> > >

> > >

> > >

> > > > Nope.

> > > >

> > > > Pt requests to keep his socks & underwear on, because the room is

> rather cold. Other than that, your exam is unremarkable.

> > > >

> > > > Alyssa Woods, NREMT-B

> > > >

> > > >

> > > > Sent from the itty bitty keyboard on my iPhone

> > > >

> > > >

> > > >

> > > > > Anyone asked for a head to toe exam yet?

> > > > >

> > > > > Wes

> > > > >

> > > > > On the move from my iPhone

> > > > >

> > > > > On Jul 14, 2011, at 15:16, Alyssa Woods amwoods8644@...>

> wrote:

> > > > >

> > > > > > No DVT.

> > > > > >

> > > > > > Any basics that want to swoop in and save the day?

> > > > > >

> > > > > > Alyssa Woods, NREMT-B

> > > > > >

> > > > > >

> > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > >

> > > > > > On Jul 14, 2011, at 14:49, " McClanahan, " <

> chris.mcclanahan@...> wrote:

> > > > > >

> > > > > > > Possibly a DVT forming in the leg or just below the bifurcation

> of the vena cava?

> > > > > > > Chris

> > > > > > >

> > > > > > > From: texasems-l [mailto:

> texasems-l ] On Behalf Of krin135@...

> > > > > > > Sent: Thursday, July 14, 2011 12:45 PM

> > > > > > > To: texasems-l

> > > > > > > Subject: Re: Mystery Diagnosis 2

> > > > > > >

> > > > > > > that is a change. Many of the old off shore workers used to

> stock up on

> > > > > > > Nyquel because booze was banned...

> > > > > > >

> > > > > > > ck

> > > > > > >

> > > > > > > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > > > > > > amwoods8644@... writes:

> > > > > > >

> > > > > > > Pt denies smoking or drug use.

> > > > > > >

> > > > > > > Both are contraband on the vessel; all medications, even OTC,

> must go

> > > > > > > through you.

> > > > > > >

> > > > > > > Alyssa Woods, NREMT-B

> > > > > > >

> > > > > > >

> > > > > > > Sent from the itty bitty keyboard on my iPhone

> > > > > > >

> > > > > > > On Jul 14, 2011, at 12:09, krin135@...

krin135%40aol.com> wrote:

> > > > > > >

> > > > > > > > ok...so how much does the patient smoke?

> > > > > > > >

> > > > > > > > and how much Nyquel did he bring on board?

> > > > > > > >

> > > > > > > > ck

> > > > > > > >

> > > > > > > >

> > > > > > > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > > > > > > amwoods8644@...

> writes:

> > > > > > > >

> > > > > > > > CBC:

> > > > > > > > Hemoglobin-----17 *H

> > > > > > > > Hematocrit-------52 *H

> > > > > > > > RBC---------------5.2

> > > > > > > > MCV---------------100

> > > > > > > > MCH---------------32.7

> > > > > > > > MCHC-------------32.7

> > > > > > > > Platelets----------276 000

> > > > > > > > WBC---------------11 000 *H

> > > > > > > >

> > > > > > > >

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Guest guest

Mine are lagging too.

Wes

On the move from my iPhone

> Apparently, my messages have not been getting out to the group, so I'm

> trying this on another computer.

>

> He can't remember the last time he had a tetanus shot.

>

> Now the important question -- does he need the MedEvac?

>

> Regards,

>

> Alyssa Woods, NREMT-B

>

>

>

>

>> **

>>

>>

>> When was his last tetanus shot?

>>

>> Wes

>>

>> On the move from my iPhone

>>

>>

>>

>>> Ok, when you talk him into removing his socks & underwear, you notice an

>> old puncture wound on his foot. He states it's probably been about 2 weeks

>> since the injury.

>>>

>>> Alyssa Woods, NREMT-B

>>>

>>>

>>> Sent from the itty bitty keyboard on my iPhone

>>>

>>>

>>>

>>>> I said a complete head to toe...

>>>>

>>>> On the move from my iPhone

>>>>

>>>>

>>>>

>>>>> Nope.

>>>>>

>>>>> Pt requests to keep his socks & underwear on, because the room is

>> rather cold. Other than that, your exam is unremarkable.

>>>>>

>>>>> Alyssa Woods, NREMT-B

>>>>>

>>>>>

>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>

>>>>>

>>>>>

>>>>>> Anyone asked for a head to toe exam yet?

>>>>>>

>>>>>> Wes

>>>>>>

>>>>>> On the move from my iPhone

>>>>>>

>>>>>> On Jul 14, 2011, at 15:16, Alyssa Woods amwoods8644@...>

>> wrote:

>>>>>>

>>>>>>> No DVT.

>>>>>>>

>>>>>>> Any basics that want to swoop in and save the day?

>>>>>>>

>>>>>>> Alyssa Woods, NREMT-B

>>>>>>>

>>>>>>>

>>>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>>>

>>>>>>> On Jul 14, 2011, at 14:49, " McClanahan, " <

>> chris.mcclanahan@...> wrote:

>>>>>>>

>>>>>>>> Possibly a DVT forming in the leg or just below the bifurcation

>> of the vena cava?

>>>>>>>> Chris

>>>>>>>>

>>>>>>>> From: texasems-l [mailto:

>> texasems-l ] On Behalf Of krin135@...

>>>>>>>> Sent: Thursday, July 14, 2011 12:45 PM

>>>>>>>> To: texasems-l

>>>>>>>> Subject: Re: Mystery Diagnosis 2

>>>>>>>>

>>>>>>>> that is a change. Many of the old off shore workers used to

>> stock up on

>>>>>>>> Nyquel because booze was banned...

>>>>>>>>

>>>>>>>> ck

>>>>>>>>

>>>>>>>> In a message dated 07/14/11 12:35:22 Central Daylight Time,

>>>>>>>> amwoods8644@... writes:

>>>>>>>>

>>>>>>>> Pt denies smoking or drug use.

>>>>>>>>

>>>>>>>> Both are contraband on the vessel; all medications, even OTC,

>> must go

>>>>>>>> through you.

>>>>>>>>

>>>>>>>> Alyssa Woods, NREMT-B

>>>>>>>>

>>>>>>>>

>>>>>>>> Sent from the itty bitty keyboard on my iPhone

>>>>>>>>

>>>>>>>> On Jul 14, 2011, at 12:09, krin135@...

> krin135%40aol.com> wrote:

>>>>>>>>

>>>>>>>>> ok...so how much does the patient smoke?

>>>>>>>>>

>>>>>>>>> and how much Nyquel did he bring on board?

>>>>>>>>>

>>>>>>>>> ck

>>>>>>>>>

>>>>>>>>>

>>>>>>>>> In a message dated 07/14/11 08:21:53 Central Daylight Time,

>>>>>>>>> amwoods8644@...

>> writes:

>>>>>>>>>

>>>>>>>>> CBC:

>>>>>>>>> Hemoglobin-----17 *H

>>>>>>>>> Hematocrit-------52 *H

>>>>>>>>> RBC---------------5.2

>>>>>>>>> MCV---------------100

>>>>>>>>> MCH---------------32.7

>>>>>>>>> MCHC-------------32.7

>>>>>>>>> Platelets----------276 000

>>>>>>>>> WBC---------------11 000 *H

>>>>>>>>>

>>>>>>>>>

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Guest guest

No heat exhaustion.

Regards,

Alyssa Woods, NREMT-B

On Fri, Jul 15, 2011 at 1:18 PM, McClanahan, <

chris.mcclanahan@...> wrote:

> **

>

>

> Is he working on a little heat exhaustion..

> chris

>

> From: texasems-l [mailto:texasems-l ] On

> Behalf Of Alyssa Woods

> Sent: Thursday, July 14, 2011 3:16 PM

> To: texasems-l

> Subject: Re: Mystery Diagnosis 2

>

>

>

> No DVT.

>

> Any basics that want to swoop in and save the day?

>

> Alyssa Woods, NREMT-B

>

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jul 14, 2011, at 14:49, " McClanahan, " <

> chris.mcclanahan@...

chris.mcclanahan%40umchealthsystem.com>> wrote:

>

> > Possibly a DVT forming in the leg or just below the bifurcation of the

> vena cava?

> > Chris

> >

> > From: texasems-l

> [mailto:texasems-l ]

> On Behalf Of krin135@...

> > Sent: Thursday, July 14, 2011 12:45 PM

> > To: texasems-l

> > Subject: Re: Mystery Diagnosis 2

> >

> > that is a change. Many of the old off shore workers used to stock up on

> > Nyquel because booze was banned...

> >

> > ck

> >

> > In a message dated 07/14/11 12:35:22 Central Daylight Time,

> > amwoods8644@...

amwoods8644%40gmail.com> writes:

> >

> > Pt denies smoking or drug use.

> >

> > Both are contraband on the vessel; all medications, even OTC, must go

> > through you.

> >

> > Alyssa Woods, NREMT-B

> >

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jul 14, 2011, at 12:09, krin135@...

> wrote:

> >

> > > ok...so how much does the patient smoke?

> > >

> > > and how much Nyquel did he bring on board?

> > >

> > > ck

> > >

> > >

> > > In a message dated 07/14/11 08:21:53 Central Daylight Time,

> > > amwoods8644@...

amwoods8644%40gmail.com> writes:

> > >

> > > CBC:

> > > Hemoglobin-----17 *H

> > > Hematocrit-------52 *H

> > > RBC---------------5.2

> > > MCV---------------100

> > > MCH---------------32.7

> > > MCHC-------------32.7

> > > Platelets----------276 000

> > > WBC---------------11 000 *H

> > >

> > >

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