WTF Friday is back!!

Great case for you today. It is a cardiovascular one. Seems on a cath lab table, somewhere in my neck of the woods, lay a trainwreck patient - you know the ones. . .poor perfusion, such a shift in oxy-hemoglobin curve that any little thing pushes them over the edge.

My gasser buddy tells me he was giving this patient conscious sedation and warned said cardiologist that he was seeing some runs of V-tach. He was concerned that she was teetering on the curve, ready to buy herself a tube.

Here is how the transcript of text msgs from my gasser buddy to my cell phone went:

Text 1 This shit sucking job is killing me.

Text 2 We have just lost about 200 ml of blood doing a battery change on a pacemaker. Now

there is a question that the atrial lead is broke and since the AICD is right sided, it changed the vectors. Glad she didn't have any more VT.

Text 3 Holy shit, this cardiologist (female) is rough.

Text 4 Glad I don't do funerals or weddings.

Text 5 Oh my, the defib/shock lead is in half from her yanking. WTF.

Text 6 And there's no way to retrieve it. So, we are putting another one in. What do u

think this is going to do to the VT long term?

Text 7 All these missing wires floating around.

Text 8 In theory, only if she gets infected is the card planning to go after it. Then she'd have

to have her chest cracked.

And that was how the case ended up. Do you know how rough you have to be to break a lead off in somebody? Geesh. Think this ever went to quality? Um. . . box no. Wow. . . just another day at the okay corral kiddies. More medical F#$% ups swept under the rug.

WTF????