In the ED things often come in twos – it’s just a weird quirk. Sometimes it can be be something really odd, like two cardiac arrests back to back who both have bilateral below the knee amputations, or two perforated colons after a routine colonoscopy – from the same doc at the same GI clinic on the same day…
Or two infected lower extremity venous stasis ulcers, both teaming with maggots (here’s a factoid – in this case, the maggots are actually therapeutic!). Or today – a pair of very agitated and severe psychotic breaks.
No real message here – I just finished three twelve and a half hour shifts and my neurons are just randomly firing.
Carry on…