Author: Tim Rogers

Medicine Must Not Forget the Psychosocial

A 54 year old woman in Chicago recently lost her only child to opioid addiction. She had become depressed and had stopped taking her statins and other medication. Her smoking had increased. She is eventually brought to the ER by paramedics following a 911 call by a member of the public. She describes crushing central chest pain, but within 20 minutes of arrival her consciousness level is slipping and no further history is obtainable. Tests quickly show evidence of heart failure, while venous and arterial bloods reveal that she is seriously hypoxic, has a raised blood sugar, and multiple biochemical upsets. She is dangerously ill. There is a significant risk she will arrest in the Emergency Room, but she is transferred to High Dependency Unit and over the next six hours her condition is stabilised. The following day she is taken to theatre where a blocked artery is repaired, and within 48 hours of admission she is mobilising well, eating meals, and watching TV with other patients in the day room. The young female medical intern who …