A certain cardiologist’s nurse ran into me in the hall the other day and said, “We were looking for you last week! Do you remember the patient with the two first names?  First….”

“First?”

“That’s it!  Well, his INR had jumped from 2-ish to 8-ish, and he told the doctor that you had given him Coumadin IV. And then Dr. Gullible asked me about it. ”

“….”

“I know.  I asked him just how did he think you did that.”

“When I see him again I’ll tell him I crushed the tablet, put it on one of the impossible to find metal spoons with .75 cc water, heated it with the lighter I stole from the patient who’s “just going for a walk”, mixed well, and used a filter needle to draw it up into a syringe.  Piece of cake.”

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