One of the last remnants of my previous life as an Emergency Physician is that I am still to this day the Medical Director of the local fire department and paramedics. I also do the fire fighters’ yearly wellness physical exams.
(As an aside, my wife helps me by drawing blood, doing EKGs, getting patients’ prepped, etc. She tells everyone who will listen: “I have the best job in the world. I tell fire fighters to get naked—and they do! Every woman wants my job.”)
Anyway, recently, a paramedic came to me with this nagging abdominal pain that he had had for over six months. It was never so bad as to make him quit working, but it never went away either. After I looked him over, I thought he might have appendicitis—but for six months? I sent him for a CT and sure enough he went straight to surgery. It turns out that he had actually ruptured his appendix six months ago and he had been walking around ever since with a walled-off intra-abdominal abscess. Continue reading