It took days to unravel what happened.
The patient first presented to her cardiologist a few weeks prior. We figured that she must have doubled her amlodipine dose that morning, because her blood pressure was uncharacteristically low. He dutifully documented the hypotension and discontinued the 5 mg of amlodipine, not realizing that she had accidentally taken too much.
Seven days later, her systolic pressure reached the 200 mark. She, of course, didn’t know that. She only knew that her head started to hurt and that she was slurring her speech. By the time she arrived at the emergency room, she could barely move her right arm and leg.
Please see the rest of my post at The Medical Bag.
Jordan Grumet is an internal medicine physician who owns a private practice in Northbrook, IL. His chapbook of poetry, Primary Care, was released by The Lives You Touch Publications in winter 2012. His short stories have appeared in Pulse—voices from the heart of medicine andMedical Economics. He is also a frequent contributor to the popular physician website KevinMD. Jordan updates his blog regularly (www.jordan-inmyhumbleopinion.blogspot.com) and can be followed on Twitter (@jordangrumet).