Wednesday, September 10, 2008

60 PER DEATH

A gentleman on the ward died today. I went with my F1 to certify his death. Listen for heart sounds for 1 minute. Listen for breath sounds for 1 minute. Palpate for central pulse for 1 minute. Check for responsiveness to pain. Check pupil size and reaction to light. Do fundoscopy to look for arterial blockage.

Nothing. He was dead. Tomorrow we’re going to the morgue to identify him, check for pacemaker and fill in the death certificate.

That’s 60-ish pounds for my F1, and one less patient for everyone else.