this post was submitted on 07 Jun 2026
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[–] Postmortal_Pop@lemmy.world 132 points 1 week ago (5 children)

Spouse was at a dentist visit and her blood pressure was so high they threatened to call an ambulance. Has been that high off and on for weeks.

Take her to the doctor, doc knows she's had a full hysterectomy, knows she doesn't exaggerate, knows she refuses to take anything medincinal unless forced. This lady raw dogs migraines to avoid Ibuprofen.

First words out if doc's mouth, "BP that high isn't unheard of in women having their periods. Are you sure it's not your time of the month?" Followed by, "well I'm sure you're just nervous around doctors, it will go down when you get home."

[–] Zorcron@lemmy.zip 56 points 1 week ago (4 children)

High blood pressure alone is not an emergency. Definitely something to be concerned about preventing/treating in the long term, but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.

That said, that kind of blasé approach to markedly elevated blood pressure with no real plan to reassess or find a root cause is still unacceptable, especially lazily blaming it on menstruation like is so common. So not trying to undermine your experience, I just had to chime in bc the “hypertensive crisis” thing is a pet peeve of mine.

[–] Apytele@sh.itjust.works 17 points 1 week ago* (last edited 1 week ago) (1 children)

Yeah this very much depends on the actual specific number. I work inpatient so I don't blink at 155 systolic because we're gonna take it again in 12h and honestly these days the hospitalist says current evidence supports not even treating emergently until 170. The ED actually keeps insisting that 180 isn't their problem for patients they want admitted to psych. A small dentists office might not be up to date on current best practice for treating hypertension.

When I interviewed for a CSU they were even like "how would you approach an intake where your new pt has a BP of 180?" and I, coming from the university hospital where I had residents subject to my whims I struggled to come up with an answer that wasn't "page the oncall I guess?" But I did manage "...tell them to take some deep breaths and take it again...?" which was apparently the right answer???

150s to me is a GP/PCP's problem 3 months from now and ultimately they'll probably just tell the person to start with eating less salt. It also sounds like it was asymptomatic and there's also the possibility that the doctor just figured she wouldn't take anything anyway based on this person's description.

[–] Zorcron@lemmy.zip 7 points 1 week ago* (last edited 1 week ago) (3 children)

No seriously, there is no number that you need to treat emergently without accompanying signs of end-organ damage. The AHA recommends considering “permissive hypertension” even for SBPs over 180. So you could be 220/180 and if no other symptoms or signs of organ damage, you should get treated the same as someone who is 145/95, and even then that’s only if the hypertension is chronic. The only difference is it will probably take a lot more meds to chronically control someone whose bp is that extreme.

AHA’s 2024 review article for reference

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[–] LurkingLuddite@piefed.social 8 points 1 week ago* (last edited 1 week ago) (1 children)

Every lady's experience in a red state. Seriously, I'm not making a joke, being a "conservative" as defined in the US political system NEEDS to be categorized as a mental disorder that precludes people from being doctors at the least.

[–] somethingsnappy@lemmy.world 9 points 1 week ago (1 children)

There are so many misogynists in the center (we don't have a real left) that the orange idiot beat two women.

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[–] Lumisal@lemmy.world 6 points 1 week ago (9 children)

but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.

Idk, I'd say a blood pressure of 300/200 or 50/20 would warrant an ER ambulance trip, even without symptoms

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[–] ryannathans@aussie.zone 5 points 1 week ago (1 children)

I was hospitalised before by ambulance purely for a hypertensive crisis and heart palpitations, no other concerning symptoms. Magnesium infusion sorted it out, felt so much better after that.

It came out of nowhere, couldn't sleep due to heart palpitations so I checked BP and it was wildly high along with pulse. Root cause was essentially C677T homozygous SNP, taking methylated folate and b12, and trimethylglycine helps a lot and prevents further episodes

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[–] Taleya@aussie.zone 17 points 1 week ago (1 children)

We need to start beating them

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[–] saltesc@lemmy.world 8 points 1 week ago (6 children)

This definitely isn't just a female thing. We were all exchanging doctor stories the other night and everyone had ones like this. Weirdly they were all in the past few years and that being gaslit or dismissed by a doctor just feels normal now.

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[–] JasonDJ@lemmy.zip 63 points 1 week ago* (last edited 1 week ago) (1 children)

This is textbook hysteria. This woman needs a lobotomy, stat, before the damage spreads to her vagina. Without that, she's only got her mouth.

[–] musubibreakfast@lemmy.world 16 points 1 week ago

Our latest research has shown that anal sex is a very humane way to give a woman's life meaning after losing her vaginato hysteria.

[–] Gormadt@slrpnk.net 55 points 1 week ago

"We're just gonna do a pregnancy test to rule that out"

[–] Wren@lemmy.today 49 points 1 week ago

Sure, we can all see the x-ray, but when was your last period?

[–] Una@europe.pub 41 points 1 week ago (1 children)

Im not a doctor but I think she might be on her period. meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow

[–] 5765313496@lemmy.world 6 points 1 week ago (1 children)

Ooh, are we playing Cat Or Doctor? The party game from Hello From the Magic Tavern? I'm going to guess.... cat.

[–] Una@europe.pub 4 points 1 week ago

I am cat doctor.

[–] FiniteBanjo@feddit.online 39 points 1 week ago (9 children)

Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.

Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.

[–] _lilith@lemmy.world 9 points 1 week ago

doc says they can't lend a hand

At this level of trauma the orthopedist isnt going to get that specific. It's just going to be a trans carpal traumatic amputation of the left icd-10 S68.412 (Complete) and a traumatic trans metacarpal amputation of the right icd-10 S68.711.

More than likely both will end up being a distal transradial amputations.

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[–] Kolanaki@pawb.social 38 points 1 week ago (1 children)

Is this the inside of a llama's stomach? Perhaps one wearing a hat?

[–] MintyFresh@lemmy.world 32 points 1 week ago (1 children)

Idk, but "u're" gave me a minor aneurysm

[–] ICastFist@programming.dev 6 points 1 week ago (1 children)
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[–] Winter_Oven@piefed.social 21 points 1 week ago (2 children)

I'm thinking how this injury could have been caused by a single incident. Like both hands dismembered, with the right hand's (on the left side?) thumb broken but otherwise relatively ok, whereas the left hand (on the right side) got basically cleaved, with the index finger flattened/elongated/crushed with the thumb looking fine (I think? looks sus, but can't really say...).

first thought is a car accident, but then the whole bits of hands and them arranged wrongly doesn't really make sense in my head, like, this xray wouldn't even be taken in the process of saving their life, I would think (unless they are dead, and this is a post mortem xray, but then at that point, why wouldn't you arrange it properly then?)

So I am thinking of some heavy machinery accident, and they managed recover whatever is left of their hands and limbs, rushed into the hospital, thus taking a quick xray to immediately see the extent of the damage.

Or it could be ai, no idea, not a doctor...

[–] smh@slrpnk.net 37 points 1 week ago* (last edited 1 week ago) (3 children)

Article from 2014 says it was a factory accident to an 18 year old worker. CW: pictures of his hands post-repair but still bloody.

first link is my attempt to keep the preview from coming up, which didn't work on my app. :(

[–] radiouser@crazypeople.online 24 points 1 week ago

Damn, that absolutely sucks :(

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[–] sp3ctr4l@lemmy.dbzer0.com 4 points 1 week ago* (last edited 1 week ago)

Real answer has been posted, but my initial thought was that something like 2 to 4 m80s all blew up at the same time, with the person like pancaking or prayer-handsing them.

Fucking gnarly.

I've met more than one person who hand their hand 'de-gloved', in different kinds of industrial accidents, but both of them were lucky enough to get the skin put back on and not lose any digits, though they do of course have significant neurological issues.

[–] Korhaka@sopuli.xyz 14 points 1 week ago

When was your last period?

[–] GirthBrooksPLO@lemmy.world 14 points 1 week ago (1 children)

"It's because you are fat"

"That will be $5900".

[–] BlindPenguin@lemmy.world 4 points 1 week ago (1 children)
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[–] bitwolf@sh.itjust.works 12 points 1 week ago

u're are

🤦‍♂️

[–] SnarkoPolo@lemmy.world 11 points 1 week ago

Doctor: "Lose weight!"

[–] ikidd@lemmy.dbzer0.com 11 points 1 week ago (2 children)

First thing I'd do is spell "you're" correctly.

[–] akwd169@sh.itjust.works 5 points 1 week ago

Yup I was stuck on that for some time... too much work to type you but you still include the 're ?? What kind of absolute derangment is this

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[–] CapuccinoCoretto@lemmy.world 9 points 1 week ago

"You'd be prettier if you smiled more".

[–] dream_weasel@sh.itjust.works 8 points 1 week ago* (last edited 1 week ago)

I mean I get it's a joke in the case of this X-ray, but maybe you SHOULD lose some weight, quit smoking, drink less, and check if you're pregnant? Your body is your temple but we don't have to be that literal about it.

[–] houndeyes@toast.ooo 8 points 1 week ago
[–] andros_rex@lemmy.world 6 points 1 week ago

They do this to trans guys too. Recent hospitalization was 50/50 “she” versus “he” from the nurses and docs of course.

They refused to put me out and barely gave me pain meds while I was screaming as they stabbed and dug around to drain an abscess. Worst pain I have ever experienced was “anxiety.”

[–] anon_8675309@lemmy.world 6 points 1 week ago (1 children)

Clearly trauma happened. Why xray? Would that help in putting the puzzle back together?

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[–] Steamymoomilk@sh.itjust.works 6 points 1 week ago

She must be low on zinc

[–] stupidcasey@lemmy.world 4 points 1 week ago (1 children)

My first diagnosis is he's got hypothermia, second he is missing is epidermis.

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[–] IAMgROOT@lemmy.wtf 4 points 1 week ago

its even worse if you dare be overweight, or dare to say what you feel, then you dont even have any problems except your weight or youre a google doctor. who cares about "tests" im going to spain with my frat bros

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