Today I became a patient. If you follow me on Twitter, then by now you know what happened. Yes, I am embarrassed by what happened, but I’ll relinquish my HIPAA right to privacy for this moment.
This afternoon I swam nose-first into the sidewall in the pool. [I haven’t been swimming in awhile and I forgot to bring goggles, so I wasn’t really looking. Laugh all you want…] It didn’t hurt all that much, and I wouldn’t have even noticed any issues for a little while if blood hadn’t come gushing out. Jane, the lifeguard at the Y, was very helpful in getting me settled on the side of the pool while I held pressure. After holding the icebag on it for 10 or 15 minutes, I was able to palpate the bridge of my nose, and then it hit me. There was a dent in the side and a small bulge on the opposite side. Yep, I had broken my nose.
With two little kids, I didn’t want my wife to have to bring them to the ER, so I drove home, grabbed some books, and headed to the ER at the hospital where I work. I figured I’d be there all night. I mean, a broken nose is nothing compared to the typical emergency room traffic.
I parked in my usual lot and walked toward the ER. By a stroke of luck, I ran into an ENT colleague on my way in [he was heading home for the day]. When I told him I was heading to the ER for what I thought was *laugh* a broken nose, he took a quick look and agreed. He gave me a quick rundown of what could be done, since I really didn’t know [we GI docs rarely deal with nasal fractures…].
I was triaged and put into a room within 15 minutes. Within the next 15 minutes, a financial representative and 2 nurses had come in, none of whom really had any idea that I work at the hospital. As the second nurse was getting all of my information, 3 ENT residents (a 4th year, a 3rd year, and an intern) walked in. If I wanted my nose reset, they offered to do it right there with local anesthesia, or I could have waited a few days and had it done under sedation in the OR. I was a bit nervous about having my nose reset without sedation, but I decided to go ahead and get it done while I was there. This is basically what it sounded like I was going to get done to me… [Click here if you want to read about closed reduction. This is a video of the very same procedure I had; you may want to turn the sound off for this].
As they told me, the local anesthesia was definitely the most uncomfortable part. It was not a fun experience by any means, but it was only a few minutes. By the time the anesthetic had fully numbed my bridge and septum we were ready. Less than a minute later it was done. All I felt was a pop, as if I had cracked my knuckle. I expected much worse.
Within three hours I had left the ER. Three hours? It is quite possible that I set a record for fastest overall ER visit and successful management of a nasal fracture. Maybe it was just a slow day in the ER, but it was more than just the rapidity of my treatment that impressed me.
They engaged me as a participant in the decision-making and treated me like a person, not a like a guinea pig, which we have probably all seen. Whenever I was uncomfortable the 4th yr ENT resident stopped to ask me how I was. He took the opportunity to teach the intern what should be done at key steps [If you have never been a patient when one doc is teaching a junior doc about your condition, it is quite interesting!]. Everything about his bedside manner was what I would expect from a seasoned doc. The entire team of health care professionals impressed me.
With everything we hear about the lack of professionalism in the current state of medicine, it was quite a comforting experience to witness firsthand the professional comportment of the nurses and the residents. Although I have no idea if this was the same way that every patient gets treated, I hope it is.