Lowest pH Ever Survived.

Add another record to my book for the lowest pH ever survived by a patient.  They had diabetic ketoacidosis and they weren't on a ventilator.  What was their pH?  pH 6.83.  Damn. Noncompliance can kill you, but it didn't this time.  You have to hand it them though.  At least some folks  are consistently compliant with their noncompliance.  Then there was the patient with a pH of 6.84.  Can you guess what that 18 year old had?  Think really hard.   Shocking, I know.

Yes, it was DKA.  Surprise, surprise. I don't think there is another diagnosis that can give you such a critical illness in a walking, talking, breathing, functional human being. Anything else and you'd be dead 0.2 pH's ago. Nobody is going to give your insulin for you. I was taught as a resident that the top three reasons for DKA were infection, infection and infection.  What have I learned in my last ten years as a hospitalist?  The top three reasons for DKA are noncompliance, noncompliance and noncompliance.

You had better find a way to deal with your diabetes or you're going to be going to your funeral instead of your graduation party, assuming you haven't fried your brain enough to graduate.  See other record clinical findings as well.  In addition, this original Happy Hospitalist patient ecard explains things well.

"At least my patients are compliant with their noncompliance."

At least my patients are compliant with their noncompliance doctor ecard humor photo.

This post is for entertainment purposes only and likely contains humor only understood by those in a healthcare profession. Read at your own risk.

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3 Outbursts:

  1. I saw a 6.45. On a vent, did kill them, a few hours later.

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  2. wow, nice. lowest i've seen with dka was 6.92.

    dka'ers, as long as they're young, seem to pull through. even without a vent.

    anybody else, all bets are off.

    ReplyDelete
  3. EEEKK.. wholly burning brain cells batman!

    ReplyDelete

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