A Means To An End

… was my initial, no-pun-intended explanation about why I needed to disimpact my patient; luckily his sense of humor (and the 10 of valium I gave him) helped. After the fact (and washing my hands), also inappropriate would have been:

  • It stinks that you’re constipated.
  • Can I log this procedure?
  • It’s hard to get it all.
  • What a crappy job.
  • So this is Brownian motion.

See also: Whit Fisher’s Rectal Regrets Procedurette on how to gown up appropriately.

(Side note: An attending once told me the most awkward thing he’d heard during a disimpaction was his patient, saying, “What, you aren’t going to take me out to dinner and a movie first?”)


  1. #1 by Steve - May 25th, 2010 at 13:49

    “A Means To An End,” with the glove. Nice touch (Get it? Nice touch). Of course, Check out the blog on SportAid.com.

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