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  • Install CocoDoc onto your Mac device or go to the CocoDoc website with a Mac browser.
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PDF Editor FAQ

What was the craziest thing you've ever witnessed while you were in the waiting area of a hospital's emergency room?

The craziest or most unusual thing I witnessed was patients just being dumped right inside the door, often unconscious and no indication of the reason. Frequently intoxicated or overdosed and no one willing to talk to us, we had to figure it out ourselves by doing toxicology screens while just trying to keep them stable. Sometimes however the screen came back negative and that’s when the fun began trying to find a diagnosis with no information of symptoms, medical history or events preceding the dump off. Another time a man came in screaming that he had been shot. He was crawling in through the entrance. We loaded him on a stretcher and took him back to a trauma bay to find he had a few BB gun pellets in his buttocks. Usually the biggest issue in the ER waiting room is long patient waits to be seen. Patients are seen by severity of illness not first come first serve and non life or limb threatening problems may get repeatedly shuffled to the back of the list depending on the acuity of other patients. Patients and families become threatening and belligerent. Many times the ER is clogged up with things a PCP can treat but with no insurance or inability to afford copays, people come in with coughs, colds, minor sprains and chronic illnesses. Because the ER must treat everyone. They however are not truly emergent cases and may wait longer. Not because they have no insurance or cannot afford copays but because other patients are more critical.

ALT of 83 (normal range is 5 to 35) and AST of 25 (normal range is 7 to 37). Bilirubin, alkaline phosphatase, albumin good. What could be the problem?

First of all calm down you seem to be really worried.Yes raised Alt may signify liver disease but it's the ratio of Ast/Alt is a more significant marker for any liver disease.It may signify initiation of a liver pathology such as fattyliver, cirhosis or hepatocellular necrosis but since your other parameters seem to bb normal I personally do not think you are suffering from any illness.You did not mention any history of alcoholism or poisoning . You neither mentioned past medical history. Do you suffer from any pedal oedema, periorbital oedema or any heart disease? If the answer is no then you likely have not much to worry about .My personal advice is that visit your physician

What is wrong with Jeff Bezos’ eye?

Thanks for the A2A. There are plenty of possibilities here, to which other posters gave given excellent answers already.First we must ask ourselves: Which eye is the abnormal one? Is it the one that appears set more deeply (right), or is it the one that appears to protrude slightly (left?) Because which of these it is drastically affects the answer.A brief google image search of Jeff Bezos images shows that the condition goes back to age 5. It is entirely possible it was present before that, but the few baby pictures under age five have head tilts or shadowing that makes conclusive interpretation impossible. So here is what we know:Whatever it is dates back to at least age 5.The appearance is stable over time. It looks about the same from when he is five until today. The etiology is highly unlikely to be a progressive one. This is a critical one – young age of onset plus nonprogressive rules out a lot of dystrophies and myopathies. It also makes cancers highly unlikely.We must appreciate at the entire facial presentation:His facial features are symmetrical.His smile is symmetrical.There are no visible scars.Here is what we don’t know:Has he had an injury or surgery?Are his eyes the same color?Are the pupils the same size?Does the magnitude of the difference appear the same when he is looking in different directions?Does he have some sort of underlying systemic issue that is relevant? Since I doubt his medical history is floating around on the internet (and hope for his sake it isn’t) we’ll have to settle for this staying an unknown.Having looked at eyeballs a time or two I’m going to go with the right eye being the unusual one. He appears to either have a slightly recessed (enophthalmic) eye or ptosis - upper right eyelid droop - plus reverse ptosis – the lower right eyelid slightly higher than the left.Now, what would cause that presentation that onset in childhood and hasn’t worsened? Logic tells us it was a one-off event that caused it, not something progressive. Here’s where the trite old adage, “If you hear hoofbeats, think horses, not zebras” comes into play. There are hundreds of possible etiologies, but the two most probable are Horner’s syndrome or injury. It would be nice to know about eye color because congenital Horner’s syndrome is usually accompanied by iris heterochromia. It would also be nice to know about pupil size, because in Horner’s the pupils are unequal. Injury could cause either a traumatic Horner’s or an enophthalmic eye. And from here we can only speculate…..unfortunate run-in with a bungee cord (happens all the time)…...fistfight in preschool (four-year-olds can be monsters)……bicycle riding without a helmet (oh, the horror!)……swordfighting with a curtain rod (seen that one)……pecked in the eye by a stork (yep, seen that one too).…...Red Ryder BB gun (had to throw that one in there for you Christmas Story aficionados)……Whatever it was, I’m sure all the people who bought AMZN at $1.73 back in 1997 are glad it didn’t affect his entrepreneurial spirit.

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