We have a patient at the moment who I am really struggling to get my head around. I think he came in with diabetic ketoacidosis because of sepsis, but I'm not sure where the sepsis came from.
It doesn't help when ward round conversations go something like this ...
Registrar: "do you have pain in your chest?"
Patient, "sometimes but then we bought a special bed"
"Does it feel like someone sitting on your chest?"
"No its a special orthopaedic bed"
"So ... No chest pain recently?"
"If you ask my wife she'll tell you what sort of bed it is"
Yup, he's a real mystery.