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Three ER Cases, One Common Theme

A trio of patients land in the ER with a dislocated shoulder, a seizure and a heart attack. What could they possibly have in common?

Credit: Guy Shapira/Shutterstock

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In retrospect, you can’t believe you missed it: three different days, the same diagnosis. They pop back into your head: the kid hanging off the chair, left arm askew; the three-piece-suit-and-briefcase guy, head jerking like a man with runaway Tourette’s; the 30-something Latino clutching his chest.

The kid showed up on a busting-at-the-seams Friday night.

“Doc, it kills. Oh gawd, it kills,” he wailed, cradling his left arm. The 20-something had a junior camp counselor look to go with his Long Island accent.

Obvious shoulder dislocation. Quick discharge. I grabbed him ahead of three other patients.

“Doc, you’re the best!” he cried. “How do I fix this? The shoulder keeps slipping out and dislocating. If only that drug addict hadn’t kicked me in the ambulance.”

“You were a medic?”

“That junkie ended my career. Destroyed my rotator cuff.”

Clucking in sympathy, I eased his shirt off. A surgical scar bisected ...

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