IM Sub-I: Wednesday Call

Another day on call. My first patient was an 89-year-old lady with chest pain; this isn't her first visit to the ER with chest pain given her hx of A-fib and CHF so I expected her to get discharged tomorrow. My second patient was a man in his 40s with pneumonia. Greg had run an HIV test on him, and when I examined him I saw some thrush on his tongue. Hmm, definitely suspicious for immunodeficiency. He only spoke a little bit of English so I was very grateful when his sister came in to help translate. Later when I presented him to Greg, Greg asked, "Did you ask him if he was gay?" Well, no, that thought never occurred to me, but Greg said he'd asked and yes, my patient is gay. His CXR and poor oxygen saturation is suspicious for PCP (though I was uncertain since I had an HIV positive patient at JPS who had pneumonia but it had been plain old CAP not PCP), so he's getting an HIV workup. I ended up leaving around 8:30 pm, so I made the drive to Andrew's to watch more Olympics. The US men's gymnastics guys didn't do so well in the all-around.