OFF TOPIC- but Scott will find this interesting....
Neurogenic, cardiogenic, hypovolemic, Sepsis, multisystem organs dysfunction syndrome (MODS), acute respiatory distress (ARDS), systemic inflammatory response syndrome (SIRS), etc. I find shock and all the cascades that follow very, very interesting. It's really cool to watch to body try to compensate and then see what happens when it fails. Although it's not fun for the patient- as a new practitioner, I am fascinated.

We currently have a patient who was having a heart cath done (angio) and during it he had a subarachnoid hemorrhage (SAH) and he came to us. He was having cardiogenic shock- from his failing heart, started the clotting cascade- hence the brain bleed...and the cascade that follows: ARDS, currently in kidney failure...etc. He will be one lucky man if we can keep him alive during all of this. You basically do a lot of support methods and try to fix the problem, but the cardiac guys won't touch him because of how unstable he is. As with many shocks- low BP, he has been on levophed (last ditch pressor without having a swan in place) for a week now. He's also been on a vent for over a month now and has a feeding tube. Poor guy looks at us like, please can't you just stop this....and his wife cries and cries.

Breaks my heart, but clinically- very interesting. If he can make it past the 21 day mark of the kidney failure, he will probably be okay...depending on your perspective.
Billy Dee Williams- Robb would have absolutely died!!!!

Wonder what he was doing in SLC?