it was supposed to be a spot on diagnosis. so we went. ok, at first sight, the patient is jaundiced. and i thought there's more. since the patient had a tracheotomy, then he was unable to speak. and a routine thing to do, is an examination of the tummy and the patient consented on that.

as he was about to lie down from a sitting position, he suddenly coughed quite violently, gasping for air and pin pointed at his tracheotomy site.

and i was .... shit! we panicked, we called the nurse and he glanced, gave us the degrading cynical look.!

so lesson learned. i'm not going anywhere near a tracheotomy patients !! .