It’s the physician’s job to think of worst-case scenarios

I saw two patients with a chief complaint of bubbles in their urine this month.

One middle-aged woman had eaten some wild mushrooms she was pretty sure she had identified correctly, but once her urine turned bubbly a few days later, she came in to make sure her kidneys were OK.

Even though she was feeling quite well, they were not, and she ended up going straight to Cityside hospital for IV fluids, a kidney biopsy, and dialysis. We don’t know yet how much her kidney function will recover and we still don’t know if the mushrooms had anything to do with it.

I saw her in followup the other day, and she was taking everything in stride, showing more curiosity than fear and despair.

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