The strangest case of my primary care career began with an electronic patient request. I get these a lot. 99% are med refills, forms, or questions about symptoms. This was different. My patient felt fine. But, he was worried he’d be sent to jail… 1/13
This is a great story, and also thank you for being the kind of doctor who'd go above and beyond for a patient like this; they're all too rare. (And even the ones who want to don't usually have the time!)
Was expecting this to be about auto brewery syndrome, but he would have felt drunk from that.
@skyview.social unroll please
I wish my dad (an internist for almost 45(!) years now) were on this platform because he would absolutely love this story. This is the kind of problem solving he lives for.
of/13? What am I missing?
I called him and he explained. He was worried about an upcoming court date. Why? He was subject to urine testing at a probation/parole office. The last 4 tests had been positive for alcohol. But he hadn’t been drinking. 2/13
amazing catch
Hi, Dr Schwartz - have you considered writing this up as a case study? I teach for a medical laboratory science program and this sounds like a great clinical chem/microbiology case.
I just wrote an in-class problem set for my intermediate biochem students based on your case study, so thanks for posting! Very interesting story, and very timely for us because we're in the middle of sugar metabolism.