Yesterday, I was stunned by how erratic a patient’s vital signs can go. In a span of 15mins, her BP went from 200/100mmHg to 60/40mmHg. Her blood sugar was high as 375 mg/dl only to go down to 60 mg/dl after a few minutes. The doctors couldn’t decide on whether to start the patient on antihypertensive drips or give her inotropics to increase her blood pressure, on whether to give her insulin drip or glucose water bolus.
Pheochromocytoma, a tumor of the adrenal gland. That was the culprit of it all. The tumor had largely affected her adrenal glands causing it to secrete abnormally large or small amounts of cathecholamines (epinephrine, norepinehrine and dopamine). Imagine your body to have a swing from extreme adrenaline rush to sudden drop in vital signs and blood sugar. Your systems can get confused and eventually get fatigued and give way….let go.
I am new to this type of case since only about 10% of pheochromocytoma are malignant, which is the case of my patient. As sadly expected, the patient did not make it.
It made me wonder, how can such a very small gland get corrupted by a cancer cell, I mean it could have chosen bigger organs, why, in all areas, did it choose to land on a very tiny part? And I was amazed by how such a very small part of our body can cause our lives. I guess, I will never know the answer unless I do a comprehensive research about it, which I don’t have plans of doing.
Well, to relate this situation to our feelings and dispositions. We shouldn’t allow ourselves to think that we don’t matter. Don’t allow others to step down on us. Never limit our self by thinking that we are good for nothing, because no matter how small we think we are, there will come a time that we will affect someone else’s life bigtime!
We should also learn to value things no matter how small or insignificant they are. We might never know, their presence could mean more that we ever expected..
Let us learn to appreciate things, big or small, they all should be treated the same. God Bless.