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THE BIG READ | Joburg ER doctor shares some of her most memorable cases and dealing with the uncertainty of Covid-19

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Dr Anne Biccard in the
PPE gear she has to wear
when treating patients who
have Covid-19. (Photo: Supplied)
Dr Anne Biccard in the PPE gear she has to wear when treating patients who have Covid-19. (Photo: Supplied)

Humans should not climb onto roofs or ladders unless they have a harness or a set of wings. It’s day 13 of the lockdown and the evening before Good Friday. A woman brings her husband to the ER because he has spent the day drinking beer and painting the roof – probably more of the former than the latter.

No one was holding the ladder, so it overbalanced and he fell to the ground. He’s covered in paint and beer, an arctic white splash on the bed with blue eyes and pink lips. The sharp smell of paint mixed with the beer is actually quite pleasant.

He has severe pain over the left side of his chest, where he landed against the upturned edge of the fallen ladder. After examining him, I’m worried that the painter has air or fluid collecting between his lung tissue and its lining. This can happen with stabbings or gunshots to the chest, where air is sucked from the environment through the hole and into the relative negative pressure of the thoracic cavity. It can also happen without an open wound, where broken ribs have punctured the lung.

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