The patient was a very pleasant 45-year-old woman who came into the emergency department with fever, headache and neck pain; all signs and symptoms concerning for meningitis or possibly encephalitis. Both are often an infectious, sometimes inflammatory diseases of either the meninges, the thin membrane that covers the brain, or the brain itself. The diagnosis is considered clinically, based on signs and symptoms as well as some clinical exam, and often confirmed by a lumbar puncture or spinal tap.
I discussed this with the patient and she agreed to the procedure. I had her positioned and had opened the prepackaged kit to get started. The kit is wrapped in plastic, a necessity to keep equipment sterile, especially for a procedure that will involve instrumenting a space that communicates with the central nervous system; the brain and spinal cord.
Off came the plastic, and into the trash. There are also some stickers for labeling the syringes used to inject the anesthetic, but I didn’t need those either, so they also went into the trash. There are extra plastic syringes that you don’t need, as well as a plastic straw to draw up the anesthetic if you choose to use that instead of a needle. Into the trash. There are several more items in the kit that are destined for the trash as well: a small circular piece of foam for sticking used needles into, as well as unused needles. By the end of the procedure, I had become a one-man wrecking ball of plastic waste.
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