About a day after discharge, the poor girl has a seizure and spends 2 days in the ICU where she was suddenly hypotensive and dyspneic, placed on BIPAP. She got an ECHO that showed an EF around 20% due to alcoholic cardiomyopathy. Suddenly that hypertension and tremor looked a bit more noteworthy than before...I saw my attending rounding and all I could ask is "WHAT'D YOU DO???".
She ended up doing pretty well, fortunately. But missing a girl in alcohol withdrawl is kind of a big deal in my book and I hope the attending knew it. I felt aweful that I hadn't spoken up about my tingling spidey sense...not that my attending would have paid attention to me anyway.