My neighbor wants me to cut his throat. Or give him a hug.

Good! People in distress are often very poor judges of what they need.

Oh, no, Sunny Daze - so full of distain he couldn’t possibly fit another thing in.

And, you know, the company was worried about liability. Paramedics are the canonical cover-your-ass move. :slight_smile:

I’m a bad person. I LOL’d.

I also share si_blakely’s problem of esophageal spasms. Rather unpleasant, there’s really no way to describe the feeling of saliva filling up your esophagus and reaching your windpipe. My solution has been to get a glass of water and “power swallow” which normally pushes the obstruction through. When that fails a finger to the back of the throat removes the problem the other direction. Note: This is not medical advice, merely anecdotal data.

I love your writing style, but did that conversation actually take place?

Neighbor: wheeze wheeze can you get your forceps wheeze wheeze and pull this meat out my throat?

Qadcop: I’m sorry, your desired intervention is contra-indicated.

I can actually imagine him saying those exact words…

He is a Mercotan. When he’s not chewing scenery, his vocabulary still demonstrates the intellectual superiority of the entire Mercotan race over mere humanity.
[Quote=E. E. “Doc” Smith, Qadgop’s authorized biographer]
Fools! Did they think that the airlessness of absolute space, the heatlessness of absolute zero, the yieldlessness of absolute neutronium could stop QADGOP THE MERCOTAN?
[/quote]

Well, that, and I’ve actually met him in real life so I know exactly how he sounds.

What, is the tense wrong?

I’m glad you recognize that.

From my publicist:
“Qadgop the Mercotan slithered flatly around the afterbulge of the tranship. One claw dug into the meters-thick armor of pure neutronium, then another. Its terrible xmex-like nout locked on. Its zymolosely polydactile tongue crunched out, crashed down, rasped across. Slurp! Slurp! At each abrasive stroke the groove in the tranship’s plating deepened and Qadgop leered more fiercely. Fools! Did they think that the airlessness of absolute space, the heatlessness of absolute zero, the yieldlessness of absolute neutronium, could stop QADGOP THE MERCOTAN? And the stowaway, that human wench Cynthia, cowering in helpless terror just beyond this thin and fragile wall…”

Cynthia (aka Mrs. Mercotan) and I are still getting along famously these days. We’ve a trip scheduled to the arid wastes of Death Valley in about a week, and while there’s not much neutronium to enjoy, I have become fond of borax.

True, but I’ve met me too, and I’m not sure how I sound. I am sure how you sound though.

Cynthia says “hi!”

This happens to me; but usually with dry things like rice, or an overly large bite of kay wot wrapped in injera. (Ethiopian food.)

It is very disconcerting, especially when you attempt to swallow some fluid to wash it down, and you can feel the fluid pooling up just above the obstruction. Although you can breathe, it feels almost exactly as distressing as if you couldn’t breathe.

I can’t imagine getting in a car and driving anywhere under those circumstances, though.

They used the term globus as one of the diagnosis codes when I had an upper GI 2-3 years back due to worsening GERD symptoms. Shortly before the procedure I had also developed the near-constant sensation of a lump in my throat, so they did a dilation while they were at it because the esophagus had begun to spasm (I don’t recall the details but I think it had not gotten to the point of actually developing a stricture, presumably because the problems hadn’t been going on all that long at the time.

I got the paperwork, saw the dx, and being curious, looked it up, and being a bit pissed that it’s coded as a psychiatric disorder:stuck_out_tongue:

How DARE they say it’s all in my head. It was my throat that was imagining things :D. DSM 10’s coding isn’t much better, it’s listed as a somatoform disorder.

In any event, globus doesn’t seem the correct diagnosis in the neighbor’s case, unless the steak was purely imaginary. Wouldn’t a better choice be dysphagia, or something indicating the presence of an actual foreign body?

The diagnosis is esophageal foreign body, as I (badly) wrote. If the steak has been swallowed, one often has some transient sensation due to abrasion or inflammation. If the steak never was, it might be globus. The other words are causes of dysphagia including spasm, stricture and achalasia.

Hey, I drove myself to the hospital while I was having a heart attack. (I didn’t actually know it was a heart attack at the time.)

I was gonna brag about driving myself to the hospital during a gall bladder attack, but you win.

I did an emergency first aid course a few weeks ago in which (of course) we briefly covered choking. One guy asked if an emergency tracheotomy was ever the right move. Er, no. Step away from me with that steak knife!

If the back blows and abdominal thrusts fail, the patient will probably lose consciousness. Then, of course, you call an ambulance and start CPR. This may help to dislodge the item. Do you still do the rescue breaths? Of course - you might get lucky and blow the obstruction down far enough that one lung can start functioning again (i.e. the obstruction falls below the branch in the windpipe). Attempting an emergency tracheotomy ‘in the field’, even for a medical professional, is likely to result in catastrophic blood loss.

All the above of course is for obstructed airway rather than oesophagus. I am not a trained medical professional.