Good evening. Tonight's will be a short post, as I've still got some chores to do around the house. It has been an interesting day, and I've got some updates for you all.
In "The House of God," a satirical novel detailing an intern's hellish year, our hero, Roy G. Batsch, is taught by the iconic senior resident (The Fatman), "the less you do to the little old ladies, the better they do." My 95 yr old is backing this theory. When last we talked about her, she was knocking on death's door. I didn't expect her to live through Friday night, much less the weekend. In talks with the family, we had decided comfort measures only. Well, yesterday afternoon, she looked better. Today, she was awake and alert, not complaining of any pain, and hungry. I shot an Xray, and her bowels have decompressed. She's still FOS (Full of S******), but has managed to squeak through this latest crisis. With her doing so much better, we're going to try to get her cleaned out, and maybe give her another year. With her colon no longer looking like the Hindenburg, I can give her cathartics from above, and try to move all that CaCa south.
Ms. Brown is also still with us. Over night, she started having some arrythmias, and is now being followed by the cardiologist as well. She continues to soak up the fluids, and is trying hard to pee. Her prognosis remains grim, but she's dodged some bullets so far. I'm currently waiting for a call with updates on her labs, tweaking them several times a day is necessary.
And now, if you all will excuse me, I'm going to sign off, and go pay some bills. They're never ending, ya know.
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First I'd like to say that this is *amazing*. I can not begin to express my wonder at watching what you do through this blog. It gives me more of an insight into what a doctor does than anything else I've seen. Most people only see the Doctor through the patent doctor relationship and that is always colored by the patent's needs and wants.
ReplyDeleteOne thing you keep saying is "Tweaking their labs." Can you explain what this means? Am I reading it wrong or is this a med profession geek speak?
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Christopher, when I talk about tweaking labs, it means I'm checking the labs, and then adjusting the ventilator, the IV fluids, giving electrolytes, etc, based on those results -- just fine tuning the patient based on the labs coming back.
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