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	<title>Comments on: You are only Allowed ONE Organ System Failure!</title>
	<link>http://erstories.net/archives/686</link>
	<description>ER Stories       Real Life Tales from the Emergency Room</description>
	<pubDate>Mon, 15 Mar 2010 07:31:43 +0000</pubDate>
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		<title>By: pixie</title>
		<link>http://erstories.net/archives/686#comment-5819</link>
		<dc:creator>pixie</dc:creator>
		<pubDate>Wed, 26 Nov 2008 21:46:22 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5819</guid>
		<description>Dialysis patients have other problems NOT related to dialysis. Myself end of August had myoclonus of right arm and leg with dystoina of upper body-head included. Everyone in ER said "Dialysis related!" my nephrologist knew me well--THANK GOD!!--that I'm as compliant as they come!! Never missed a treatment or come off early.  Only 42 and been on hemo-dialysis just over 11 years. Guess what it was?! Fractured cervical 5 and 6 the myoclonus of right side arm and leg with aslipped disc broken off pushing on my spine and the upper body dystonia and balance problems--parkinsons disease. We're not all idiot's , non-compliant and dialysis patients actually get illnesses NOT related to dialysis. Please listen to us! I was dismissed by everyone except my nephrologist and the neurologist he called in---after another neurologist stood their ground for hours that it was dialysis related and just dialyze her. All my labs were good!!! Later told by neurosurgeon I could have easily ended up a quad if the neurologist hadn't realized two things were going on and had me sedated and did a MRI of spine! Thank you for the good doctors--don't ever assume!!</description>
		<content:encoded><![CDATA[<p>Dialysis patients have other problems NOT related to dialysis. Myself end of August had myoclonus of right arm and leg with dystoina of upper body-head included. Everyone in ER said &#8220;Dialysis related!&#8221; my nephrologist knew me well&#8211;THANK GOD!!&#8211;that I&#8217;m as compliant as they come!! Never missed a treatment or come off early.  Only 42 and been on hemo-dialysis just over 11 years. Guess what it was?! Fractured cervical 5 and 6 the myoclonus of right side arm and leg with aslipped disc broken off pushing on my spine and the upper body dystonia and balance problems&#8211;parkinsons disease. We&#8217;re not all idiot&#8217;s , non-compliant and dialysis patients actually get illnesses NOT related to dialysis. Please listen to us! I was dismissed by everyone except my nephrologist and the neurologist he called in&#8212;after another neurologist stood their ground for hours that it was dialysis related and just dialyze her. All my labs were good!!! Later told by neurosurgeon I could have easily ended up a quad if the neurologist hadn&#8217;t realized two things were going on and had me sedated and did a MRI of spine! Thank you for the good doctors&#8211;don&#8217;t ever assume!!</p>
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		<title>By: cardioNP</title>
		<link>http://erstories.net/archives/686#comment-5504</link>
		<dc:creator>cardioNP</dc:creator>
		<pubDate>Sun, 09 Nov 2008 08:21:25 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5504</guid>
		<description>Hmm.... stat Ethics consult and DNR order?
Pre-existing comorbidities, new CA diagnosis, hypotension/CHF, liver dysfunction, high O2 requirements, perhaps new PNA, all evidence that the circling had started.  Hope the pulmonologist got the DNR before the lawyer got contacted.</description>
		<content:encoded><![CDATA[<p>Hmm&#8230;. stat Ethics consult and DNR order?<br />
Pre-existing comorbidities, new CA diagnosis, hypotension/CHF, liver dysfunction, high O2 requirements, perhaps new PNA, all evidence that the circling had started.  Hope the pulmonologist got the DNR before the lawyer got contacted.</p>
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		<title>By: ERP</title>
		<link>http://erstories.net/archives/686#comment-5493</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Sat, 08 Nov 2008 06:19:56 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5493</guid>
		<description>Erik, hence the reason I did not want to work in the unit.....
And I don't know what hospital you work in that would admit a 28 year old with chest pain to the CCU withdrawing from narcs - my unit consultants would laugh.</description>
		<content:encoded><![CDATA[<p>Erik, hence the reason I did not want to work in the unit&#8230;..<br />
And I don&#8217;t know what hospital you work in that would admit a 28 year old with chest pain to the CCU withdrawing from narcs - my unit consultants would laugh.</p>
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		<title>By: Erik</title>
		<link>http://erstories.net/archives/686#comment-5492</link>
		<dc:creator>Erik</dc:creator>
		<pubDate>Sat, 08 Nov 2008 03:46:58 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5492</guid>
		<description>Crapped out is a medical term.

Now you know what we do in the ICU all day.  It's why we sometimes can't answer pages immediately or always drop everything and run to the ER to admit my 28 year old with chest pain after running out of Lortab.</description>
		<content:encoded><![CDATA[<p>Crapped out is a medical term.</p>
<p>Now you know what we do in the ICU all day.  It&#8217;s why we sometimes can&#8217;t answer pages immediately or always drop everything and run to the ER to admit my 28 year old with chest pain after running out of Lortab.</p>
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		<title>By: ERP</title>
		<link>http://erstories.net/archives/686#comment-5491</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Fri, 07 Nov 2008 21:05:49 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5491</guid>
		<description>Sorry, yes "crapped out" is a colloquial term used in the medical community to discribe someone who is deteriorating.  A foley is held in the bladder by an inflatable balloon so ripping it out means it has to pass through the urethra!  Ouch!!!!</description>
		<content:encoded><![CDATA[<p>Sorry, yes &#8220;crapped out&#8221; is a colloquial term used in the medical community to discribe someone who is deteriorating.  A foley is held in the bladder by an inflatable balloon so ripping it out means it has to pass through the urethra!  Ouch!!!!</p>
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		<title>By: cardiogirl</title>
		<link>http://erstories.net/archives/686#comment-5490</link>
		<dc:creator>cardiogirl</dc:creator>
		<pubDate>Fri, 07 Nov 2008 20:53:10 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5490</guid>
		<description>p.s. I have no idea how a foley catheter is "secured" in place, but doesn't it hurt to rip it out of one's own body?

I had one during my labor and it was uncomfortable in the sense that it made me feel full, if you know what I mean. But I was afraid to touch it, much less rip it out.</description>
		<content:encoded><![CDATA[<p>p.s. I have no idea how a foley catheter is &#8220;secured&#8221; in place, but doesn&#8217;t it hurt to rip it out of one&#8217;s own body?</p>
<p>I had one during my labor and it was uncomfortable in the sense that it made me feel full, if you know what I mean. But I was afraid to touch it, much less rip it out.</p>
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		<title>By: cardiogirl</title>
		<link>http://erstories.net/archives/686#comment-5489</link>
		<dc:creator>cardiogirl</dc:creator>
		<pubDate>Fri, 07 Nov 2008 20:50:48 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5489</guid>
		<description>Just a layman here -- is "crapped out" a medical term? 

I ask because you mentioned that in your post and my doctor has used that term in the past to explain how diabetes forms. I believe he said, "Then the pancreas craps out..."

So I was wondering if that was a term used in the medical community.</description>
		<content:encoded><![CDATA[<p>Just a layman here &#8212; is &#8220;crapped out&#8221; a medical term? </p>
<p>I ask because you mentioned that in your post and my doctor has used that term in the past to explain how diabetes forms. I believe he said, &#8220;Then the pancreas craps out&#8230;&#8221;</p>
<p>So I was wondering if that was a term used in the medical community.</p>
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		<title>By: Nurse K</title>
		<link>http://erstories.net/archives/686#comment-5486</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Fri, 07 Nov 2008 15:33:57 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5486</guid>
		<description>I think the Elizabeth Kubler-Ross &lt;a href="http://en.wikipedia.org/wiki/K%C3%BCbler-Ross_model" rel="nofollow"&gt;5 stages of grief&lt;/a&gt; should include "Lawsuit" as the first stage.  "Oh god, I might die!  Who can I sue for this?!"</description>
		<content:encoded><![CDATA[<p>I think the Elizabeth Kubler-Ross <a href="http://en.wikipedia.org/wiki/K%C3%BCbler-Ross_model" rel="nofollow">5 stages of grief</a> should include &#8220;Lawsuit&#8221; as the first stage.  &#8220;Oh god, I might die!  Who can I sue for this?!&#8221;</p>
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		<title>By: Angela</title>
		<link>http://erstories.net/archives/686#comment-5485</link>
		<dc:creator>Angela</dc:creator>
		<pubDate>Fri, 07 Nov 2008 15:32:55 +0000</pubDate>
		<guid>http://erstories.net/archives/686#comment-5485</guid>
		<description>isn't that about right it couldn't be that she smoked a carton a day her whole life it had to be the hospital's fault... ugh</description>
		<content:encoded><![CDATA[<p>isn&#8217;t that about right it couldn&#8217;t be that she smoked a carton a day her whole life it had to be the hospital&#8217;s fault&#8230; ugh</p>
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