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Why does it not surprise me when I hear of these things? The SAME orthopaedic group that we (the ER docs) have problems with calling back, more or less refusing or deferring consults, giving us grief on the phone, etc (although to be fair, a couple of the younger guys in the group are OK) is [...] I am all in favour of an appropriate use of health care resources in the ultra elderly. After, all they don’t have much time left regardless so why perform heroic measures? Especially if they are demented, bedridden, or otherwise have a very poor quality of life. Another option, however controversial, would be a Dr Kevorian consult. [...] Sorry but that is sometimes all you can do. People that suffer a Massive Pulmonary Embolism (see reference article HERE for definition and outcomes) are pretty SOL (Shit Outta Luck) so to speak. Yes, there are some heroic treatments that can work – TPA (the “clot buster” drug) and Thrombectomy (which I have seen done only once [...] Here is a nice little bit of societal/relationship pathology. A woman comes in for vaginal bleeding at 5 weeks of pregnancy. She states in triage that she took an “abortion pill” (which I presume was RU486 and Misoprostol) two days before as prescribed to her by her GYN and had passed the tissue. There was no significant [...] How does one (i.e. a nursing home RN or MD) expect a 97 year old, demented and barely mobile patient to commit suicide? I guess she could fling herself out of the bed or get a hold of a knife and slash her wrists but hello, that is why you have been giving her Risperdal, Atvian, [...] Yesterday I had a big problem with my phone – and thus my DSL service. I spent three hours replacing a line in my house that ran behind endless pieces of furniture and was stapled to the baseboard. Total pain in the ass! I can only do brief posts with my Iphone but [...] OK, I admit I did have a bit of a ulterior motive when I pressed hard for a patient to get a bed and up to that bad ASAP. Of course it was more of a “bonus” on top of the truly compassionate part of the story than the true motivation. A lady was brought [...] |
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