Comments on: Lose-Lose

By: pamajama

pamajama — Sat, 05 Jul 2008 14:32:34 +0000

Oh God, did I really just write bloog?

By: pamajama

pamajama — Sat, 05 Jul 2008 14:32:18 +0000

I would want the 3 a.m. call. Love your bloog:)

By: lilpunk

lilpunk — Thu, 03 Jul 2008 17:14:44 +0000

*hug*

By: Rogue Medic

Rogue Medic — Thu, 03 Jul 2008 06:11:18 +0000

It is difficult to know how involved family is from the paperwork that accompanies a nursing home patient.

Waiting until normal business hours may result in a more reasonable, more agreeable response from family to the suggestion of writing a DNR order.

By: Lisa

Lisa — Sun, 29 Jun 2008 21:42:43 +0000

I also think that the family should have been called. They needed to see what she was going through in order to really decide if no DNR was what they wanted for her. It’s sad.

By: Mark

Mark — Sat, 28 Jun 2008 20:52:00 +0000

But ativan in an elderly demented woman? You might have been giving the hospitalist more of a gift than you even intended…

By: Chris

Chris — Sat, 28 Jun 2008 12:42:28 +0000

As a doctor, what would your recommendation be if your neighbor suffered from dementia and her family did not oversee her? They have to realize just how out of it she is but yet, they leave her living in her house alone and rarely come by. She gets very paranoid sometimes and every once in a while gets really angry. It’s really sad.

But as a regular joe, is there anything we can do to get her help?

By: crisitunity

crisitunity — Thu, 26 Jun 2008 19:11:34 +0000

Maleesha, I totally agree with you. I work as a legal assistant in a malpractice firm, and whenever we get cases where a little old lady has died, even due to obvious negligence, I just want to say LET HER GO. We have like three of them right now, and it just makes me sad…even if what happened to her wasn’t right, it was certainly her time, right?

Trismus, I think you made the right call. That cardiologist has a cold heart (ha). Don’t feel bad.

By: jerry

jerry — Wed, 25 Jun 2008 23:50:49 +0000

At that point if there was no family to assist with the decision I would have sent her back. Just document you were doing what you felt was the best and least traumatic thing for the patient.

By: scalpel

scalpel — Wed, 25 Jun 2008 08:40:08 +0000

Intractable vomiting and mental status changes in an elderly post-infarction patient = easy admission.

It’s all how you sell it. No reason to feel bad about it.