Text 19063, 118 rader
Skriven 2014-11-07 17:49:00 av MICHAEL LOO (1:123/140)
     Kommentar till en text av NANCY BACKUS
Ärende: hospital 230
====================
 NB> residents that were with a Family Medicine practice that MJ was a
 NB> patient of.  She'd get a new resident every 3 years or so, so we got to
 NB> train a number of them... Most of them were inclined to be open-minded,
 NB> thankfully.  Not always the case with the residents in hospital,
 NB> however... 

And these guys suffer the additional handicap of basically
being graded on their ability to follow instructions.

 ML> And the antibiotics, which they've been pushing the
 ML> limit on to the degree that I'm being treated as if
 ML> I were moribund, despite my being quite ambulatory.
 NB> If they were kicking out the bad germs and not giving grief that would
 NB> be more understandable, but from what I've been reading, some of your
 NB> symptoms may have been side effects from some of the antibiotics.. :(

Totally unclear. There is another effect of the regimen
that came pretty clear, but I didn't say anything lest
they try to put me on yet another set of drugs - I started
getting numbness in my extremities and in the left thigh;
peripheral neuropathy is a recognized effect, and the
standard procedure is to shut down the Flagyl and start up
with something else. I just didn't want to stir up that
particular can of worms.

 ML> So my veins are all blown, and my last IV blew, and
 ML> they still wanted me to take the antibiotics IV,
 NB> That's the point they start talking about piclines and ports,
 NB> generally...

When the chief of the IV people said that a PICC was the
next course of action, and I thought I was pretty much ready
to be released, that's when I started getting fractious, and
that's when they started accelerating my discharge.

 ML> done already. One of the nurses admitted that the
 ML> resident could have been in some jeopardy for actually
 ML> making a decision. (Of course it was such a resident's
 ML> decision that was the proximate cause of my father's
 ML> death.)
 NB> Sounds like a hospital to me...

They're just following orders.

 One good(-ish) reason for doing
 NB> it IV rather than oral is to spare the already badly irritated
 NB> digestive system any of the side effects of the drugs... and to get the
 NB> meds in-stream faster...  

But I already had a loading dose in my body, so speed wasn't
much of an issue. And badly irritated digestive system had
to be balanced with a badly irritated venous system.
 
 ML> A set of labs was ordered, and they got the supposed
 ML> whiz of the regular service who failed in three
 ML> attempts and gave up.
 NB> They couldn't have just got the labs when they finally got something
 NB> in...?  ;)

One of my gripes is that when something was being done,
they seldom doubled up purposes even when that seemed the
eminently practical thing to do.

 ML> Previous to that, two labs successfully drawn in
 ML> seven sticks.
 ML> That's 13, maybe 14 failures that I remember in one
 ML> 24-hour period.
 NB> Not a pretty record, to be sure...  Sigh....

I was beginning to get needle-shy, and usually I'm
pretty good about stuff like that (though I strongly
prefer not to look when it's happening).

=
 NB> Is the usual routine to send the patient home whilst following the
 NB> regimen...?  It would seem to me (yeah, silly me) that keeping one
 NB> where things can be monitored would be safer, maybe even wiser... 
 NB> And certainly in retrospect in your case it certainly seems so.  

Unclear about cause and effect for admission #3, whose
etiology remains unknown, which is scary. Admission #2
might have been fixed by lengthening admission #1, but
even that is unclear.

 NB> I thought MGH was supposed to be one of the stellar hospitals...?

Well, it almost put me in heaven.

                           Smoky Roasted Salsa

Recipe By     : rec.food.cooking - Stephanie da Silva
Serving Size  : 4    Preparation Time :0:00
Categories    : Mexican                          Salsa

  Amount  Measure       Ingredient -- Preparation Method
--------  ------------  --------------------------------
   3      Cloves        garlic -- peeled
   1      Medium        onion -- quartered
   3      Large         tomatoes
   1                    canned chipotle chile in adobo sauce
     1/4  Cup           lime juice
   2      Tablespoons   salad oil
     1/4  Cup           fresh cilantro leaves -- packed

Place a 10 to 12 inch uncoated frying pan over high heat.  Add garlic,
onion, and tomatoes.  Cook, turning often with tongs, until charred on all
sides (about 10 min).  Remove from pan and let cool.  Cut tomatoes in
half crosswise and discard seeds. In a blender or food processor, combine
vegetables, chipotle, lime juice, oil and cilantro; whirl to desired
consistency.  Makes 3 cups. From: arielle@taronga.com (Stephanie da Silva)

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NOTES : Mastercook formatted by Garry Howard, Cambridge, MA
        garhow@hpubmaa.esr.hp.com or garhow@aol.com
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