Text 19509, 113 rader
Skriven 2014-11-17 19:09:00 av NANCY BACKUS (1:123/140)
     Kommentar till en text av MICHAEL LOO
Ärende: Re: horsepistils 281
============================
-=> Quoting Michael Loo to Nancy Backus on 11-14-14  10:08 <=-

 ML>> And these guys suffer the additional handicap of basically
 ML>> being graded on their ability to follow instructions.
 NB>> In most cases.  I suppose one might consider that the stakes might be
 NB>> higher in the hospital setting...   
 ML> The ability to pay off med school loans ...
 
I was thinking more the lives of the patients... but I suppose that
could factor in as well...  ;0

 NB>> I trust that those symptoms have subsided, now that you are no longer
 NB>> on the meds...?  You might want to note it somewhere, so as not to be
 NB>> given Flagyl again, just be started on something else to begin with...
 ML> It's all a complicated mess, and I don't see much can be
 ML> generalized from what happened to me; it's not even clear
 ML> whether next time (heaven forfend) will or should be
 ML> approached the same way.

Granted the complicated mess... but that might well have been a reaction
to the drug...  'twere me, I'd avoid it, on general principles...  :)

 ML>> When the chief of the IV people said that a PICC was the
 ML>> next course of action, and I thought I was pretty much ready
 ML>> to be released, that's when I started getting fractious, and
 ML>> that's when they started accelerating my discharge.
 NB>> Thankfully you were at the point of being dischargeable... :) 
 ML> If they were going to put a PICC in they should have done
 ML> it either during the second hospitalization or as part of
 ML> the third admission. Not waiting until every vein was blown.

Very true.  But, this /was/ a hospital... and somewhat unfathomable...
 
 ML>> Avoidance is a good strategy. When the rather intrusive
 ML>> admissions interview asked how I coped with stress, I said
 ML>> "avoidance." 
 
Bravo.  :)

 ML>> One of my gripes is that when something was being done,
 ML>> they seldom doubled up purposes even when that seemed the
 ML>> eminently practical thing to do.
 NB>> As above, sounds like a hospital... and just following orders... ;)
 ML> Over a hundred sticks, not counting forty-eight (I said fifty
 ML> before, but this time I counted) finger pricks. Think about it.

Totally uncalled for and ridiculous... and common...  I remember once
having to put my foot down for a (head) resident that thought he needed
to track MJ's arterial O2 by having an artery stick every couple of
hours...  her wrist (the only place left that they could get in) was a
pincushion, and she was crying with the pain... I told the staff that
any more orders for that had to be cleared with me, and that I would
need a very good reason for why it was needed.

 ML> It is unclear what causes me to bleed - all my factors are
 ML> in the normal range, but most of them are scraping the bottom.
 ML> I figure that when they all hit bottom, I bleed. Every Boston
 ML> hospital adventure I've had has featured bleeding of some
 ML> degree (and every time but one of life-threatening severity).

I'd start avoiding Boston hospitals... sounds like much too much
adventure there...  ;/

 ML>> I still live in fear of the day when the HIV learns to live
 ML>> in mosquitos.
 NB>> May it never be....
 ML> Things evolve. There's this song and dance about ebola
 ML> evolving quickly to be transmissible airborne. Of course,
 ML> everything about ebola appears to be a song and dance.
 ML> More people get killed from falling off cliffs and perhaps
 ML> out of bed than have succumbed to that (scary) disease.

But those who succumb to ebola get so much more press than those that
fall out of bed... 

 NB>> Experientially, both mine and of acquaintances, probiotics are
 NB>> particularly useful for maintaining good bacteria in the gut when
 NB>> antibiotics are being administered to get rid of bad bugs... thus
 NB>> alleviating some of the less wanted effects of the meds, ie the almost
 NB>> inevitable diarrhea.  I realize that for some of the newer, higher
 NB>> powered antibiotics one is supposed to wait until the full run is done
 NB>> before doing the probiotics, so that could be where the ICU doctors
 NB>> would have less experience with their usefulness.  For most
 NB>> antibiotics, one just wants to try not to be taking the probiotics at
 NB>> the same exact time, but to stagger dosings...  
 ML> I can't see starting probiotics during the course of the
 ML> antibiotics, especially with my scorched-earth regimen.

You may have also had some of those newer ones that need to be not mixed
with the probiotics...

 ML> When time comes to recolonize, maybe when the cillins
 ML> start wearing off, tipping the balance in favor of the
 ML> good guys make sense, but not when the poisons are in
 ML> full force.

At the point when the gut starts breaking down for lack of the good
guys, I figure it needs some help...  :)
 
 NB>> I usually take mine in the form of yogurt with active cultures... :)
 ML> I tried that - had a friend bring coconut milk yogurt.
 ML> It was pretty nasty.

That probably was nasty.  You would probably do better with the active
cultures unhampered by yoghurt...  ;0

ttyl       neb

... Not a real tagline, but an incredible soy substitute...

___ Blue Wave/QWK v2.20
--- Platinum Xpress/Win/WINServer v3.0pr5
 * Origin: Check Out Doc's QWK Mail  Via Web BBS > DocsPlace.org  (1:123/140)