Text 19657, 106 rader
Skriven 2014-11-21 13:29:00 av NANCY BACKUS (1:123/140)
     Kommentar till en text av MICHAEL LOO
Ärende: Re: hospitals 312
=========================
-=> Quoting Michael Loo to Nancy Backus on 11-17-14  22:06 <=-

 ML>> gravy with every meal. One strange omission from my sheet was
 ML>> that there was no salt substitute listed. And then they
 ML>> persisted in giving me IV potassium.
 NB>> Sometimes there's just no fathoming what they are thinking... or if...
 NB>> maybe they thought you'd need the sodium with the blood loss...?  But
 NB>> then needed to balance things...?
 ML> The Ringer's is one of several solutions that is meant to
 ML> approximate the pH and electrolyte profile of blood. But
 ML> neither it nor its counterparts balances things quite right,
 ML> and magnesium (which I unaccountably kept losing) is not
 ML> included in the ions. But then they quit giving that and
 ML> started with saline and dextrose. Why they couldn't have
 ML> done Ringer's and dextrose I don't know.
 
Probably some sort of protocol...  or the typical lack of thinking
around corners that happens in such places... :)  Or both....

 ML>> Oh, of course. They wouldn't make that same mistake that
 ML>> they did with the first discharge, Activity: No Restrictions
 ML>> - but to be fair it wasn't any activity on my part that
 ML>> landed me back in the joint.
 NB>> Quite true.  But I don't blame them for hedging the instructions
 NB>> after, either...  :)
 ML> I don't blame them; not guaranteeing that I will totally
 ML> obey, either.

Theirs but to command... ours to to as we see best (or fit)..  ;)  With
any luck, enough sound judgement will ensue that it'll all turn out
fine... :)   
 
Speaking of which... haven't exactly mentioned my latest escapade
(hinted at in some of my responses, though), but there's similarities in
how I dealt with their instructions...  ;)   An attack of what turned
out to be gout landed me in an Urgent Care place... they sent me home
with an ace-bandage wrapped foot, a blood requisition and a script for
prednisone... filled the script, had the blood drawn, and then proceded
to talk myself out of taking any of the pills.  A visit to my massage
therapist the next day, and then checking in my reference books for
healing foods, and such...  Since I couldn't schedule a follow-up with
my doctor in the requisite 7-10 days (it started out being about 20 days
and then got rescheduled for even longer), I looked for ways to deal
with getting rid of the symptoms.  Rest, elevation, compression, celery,
black cherries, curry/turmeric, ginger... and bought some celery seed
extract capsules and an herbal anti-inflammatory supplement at Lori's,
which became part of the daily dosings.  I just saw my doctor yesterday,
and the gout is gone completely, and he fully approved of my decisions
and actions there.  :)   I brought the supplements in for him to check
out, he approved them too... :)

 NB>>> Those at least do allow for a little time to convelesce.. and make
 NB>>> sure that things are working properly innardly...
 ML>> There will be a couple shorter trips - to Washington
 ML>> and back, for example, that will test things out.
 NB>> Wise.  
 ML> And until May all the trips will keep me within a few hours
 ML> of first-rate medical care. Even during the transpacific leg
 ML> I will be within 4 or 5 hours of modern hospitals at all times.

Probably safe enough.  :) 
 
 NB>>> Maybe by then everything will have settled properly and things not be
 NB>>> quite so edgy...  :)
 ML>> Or maybe the offending member will be removed by then.
 NB>> Might be a good thing.  :)
 ML> Did it come out here that all Australians who plan to go to
 ML> Antarctica for whatever reason must have their appendix
 ML> removed no matter what their and its condition?

Yes, I think you mentioned it somewhere along the thread...  I'd heard
about it before, too.  :)

 ML>>> Try this place sometime. Massachusetts General Hospital.
 NB>>> With any luck, I won't be close enough to need to... ;0
 ML>> Just go online and check out diagrams of the place and
 ML>> be thankful you'll not be close enough to need it.
 NB>> Just from your hints, I'm very thankful already... :) 
 ML> For a while MGH hovered at a manageable 999 beds, though
 ML> with a new facility that caters to the odd combo of oncology
 ML> and neurology patients, the magic 1000 has been broken (and,
 ML> I'm told, this new ward consists of all singles. It was one
 ML> of the phlebotomists who informed me of this fact - her gripe
 ML> was that she had to do twice as much walking as the patient
 ML> density was half. Also troublesome is that the facility "just
 ML> growed," which means that the path between one building and
 ML> the next is not necessarily straightforward.

The latter is more of a hassle... and I'm sure can be confusing as well
as not terribly efficient...  I'm less sure of the walking being doubled
because of the density being halved, as not every patient needs blood
work regularly during their stay... and one would have to walk by any
number of doors to get to the next one on the schedule anyway... :)

 ML> Caramel Apple Cheesecake Bars
 ML> categories: dessert, dairy, poison

Sigh.  ;)   I note the designation...  ;)

ttyl          neb

... The boss said "Leave an emergency # while on vacation." I wrote "911"

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