Text 19933, 87 rader
Skriven 2014-11-29 12:30:00 av NANCY BACKUS (1:123/140)
     Kommentar till en text av MICHAEL LOO
Ärende: Re: hospitals 358
=========================
-=> Quoting Michael Loo to Nancy Backus on 11-27-14  07:03 <=-

 NB>> And I've seen two (or more) bags hung at once, sometimes dispensing
 NB>> together, sometimes to take over when a shorter one finishes...  So,
 ML> Three actives was my record, but sometimes many bags were
 ML> hung from the trees. I asked about this, and they said
 ML> that it saved on tubing, and you didn't want to waste that
 ML> last bit of precious medication, did you. I figure if my
 ML> body needs that last 3 mL of the liter that much, I might
 ML> as well pack it in right away.

When I'm getting my iron infusion, I want that last 3ml of the (somewhat
smaller) bag... ;)
 
 NB>> it doesn't make any practical sense for them not to have done RInger's
 NB>> and dextrose, at least from my experience or thinking... that they
 NB>> didn't makes it likely (or at least possible) that it was some protocol
 NB>> issue... or maybe just not ordered by the resident of the shift...
 ML> There is a book of things that are authorized to be
 ML> administrated together. Magnesium and one of the balanced
 ML> electrolyte solutions (I forget which) was a combination
 ML> not listed in the book, and they couldn't do them together.

As I said, protocol.  Doesn't have to make sense, just has to be
followed... if not listed, it can't be done...

 ML> I said, what's magnesium going to do, and they couldn't
 ML> answer. So they did the magnesium separately, and the vein
 ML> blew, as I knew it would, and caused me more pain than the
 ML> appendix had. After that I refused the magnesium until they
 ML> figured a compatible combination for it.

Sigh.  Can't blame you the least whit...  

 ML>> Probably, although I don't take their words as commands
 ML>> but rather as suggestions. Remember, the best of them
 ML>> were in the second quartile along with me at my school.
 NB>> They may think of them as commands/instructions... obviously we tend
 NB>> to have other thinks about them...  ;)
 ML> Well, what they think is of tertiary importance to me.
 ML> I'm pretty sure they've figured that out.

And if not, they aren't paying attention... ;)  I'm getting along quite
well with my doctors, and they know I consider their words as informed
suggestions to be considered in light of my own informedness... ;) 
Particularly my primary, who even seems to understand why I take that
stance, having seen how things work out in practice..  ;)
 
 ML>> that Indocin is pretty standard (also pretty effective and
 ML>> with relatively few side effects)
 NB>> That one I hadn't heard of.  The generic allopurinol (and a couple of
 NB>> brand names for it) I had heard of though...  I tend to have bad side
 NB>> effects from most meds, though, and only occasionally have meds work
 NB>> properly for me, with or without side effects...
 ML> Indocin was the standard when I was growing up. Now it's
 ML> used for migraines, not so much gout (looked it up).

Ah... that explains why it was ringing a bell, but not with gout.  I've
probably heard of it in connection with migraines... but haven't had any
actual experience with it, either directly or as prescribed for those
I've cared for...

 ML> Allopurinol, as I recall, used to be part of the chemo
 ML> cocktail in the '50s or '60s for I think leukemia.

Interesting... Did they decide it wasn't effective there, or just found
better(ish) drugs since then...?
 
 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.
 NB>>> Probably safe enough.  :)  
 ML>> If I can make it from south of Anchorage to south of
 ML>> Kamchatka I should be fine.
 NB>> With any luck, the body will settle in, and things will have gone
 NB>> back to (somewhat) normal...  ;)
 ML> If not, too sad.

I'm wishing at least survival for you... if not much much better... ;)

ttyl          neb

... Cauliflower is cabbage with a college education. - Mark Twain

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