Sunday, July 08, 2007

Medical Lunacy

Medicine is trial and error. You read the signs, try to fit it to a disease and treat it. Sometimes, you just treat the symptoms and sometimes you don't.
Here's one thing that is ludicrous. Patient's last bowel movement was 4days ago. The doctor puts in an order for lactulose whatever crazy dose it is to be administered q2hrs. So the nurse keeps giving it to the patient q2hrs and the poor patient takes it because they trusts the doctors knowledge, which they should, well...most of the time. Anyway, at 1am, that is when the patient starts pooping continously so that even when you change the sheet, she spills out something in less than 5 minute, and when i say less than 5minutes, i mean it in every sense of the word.
The patient keeps saying i don't know what is causing this and the nurse says nothing. She keeps going i don't know what is causing this and again, neither the doc nor the intern say anything.
Well, i say something about the lactulose but of course it's to the nurse.
Here's something i don't understand.... Why was the patient put on the thing q2hrs, and when the patient kept complaining of stomach upset, she still kept getting the lactulose. But why am i questioning? i'm questioning an authority that orders oxygen for a patient who's pulse ox is 98-99% on room air. Hmmmm, that one, i just stood there with my mouth open, and my brain wondering before i said to the nurse, "did she tell you why she's putting her on the oxygen?"

well, that part does not bother me...the real lunacy is in the luctulose cuz for the rest of the night, it's not the one who puts in the order who has to clean @ss all night, it's the one who implements the order. Welcome to nursing.

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