Good Morning my dear friends,
Ahhhhh beeeeeudiful rain falling here and has done for the past coupla days. I am so thankful we are getting this now as our annual rain fall is well down under 14".. All good things come to those that wait!
Had another super busy day yesterday. Have to drive to a larger hospital today to visit one man who is dying but was unable to stay at home due to the care he required.
I kinda got miffed yesterday as this gentleman is end stage CHF. The doctor had ordered IVI Lasix 160mgs daily PLUS his oral lasix in the PM.
This guy has Anasarca GROSS and I mean Gross. Skin splitting oozing, chest pain Hypotensive to the tune of 68 Systolic, HR 140, RR 40.
So I puffed my chest out ruffled my feathers and phoned his nurse. Told her to tell him (politely) he needed to take ownership here and stop this crazy treatment. Let this man die a dignified and as comfortable as possible death.
She phones me back saying Dr #### wants to speak with you. Ok I will admit the heart rate increased JUST a taddy but then I thought stuff it. I have to speak for this man.
Soooooo I picks the phone up and speak with the nicest most caring Doctor. I state my case and tell him we have to look at the benefit versus burden. This man is dying he knows he is. Please I tell him lets just do this.
Told him I had commenced Morphine with Ativan. I found out late last night he has stopped all medication apart from the Morphine and Ativan. Spoken the pts wife to tell her he is dying.
The son does not get it and went off a wee bit when the treatment had stopped. He requires so much emotional support and understandably so this is his daddy.
I pray for his death to be dignified. I know the Lord will take a very faithful servant home.
He certainly has done his time here on this earth and suffered so.
Ok I needed to get that out I suppose. I sit and cry because we wanted to keep him home but sometimes you do what you need to do for the betterment of the patient and family.
Have a great day and please watch the roads. It IS a madhouse out there.
Those people that are near or involved in the fires in CA please be safe and I pray for this to be over soon.
Toots for now.