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mine is not as much as a CC as it is a story....
so i went out to the waiting room and looked for the dude with breasts to congratulate him on being a new dad
Just classic!
mine is not as much as a CC as it is a story....
so i went out to the waiting room and looked for the dude with breasts to congratulate him on being a new dad
I went straight back to her bed and she was drinking out of a bed pan..........................................................................
I wasn't sure.. she drunk the liquid before I reached her. I hope it was water though...
Im not sure if this is funny or not but I couldn't believe what this pt did in the ED where I was volunteering. This woman comes in drunk and is there with her brother. roughly 35 or 40 years old. She is waiting to be seen by an E.R. doc and asked the nurse "can have some water im very thirsty. " The nurse says no I can't get water for you right now the doctor has to see you first and walks away. The woman then calls me over and tries the same thing. "I'm really thirsty can you get me some water?". I ask what are you here for? The brother says because she had to much to drink. I replied im really sorry but I can't because if they have to do any type of surg. they won't if your given water or food but I will ask the nurse. I walked over to the nurses station and told them what I had said to her. They said yeah she can't have water right now. I went straight back to her bed and she was drinking out of a bed pan..........................................................................
I've had patients that were on fluid restrictions drink out of their foley bag or the toilet.
As well as NPO (aspiration precautions) pt that was drinking out of his PEG tube.
I had to look up what a PEG tube is. If it's this, how in the world did the patient manage to drink from it? Doesn't it go down into the stomach anyway? Did the patient pull it out and... ugh. I'm over-analyzing this, aren't I?
Honest to God, what is wrong with some people?
Some feeding tubes have longer tubes than others. And some patients are on continuous feeds and others on bolus feeds.
Either way, there is generally some residual/secretions in the stomach, the patient opened the tube and sucked (similar to when staff use a syringe to aspirate and check residual), pulling out the residual.
As far as the ones on fluid restrictions that drink out of the tap (Hyponatremia d/t excess water intake/psych issues), we have had to turn the water off to the room and have them come out of the room to wash their hands, in some places.
Some patients really scare me..........
You ever been severely dehydrated? Your mind doesn't work so good. I can imagine I'd be pretty out of it and my natural instinct to preserve my life by getting some fluid in me would kick in. Not sure I'd drink out of a toilet, but the other methods seem like fair game.
You ever been severely dehydrated? Your mind doesn't work so good. I can imagine I'd be pretty out of it and my natural instinct to preserve my life by getting some fluid in me would kick in. Not sure I'd drink out of a toilet, but the other methods seem like fair game.
One of the reasons why someone might be on fluid restrictions is because of psychogenic polydipsia. We had a schizophrenic patient like that. They drink just because they feel like they have to, not because they're dehydrated, and they can die from electrolyte imbalances.
Like you said, that's one of the reasons. Aren't sane, non-schizo people put on fluid restrictions as well?
Honest to God, what is wrong with some people?
I had to look up what a PEG tube is. If it's this, how in the world did the patient manage to drink from it? Doesn't it go down into the stomach anyway? Did the patient pull it out and... ugh. I'm over-analyzing this, aren't I?
As far as the ones on fluid restrictions that drink out of the tap (Hyponatremia d/t excess water intake/psych issues), we have had to turn the water off to the room and have them come out of the room to wash their hands, in some places.
Some patients really scare me..........
Sure, but these people are also monitored to make sure that they have a decent urine output. (Some examples of patients would be those who have CHF and cannot have fluid overload.) They probably shouldn't get dehydrated enough that they can't produce urine, and so shouldn't get dehydrated enough to start drinking fluid out of a foley bag. (Not that the foley bag would have anything in it to drink.)
The only people that I can think of (off the top of my head) that would be so desperate for fluid that they'd drink out of a PEG tube or a foley are people with psychogenic polydipsia or maybe diabetes insipidus. Maybe. In the case of psychogenic polydipsia, they shouldn't drink at all - they'll put their electrolyte balance way out of wack. Diabetes insipidus - people need to drink, but their massive urine output should also indicate that there is a problem.
Just for clarification purposes:
the PEG has an external component to which you can apply suction (usuallly with a syringe but a mouth will do) and remove stomach contents. Therefore, its fairly easy (albeit gross) to drink from a PEG.
that is sick! speaking of gross surgical issues, one of my interns on neurology told me that when he was a student at UCLA he had a pt with a colostomy come in for an infection at the site. cultures grew out gram negative diplococci........ yeah. the intern said this guy was letting men have sex with his colostomy and ended up getting gonorrhea.
the intern said this guy was letting men have sex with his colostomy and ended up getting gonorrhea.
I love doing that when the patient won't comply but I'll admit I've never turned off the water to the toilet (as it hadn't occured to me that someone might drink THAT water).
Ok, so this is non-medical... but growing up in Southern California, we were told that if the "big earthquake" hit (the one they've been waiting for, for years), and all our water was off, we run out of bottled water, we could drink from the toilet because it was clean (assuming people have good household hygeine and keep the toilet clean on a regular basis).
They dont mean from the bowl, they mean its ok to drink from the holding tank.
that is sick! speaking of gross surgical issues, one of my interns on neurology told me that when he was a student at UCLA he had a pt with a colostomy come in for an infection at the site. cultures grew out gram negative diplococci........ yeah. the intern said this guy was letting men have sex with his colostomy and ended up getting gonorrhea.
Its actually fairly common in some circles.
Fortunately, I don't travel in those circles, but have met a couple of patients in my day who did (albeit they were females with stomas).
Yeah I heard a similar story actually... but this patient kept coming in with STD infections around his stoma! ie: he didn't learn after the first time!!!!! horrible!
Its actually fairly common in some circles.
Fortunately, I don't travel in those circles, but have met a couple of patients in my day who did (albeit they were females with stomas).
This is really common in the prison population. I've had patients who didn't want their ostomy reversed while they were still locked up...seems they could make a profit on their colostomy in prison this way!
Its actually fairly common in some circles.
Fortunately, I don't travel in those circles, but have met a couple of patients in my day who did (albeit they were females with stomas).
This is really common in the prison population. I've had patients who didn't want their ostomy reversed while they were still locked up...seems they could make a profit on their colostomy in prison this way!
..do you follow the directions, do you take the pill at the same time every day....and then she says..."o i dont take the pill...my Husband takes the pill, i tried it but it makes me nauseous" ......sigh if i wasnt standing there i would not have believed it....
so i went out to the waiting room and looked for the dude with breasts to congratulate him on being a new dad
I one time had a patient whose chief complaint listed from the nursing home (I was doing geriatric psych): She cannot stop saying the c- word.
Not the cheif complaint , but one patient I was doing an H & P on was a very little sweet petite woman. Her history included among other things : 1) history of hepatitis from when she was a police officer, and was breaking up a fight in a bar on Troost in Kansas City back in the 80's, and her nightstick broke over the guys head so she was just punching him in the face and broke the skin on her knuckles, and then outside the bar a guy had an open pneumothorax (sucking wound) and she used a piece of plastic nearby to cover the wound and got some of his blood in the broken skin on her hand and he had hepatitis. 2) When in the military in the 80's she was in south America and got into a firefight and jumped in a ditch and landed on a dead body and a pack of rats was under it and ran out and a rat bit her, and at the time she was afraid she might have bubonic plague, but she was evaluated medically back then and it turns out she didn't. I was sitting there, looking at this girl I literally outweigh by 100 LBS, personally having an extensive history of martial arts and having worked security for several years myself in the 80's and 90's - and thought in a fight, this is a girl I would want to have my back. My type of woman
1) history of hepatitis from when she was a police officer, and was breaking up a fight in a bar on Troost in Kansas City back in the 80's, and her nightstick broke over the guys head so she was just punching him in the face and broke the skin on her knuckles, and then outside the bar a guy had an open pneumothorax (sucking wound) and she used a piece of plastic nearby to cover the wound and got some of his blood in the broken skin on her hand and he had hepatitis.