- Joined
- Jul 12, 2006
- Messages
- 4,755
- Reaction score
- 2,415
So i was on call yesterday and i had this kind of interesting case.`
50 y/oldish women with intertrochanteric hip fracture. No relevant pmh, a couple of surgeries.
The problem is the patient refuses surgery and wants to be transferred to Germany. She has been seen by the psychiatrist who has deemed her incompetent (delirium/paranoia) and has involved a judge who has issued an order (don't know the legal terms) to treat her at our facility.
I see the patient in pre-op and she's coherent and refuses surgery restates she wants to be treated in Germany.
So i ask her details about the hospital in Germany and she comes up with a bogus name and adds it's some kind of new age bio something clinic. Social services had tried to elucidate this and didn't have more success
What's your next move?
edit: patient does not have an iv , she is in retrains although not agitated at this time
50 y/oldish women with intertrochanteric hip fracture. No relevant pmh, a couple of surgeries.
The problem is the patient refuses surgery and wants to be transferred to Germany. She has been seen by the psychiatrist who has deemed her incompetent (delirium/paranoia) and has involved a judge who has issued an order (don't know the legal terms) to treat her at our facility.
I see the patient in pre-op and she's coherent and refuses surgery restates she wants to be treated in Germany.
So i ask her details about the hospital in Germany and she comes up with a bogus name and adds it's some kind of new age bio something clinic. Social services had tried to elucidate this and didn't have more success
What's your next move?
edit: patient does not have an iv , she is in retrains although not agitated at this time
Last edited: