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- Feb 21, 2005
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I have a 90 YO patient I admitted to medicine floor for COPD exacerbation Monday night. This pleasant, hearing impaired, demented gentelman takes three meds: albuterol, one bp med and a home nebs. Oh, and a multi-vitamin.
When he came in, he wasn't moving air very well. My senior and I tuned him up with nebs (and ppx ABX). Totally afebrile, absolutely zero abnormal labs. He's ready to go home this AM, and I drop by the social worker's office at 0800 to let her know.
At 1000, she asks me if I've seen him yet today, did I listen to his lungs, etc..because his breath sounds are faint and he has some baseline wheezing, and you know he looks red and I "should realize that he's not ready to go home."
WTF?
Yeah, I'm at the va-h-spa. That is all.
When he came in, he wasn't moving air very well. My senior and I tuned him up with nebs (and ppx ABX). Totally afebrile, absolutely zero abnormal labs. He's ready to go home this AM, and I drop by the social worker's office at 0800 to let her know.
At 1000, she asks me if I've seen him yet today, did I listen to his lungs, etc..because his breath sounds are faint and he has some baseline wheezing, and you know he looks red and I "should realize that he's not ready to go home."
WTF?
Yeah, I'm at the va-h-spa. That is all.
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