What a week it has been...
Total count: 20 stab PDs, 4 IJCs, 6 femoral lines...
It's been another interesting week at the nephrology unit...so many issue to discuss over...
Making the right/best decisions...I guess that is something that will still be difficult to do even after being a consultant...I had a patient who passed away during my call...we had noted that she had a unilateral calf swelling on the morning before the passed away...our most likely diagnosis then was DVT, not to mention that she had ESRF due to long standing diabetes mellitus and was in the ward for regular tenckoff Peritoneal dialysis until she was started on her CAPD program. She started having low BP in the afternoon, just before the ultrasound scan, and the swelling was not getting any better. We had already started treatment for DVT and now we are suspecting that she might have pulmonary embolism...She deteriorated so fast that we didn't have time to do much to help her...before long, she was already on triple ionotrops...
I wonder if we had done enough...i guess nothing is enough when the patient is only 44 years old... its more difficult to handle the family than the patient itself...
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