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ugh... my Dad's situation is not good.
He was in a ward waiting for the change of the blood thinner medication, and now he's been sent back down to the emergency room, because he's in septic shock.
I really hate the doctor that got his casefile here.
We ask him what he has that had him sent down there, he says "it's septic shock a-mah". I hate that "a-mah" tone used in a professional setting. For one, it's unprofessional, for two, it's like saying "this is the most natural thing in the world, didn't you know?"
So I asked him, what gave him sepsis. He says one can't say for sure, but it's bacteria gone in the blood. I ask if it could be for an untreated infection, he said it's possible, so I added, "Well, we did inform the nurses in the other ward on Saturday that he started to shake violently, and in our experience when he shakes like that, it's either some kind of infection somewhere and/or a fever. Those nurses were like "nuh-huh, okay, but his temperature's 37.2C, no fever" however, soon in 2 hours he was up to 39C.
At that, the doctor said "you can't pin point the time he got it".
When we tried to tell him his medication routine, the doctor goes "we have it all on file, we know."
And yet, he later asked to talk to us and said "I want to get a clearer picture of his medical history." And when we were telling him, he trivialised certain things, cut us off at some point. When again he asked something, I got annoyed and said "it's all in his medical file, you can certainly take the time to read it if you think our retelling from memory is so wrong."
Only then that his attitude change for a bit better.
Now, I'm not sure if it's the standard spiel he had give, but he used some big and traumatic words, basically implying Dad can die any moment. Mom's in shock I think, when I try to re-explain in Portuguese she keeps saying she doesn't understand.
(Along the lines of, he needs a CT scan, for a CT scan he needs the contrast fluid. The contrast fluid will damage the kidneys, and his kidneys are not good to start with. So it is possible he will go into cardiac arrest. You need to decide if he's DNR or rescusitate with all options, but if we do CPR, chest compressions and the.... electric thing (sorry the word escapes me this moment)... defilibrator? then his ribs may be damaged, his mouth may have ulcers and so on and so forth, and I see a lot of patients will just turn for the worst in a very short time. Don't think that seeing him now so relatively well he's fine, he's absolutely not.)
I think that... there's Doctor talk, and there's Doctor to Patient talk. He may be all knowledgeable in his Doctoring and Doctor talk, but there is a lot more wanting in his Doctor to Patient talk. I guess he's covering all his bases thus giving this... hopeless scenario so anything better that comes would be a miracle granted?
My Mom's shut down right now. I think the DNR thing should be my Dad deciding for himself.... now that he's still lucid. I don't know. Oh geez and when should I tell his brothers. What a mess.
He was in a ward waiting for the change of the blood thinner medication, and now he's been sent back down to the emergency room, because he's in septic shock.
I really hate the doctor that got his casefile here.
We ask him what he has that had him sent down there, he says "it's septic shock a-mah". I hate that "a-mah" tone used in a professional setting. For one, it's unprofessional, for two, it's like saying "this is the most natural thing in the world, didn't you know?"
So I asked him, what gave him sepsis. He says one can't say for sure, but it's bacteria gone in the blood. I ask if it could be for an untreated infection, he said it's possible, so I added, "Well, we did inform the nurses in the other ward on Saturday that he started to shake violently, and in our experience when he shakes like that, it's either some kind of infection somewhere and/or a fever. Those nurses were like "nuh-huh, okay, but his temperature's 37.2C, no fever" however, soon in 2 hours he was up to 39C.
At that, the doctor said "you can't pin point the time he got it".
When we tried to tell him his medication routine, the doctor goes "we have it all on file, we know."
And yet, he later asked to talk to us and said "I want to get a clearer picture of his medical history." And when we were telling him, he trivialised certain things, cut us off at some point. When again he asked something, I got annoyed and said "it's all in his medical file, you can certainly take the time to read it if you think our retelling from memory is so wrong."
Only then that his attitude change for a bit better.
Now, I'm not sure if it's the standard spiel he had give, but he used some big and traumatic words, basically implying Dad can die any moment. Mom's in shock I think, when I try to re-explain in Portuguese she keeps saying she doesn't understand.
(Along the lines of, he needs a CT scan, for a CT scan he needs the contrast fluid. The contrast fluid will damage the kidneys, and his kidneys are not good to start with. So it is possible he will go into cardiac arrest. You need to decide if he's DNR or rescusitate with all options, but if we do CPR, chest compressions and the.... electric thing (sorry the word escapes me this moment)... defilibrator? then his ribs may be damaged, his mouth may have ulcers and so on and so forth, and I see a lot of patients will just turn for the worst in a very short time. Don't think that seeing him now so relatively well he's fine, he's absolutely not.)
I think that... there's Doctor talk, and there's Doctor to Patient talk. He may be all knowledgeable in his Doctoring and Doctor talk, but there is a lot more wanting in his Doctor to Patient talk. I guess he's covering all his bases thus giving this... hopeless scenario so anything better that comes would be a miracle granted?
My Mom's shut down right now. I think the DNR thing should be my Dad deciding for himself.... now that he's still lucid. I don't know. Oh geez and when should I tell his brothers. What a mess.
