Monday, March 8, 2010

Dr. vs. Dr.

Good thing there are some Dr's willing to change the plan of care on others Dr's pts.

Back to Dr.A and his elderly pt with the harsh cough and a set of lungs filled with gurgles and crackles and wetness. (Not normal)

Dr.A 'assesses' pt, writes "chest clear" (? Dr.A actually listening to chest)

Later Dr on call orders xray, which shows plueral effusion, and thankfully starts antibiotics. Pts chest remains full of adventitia.

This lasts a week or so and it becomes obvious pt is not going to be with us much longer. Dr.A, paged twiced, does not answer. Dr on call again to the rescue to order pain medication and talk with next of kin about Level of Care. Thankfully Dr on call did this so we would not have to perform CPR on this frail and elderly lady when she passed about 12 hours later.

No comments:

Post a Comment