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COVID-19 = dirty bomb.
Hits with a flu like primary blast. Then waves of complications later.
Wife was Covid positive 9/5.
Flu for 10 days.
Diagnosed with PORTAL VEIN THROMBOSIS 10/14.
She followed rules, but still got it.
(Thread RANT 1/)
Hits with a flu like primary blast. Then waves of complications later.
Wife was Covid positive 9/5.
Flu for 10 days.
Diagnosed with PORTAL VEIN THROMBOSIS 10/14.
She followed rules, but still got it.
(Thread RANT 1/)
Pain-Nausea-inability to eat! The portal vein is high price real estate.
Enlarged spleen, bowel edema, liver congestion. 4 days on heparin drip. Interventional radiology determining if they could hep. Hematology looking for coag disorders.
2/
Enlarged spleen, bowel edema, liver congestion. 4 days on heparin drip. Interventional radiology determining if they could hep. Hematology looking for coag disorders.
2/
Please wear masks and physically distance. We are still deep in the woods with this pandemic. #COVID19 #3rdsurge
3/
3/
A CALL FOR COORDINATED CARE!
Communication must occur outside of EMR.
Different nurses and doctors everyday make for extreme frustration
Labs, VS checks throughout the night are NOT always necessary. At least do them at the same time, not staggered
4/
Communication must occur outside of EMR.Different nurses and doctors everyday make for extreme frustrationLabs, VS checks throughout the night are NOT always necessary. At least do them at the same time, not staggered4/
WHAT I LEARNED:
Nurses get the brunt of patient anger when doctors place confusing or delayed orders
Give patients realistic timelines
Errors are way more common than we think.
Sleep is important
5/
Nurses get the brunt of patient anger when doctors place confusing or delayed ordersGive patients realistic timelinesErrors are way more common than we think.Sleep is important5/
ERRORS?
Errors are not always fatal, but may cause long delays and miscommunication. Know why you are seeing the patient! Understand the plan! Talk to the primary team! Document a clear plan. Be on high alert for complications!
6/
Errors are not always fatal, but may cause long delays and miscommunication. Know why you are seeing the patient! Understand the plan! Talk to the primary team! Document a clear plan. Be on high alert for complications!
6/
Plans?
Something must occur every day that moves the patient forward in their care. Let the patient know what that is. Set clear goals every day.
Imagine the patient waiting in the room for hours...wondering what’s next.
7/
Something must occur every day that moves the patient forward in their care. Let the patient know what that is. Set clear goals every day.
Imagine the patient waiting in the room for hours...wondering what’s next.
7/
Nutrition, walking, sleep, communication! These are so important to patients.
Don’t forget what is important to the patient.
8/
Don’t forget what is important to the patient.
8/
We can improve our patient experience though
Do what you said you would do! Do it on time! Over-communicate.
FOCUS ON THE PERSON, then the disease.
9/
Do what you said you would do! Do it on time! Over-communicate.
FOCUS ON THE PERSON, then the disease.
9/
I am thankful to the doctors and nurses that took care of my wife! I would not get care anywhere else.
Wife is a little better every day.
Doctors make terrible patients.
/END
Wife is a little better every day.
Doctors make terrible patients.
/END
The CT scan was scary!
Extension into the SMV likely caused her pain.
Portal vein thrombosis popping up in case studies.
Portal vein thrombosis popping up in case studies.
