My 1st day of moonlighting in Boracay has been very memorable. Aside from the beautiful paradise, I was welcomed by beautiful stories of patients I met.
For confidentiality, no pertinent data will be mentioned but I will share my thoughts about the case.
His history goes this way...
He is 74 years old who had sudden onset of decreased in sensorium and numbness of right extremities. Before their referral to us, the patient stayed for 5 days at home on that condition. Luckily, there was this concerned resident who visited them for some personal transactions and saw the old man in bed. With some medical know-how she suggested to bring the man to the hospital.
Diagnostic tests were done and found to have subdural and epidural hematoma. The patient's family were appraised for a surgical intervention but they refused and the patient was discharged against medical advise.
They brought home the patient with right-sided weakness, unable to open his eyes and unable to speak. I saw him on bed. I tried talking to him but he couldn't respond. I listened to his breath sounds and I noted crackles, phlegm on all lung fields. There was high grade fever. However, the folks had agreed that no more interventions must be done to the patient thus we have nothing to do but to follow their decision.
Since the patient couldn't express his feelings, I am wondering on what he thinks about himself and his condition. These are for sure additional stressors to him. If I could just read his mind. His present status is difficult and I couldn't do anything about it. I hope and pray that he will have enough strength and courage to face this challenges that he have and for his family to stay stronger each day. When they see him on bed, I know the heartaches they feel. I know some of them had thought of pursuing the surgery. I know some of them had thought that they did the right decision considering the physical status and age of the patient.
Come what may, but God's plan shall always prevail. May He bless them always. :)
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| Sunset is one of the best parts of the day. It's the best time to ready once self for the next days to come. :) |
For confidentiality, no pertinent data will be mentioned but I will share my thoughts about the case.
His history goes this way...
He is 74 years old who had sudden onset of decreased in sensorium and numbness of right extremities. Before their referral to us, the patient stayed for 5 days at home on that condition. Luckily, there was this concerned resident who visited them for some personal transactions and saw the old man in bed. With some medical know-how she suggested to bring the man to the hospital.
Diagnostic tests were done and found to have subdural and epidural hematoma. The patient's family were appraised for a surgical intervention but they refused and the patient was discharged against medical advise.
They brought home the patient with right-sided weakness, unable to open his eyes and unable to speak. I saw him on bed. I tried talking to him but he couldn't respond. I listened to his breath sounds and I noted crackles, phlegm on all lung fields. There was high grade fever. However, the folks had agreed that no more interventions must be done to the patient thus we have nothing to do but to follow their decision.
Since the patient couldn't express his feelings, I am wondering on what he thinks about himself and his condition. These are for sure additional stressors to him. If I could just read his mind. His present status is difficult and I couldn't do anything about it. I hope and pray that he will have enough strength and courage to face this challenges that he have and for his family to stay stronger each day. When they see him on bed, I know the heartaches they feel. I know some of them had thought of pursuing the surgery. I know some of them had thought that they did the right decision considering the physical status and age of the patient.
Come what may, but God's plan shall always prevail. May He bless them always. :)
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