Nothing is ever simple…

At our hospital, a tertiary, no quaternary referral center, nothing is ever simple. As I continue my effors to thrust “D” to the top of my patient assessment list, I am thrilled to pick up charts with a quick disposition. For example…

HIVES. Easy. As I scribble the script for prednisone & benedryl on my way to the room, I eye the patient whose hair is falling out, badana in place, whose husband has to tell me her story because the astrocytoma in her brain is eating away at her memory…Make that decadron instead of prednisone…

VOMITING. Great, we’ve seen a ton of gastroenteritis. Fluids, phenergan. Hmm. Well, there’s that shunt in his brain to consider as well…

FEVER, COUGH, CHEST PAIN. Ahh yes, a simple case of pneumonia if I ever heard of one. Oh…the Cleveland Clinic? Your transplant doctor. Uh huh… Two lungs, really?

Nothing is ever simple.

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