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Message
re: Serious question for OT med professionals
Posted on 2/29/20 at 8:37 am to Jim Rockford
Posted on 2/29/20 at 8:37 am to Jim Rockford
quote:
irreversible decline
He's probably referring to a very gradual slope that ends (for other reasons) before significant impact on daily life stuff happens.
0
Posted on 2/29/20 at 8:41 am to Jim Rockford
My mom suffers with it. She suffered head trauma from falling off a horse while jumping. The horse accident happened when I was about 15 if I remember...I was at St Paul’s in Covington. I am now 39 and started noticing in my late 20’s that she was repeating stories a lot but that was it for many years. That was it for a long time....then all of the sudden she declined overnight.
I was taking care of her after my dad died of pancreatic cancer. She was living with my family and started getting combative with me. I called her doctor and we had to have an evaluation (2 weeks in a geriatric unit). It turned out that she had a rapid decline. So the truth is no one knows how or if it will progress....just keep monitoring and loving. It is very hard though. I had to place her somewhere because I was told it was dangerous for her not to have 24/7 care. She is at Avanti senior living in Covington. The good thing is she is only a couple miles from me (I live in Tuscany West). The bad thing is she wants out....it’s hard.
I was taking care of her after my dad died of pancreatic cancer. She was living with my family and started getting combative with me. I called her doctor and we had to have an evaluation (2 weeks in a geriatric unit). It turned out that she had a rapid decline. So the truth is no one knows how or if it will progress....just keep monitoring and loving. It is very hard though. I had to place her somewhere because I was told it was dangerous for her not to have 24/7 care. She is at Avanti senior living in Covington. The good thing is she is only a couple miles from me (I live in Tuscany West). The bad thing is she wants out....it’s hard.
Posted on 2/29/20 at 8:42 am to Grinder
quote:That surgeon was suspended by the facility until he completed an Anger Management Course, about 2 months. He was such an important client to the sales rep he refused to press charges. Surgeon had to provide a written apology to everyone in the OR for that procedure. The hospital did have to write big check to the rep but not as much as if he had pressed charges.
Liar.
The MD would walk out of there in cuffs. And the hospital would have a big check to write.
That surgeon had some other impulse control issues too. He was attracted to one of the ladies in my department and upon completion of another surgery case when, as usual he ripped off his surgical gown, he turned and grabbed the gal up in a big bear hug. Broke a rib of hers, unintentionally of course. She never had to work his cases again, and he had to write another formal apology to another full team of surgical support staff. No idea if she got a check, suspect she did along with a NDA since whenever it came up again she'd really quickly exit the area to avoid the discussion.
That was probably the most prolific surgeon at that hospital. Except for his suspension he was usually there every day from about 4-5am till 1pm or 2pm doing surgeries. Then he'd be at his office nearby till 5-6pm seeing patients. Worked his arse off, was a really good surgeon. Nice guy except when angry which wasn't often, the scalpel throw was the only time in a decade I saw him po'd. Prior to that he may have been a bit snippy a couple times when staff were daydreaming or such in the OR, pretty normal overall with that. Just serious self control issues.
Posted on 2/29/20 at 8:45 am to rsbd
quote:
Is the dementia related to another illness or disease??
Says there are things exacerbating it. He mentioned possible infection. Patient has epilepsy and has been experiencing what may be breakthrough seizures. Intermittent altered states of consciousness followed by confusion and sometimes delirium, followed by returning to baseline. Sometimes the retutn to normal is like flipping a switch, other times it takes a while.
This post was edited on 2/29/20 at 8:48 am
Posted on 2/29/20 at 8:47 am to chunk
Also, I should mention the head trauma was the main culprit for all those years, but the dementia came on strong when she hit 60 (that’s young).
I look at it like a knee injury kind of. When you are young you can hurt your knee playing ball. You get it fixed and have very little problems. Then you get older and that knee starts to nag you...very similar with the head trauma. So my situation is a bit unique, but none the less it is dementia, but the brain injury she suffered earlier in life did not help.
I look at it like a knee injury kind of. When you are young you can hurt your knee playing ball. You get it fixed and have very little problems. Then you get older and that knee starts to nag you...very similar with the head trauma. So my situation is a bit unique, but none the less it is dementia, but the brain injury she suffered earlier in life did not help.
Posted on 2/29/20 at 9:09 am to Jim Rockford
UTI’s and kidney infections can worsen seizures and greatly escalate the dementia
Posted on 2/29/20 at 9:37 am to rsbd
That’s spot on. A UTI is a very common culprit.
Posted on 2/29/20 at 9:56 am to jbgleason
quote:
ask direct questions of your healthcare provider. I don’t understand why people are hesitant to do this.
Excluding the ridiculousness of the other comment, I'll agree with him that some MDs are inaccessible or dismissive of people's questions. I've personally experienced this and it can be demoralizing for future visits.
I imagine people with expensive healthcare plans don't want to have to visit multiple doctors to get answers.
Posted on 2/29/20 at 10:04 am to Bullfrog
quote:
General surgeons develop a god complex as they determine who lives or dies. IMHO.
I have an M.D. from Harvard, I am board certified in cardio-thoracic medicine and trauma surgery, I have been awarded citations from seven different medical boards in New England, and I am never, ever sick at sea. So I ask you: When someone goes into that chapel and they fall on their knees and they pray to God that their wife doesn’t miscarry, or that their daughter doesn’t bleed to death, or that their mother doesn’t suffer acute neural trauma from post-operative shock, who do you think they’re praying to? Now, go ahead and read your Bible, Dennis, and you go to your church, and, with any luck, you might win the annual raffle. But if you’re looking for God, he was in operating room number two on November 17th, and he doesn’t like to be second guessed. You ask me if I have a God complex. Let me tell you something:
Posted on 2/29/20 at 10:37 am to Jake88
quote:
General surgeons? No, not unless your gallbladder is all that's keeping you alive.
I knew two people that died from laparoscopic gall bladder surgery, and another that that I don’t know the purpose of the laparoscopic procedure, three different doctors, in all three the patient unknowingly bleed out about 8 hours after the surgery.
This post was edited on 2/29/20 at 10:41 am
Posted on 2/29/20 at 12:50 pm to EA6B
quote:
————————————————————————————
the patient unknowingly bleed out about 8 hours after surgery
————————————————————————————
What likely happened is the nurse assigned to that patient wasn’t paying attention.
I am a retired R.N. and I can tell you it is astounding and scary how bad nursing care is,especially on hospital floors.
Ex.-friend of mine has bypass surgery,does fine and goes out to floor.Couple evenings later,he starts getting in distress.Nurse was giving him Versed all night for anxiety.5:45 A.M. next morning N.P. sees him,transfers him to CCU and orders stat Echo.He has severe pericardial effusion,his ejection fraction was 10%.By 8:00 am he was in surgery for emergency surgery to drain his pericardium ( sack around the heart).
If the nurse had checked his B.P. and pulse they might have known he was suffering anxiety from severe heart failure.Poor guy was very close to death.
I could tell similar stories for hours.Point is a patient should never be left alone without a responsible and assertive family member or friend.
Drs. throwing instruments-a normally even tempered cardiologist I knew started throwing instruments in cath lab.,he gave an order for something or another issue the middle of a procedure,nurse was messing with their smartphone and didn’t hear him.He didn’t get in trouble,nurse did but they didn’t get fired either.
Smartphones are a double-edged sword.Apple has numerous apps that are very helpful for medical professionals but on the other hand some nurses can’t seem to go an hour without checking their E-mail ,Facebook or texting someone.
Hospitals are a scary place,I advise going to free-standing surgery centers if at all possible.
————————————————————————————
the patient unknowingly bleed out about 8 hours after surgery
————————————————————————————
What likely happened is the nurse assigned to that patient wasn’t paying attention.
I am a retired R.N. and I can tell you it is astounding and scary how bad nursing care is,especially on hospital floors.
Ex.-friend of mine has bypass surgery,does fine and goes out to floor.Couple evenings later,he starts getting in distress.Nurse was giving him Versed all night for anxiety.5:45 A.M. next morning N.P. sees him,transfers him to CCU and orders stat Echo.He has severe pericardial effusion,his ejection fraction was 10%.By 8:00 am he was in surgery for emergency surgery to drain his pericardium ( sack around the heart).
If the nurse had checked his B.P. and pulse they might have known he was suffering anxiety from severe heart failure.Poor guy was very close to death.
I could tell similar stories for hours.Point is a patient should never be left alone without a responsible and assertive family member or friend.
Drs. throwing instruments-a normally even tempered cardiologist I knew started throwing instruments in cath lab.,he gave an order for something or another issue the middle of a procedure,nurse was messing with their smartphone and didn’t hear him.He didn’t get in trouble,nurse did but they didn’t get fired either.
Smartphones are a double-edged sword.Apple has numerous apps that are very helpful for medical professionals but on the other hand some nurses can’t seem to go an hour without checking their E-mail ,Facebook or texting someone.
Hospitals are a scary place,I advise going to free-standing surgery centers if at all possible.
This post was edited on 2/29/20 at 12:59 pm
Posted on 2/29/20 at 2:19 pm to LSUA 75
quote:
What likely happened is the nurse assigned to that patient wasn’t paying attention.
These three cases were all done as outpatient surgery, they had been home for several hours when they died. In the case I am most familiar with the person went to bed with no apparent problem, a hour or so later their spouse checked on the and they were dead.
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