Go on dialysis, is what one resident said to me one time.
I get so frustrated with some of our HD patients. Well actually there are just two!! I do not know how to 'knock' any sense into them, and yes we have tried teaching they just do not care. One admitted just two nights ago. Admitting Dx--smoking crack for 5 days and missed HD, hyperkalemia, and HTN. K+ of 7.3 and BP 230/140, she is only 29 yo
She admits to even injecting heroin into her permacath.
The other, in her early 30s on HD, weighs about 350# and is a very brittly diabetic. BUT she swears she does not have DM, and eats anything she wants. MD puts on order sheet DO NOT ALLOW EXTRA MEALS, she then cusses us out for not letting her eat like she wants. Her fasting BS is usually around 200 and hemoglobin A1C is 9!!!
How these women are still alive amazes me, when in the next room I have a patient crying because he is taking all his meds, restricting his fluids, going to HD, and is sick.