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Why IVF for stomach cancer patient on 2 diuretics



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No. 10
Old Nov 03, 2009, 10:33 PM

Default Re: Why IVF for stomach cancer patient on 2 diuretics
Sounds like the poor husband is in denial which we all understand, but that doesn't mean he should be allowed to make decisions to the detriment of the patient. Some people just need to be hit over the head with a brick. It's the only way to get your point across. Explaining it nicely just doesn't work for some people. So you've pointed out the ascites and edema to the husband, explained the pathophysiology, and he still doesn't get it. Ask him how he feels about watching his wife drown to death in her own secretions. And yes I've actually used the phrase "drowning to death" for a family who just didn't seem to get it. It finally clicked for them and after the patient passed (peacefully) they were so appreciative.

I won't even say what I think of this medical director, but I will say that this makes me the docs I work with even more.
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No. 11
from AtlantaRN
Old Nov 07, 2009, 02:19 PM

Default Re: Why IVF for stomach cancer patient on 2 diuretics
The GOOD thing through this, she tolerated 1500ml fluids. I almost rolled my eyes when I got out there and found she hadn't vomited one time since I took her out a 2 week supply of phenergan. I told the husband she didn't need the fluids, she consumes 3/800 ml containers of water/gatoraid/juices daily so that is 2400ml/day. I hung them because they were ordered, but I reiterated to hubby that in the last 2 years, this was the first time I had heard of a patient being on IVF out in the field....... BTW: I don't know how this happened, but her abdominal girth declined by 3" over last weekend....don't get it-i measured at umbilicus each time....

thanks again for all the input

linda
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