Desperate Patients
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Something is really bugging me.
Today we had a morbidly obese 20 y/o female come into the ER via ambulance c/o severe lower abdominal pain, bloody diarrhea 20x/day for 2 days. She was stable (140/90, 100, 20, 99.0).
Come to find out she was giving herself enemas 2 days ago alternating with Rum and Isopropyl alcohol. She read in a "homeopathic" book that this was a good method of weight loss. She was under the impression that in order to cleanse her liver and "rid herself of toxins" that it required multiple enemas with various types of alcohol. I'm not really sure if the book actually suggested alcohol enemas or if that is what she understood it to mean by "cleansing".
At this point it was shift change so I don't know what the diagnostics showed.
It bothers me that someone would go to such drastic measures to lose weight. While I fully understand the desire to lose weight, I don't understand the desperate measures.
I've seen people come in after trying to cut out their own fat, I've seen them almost die from the effects of water intoxication, I've seen women who attempted to do their own breast reduction because they couldn't afford to have the procedure done, I've seen too much.
Couple of questions... I've been in nursing for 20+ years. Mostly ER, Trauma, ICU/CCU. I'm not sure I want to keep doing this. Most times I can deal with it through dark humor or sometimes a bubble bath, a glass of wine, and a little time does the trick. But I go through these times where nothing makes me feel better about these people. These are intelligent, reasonable people that are simply desperate.
How do others deal with this?
And this girl has me bugged. What happens with someone who for 12 hours repeated Rum/Isopropyl alcohol enemas? I've heard of wine enemas, but never Rum and Isopropyl alcohol for 12 hours.