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Friday, November 25, 2005
I hate it when i lose patients.
I discharged him after a lap parastomal hernia repair post op day 5.
He came in to A+E on post op Day 6, having had arrested at home, after a one day history of profuse vomiting.
He's young. 40+. No cardiac factors. Had Addison's.
Especially when i don't know what more I could have done.
Maybe I should have checked his bloods that afternoon, the day we discharged him. After all, I had put out the bloods.
Maybe then, I would have realised that his urea and creatinine was slowly creeping up. But would you consider a urea of 16.5 and a Cr of 150 significant, in a patient who wasn't drinking much, and whose stoma was working well again?
Should I have told my reg? Would that have prevented him from being discharged? I doubt it.
But hey, what do I know. I'm just a conduit.
Just... Damn it.