So I almost gave my patient C. difficile colitis today -- ordered ciprofloxacin po as directed by my Sanford Guide to treat her UTI. Then I reevaluated my thought process, determined she did NOT have a UTI, and found an old note from the time she got C. diff from a course of cipro. I discontinued the antibiotic I never gave.
I guess that's a win?
If you don't count my breakdown this morning over her continued refusal to let me take a history or examine her, and then my blankout at how to manage her hyponatremia.
But we got her sodium up and her confusion resolved. And I found a cool physical finding that will unfortuantely remain nameless because I don't want to take a chance that she become identifiable.
All in a day's work.
Oh, and I'm supposed to teach a medical student? Thank goodness she's enthusiastic, smart, and talented! I think maybe she'll teach me!
No comments:
Post a Comment