Mullberry Whine

poured out before bed

Special Patient

“He was transferred from the unit to the floor yesterday.  He is severely de-conditioned at this point – PT/OT is working with him just to help him to feed himself.  Neuropsych saw him this morning – he is decisional, but he has no family or friends to appoint as POA should he become non-decisional.  Surgery has seen him and they’re willing to operate, but anesthesia won’t clear him unless the cocaine is out of his system.  We sent a urine drug screen yesterday, but it was still pending this morning…. Mmm, let me check now, it should be back.  I expect it to be clear, though – this is hospital day #19 for him.”

The intern opens up Mr. Jones’ EMR and clicks the laboratory section.

“Oh, they’re here.  No cocaine, so that’s good…”  He gasps a little.  “But look at his ethanol!  And the cannabinoids!  Good Lord, he’s positive for both!  And he had neither on board when he came in!”

The whole team leans in to look at the screen.  Then, as one, we all turn to look out the team room window at the room opposite where our cachectic 76 year old patient, a pleasant poly-substance abuser quite possibly on his death-bed, lays motionless watching cartoons.

Our attending sighs.

“If only he had put that ingenuity and go-getting spirit into some other pursuit in his life, eh?”

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From the Cellar

Now Fermenting

House Rules

Creative Commons License
Nothing under the table.
***
The views expressed on "Mullberry Whine" are NOT intended to diagnose or treat disease.
***
The med-ed related stories described here are based on real events. Details have been changed in accordance with HIPAA de-identification guidelines to protect confidentiality.
***
Mullberry Whine can be enjoyed daily; there is no unsafe quantity. Real wine, though, should be enjoyed in moderation. At-Risk Drinking for males under 65 is defined as >14 alcoholic beverages per week or >4/day, with >7 drinks a week or >3/day being the cut-off for females under 65 and for anyone, male or female, who has graced this planet for 65 years for more. Drink Mullberry Whine like there are no consequences. But drink alcohol responsibly. Your friends, your family, your health-care provider, and your liver - heck, ALL of the organs in your body - will thank you.
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