Dialysis Dilemma
-
PUSHOriginally posted by renorenal:Yeah... I know... but what to do? Sometimes you have to go against the system, but nowadays, things are getting better... the administrative personnel understand most of our intentions at the end of the day...
Pray Until Something Happens
-
I would suggest a kidney transplantation, but due to his I suppose higher age, he wouldn't be a good candidate. Younger patients are prefered. I'm not wondering he doesn't want to have the peritoneal dialysis, that idea scares me off too.Originally posted by renorenal:A patient who is a govt servant for nearly 50 years was just diagnosed to have end stage renal failure (GFR < 5 ml/min). He was told to get a place for dialysis outside since the place in the hospital are limited if he wants hemodialysis (the one with the machine next to you where it channels your blood out, and dialyse it)...
Upon hearing this, he shouted and cursed the medical personnels available saying that why he could not get a place since he is a loyal rakyat and has served the govt for so long... He retorted and claimed that he will create havoc if he is not given a place to dialyze...
Though there is another option where it is called peritoneal dialysis, where he can get it done in the hospital everytime, he wanted a better quality of life and less pain by optioning for hemodialysis...
He kept swearing and cursing until the medical assistants have to hold him down, but he became aggressive and the authorities are called upon to take him down...
I was one of the doctors getting screwed by the patients, and I couldn't say anything at all... Sad......
We wanted to help so bad, but...
What would you do in such a situation?
If your hospital can't provide dialysis for him and sending him somewhere else, then they should find other hospital for him, where he can get it done and book the dialysis for him there, preferably a hospital close to his home.
Also someone with diplomatical skills should talk to him, calm him down and explain him the whole situation of the hospital and of his health state, offer him all possibilities, give him the feeling that everyone is interested to help him.
He must be given the feeling, that someone cares to solve his problem and help him, not the feeling that the hospital wants to get rid of him. You must choose a psychological tactics. Doctors often must use psychological tactics.
When he has the feeling that the doctors care and want to help him, he won't get excited so easily and accept also the negative news from the doctors without sending the medical personnel to hell or having the idea of beating the souls out of them. As a government servant he expects that the country for which he has been working so long provides proper medical care for him. -
Read the associated post in page 1, towards the end posted by me on the things that I missed out in that condition when he went berserk.Originally posted by thinkdifferent:I would suggest a kidney transplantation, but due to his I suppose higher age, he wouldn't be a good candidate. Younger patients are prefered. I'm not wondering he doesn't want to have the peritoneal dialysis, that idea scares me off too.
If your hospital can't provide dialysis for him and sending him somewhere else, then they should find other hospital for him, where he can get it done and book the dialysis for him there, preferably a hospital close to his home.
Also someone with diplomatical skills should talk to him, calm him down and explain him the whole situation of the hospital and of his health state, offer him all possibilities, give him the feeling that everyone is interested to help him.
He must be given the feeling, that someone cares to solve his problem and help him, not the feeling that the hospital wants to get rid of him. You must choose a psychological tactics. Doctors often must use psychological tactics.
When he has the feeling that the doctors care and want to help him, he won't get excited so easily and accept also the negative news from the doctors without sending the medical personnel to hell or having the idea of beating the souls out of them. As a government servant he expects that the country for which he has been working so long provides proper medical care for him. -
I think you meant this one.Originally posted by renorenal:Indeed, I have to agree with you on the pain issue, but that is variable amongst patients, as so far most patients that I have talked to told me that the pain is bearable, hence it made me to come to such a conclusion.
And yes, I do agree with the statement of trying your best is not enough, but the patient indeed left us with no choice, just to imagine you being in our situation, where we have arranged a place for him in the private dialysis unit (btw, I am based in Malaysia) and rush for his applications to get him an urgent location for HD.
Though everything has been set up, he still complained and wanted to get a place in the govt hospital even though the ones in the private clinic (more like social care welfare) offered for free dialysis.
The patient to us, is being unreasonable in this aspect, and not to even mention going to the hospital director and throwing threats at them.
I do understand that the above statement that you have mentioned most of the time involves patients who are cooperative and have a certain amount of denial in the first place, but such a condition I faced that I have just described is totally a difficulty.
Telling him: Sir you are an idiot! wouldn't end good
Then I don't see other option then ask someone diplomatical with psychological skills to talk to him. And that person should be also skilled in martial arts, to defend himself/herself. -
YesOriginally posted by thinkdifferent:I think you meant this one.
Telling him: Sir you are an idiot! wouldn't end good
Then I don't see other option then ask someone diplomatical with psychological skills to talk to him. And that person should be also skilled in martial arts, to defend himself/herself.
Some patients are difficult patients, fortunately there are only a few to handle. Everything free liau somemore want to complain, donno for what...