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Aristus

(66,275 posts)
Fri Mar 22, 2013, 10:50 AM Mar 2013

Yesterday, I diagnosed a guy with End-Stage Renal Failure. Life sucks, sometimes...

It was one of those situations where I was evaluating him for an unrelated complaint, and then the labs came back with the results. He took it well, and we can get him some expert care, but it still sucks.

This job has many rewards, but it can take a lot out of you...

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Yesterday, I diagnosed a guy with End-Stage Renal Failure. Life sucks, sometimes... (Original Post) Aristus Mar 2013 OP
How wonderful that you, Sekhmets Daughter Mar 2013 #1
!!! In_The_Wind Mar 2013 #2
Thank you, I_T_W... Aristus Mar 2013 #5
Why do you think I stay up half the night exchanging PMs with you? In_The_Wind Mar 2013 #6
I didn't think it was because I'm an angel... Aristus Mar 2013 #7
Oh! In_The_Wind Mar 2013 #10
My god, Aristus Bertha Venation Mar 2013 #3
I'm sorry Yo_Mama Mar 2013 #4
Hang in there Brother. bluesbassman Mar 2013 #8
Thanks... Aristus Mar 2013 #9
Oh boy, my dear Aristus... CaliforniaPeggy Mar 2013 #11
He will now. Aristus Mar 2013 #13
They sure don't think about those issues. CaliforniaPeggy Mar 2013 #14
They'd better not say it to my face. Aristus Mar 2013 #16
I'm right there with you on that one...and I'm not normally violent. CaliforniaPeggy Mar 2013 #17
Thinking would mean sheshe2 Mar 2013 #18
And more people like you, sheshe... Aristus Mar 2013 #19
Sometimes we forget how hard it is to deliver such news graywarrior Mar 2013 #12
In situations like that, I try to focus on the relative treatability of the condition. Aristus Mar 2013 #15

Sekhmets Daughter

(7,515 posts)
1. How wonderful that you,
Fri Mar 22, 2013, 10:54 AM
Mar 2013

and others like you, are willing to do it. To share those pieces of yourself each time you must deliver such sad news.

Yo_Mama

(8,303 posts)
4. I'm sorry
Fri Mar 22, 2013, 11:12 AM
Mar 2013

Yes, it is wearing. But things would be even worse if you weren't in there trying. Just because everything isn't treatable doesn't mean that medicine is a failure.

Try to think about one of your saves.

CaliforniaPeggy

(149,516 posts)
11. Oh boy, my dear Aristus...
Fri Mar 22, 2013, 03:58 PM
Mar 2013

You are doing such important work.

Still, this has to be hard.

Would he be able to go on dialysis?

Aristus

(66,275 posts)
13. He will now.
Fri Mar 22, 2013, 04:02 PM
Mar 2013

He is homeless, and without insurance. But now that he has been diagnosed with ESRD, he will receive state medical benefits, and he can get treatment.

I don't suppose the tax-haters ever considered the possibility that it would be a lot cheaper for the tax-payers in the long run if we had a public health insurance program for everybody, and he could have had his kidney ailment evaluated and treated ages ago, for a much lower cost.

CaliforniaPeggy

(149,516 posts)
14. They sure don't think about those issues.
Fri Mar 22, 2013, 04:05 PM
Mar 2013

Besides, they would say he's not worthy of state medical benefits, and dialysis.

Aristus

(66,275 posts)
16. They'd better not say it to my face.
Fri Mar 22, 2013, 04:11 PM
Mar 2013

Or I'll ignore the part about "do no harm", and mess them up.

'Worthy'... I'll take my patient, and a hundred others just like him, over any one of those sanctimonious, misanthropic right-wingers...

sheshe2

(83,637 posts)
18. Thinking would mean
Fri Mar 22, 2013, 06:21 PM
Mar 2013

that they had a functioning brain, or a heart. Sadly they have neither.

Thank you for what you do everyday, Aristus.

The world needs more people like you.

sheshe

Aristus

(66,275 posts)
15. In situations like that, I try to focus on the relative treatability of the condition.
Fri Mar 22, 2013, 04:08 PM
Mar 2013

So far, I have never had to say to a patient: "I'm sorry; it's inoperable. There's nothing we can do."

I hope I never do. I've already lost a patient to lung cancer. But she was diagnosed at the hospital, and not by me.

Don't despair, my DU friends, or think I'm doing the same. Life is good, and I see success stories every day...

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