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Anyhow, no blink 182 explanation why. The doctor discontinued his heparin blink 182 and asked me to put SCuDS on his legs. SCuDS are sequential compression devices, basically these cuffs that go around your calves and periodically inflate and deflate. The idea is that they promote return of venous blood to the heart and prevent thrombus (clot) formation. Heparin also tries to prevent clot formation in the blink 182 blood, especially for those spending lots of time in bed who are most at risk, but through pharmaceutical means. That was it for the resident's orders so I suggested perhaps we reduce the rate of fluid he's getting a little bit. That could be contributing to his falling Hgb. She looked at me, initially like I'd just peed on her couch, but then just as quickly recovered and said "Yeah, good idea. I'll amend the order." You do that.Anyway, just before I left for the evening, I heard the patient asking to sign out against medical advice.
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