"The feeding tube broke, choking me." Not sure what that means. If an NGT broke off (how?) he'd have tube in his stomach. If it coiled up and was instilling a whopping 30-60mL of feed per hour into his upper throat, he'd spit once and get it pulled and reinserted.
"Both it and IV were too short to access the restroom." Previous photos showed his pumps on a rolling IV pole. Don't recall the model of tube feed pump, but I know for certain that model of IV pump has an onboard battery. (Tube feed pump probably does, too.) Unplug pump from wall, walk with IV pole to bathroom.
"I fell apart and discharged myself." It's not true that insurance won't pay if you leave AMA, but it can make follow-up difficult. Some doctors will be kind and write prescriptions anyway, e.g. oral antibiotics for someone leaving AMA with endocarditis because they'd rather get more heroin. Surgeons frequently write the discharge pain medication prescriptions well ahead of time, so a patient's family can fill them and have them ready prior to discharge, so it doesn't matter if that discharge is just a "fuck this; I'm out."
It's definitely something of note for further elective surgeries.
He's upset that the hospital brought in Security and started recording him, after he was recording them first. There's a lot of minimizing what started the incident, but then glossing over the patient's reaction to someone telling him they had to remove outside meds from the room, which is what would have escalated things. "Hey, you can't keep meds in the room; we can hold them in Pharmacy until discharge." / "Oh, OK." vs REEEEEEEE.
(I do suspect the surgeon did not write an order for ibuprofen PO PRN, keep at bedside, patient to decide dose/frequency, especially if the patient was simultaneously starving to death because he was completely unable to swallow for a day post-op of a surgery that's usually outpatient.)
(I can damn well tell you that the surgeon didn't write an order for ibuprofen PO PRN, keep at bedside, patient to decide dose/frequency: There is literally no way in hell that a hospital would have any way for you to write such an order even if somebody was insane enough to
do so. If the patient has any control over dose/frequency? It's having the IV pump control.)
I'm going to bet that if the tube broke off, it was because the patient couldn't keep his grubby hands
off the tube and broke it because he's a ham-handed troon.
I'm not sure how to feel about somebody not realizing they can unplug the IV pump from the wall and walk with the IV pole to the bathroom. I've never seen anybody who was physically up to leaving the bed fail to figure that one out...and I'd think it'd be a good sign you're not actually up to leaving the bed. That pole doubles as a crutch.
Idiot.
I kind of think that the 'discharged myself' might be more accurately 'GTFOed ahead of an involuntary stay in the psych ward.'
He's going to have a bitch of a time getting further elective surgeries. It doesn't help that surgeons tend to be a bit...based.
I'd note that "Do not bring in outside meds without prior arrangements" is...outside meds are something that normal people cover during prep for an elective surgery; arrangements
can be made, but they've gotta keep super-careful track of what you're taking. If something goes wrong, they need to know what's safe to give you--as well as what might be causing it--and that's even more important if you're getting experimental surgery. It's not hard, talk to the doc during the preop visit, things usually get settled nicely.
Also honestly doubtful about the 'starving to death because he was completely unable to swallow for a day post-op.' Aside from definitely having the body fat to survive a day with just IV fluids, I'd expect any damage that would actually cause problems swallowing to include swelling...which would mean there'd be a tube for
air getting strung through. Swallowing likely was possible, just painful, which is...exactly something to expect after throat surgery.
I also am very, very skeptical that the meds were as claimed.