I dunno, man. Patients remember hearing a lot of things that the doctor subsequently forgets to document anywhere, such as it's OK for the patient to unhook themself from the heparin drip to go outside to smoke.
(I suspect the surgeon had been talking over the post-discharge care with the patient pre-op, and reassured him that he'd be OK to just take ibuprofen at home. Then a cosmetic procedure turned into a multi-day inpatient debacle, but the doctor told me.)
The thing is that the rules for outside medications are...pretty
reliable. I don't think things have hit the point in efficiency that they've just got a standard sheet to hand out that'll be the same no matter what hospital system you're at, but keeping them with you/bringing them with you is a hard pass. As a standard rule of thumb, while sometimes it definitely will require absurd amounts, you can OD on
anything...and you really do have to know what's in the patient's system before you add to the chaos, because no matter how much you might loathe them...you are going to care
deeply if they die while it'll be
your problem.
I'm pretty skeptical we're getting an honest accounting of the pills, too. At best? There are no intentional lies, it's just that the hormones were obvious sketch shit from a sketch dealer...and ghost of a thought that this might be a problem just hasn't wafted through the empty vaults of any of these troons' skulls.
(I'm pretty sure the multi-day inpatient debacle also was caused by ignoring instructions in
general.)
NG tubes are pretty sturdy; if you yank on one, the adhesive keeping the holder on the nose is the weak link by far. I have had someone wrap an NGT around my arm and try to strangle what they thought was a neck and the tube didn't break.
Could have popped the filter off the air vent or something, I guess, but that's as easy a fix as putting aquarium tubing back together.
Remember, we're talking about a troon. Never underestimate troon stupidity or their ability to fuck shit up with the power of stupidity.
Besides, while it'd be a pretty trivial fix...we're talking somebody too stupid to figure out that you can unplug your IV stand and take it with you to the bathroom.
This is likely why the "good" RN had to call the Noc cover and get an order for an NG feeding tube in the wee hours of the night, as opposed to it being part of the post-op plan from the beginning. The usual plan is IV hydration and advance diet slowly. Where the average patient might have a day of popsicles and Cepacol, this patient couldn't tolerate a sore throat and couldn't bear the thought of going a day without enteral intake.
I wonder what his previous "colon surgery" was, and how well he coped with bowel prep.
It doesn't sound like he got an air tube, so yeah, joining you on the couldn't tolerate a sore throat.
...Of course, once again a troon proves to be a wimpy as
fuck man. That probably belongs on the summary of most of this thread: "Troon proves to fail at shit most women do without thinking."
My bet is that whatever it was, it wasn't "colon surgery" and he coped badly with bowel prep. If he's one of the ones planning bottom surgery...it's going to be memorable for all the staff unlucky enough to be involved.
