Indexing Title:

RQdeLeon’s Medical Anecdotal Report [05-04]

MAR Title:

Grumpy Granny

Date of Medical Observation:  

April 2005

 Narration:

 This is the case of LC a 64-year-old female who was diagnosed to have diabetic foot right. From the moment I saw her, I knew that she’s a difficult patient. Not because she’s being difficult but I guess it was hard for her to accept her present state.

 Upon assessment, the plan was to do a Below the Knee Amputation (BKA). I explained the procedure and the urgency of the operation to her and her relatives.

 The procedure went well and the patient kept on asking me when she will be discharged. After assessing the wound and her condition of the patient, I discharged her. Prior to discharge, I reminded the patient to take her medications. I emphasized to her to remember that she doesn’t have her right leg anymore. I told her this as a precautionary measure to prevent having accidents.  Her relatives asked for my cell phone number and seeing no harm to their request, I gave them my number.

 After few days, I received a text message from one of her son’s informing me that she accidentally fell and hit her amputated leg on the floor and the wound was gaping.  I told him to bring the patient here so I can evaluate her.

 When I saw the wound, I knew that she had to be admitted.  She was frightened by the idea of another admission. I asked her why was she afraid, she told me “Doctor, ayaw ko nang maputulan ng hita!” I looked at her and saw the fright in her eyes. I held her hands and told her “Lola, magpa-admit po kayo at gagawin ko lahat para di maputol ang hita nyo!”

 Insights (Physical, Psychosocial, Ethical) (Discovery, Stimulus, Reinforcements)

Different people have different way of handling their condition. As for my patient, she was really grumpy! But this doesn’t mean that she should be treated badly, she needs to be understood. Understanding her condition and empathizing with her will albeit her irritability.

This patient needs special attention. Take time to explain each move or plan of action! Make them realize the gravity of their condition and explain the urgency of your plan of action. Take time to talk to the relatives. Their cooperation is vital to the success of any plan and management.

 For us doctors, we have to be sincere. If we promise to help, we must exhaust our means, our resources to uphold our promise. Our pledge of quality service is considered as a sign of hope and source of strength. So we should keep our promise.