Halfway through the week, and my health is declining. Boo. I've seem to have picked up a sore throat and headache that's not making my week very fun.
Anywho, today I saw a total of 3 patients. One of them had oral cancer and had to have a huge section of their jaw removed, including teeth. I calculated the tube feeding completely on my own - how exciting! And it matched 100% to what my preceptor would have done. Very encouraging. The second patient was just in for chronic pain and decreased weight, but it was more of that she was trying to lose weight and not necessarily unintentional weight loss.
But my last patient was a hoot. He was an elderly man who was admitted for neck cancer. I went and saw him because his initial patient survey indicated he had some weight loss, mainly from general illness. He was in great spirits and was fun to talk to, and here's why.
To set the stage, he was hard of hearing. I had to speak very loudly when asking him all the questions, such as when he noticed weight loss, how his appetite was, if he was on any supplements, etc. Towards the end, I could tell he was getting a little tired, so I only had one last question to ask. "On average, how many bowel movements do you have each day?" He gave me a confused look. "How many times do you poop each day?" And still no answer...
"HOW MANY TIMES DO YOU POOP EACH DAY?"
His response? "Oh! I go to the john about let one go about once a day. No problems there!"
I chuckled as I left the room, and on I went.
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