
I discharged my patient to a shelter yesterday with
heparin induced thrombocytopenia recently “resolved” by
argatroban (tx stopped 2 hours prior), but with no
coumadin. I discharged him with a foley.
I did so because I was told to do so by the doctor.
I put up a totally meager fight and then sent him packing with Thursday’s copy of the New York Times that I’d brought from home, a bag with handles donated by the gift shop, a pair of flip flops and a sweat suit donated by social services, a walker donated by physical therapy and no clear idea of where he was going or how to care for himself. We just put him in a cab and sent him away.
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