ok so Yes Im extremely late for last weeks blog. But to be honst I had absolutely nothing to write about until yesterday. Not meaning to rant on about the blogging but sometimes it is extremely pressurizing to have to come up with something to share with a group when nothing much has happened during the week. So therefore I left it go because I could not bear to have to make up a blog enrty so as just the tick a box. Anyhow rant over with...

I had my final assessment on my cardio placement during the week. It was 72 yo male who was admitted with an unstable AAA which could not be managed surgically as the risks of such a procedure were too great. He was in ICU for 2 weeks . His medical hx was complicated and his stay in ICU was very complicated with him going into multi organ failure and being on the brink of death. He pulled through and then was sent down to the vascular ward when he was more stable. On reading through his notes and in light of his very unstable aortic disecton I was extremely nervous about what I could/should do with him. Plus the idea of having a pt bleed out on your final placement is not ideal situation.My supervisor reassured me that this pt would eventually be d/c with this condition and would have to partake in all normal ADL'S and that this should guide my tx session. So I went in a little bit more reassured. I was half way through my subjective and the orderly came to take the pt for a Cxr. Damn I thought after all my prep for final Ax. Anyhow I went onto another pt and did my Ax.

That evening when I went back to treat him, he was in a disorientated state, he was in alot of pain even as he was resting in bed. His sats were very low and he complained of feeling very off. I let the medical and nursing staff know about this. Hw was a reviewed and wisked off the ward to HDA that evening. Anyway to cut a long story not so short I guess what I am trying to say is sometimes you just never know how things will go even with a sound theoretical knowledge. This man only transferred from bed to wc to go to xray and 2 hours later he was extremely unstable. So if I had treated him and mobilised him would it of made things worse??? Oh and another moral of the story..thanks for impecable timing from the orderlies.