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Showing posts with label hospice. Show all posts
Showing posts with label hospice. Show all posts

Friday, June 12, 2015

Hospice in End Stage Diseases (+ Kosish Cocktail)

Few days back I saw a ovarian Ca (with hepatitis B - HbsAg positive) patient in a private hospital, where I am attached as medical officer. The malignancy is end stage, and associated with metastasis and pain. She is a regular admission in that set up, mostly when pain is increased or she is having shortness of breath due to huge ascitis & pleural effusion. We drain her ascitic & pleural fluid and send her home back, just to wait she would return to the nursing home. 

In any of her admission, her daughter & son-in-law asked the consultant that they are arranging a doctor outside to see her. On this doctor's visiting day, I was not present as that was my off day.