We were met at the door by the granddaughter of the patient. She led us to the back of the house where her mother was attempting to clean her grandmother. We were informed that our patient had been feeling lethargic all day. About an hour before we were called she had started having explosive diarrhea and vomiting. The daughter apologized and frantically tried to change her mother's diaper. We told her to calm down and to take her time.
A couple of weeks prior my engineer had been to our patient's house on a medical aide. She had apparently suffered an MI and had recently been released from the hospital. Even with her serious medical history we figured that it would be better for all involved if she were cleaned up a little before going to the ER.
20 minutes later my head found my pillow, but not for long.....
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