A month in a hospital bed

**Shadows** · 05-11-2016, 07:11 PM

Originally Posted by GracelessFawn

Shadows.... How are you feeling today? Hope you're not too bored. Hope your pillows are soft and comfy.

Hang in there.....

All good. Thanks.

On the upside I'm not boozing (good for health, great for wallet).

**GracelessFawn** · 05-11-2016, 07:37 PM

Originally Posted by Shadows

Originally Posted by GracelessFawn

Shadows.... How are you feeling today? Hope you're not too bored. Hope your pillows are soft and comfy.

Hang in there.....

All good. Thanks.

On the upside I'm not boozing (good for health, great for wallet).

555 true, but boozing might be heaps cheaper than hospital bills.

Glad you still have some spunk and humor. It helps to be in high spirits even when confined in a hospital room.

When I need to burn time, I usually watch The Prison Break Series (all seasons), House (all seasons), Jane the Virgin, 2 Broke Girls, etc. All Trash..... my guilty pleasures, but its a good time waster. 555

**Shadows** · 07-11-2016, 01:24 PM

Originally Posted by rickschoppers

Get the names, and I can tell you. Abcesses are different and something that may actually require IV meds, but I can't tell you without the names. Get the generic name, if available.

Herewith:
1. Meropenem (IV)
2. Thymosin (IV)
3. Ambroxol (IV)

4. Asmeton (tablets)

CT on Friday. Zero symptoms, no fever, no cough, no phlegm/mucus/pus, no pain, no breathing difficulty.

I bet there's 1000s of people out there with the same thing, they just don't know.

Boss is getting twitchy - he says rest up, but I'm sure he thinks different.

I wanna get out of here. Would like to get back to work, even if I work an hour or less a day for a month or so (on the insistence of the docs, who want to keep me here for a month+)

Someone mentioned sympathy. No need for that nonsense.

**redhaze** · 07-11-2016, 06:13 PM

I think for some a month in bed under the pretext of doctor's orders can actually sound oddly appealing.

As a medical professional I can say that unless you plan on dying soon or don't care much for walking that this advice/plan is very,very poorly advised.

**nidhogg** · 07-11-2016, 06:22 PM

Originally Posted by redhaze

As a medical professional.

Respectfully, that covers an awful lot of territory. Care to be a bit more precise?

**Shadows** · 07-11-2016, 07:05 PM

Originally Posted by redhaze

I think for some a month in bed under the pretext of doctor's orders can actually sound oddly appealing.

As a medical professional I can say that unless you plan on dying soon or don't care much for walking that this advice/plan is very,very poorly advised.

Fair enough. So long as I get my full salary, and the boss doesn't terminate my contract I'll stay. Although there is the cost factor.

If my CT comes back looking good they have no reason to keep me as an inpatient. I'll be sent home with some (very pricy) meds, under orders to not work too hard, eat well, stay away from booze, and come back for bimonthly blood tests and CT scans.

The hospital is chockers. As soon as I vacate this bed there'll be someone in it within hours.

**rickschoppers** · 10-11-2016, 02:22 PM

Originally Posted by Shadows

Originally Posted by rickschoppers

Get the names, and I can tell you. Abcesses are different and something that may actually require IV meds, but I can't tell you without the names. Get the generic name, if available.

Herewith:
1. Meropenem (IV)
2. Thymosin (IV)
3. Ambroxol (IV)

4. Asmeton (tablets)

CT on Friday. Zero symptoms, no fever, no cough, no phlegm/mucus/pus, no pain, no breathing difficulty.

I bet there's 1000s of people out there with the same thing, they just don't know.

Boss is getting twitchy - he says rest up, but I'm sure he thinks different.

I wanna get out of here. Would like to get back to work, even if I work an hour or less a day for a month or so (on the insistence of the docs, who want to keep me here for a month+)

Someone mentioned sympathy. No need for that nonsense.

Shadows, even though you are receiving IV medications in a hospital environment, there are treatment opportunities that would allow you to be treated as an outpatient. The caveat is that you are in Thailand where outpatient treatment and philosophy hardly exists. In a country where they do, you might have already been sent home and treated as an outpatient. Not knowing the extent of your abscess, or if one even truly exists, I will explain your medications and how they would be able to be given as an outpatient.

1. MEROPENEM- An IV antibiotic that can be switched to oral antibiotics such as Carbepenum or Cipro that both have similar spectrums.
2.THYMOSIN- An IV protein that promotes T cell production which is usually produced by the thymus gland and enhances the immune system. You may want to verify why this is being given. Is your immune system that compromised?
3. AMBROXOL- Already available in oral form and is meant to reduce viscosity or thickness of mucous. Not sure why they just don't give you this in oral form since you are eating and taking other oral meds.
4. ASMETON- These are already oral tablets.

My impression, without having access to your physician, is that you could be treated on an outpatient basis. I started IV to Oral Switch programs in every hospital I was Director of Pharmacy in and wound up saving the hospital $$$$, while allowing the patient to be discharged. This was always done with the agreement of attending physicians. Often times they would thank us for our assistance.

Ask these questions if you are interested:
-Is your immune system compromised that much that warrents giving the Thymosin?
-Can you be given oral antibiotics to remedy your particular case ie. Ciprofloxacin or Carbepenum?
-Can you be switched to an oral mucolytic instead of the IV Ambroxol?

One final note. The longer you are on IV antibiotics, the higher the risk of line infection or septicemia and there are severe consequences to both of those. No risk of either of those if you are switched to oral medications. Good luck.

**Shadows** · 10-11-2016, 05:49 PM

Thanks Rick. Sound advice.

Touch wood tomorrow's CT will come back looking good. It was the sheer size of it that worried them.

They have been cutting back the meds, and if the CT is good I'll be discharged tomorrow. Downside - they want me to come in for a week of IV drips as an outpatient. Before and after work.

Thereafter a month of one type of medication, to be taken orally.

I'm confident I'll be out tomorrow as I've had zero symptoms since Day 3 of my hospital holiday, with blood tests showing everything is within normal range.

**redhaze** · 10-11-2016, 07:59 PM

Originally Posted by nidhogg

Quote:
Originally Posted by redhaze

As a medical professional.

Respectfully, that covers an awful lot of territory. Care to be a bit more precise?

Yeah sorry. I am a Physical Therapist. I help people recover after they get idiotic doctors who somehow think that laying in a bed for a month is ok.

That can often include teaching them how to walk properly again

Although it sounds like the OP is nowhere near that level of bedrest, thankfully for him. Unless you are in coma or some kind of burn victim, you just shouldn't be on bedrest ever, really. That type of thinking was already outdated decades ago. But....TIT.

Even in the US, some of the older doctors just don't have a clue

**Shadows** · 11-11-2016, 04:35 PM

CT came back with near full recovery. All meds halted, except for the Meropenem. Two more weeks of that.

Back to work on Monday. The boss must be beaming.

Life goes on. Even for the two comatose geezers in my ward shitting their adult diapers every few hours. Sad to see them, they're never going to regain consciousness. But euthenasia isn't on the cards.

**fishlocker** · 11-11-2016, 04:55 PM

Damn, sad for them. Glad to hear you pulled through. I wouldn't wish it on anyone.

**Shadows** · 11-11-2016, 06:37 PM

Cheers fishlocker.

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