Walk-in

CW had been a great help for my dad so far. He did all that was asked for in a schedule, that he agreed in advance, and more. In fact, he pampered my dad hehehe.

On a related note, each time my dad came back from hospital appointment, he felt exhausted. Although we didn't think it would help much, with CW's agreement, we asked him to follow along on a trip to Penang GH so that my dad could be wheeled in the push chair we brought along. That would had been difficult and time consuming for me alone to handle, on top of doing everything else e.g. drive and park car, getting medicine from pharmacy, etc. Conclusion: my dad wasn't exhausted and so we would be asking CW to come along to hospital.

The trip we made was a walk-in to consult PCU, three days after the last appointment. The purpose was two-fold:
  • Dad had watery poor and very soft poo twice each on Saturday, none on Sunday and small amount of normal poo on Monday. I was concerned that it would be a repeat of previous time where the condition slowly deteriorated to three days of constipation. Relevant to this was that I was going back to PJ in two days time.
  • The pain didn't improve: Oxynorm 5 times a day, pain score of 3 when sitting, and pain flared up to pain score of 6 when left leg elevated on lazy chair (purpose was to reduce water retention in his legs) and he had to take Oxynorm immediately, sometimes a second one 2 hours later.  
Junior PCU, as always, consulted the senior doctor (someone new to me; the usual specialist was away). The latter said
  • There could be a variety reasons for the pain e.g. cancer, posture and insufficient painkiller dosage.
  • Regardless, need to make sure painkiller was effective and that meant getting rid of the regular constipation.
  • Needed to give constipation time to work i.e. 2 weeks.
To me, clearly, he didn't think the painkiller dosage was insufficent and so...

Me: So you believed that the constipation is causing this pain?
Snr doctor: No, I don't believe. I AM SURE that it is the reason.

Yes, he raised his voice. Fortunately, I managed to keept quiet and not retaliate (the younger me might had done that), especially since I myself used to frequently unintentionally speak in a loud voice when excited (much less so now, I would like to think).

The junior doctor had better 'bedside manner'. She suggested my dad to take Oxynorm just before he uses the lazy chair, and to consult the hospice nurse if we need help. The hospice nurse can contact them if needed.

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