I was too busy helping him to get better to take this seriously. A few months later, I got a call from the patient's father. He's had a very serious UTI for nearly ten years. It's been causing chronic damage to his kidney. You were the doctor that I had been hoping you'd be. This was my first real inkling that his situation might have the potential to cause serious damage to his kidneys. This was a patient who was so debilitated that he had difficulty walking down the street.
I had no clue how severe any of this might be. The next patient was another example. He was an African-American patient with diabetes who had been living in a hospital. He had been diagnosed with type 1 diabetes, and was on a combination of medications such as metformin and insulin, but was still getting regular urinalysis. He was an example of a patient with a chronic kidney disease. We were lucky enough to be able to provide him with dialysis, and even then, he still had difficulty even reaching the bathroom. There was another rivastigmine tartrate whom the diagnosis was unknown. This patient's condition was so serious that she could not even be discharged to her room or even leave the room to eat or to sleep.
John, and that he had a kidney infection. This rivastigmine tartrate was one of those who had the potential to be a very serious case in the hands of an experienced physician, and it was very disappointing that we could not give her the care that she needed. She was not admitted, but she was there. She sat by a long row of patients, with a nurse in front.
She did not have any more details, but she knew that she must have been in the ER for hours. She knew that she was being cared for by professionals, but she did not know where she was or what would happen if she left the room. I don't know how many times this occurred, but she was in pain. She was beautiful because at least in her mind she was fine. She knew that her condition was not a bad thing. She knew that we would take care of her. Yet, there was something about this situation that disturbed me deeply and troubled me for years. I could not believe that it was my responsibility to keep her alive.
Her kidney was in great pain, there was no way I could possibly keep her alive. The next patient had a different story. This patient was a white female who had a history of kidney failure and diabetes complications in the 1960s. When they started dialysis, it was a relief to have someone to talk to and to listen to them. I was not at all interested in being a role model or a role model for them. I knew that there was more I did not know, and I was not even sure that I knew.