Emergency to the local nursing home. “Altered mental status” says the MDT.
“He has not eaten all day, and he hasn’t had his medicine all day either. He has to go to the hospital.” says the lady, in a loud voice, with an accent I could only describe as from another continent.
He sure enough looks altered.
His skin is pale. It’s cool. It’s diaphoretic. His radials are strong at 70, and his respirations are normal.
This looks familiar…
“D-stick is twelve” reports partner-of-the-day.
“Let’s give him some sugar, and see what happens.”
Six or so minutes pass, and 300ml of 5% Dextrose have been infused when the patient miraculously awakens.
Take THAT, Lazarus!
“What the hell are you doing here? What’s going on?” asks the now unaltered male patient.
“Your blood sugar dropped really low, and we need to run you up to the hospital” replies POD.
“The hell you are!”
After establishing the baseline info, like name, date, social security number, names of children, date Kennedy was assassinated, address, phone number, name of the Secretary of State, wedding date, favorite color, and the names of the two US Senators from our state, we are convinced the patient is of conscious mind to make an informed decision.
“Read this warning first, then sign your name on this paper when you are comfortable with releasing us from liability.”
Signatures obtained, we begin to walk out of the nursing home with our empty stretcher.
“Hey, the guy in 9 is going to need to eat something. His blood sugar got really low, but he’s okay now.”
“NO! He has to go to the hospital!” is the loud, accented reply.
“He doesn’t want to go, and I am not inclined to force him, ma’am.”
“YOU HAVE TO TAKE HIM! THE DOCTOR SAID SO BY TELEPHONE!”
“Actually, no, we can’t take him, since that would be illegal.”
“You wait right here. I’m going to call the doctor right now.”
“Make sure you tell the doctor that you didn’t feed the patient all day, and that he is now awake after we raised his blood sugar to 126.”
“Oh, and don’t forget to give him a sandwich or something, or else his blood sugar will drop again” adds POD. “Have a nice day.”