when we came in through the ED, we suggested an obstruction, as the last time we were in that's what it was. Somewhere in the chain of "playing telephone" they ruled out metabolic, and seizures, so we went to the floor, where they called it a gastro virus, and we'll just have to wait it out. I kept on suggesting the bowel obstruction, because once he stopped vomiting (from the zofran), his stomach started stretching. He's now 73cm around...where his pants he came in wearing have a circumference of 50cm...and are loose on him.
They still didn't think it was an obstruction, as the enema didn't produce anything. So they gave him a dose of miralax.
At 3am, they thought maybe they should do an xray...which they still thought didn't show a blockage. But, rather, ileus...which is a slowing of bowels, so they were filling with air. And again....told to wait it out.
That's when the fury hit and we made sure he told his superiors as soon as they came in we wanted a consult from GI...his metabolic doctors in here...and a plan before they even started to round.
Sure enough, his nurse this morning came in and said radiology was trying to get ahold of his docs because they saw an obstruction.
Dr. Vahove came in (metabolic) and said he definitely has something blocked, but thankfully metabolically he is still within very good levels.
So, yes, I mentioned it when we came in...continued mentioning it throughout our stay so far, and really frustrated that it takes us getting on people's cases the way we had to to get some action going. Very very frustrating indeed.
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