{"id":646,"date":"2023-12-04T10:27:28","date_gmt":"2023-12-04T15:27:28","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/chapter\/day-4-medical-unit\/"},"modified":"2023-12-04T10:27:28","modified_gmt":"2023-12-04T15:27:28","slug":"day-4-medical-unit","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/chapter\/day-4-medical-unit\/","title":{"raw":"Day 4: Medical unit","rendered":"Day 4: Medical unit"},"content":{"raw":"\n
\n

Day 4<\/h2>\n<\/div>\n
\n

Time: 10h30<\/h3>\n

Place:  Medical Unit<\/h3>\n\u201cHi Tracie, I\u2019m here to review a couple of patients for discharge.\u201d<\/span>\n\n<\/div>\n
\n\n \n\n<\/div>\n
\n\n\u201cHi Dr. Hunicutt, I would also like to talk about Ms. Miki Huang.\u201d\n\n<\/div>\n
\n\n \n\n\u201cOh, the lady with pneumonia and COPD. She is doing better, yes?\u201d\n\n<\/div>\n
\n\n \n\n\u201cMuch better it seems, her C&S (culture and sensitivity) results are in along with the rest of her morning lab work. I have her assessment here to review. The RT has moved her to Optiflow again and Physio is seeing her daily and ambulating her in the hallway starting today.\u201d\n\n<\/div>\n
\n\n \n\n\u201cThat sounds good. Big improvement. Okay, the discharges I will get to. Let\u2019s look together at the C&S results.\u201d\n\n<\/div>\n
\n\n \n\nDr. Hunicutt pulls up the lab results for Miki and immediately goes to the C&S.\n\n<\/div>\n
\n\n \n\n\u201cOkay Tracie, what antibiotic is Ms. Huang on?\u201d\n\n<\/div>\n
\n\n \n\nTracie pulls up the MAR. \u201cShe is on ceftriaxone 1 gram IV q 24 hours, and azithromycin 500mg IV q 24 hours.\u201d\n\n<\/div>\n
\n\n \n\n\u201cExcellent. That is the recommended coverage. Now let\u2019s look at her C&S.\u201d\n\n<\/div>\n
\n\n \n\nOn the computer screen, Tracie sees a list of about 10 antibiotics with either R or S beside each. R represents antibiotic resistant, while S stands for antibiotic sensitive. For the antibiotics that Miki is on, she sees an S beside each one. Tracie understands that this means the bacteria in her patient\u2019s lungs are sensitive to ceftriaxone and azithromycin. \u201cThe antibiotics Ms. Huang is on are appropriate for her as the bacteria is sensitive to them,\u201d says Tracie.\n\n<\/div>\n
\n\n \n\n\u201cCorrect,\u201d states the doctor. \u201cAnd since Ms. Huang is doing well and you are mobilizing her, I would like to get rid of her IV to make that job easier.\u201d\n\n<\/div>\n
\n\n \n\n\u201cHow are you going to do that? I know azithromycin comes in PO form, but ceftriaxone is only IV.\u201d\n\n<\/div>\n
\n\n \n\n\u201cTake a look at the list and see if there is another antibiotic that you recognize that can be given PO.\u201d\n\n<\/div>\n
\n\n \n\nTracie considers the list again, thinking, \u201cNo, gentamycin is IV, cefotaxime is IV...Oh wait, here is levofloxacin. She speaks up, \u201cOkay, Dr. Hunicutt, I think levofloxacin can be given PO.\u201d\n\n<\/div>\n
\n\n \n\n\u201cThat\u2019s correct, and since the two antibiotics are different classes and work slightly differently, we are cross-covering Ms. Huang so she should continue to get better.\u201d\n\n<\/div>\n
\n\n \n\n\u201cI think she will be happy to have the IV capped.\u201d\n\n<\/div>\n
\n\n \n\n\u201cMost patients are. So, I am going to write the orders for levofloxacin 750mg PO q 24 hours and azithromycin 250mg PO daily. Has she had her antibiotics today?\u201d\n\n<\/div>\n
\n\n \n\n\u201cYes. She should just be finishing now on the IV pump.\u201d\n\n<\/div>\n
\n\n \n\n\u201cGreat. I will state to start these with breakfast tomorrow. Now let\u2019s go see her and then I'll see the discharge patients and write their orders.\u201d\n\n<\/div>\n
\n\n \n\nBoth Dr. Hunicutt and Tracie get up and move towards Miki\u2019s room. As they get closer to the room, they can hear Linda and Miki talking quietly, and the occasional chuckle. Coming into the room, they see the mother and daughter duo sitting and chatting together.\n\n<\/div>\n
\n\n \n\nTracie observes and thinks to herself, \u201cI guess it\u2019s good for Miki to have at least one person she can speak to here. If I was her, I would want a daughter like Linda too.\u201d\n\n<\/div>\n
\n\n \n\n\u201cHi Ms. Huang, hi Linda, do you remember me?\u201d\n\n<\/div>\n
\n\n \n\nMiki and Linda both look up from their conversation and consider the man standing before them. \u201cYou\u2019re my mom\u2019s doctor, right?\u201d\n\n<\/div>\n
\n\n \n\n\u201cThat is correct, at least for the time that she is in the hospital. I don\u2019t have an office, but the whole hospital could be considered my office. Tracie and I have reviewed your chart and your treatment regimen, and we will be making some adjustments to your IV. With your improvement and walking, it looks like we can cap your IV and start you on oral antibiotics.\u201d\n\n<\/div>\n
\n\n \n\nLinda speaks up. \u201cOh, I think she\u2019s had oral antibiotics before, and they upset her stomach.\u201d\n\n<\/div>\n
\n\n \n\n\u201cWell, if her stomach is not upset now with the IV antibiotics, I don\u2019t expect that it will be upset with the oral ones because it\u2019s the same medication. Let\u2019s try it and see.\u201d\n\n<\/div>\n
\n\n \n\n\u201cWill you get rid of this then?\u201d Linda indicates the IV in her mother\u2019s left arm.\n\n<\/div>\n
\n\n \n\nTracie shakes her head. \u201cI will remove the tubing, but we will leave the rest in your arm in case something changes. I am sure you don\u2019t want another IV started. I will wrap it up with a dressing, and it will be less bothersome without the tubing attached.\u201d\n\n<\/div>\n
\n\n \n\nLinda looks up at Dr. Hunicutt. \u201cWhen can she come home?\u201d\n\n<\/div>\n
\n\n \n\n\u201cThat\u2019s a good question. I would like to do another chest X-ray today. Your mom needs a couple of more days of antibiotics and to be completely off any oxygen therapy for 24 hours. Once that is met, I would be pleased to see her go home with you.\u201d\n\n<\/div>\n
\n\n \n\n\u201cAnd how long will that be?\u201d\n\n<\/div>\n
\n\n \n\n\u201cOral antibiotics start tomorrow so the earliest for home would be three days from now, maybe two, if your mom tolerates no oxygen starting tomorrow. I don\u2019t think we need to rush. She is getting great care here.\u201d\n\n<\/div>\n
\n\n \n\n\u201cTrue, it\u2019s just that I don\u2019t want to miss more work than necessary, and I know that my mom feels a lot more comfortable at home too. Nothing in this environment feels like home for her, even the food and television.\u201d\n\n<\/div>\n
\n\n \n\n\u201cThat may be, but your mom is pretty sick.\u201d\n\n<\/div>\n
\n\n \n\nLinda looks down at her feet and seems resigned to what Dr. Hunicutt says. Dr. Hunicutt looks at the both of them. \u201cAny questions?\u201d\n\n<\/div>\n
\n\n \n\nWhen neither of them makes eye contact or speaks, the doctor adds, \u201cAll right then, I will order the chest X-ray and let Tracie cap off your IV. I will see you tomorrow.\u201d\n\n<\/div>\n
\n\n \n\nDr. Hunicutt leaves, and Linda drops into her chair, thoroughly exhausted.\n\n<\/div>\n
\n\n \n\n\u201cLinda, tell me what the doctor said,\u201d Miki demands.\n\n<\/div>\n
\n\n \n\nLinda drops her face into her hands. \u201cUgh, please Mom, just give me a second. My head is spinning.\u201d\n\n<\/div>\n
\n\n \n\n\u201cYour job is to translate! You can\u2019t even do that correctly, the least you could do is tell me what happened afterwards.\u201d\n\n<\/div>\n
\n\n \n\nLinda groans, \u201cMom, I will! Give me a break, you don\u2019t know how it feels to be relied on 24\/7 to translate everything.\u201d\n\n<\/div>\n
\n\n \n\n\u201cAnd you have no idea how it feels to not know what people are talking about even though you\u2019re the topic of discussion,\u201d Miki replied reproachfully. \u201cI would just like to know what is going to happen with me and when I can go home, is that too much to ask?\u201d\n\n<\/div>\n
\n\n \n\nMeanwhile, Tracie has gone outside and grabs supplies to cap off Miki\u2019s IV. Just as she is finishing, Gladys comes in and says, \u201cReady for a walk, Ms. Huang?\u201d\n\n<\/div>\n
\n\n \n\nLinda cracks a smile and turns to her mom. \u201cMom, time for a walk.\u201d\n\n<\/div>\n
\n\n \n\nMiki shifts her position apprehensively. She hates exercising and is not ready to showcase her athletic abilities in front of all these doctors and nurses. \u201cLinda,\u201d she whispers urgently. \u201cTell them I\u2019ll walk on my own at home.\u201d\n\n<\/div>\n
\n\n \n\n\u201cWhat? No way, Mom,\u201d Linda replies. \u201cYou have to start walking now so you can get better faster. The doctors know what they\u2019re saying.\u201d\n\n<\/div>\n
\n\n \n\nThe two glare at each other, and Gladys and Tracie reposition Miki to get her standing. Tracie follows behind with the oxygen tank as Gladys encourages Miki to walk, which she does reluctantly.\n\n<\/div>\n
\n\n \n\nMiki looks around the hallway as she leaves the room, finding it unbelievable that she now needs two people to help her walk.\n\n<\/div>\n
\n\n \n\nTracie and Gladys navigate Miki to the lounge and back to her room. Just as they get her back, Glen, the X-ray porter, comes in with a wheelchair. \u201cHey, it\u2019s picture time!\u201d\n\n<\/div>\n
\n\n \n\nMiki smiles politely but groans inwardly. \u201cOh god, it\u2019s the man who drives the wheelchair like a race car.\u201d\n\n<\/div>\n
\n\n \n\nGladys helps Glen get Miki into the wheelchair. Glen hangs the oxygen tank on the back of the chair, and then maneuvers the wheelchair out into the hallway and to the elevators. They take the elevator to the second floor which opens directly facing the doors of the Radiology Department.\n\n<\/div>\n
\n\n[caption id=\"attachment_5795\" align=\"aligncenter\" width=\"2560\"]\"Miki Day 4 - Miki is having an X-ray performed. Image created by Sarah Pinault under a CC-BY-NC license.<\/span>[\/caption]\n\nGlen pushes Miki in and around to X-ray Room 2. \u201cHey Gurpreet, Ms. Huang is here.\u201d Her chest X-ray is completed, after which Glen wheels Miki to the elevator and back to the seventh floor.\n\n<\/div>\n
\n\n \n\nTracie sees Glen and Miki coming down the hallway and meets them in Miki\u2019s room. Tracie helps Miki from the wheelchair to a chair at the bedside and covers her with a blanket. \u201cDo you need anything else right now?\u201d\n\n<\/div>\n
\n\n \n\nMiki shuts her eyes, and Tracie looks uncertainly at Linda who smiles reassuringly. \u201cDon\u2019t worry, she should be good for now.\u201d\n\n<\/div>\n
\n\n \n\nGlen and Tracie leave the room.\n\n<\/div>\n
\n\n \n\nLinda and Miki settle back into their chair and bed, and Linda decides to speak up. \u201cHey, Mom, I think the doctors are going to be thinking about letting you go home soon! What do you think?\u201d\n\n<\/div>\n
\n\n \n\n\u201cHmfph. I could have gone home ages ago if I wanted to.\u201d\n\n<\/div>\n
\n\n \n\nLinda sighs. \u201cMom, I know that you are aware of how sick you are so just stop pretending. I think even once we get home you will still need to recover. I already spoke to my manager and I\u2019m going to be working 2 hours less each day so I can continue to take care of you; there is no room for discussion.\u201d\n\n<\/div>\n
\n\n \n\n\u201cDon\u2019t worry, I\u2019m going to be a model patient until I get discharged. You said the doctors told you I have to be off oxygen for how long?\u201d\n\n<\/div>\n
\n\n \n\n\u201cJust 24 hours! And then we can both go home and get on with our lives, won\u2019t that be fun?\u201d\n\n<\/div>\n
\n\n \n\nBoth women sit in silence for a moment, contemplating.\n\n<\/div>\n
\n\n \n\nMiki spoke up hesitantly. \u201cLinda...I know I don\u2019t say this often, but I do appreciate everything you\u2019ve done to take care of me. Not even just my time in the hospital, but in general. And I\u2019m sorry for things I\u2019ve said out of frustration.\u201d\n\n<\/div>\n
\n\n \n\nLinda scoffed, \u201cNo need to thank me Mom, there\u2019s obviously nothing I want to see more than my mother being strong and healthy.\u201d However, Linda was secretly touched and pleased that her mother truly recognized all the sacrifices she had made.\n\n<\/div>\n
\n\n \n\nMiki reaches out to pat Linda\u2019s hand, and the two of them continue to talk about their plans at home.\n\n<\/div>\n \n

Adaptations<\/h1>\nThis section has been from Health Case Studies<\/a> by Glynda Rees, Rob Kruger, and Janet Morrison.\n","rendered":"
\n

Day 4<\/h2>\n<\/div>\n
\n

Time: 10h30<\/h3>\n

Place:  Medical Unit<\/h3>\n

\u201cHi Tracie, I\u2019m here to review a couple of patients for discharge.\u201d<\/span><\/p>\n<\/div>\n

\n

 <\/p>\n<\/div>\n

\n

\u201cHi Dr. Hunicutt, I would also like to talk about Ms. Miki Huang.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cOh, the lady with pneumonia and COPD. She is doing better, yes?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cMuch better it seems, her C&S (culture and sensitivity) results are in along with the rest of her morning lab work. I have her assessment here to review. The RT has moved her to Optiflow again and Physio is seeing her daily and ambulating her in the hallway starting today.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cThat sounds good. Big improvement. Okay, the discharges I will get to. Let\u2019s look together at the C&S results.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Dr. Hunicutt pulls up the lab results for Miki and immediately goes to the C&S.<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cOkay Tracie, what antibiotic is Ms. Huang on?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie pulls up the MAR. \u201cShe is on ceftriaxone 1 gram IV q 24 hours, and azithromycin 500mg IV q 24 hours.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cExcellent. That is the recommended coverage. Now let\u2019s look at her C&S.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

On the computer screen, Tracie sees a list of about 10 antibiotics with either R or S beside each. R represents antibiotic resistant, while S stands for antibiotic sensitive. For the antibiotics that Miki is on, she sees an S beside each one. Tracie understands that this means the bacteria in her patient\u2019s lungs are sensitive to ceftriaxone and azithromycin. \u201cThe antibiotics Ms. Huang is on are appropriate for her as the bacteria is sensitive to them,\u201d says Tracie.<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cCorrect,\u201d states the doctor. \u201cAnd since Ms. Huang is doing well and you are mobilizing her, I would like to get rid of her IV to make that job easier.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cHow are you going to do that? I know azithromycin comes in PO form, but ceftriaxone is only IV.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cTake a look at the list and see if there is another antibiotic that you recognize that can be given PO.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie considers the list again, thinking, \u201cNo, gentamycin is IV, cefotaxime is IV…Oh wait, here is levofloxacin. She speaks up, \u201cOkay, Dr. Hunicutt, I think levofloxacin can be given PO.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cThat\u2019s correct, and since the two antibiotics are different classes and work slightly differently, we are cross-covering Ms. Huang so she should continue to get better.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cI think she will be happy to have the IV capped.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cMost patients are. So, I am going to write the orders for levofloxacin 750mg PO q 24 hours and azithromycin 250mg PO daily. Has she had her antibiotics today?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cYes. She should just be finishing now on the IV pump.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cGreat. I will state to start these with breakfast tomorrow. Now let\u2019s go see her and then I’ll see the discharge patients and write their orders.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Both Dr. Hunicutt and Tracie get up and move towards Miki\u2019s room. As they get closer to the room, they can hear Linda and Miki talking quietly, and the occasional chuckle. Coming into the room, they see the mother and daughter duo sitting and chatting together.<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie observes and thinks to herself, \u201cI guess it\u2019s good for Miki to have at least one person she can speak to here. If I was her, I would want a daughter like Linda too.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cHi Ms. Huang, hi Linda, do you remember me?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki and Linda both look up from their conversation and consider the man standing before them. \u201cYou\u2019re my mom\u2019s doctor, right?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cThat is correct, at least for the time that she is in the hospital. I don\u2019t have an office, but the whole hospital could be considered my office. Tracie and I have reviewed your chart and your treatment regimen, and we will be making some adjustments to your IV. With your improvement and walking, it looks like we can cap your IV and start you on oral antibiotics.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda speaks up. \u201cOh, I think she\u2019s had oral antibiotics before, and they upset her stomach.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cWell, if her stomach is not upset now with the IV antibiotics, I don\u2019t expect that it will be upset with the oral ones because it\u2019s the same medication. Let\u2019s try it and see.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cWill you get rid of this then?\u201d Linda indicates the IV in her mother\u2019s left arm.<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie shakes her head. \u201cI will remove the tubing, but we will leave the rest in your arm in case something changes. I am sure you don\u2019t want another IV started. I will wrap it up with a dressing, and it will be less bothersome without the tubing attached.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda looks up at Dr. Hunicutt. \u201cWhen can she come home?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cThat\u2019s a good question. I would like to do another chest X-ray today. Your mom needs a couple of more days of antibiotics and to be completely off any oxygen therapy for 24 hours. Once that is met, I would be pleased to see her go home with you.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cAnd how long will that be?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cOral antibiotics start tomorrow so the earliest for home would be three days from now, maybe two, if your mom tolerates no oxygen starting tomorrow. I don\u2019t think we need to rush. She is getting great care here.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cTrue, it\u2019s just that I don\u2019t want to miss more work than necessary, and I know that my mom feels a lot more comfortable at home too. Nothing in this environment feels like home for her, even the food and television.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cThat may be, but your mom is pretty sick.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda looks down at her feet and seems resigned to what Dr. Hunicutt says. Dr. Hunicutt looks at the both of them. \u201cAny questions?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

When neither of them makes eye contact or speaks, the doctor adds, \u201cAll right then, I will order the chest X-ray and let Tracie cap off your IV. I will see you tomorrow.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Dr. Hunicutt leaves, and Linda drops into her chair, thoroughly exhausted.<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cLinda, tell me what the doctor said,\u201d Miki demands.<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda drops her face into her hands. \u201cUgh, please Mom, just give me a second. My head is spinning.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cYour job is to translate! You can\u2019t even do that correctly, the least you could do is tell me what happened afterwards.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda groans, \u201cMom, I will! Give me a break, you don\u2019t know how it feels to be relied on 24\/7 to translate everything.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cAnd you have no idea how it feels to not know what people are talking about even though you\u2019re the topic of discussion,\u201d Miki replied reproachfully. \u201cI would just like to know what is going to happen with me and when I can go home, is that too much to ask?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Meanwhile, Tracie has gone outside and grabs supplies to cap off Miki\u2019s IV. Just as she is finishing, Gladys comes in and says, \u201cReady for a walk, Ms. Huang?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda cracks a smile and turns to her mom. \u201cMom, time for a walk.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki shifts her position apprehensively. She hates exercising and is not ready to showcase her athletic abilities in front of all these doctors and nurses. \u201cLinda,\u201d she whispers urgently. \u201cTell them I\u2019ll walk on my own at home.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cWhat? No way, Mom,\u201d Linda replies. \u201cYou have to start walking now so you can get better faster. The doctors know what they\u2019re saying.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

The two glare at each other, and Gladys and Tracie reposition Miki to get her standing. Tracie follows behind with the oxygen tank as Gladys encourages Miki to walk, which she does reluctantly.<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki looks around the hallway as she leaves the room, finding it unbelievable that she now needs two people to help her walk.<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie and Gladys navigate Miki to the lounge and back to her room. Just as they get her back, Glen, the X-ray porter, comes in with a wheelchair. \u201cHey, it\u2019s picture time!\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki smiles politely but groans inwardly. \u201cOh god, it\u2019s the man who drives the wheelchair like a race car.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Gladys helps Glen get Miki into the wheelchair. Glen hangs the oxygen tank on the back of the chair, and then maneuvers the wheelchair out into the hallway and to the elevators. They take the elevator to the second floor which opens directly facing the doors of the Radiology Department.<\/p>\n<\/div>\n

\n
\"Miki
Day 4 – Miki is having an X-ray performed. Image created by Sarah Pinault under a CC-BY-NC license.<\/span><\/figcaption><\/figure>\n

Glen pushes Miki in and around to X-ray Room 2. \u201cHey Gurpreet, Ms. Huang is here.\u201d Her chest X-ray is completed, after which Glen wheels Miki to the elevator and back to the seventh floor.<\/p>\n<\/div>\n

\n

 <\/p>\n

Tracie sees Glen and Miki coming down the hallway and meets them in Miki\u2019s room. Tracie helps Miki from the wheelchair to a chair at the bedside and covers her with a blanket. \u201cDo you need anything else right now?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki shuts her eyes, and Tracie looks uncertainly at Linda who smiles reassuringly. \u201cDon\u2019t worry, she should be good for now.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Glen and Tracie leave the room.<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda and Miki settle back into their chair and bed, and Linda decides to speak up. \u201cHey, Mom, I think the doctors are going to be thinking about letting you go home soon! What do you think?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cHmfph. I could have gone home ages ago if I wanted to.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda sighs. \u201cMom, I know that you are aware of how sick you are so just stop pretending. I think even once we get home you will still need to recover. I already spoke to my manager and I\u2019m going to be working 2 hours less each day so I can continue to take care of you; there is no room for discussion.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cDon\u2019t worry, I\u2019m going to be a model patient until I get discharged. You said the doctors told you I have to be off oxygen for how long?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

\u201cJust 24 hours! And then we can both go home and get on with our lives, won\u2019t that be fun?\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Both women sit in silence for a moment, contemplating.<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki spoke up hesitantly. \u201cLinda…I know I don\u2019t say this often, but I do appreciate everything you\u2019ve done to take care of me. Not even just my time in the hospital, but in general. And I\u2019m sorry for things I\u2019ve said out of frustration.\u201d<\/p>\n<\/div>\n

\n

 <\/p>\n

Linda scoffed, \u201cNo need to thank me Mom, there\u2019s obviously nothing I want to see more than my mother being strong and healthy.\u201d However, Linda was secretly touched and pleased that her mother truly recognized all the sacrifices she had made.<\/p>\n<\/div>\n

\n

 <\/p>\n

Miki reaches out to pat Linda\u2019s hand, and the two of them continue to talk about their plans at home.<\/p>\n<\/div>\n

 <\/p>\n

Adaptations<\/h1>\n

This section has been from Health Case Studies<\/a> by Glynda Rees, Rob Kruger, and Janet Morrison.<\/p>\n","protected":false},"author":103,"menu_order":8,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["aliao01"],"pb_section_license":""},"chapter-type":[],"contributor":[68],"license":[],"class_list":["post-646","chapter","type-chapter","status-publish","hentry","contributor-aliao01"],"part":631,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/chapters\/646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/wp\/v2\/users\/103"}],"version-history":[{"count":0,"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/chapters\/646\/revisions"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/parts\/631"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/chapters\/646\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/wp\/v2\/media?parent=646"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/pressbooks\/v2\/chapter-type?post=646"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/wp\/v2\/contributor?post=646"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/dcbiol2200\/wp-json\/wp\/v2\/license?post=646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}