Cycle of Medicine

The CCU transferred a patient to my regular medicine floor who is now DNR/DNI. As I began to flip through the chart I stumbled upon the ED note. It was written in my handwriting. It was clear. I had admitted her from the ED for a tune up to medicine with a stage IV decub and some bilateral crackles and LE edema on my exam. Medicine whisked her away so fast I never finished the workup in the ED. Little did I know she would have such a complicated stage IV CHF course in the CCU.

I saw her and she was the same sweet lady with a failing heart physiologically but not figuratively.