03-11-2020, 04:33 PM
(03-11-2020, 04:22 PM)oncemoreuntothejimbreech Wrote: This comes back to patient education and giving them the information they need to manage their concerns. Cellulitis is usually caused by staph or strep. It’s usually the type of staph infection I referred to above which can be treated with oral antibiotics on an outpatient basis. It’s usually not life threatening, but it can be. In your neighbor’s case, I’m 99.9% sure he probably has type 2 diabetes and it is probably not well controlled due to the degree of obesity and he may even require insulin all of which makes treating cellulitis more difficult and increases the risk for life threatening complications. You’re right the infection he has is a greater risk to his health than a potential exposure to coronavirus at the hospital. Plus he is more likely to be exposed to the flu than the coronavirus and the obesity alone is an independent risk factor that places him in a high risk group for flu complications like pneumonia. So exposure to coronavirus should be way down the list of his medical concerns. But, they need to be given that information and they need to understand it. Unfortunately, studies indicate patients correctly remember only about 35% of the information they’re given.
He certainly has type two diabetes. His hospital stays are usually a week to ten days. He's gone to intensive care twice when he didn't recognize the signs that it was getting bad. I guess at some point it can get into your blood or lymphatic system?
A medical emergency where minutes count, and he's a dead man. They call 911 and the local paramedics come, and then they have to call in and get an ambulance from another county that can carry him. I pick up his prescriptions, and it's four or five every week. I don't know. It's just sad.
35% would be high for my dad. He usually remembers one random sentence that by itself indicates he's just fine.
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