That ends well is how the saying goes, and happily, my day went well. I got a recalcitrant patient out of bed after he cut up yesterday, only to have him be sent back for low blood pressure. Turns out when we gave Mr. W his meds exactly as ordered, he got a little too much, which required a quick Narcan push.
Mr. W later confessed to not taking his meds as prescribed at home and doing dangerous things, like taking extra extended release morphine at one time. MD and I tried to reinforce how this is really a bad thing, but somehow, he thought we were joking. As a result, MD will drop some meds and be titrating other meds from a much lower dose.
I knew Mr. W. was feeling much better after his Narcan and being flushed with some fluids, because he started acting like his old perverted self.
Mr. W: "I'm cold can you warm me up?"
Me: "Want a blanket?"
Mr. W.: "No, (motions to side) I want you to get over here and warm me up."
Me: "Did I tell you my husband is a former sharpshooter who's jealous and occasionally visits me at work?"
Mr. W.:"So are you rejecting my proposal?"
Me: "Yes. My counter proposal is a blanket...or two if you really want an extra."
Mr. W. "Oh, all right. Just don't tell the sharpshooter. Some guys get all the luck."
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