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The patient representative said I was given an injection of 40 units of 70/30 on admission and then the doctor ordered a sliding scale to go along with the 70/30 if needed but the nurse never injected them at the same time. The nurse documented that you did refuse (I did not) all insulin that was ordered after that dose. I complained a lot because they were testing me every two hours all night long, but I did not refuse. I woke up in the middle of the night with someone injecting insulin in my right arm. When I asked what they were doing, she said, "Don't worry, It's only insulin." I refused Tamoxifen. "The diet that was ordered was 1800 ADA (American Diabetes Association) Cardiac diet, which was appropriate for you." Has anyone ever heard of this diet? This must be what Paula Deen is eating. LOL. "It is standard to receive cranberry or orange juice on the breakfast tray as they count it as a carb." ?? along with a huge muffin and oatmeal? Mine was cranberry juice cocktail with high fructose corn syrup--not cranberry juice. Cranberry juice is not to be given to a patient on blood thinner. No mention of that. "They are aware of the interaction between Tamoxifen and Warfarin. However, it is a manageable interaction. Tamoxifen makes the Warfarin more effective and causes the blood to be thinner with lower doses of Warfarin. Warfarin is dosed based on blood levels, so the MD would see this and know to use a lower dose of Warfarin while the patient was on Tamoxifen. If you had been here longer with us, our anticoagulant monitoring service would have picked you up on its radar, monitored levels, recommended dose adjustments, and we would've done some patient teaching." Gee. How helpful. My prescription was not changed. I figured they would alibi out of this. Next time I go to the hospital, I will insist on a normal diet with me making food choices.
I never eat the amount of carbs that were given me. Cranberry juice is a no no for a patient on Warfarin. So is two servings of a dark green vegetable such as broccoli and collards, but although I mentioned it in my letter of complaint, the patient representative did not. It was that dinner that I supposedly was allowed to make selections. I could find nothing on the menu except for chicken and broccoli. That is all I ordered, but instead, I was served some kind of meat I could not identify with a glaze, mashed potatoes, black-eyed peas, corn bread, sweetened tea and a pudding that was not labeled sugar-free. I dread going to a nursing home.
Yvonne Self; type 2; low carb when not in a hospital.