November 13, 2016 Admitted – November 25, 2016, Discharged
April 6, 2014 Emergency – Tender and red colon . Fever 38
March 25, 2013 Admitted – March 28, 2013 Discharged
Came to Richmond Hospital with diarrhea and leukocytosis
His stool was positive for C. Difficile
March 6, 2013 Admitted – March 20, 2013 Discharged
after this event, I quite watching TV, cleaned up my suite
and refreshed most of the Math I have studied from library texts
this was the beginning of my return to sensibilities On March 7 Kim was significantly confused, disoriented in all 3 spheres, calling almost everyone by his daughters first name.
Prior to his admission he had been behaving somewhat unusually and having hypomanic symptoms for approximately 1 month.
There was no known trigger for this.
His thoughts were disorganized and he had difficulty expressing himself.
He was treated empirically with antibiotics for a presumed infection, although subsequently blood and urine cultures did not detect any
bacterial infection.
The working diagnosis is an acute delirium on top of an organic brain syndrome which is chronic in nature.
His sensorium cleared over the course of a week.
He has been quite goal-directed and able to explain his care needs in a clear and logical fashion, as well as explaining when he is having
difficulties why the difficulties don't exist at the care facility.
March 5, 2013 Emergency
July 3, 2012 Emergency – Insomnia / Anxiety
July 8, 2012 Dr. Br – Non-healing tumour on chest
July 22, 2011 Ambulatory Care – Iron Sucrese infusion
July 5, 2011 Ambulatory Care – Iron Sucrese infusion
June 22, 2011 Emergency – Anemia
May 22, 2011 Admitted – July 5, 2011 Discharged
severe constipation
May 16, 2011 Emergency – Bloating
September 4, 2010 Admitted – September 7, 2010 Discharged
Constipation having gagged stool
August 11, 2009
Reconstruction of carcinoma right shoulder
December 4, 2008 Discharge from Minoru
Moved to Residences for Independent Living RILS in Steveston
September 6, 2007 Admitted to Minoru
August 14, 2007 - Dr. Br
Pre-Op dx Carcinoma of left upper mouth
May 25, 2007 Emergency Room – Dr. Ni
This very unfortunate man aged 55 has had MS since 1995.
He describes the course as “rolling with the punches”.
This was precipitated by exacerbation of his right hand and arm which caused him to have chest tightness, cautious breathing and back pain.
After some time he had his son call an ambulance.
He thinks the symptoms were related to anxiety.
He has 3 other pains which are constant.
1/ Pressure on bones in his buttocks when sitting in his chair and cannot change position. This is predominately at steady at 2-3/00 and dull/sharp.
2/ Hot tingling sensation left thigh. Helps to change position.
3/ Cold feet, especially on soles. Uses a “Magic Bag” heated in a microwave.
Uses a lift to transfer.
2 hrs home support in am, 1 hr evening and 1 hr night bed care.
Three times a week he has a suppository in am.
He is continent of stool and urine but wears a diaper at night.
No appetite and he eats because he has to.
He passes urine into a large cup which is most easy for him to handle.
Breathing is good but nose stuffed.
He lives in handicapped dwelling with 16 and 18 yr old son / daughter.
Wife separated last fall
May 25, 2007 Emergency Room – Dr. Th
Spoke with Dr. Ha re. Kim.
Discussed triad of pulsed steroids.
Patient had a fever yesterday – gone now.
Patient not coping with his helplessness, pain, etc.
I have asked Dr. Ni if he can suggest anything from a palliative point of view.
May 24, 2007 Emergency Room
Noted weakness in right arm (only functionable limb) and became anxious.
Dr. Th – He lives alone with a 16 yr old son and 18 yr old daughter. Wife left him in December. He has 2 hr help in am. for bathing etc., 1 hr in the evening for meals and 1 hr to get to bed.
But will lie for hours without help. He is unable to shift his weight in bed. Severe pain in legs at times and cold feet.
Home care give him Ducolax suppositories Monday, Wednesday and Friday. Wears Depends at night.
Discussed Long Term care. Patient afraid of how his kids will cope without him.
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