Hello Jim,
First off Jim, your entirely welcome to jump in here, emergency or
not, your a care giver and very special to us. glad you did come for
help, I'm pretty certain we can organise somethig here.
Up front Jim, I live in Ireland so our systems do differ, ok? But
people in trouble are pretty much the same the world over so my two
cents worth are as follows;
Something else to consider here too Jim. Perhaps this is not the time
to be changing doctors either. when you are well you can afford to
undergo tests etc that a new doctor may want to pursue, but when you
are in a really bad way, then stabilising the condition is, or should
be, the priority. the ER that Chey would have used up to this point
will have some record of her condition, plus they can draw bloods and
check enzyme levels too. You may have to use all of your charms to
convince Chey to go there, but it may just be worth it. If Chey is
admitted by the ER staff then her present doctor can be pressured by
the hospital, by phone if necessary, to get her a refferal to the
specialist, or maybe even phone the specialist and arrange for Chey
to be seen straigt away. Personally, I would make getting Chey
stabilised my priority, she could succumb to all kinds of problems in
withdrawl, including a heart attack, and she does not need that right
now. Neither do you Jim!
If she goes to her local ER and they do not want to see to her, then
maybe one of the doctors at the ER will give her a letter if she, and
you of course, explain the situation to them, but do not mention the
withdrawls at the first moment, hold off on mentioning the word
withdrawls, they always get a little "skitterish" if they hear that.
Keep one thing in focus all the time, Chey's first priority MUST BE
to get her situation STABILISED first. Everything else can follow on.
Plan B, JIM!
Can you phone the new doctors office, the one that Chey needs to see,
and check on that doctors schedule first. There is little point in
facing into a 60 mile round trip, minimum that is too, if the doctor
is not even in town on the day you go there.
If you get to speak with the doctor personally, then great, tell him
exactly what he needs to know, nothing more, he needs to know that
Chey is very ill, that her present doctor is out of expertise and out
of town too. I would not particularly see that you should tell him
about the withdrawls, if he agrees to see Chey without knowing that
then he will not send her away when she arrives, that's how I see it
anyway.
If the doctor is not available to speak with you, ask if you can
speak to one of his partners, they can't all be away on the same day
surely, or perhaps one of his junior assistants, this is where I'm a
little lost Jim, I don't know the pecking order. However, once you
get to speak with someone that can make a decision then do as we
discussed above.
I'm pretty sure that Chey knows by now that her best course is to
stop eating, not a problem usually, we don't feel like eating in a
flare up. Just keep her fluid volumes up if she can hold down fluids,
if not then some popsicles are good to suck on, cooling and
refreshing too. If that's not a flier, then some crushed ice is a
good route to take.
It begins to get nasty if her condition remains bad and she is not
taking at least fluids for some time, personally, I think 24 hours,
MAXIMUM, provided that she was well hydrated to begin with.
Now Jim, to the really hard part.
Once Chey is in a bad state, like she appears to be now, and if she
has any other health issues, such as cardiac, liver, kidney, diabetes
or any serious illness's, then she has no choice but to bite the
bullet and go to the ER, PERIOD.
Good luck Jim, my prayers are with you, and those of every member of
the TPP Family, please, when you get a chance, will you keep us up to
date on Chey's condition, and we also want to hear how you are coping
too, you need all the support you can get right now, and we are here
for you in just the same way as for Chey, tha's all the way Jim, all
the way.
God bless you and Chey and keep you both safe and well
Pat