Why we do the things we do!

A few weeks ago one of our patients arrived early in the morning not feeling well, looking dehydrated with a glucose monitor reading of HHH, or too high to read. He had no insurance and just could not face the expense of the Emergency Room. If I told him to leave and go to the ER he would not go. If I called the EMS he would not agree to transport. If I did nothing then he would get worse. So we kept him for six hours in the Sigmoidoscopy room on IV fluids and hourly glucose fingersticks with insulin coverage. At the end of the day he walked out of the center smiling without assistance with insulin and syringe samples in hand. Today his sugar is under control and he is smiling walking through the center.