The Field Notes of Ron the Clinician and Other Clinical Experiences: Here We Learn and Teach
Edutainment By Ron
Thursday, June 4, 2026
Sunday, May 3, 2026
You Will Own Nothing And Be Happy
They told us at their WEF: “You will own nothing and you will be happy.”
No house - just rent.
No car-just lease.
No stability-just subscriptions.
No permanence-just access.
Now even relationships feel temporary… replaceable… transactional. Hard luck for all single folks out there. That is the dystopian life they planned for us.
So now, everything can be rented.
Nothing is truly ours.
Is this convenience… or control? You decide 🤔
Monday, April 13, 2026
Field Note for April 13th 2026
Room 1
Name: I
Date of adm: 4/9/26 (Day 4)
Age: 84
Gender: Male
Code Status: Full
Chief Complaint (CC): Mechanical fall with head strike, wrist & ankle pain
Isolation Status: None
Any allergies: NKDA
Diagnosis: Left triquetral avulsion fracture (splinted)
Right ankle sprain (wrapped)
Difficulty ambulating
PMHx: Dementia, HTN, HLD, CKD3, CAD, HFrecEF, severe AS s/p TAVR, AFib s/p TEE/DCCV, SSS s/p PPM, nephrolithiasis s/p nephrectomy, BPH, gout
Current surgery: None
Dressing Type: Wrist splint, ankle wrap
Bed Type: Med‑Surg
Rhythm Type: AFib (on Xarelto)
Neuro: A&Ox2, Dementia baseline, no LOC, head CT negative
Respiratory: RA
Cardiovascular: CHF, AFib, cards following; on PO Lasix
GI: Regular diet (Halal no beef/pork)
GU: BPH, voiding
ACHS: No
Diet: Regular, Halal (no beef/pork)
IV Accesses: PIV
M/S Activities: Difficulty ambulating, high fall risk
Skin/Wounds: Intact
Dressings: Wrist splint, ankle wrap
Vital Signs Time: Routine
Orders and Follow‑Ups: Pain control, PT/OT, duplex RLE negative
Discharge Disposition: Pending mobility / placement
Imaging: CTH negative, ankle/wrist imaging as above
VTE Prophylaxis: Xarelto
Pain Management: Tylenol, tramadol PRN, lidocaine patch
Any questions: Rehab vs SNF?
Room 2
Name: S
Date of adm: 4/11
Age: 102
Gender: Male
Code Status: DNR
Chief Complaint (CC): Watery diarrhea, fever
Isolation Status: Contact – Rotavirus (4/12/26)
Any allergies: NKDA
Diagnosis:
Rotavirus diarrhea
UTI (Proteus)
PMHx: Severe AS s/p TAVR (3/20/26), PPM, PAF, CAD s/p PCI, HTN, HLD, BPH w chronic Foley, CKD, RCC s/p partial nephrectomy, prior SAH
Current surgery: None
Bed Type: Med‑Surg
Rhythm Type: SR with LBBB, prolonged QTc
Neuro: A&Ox2
Respiratory: RA
Cardiovascular: AFib on Eliquis; BP stable
GI: Watery diarrhea, rotavirus +
GU: Chronic Foley
ACHS: No
Diet: DASH pending swallow screen
IV Accesses: PIV
M/S Activities: Fall risk
Skin/Wounds: Intact
Orders and Follow‑Ups:
Continue CTX for UTI
Stool studies / contact iso
IVF, trend BMP/CBC
Hold diuretics/ARB
Urology f/u for 3.8 cm L renal mass
Discharge Disposition: Pending diarrhea/AKI resolution
Imaging: CTAP – cystitis?, L renal mass
VTE Prophylaxis: Eliquis
Pain Management: Tylenol PRN
UPDATE: Back on LR IVF@75/HR
Room 3
Name: P
Date of adm: 4/12
Age: 96
Gender: Female
Code Status: Full code
Chief Complaint (CC): Severe thoracic back pain, inability to ambulate
Isolation Status: None
Any allergies: Advil, aspirin, PCN (GI upset)
Diagnosis: Acute on chronic thoracic back pain
PMHx: Osteoporosis, OA, HTN, HLD, mood disorder
Bed Type: Med‑Surg
Rhythm Type: NSR
Neuro: A&Ox2, confuse
Respiratory: RA
Cardiovascular: Stable
GI: Regular bowel regimen
GU: Voiding
ACHS: No
Diet: DASH/TLC + Ensure
IV Accesses: PIV
M/S Activities: Limited by pain, OOB x2 to chair
Skin/Wounds: Intact
Orders and Follow‑Ups: Pain control, PT/OT
Discharge Disposition: Pending pain/mobility
Imaging: Prior trauma scan negative for acute injury
VTE Prophylaxis: Enoxaparin
Pain Management: Tylenol, oxy PRN, lidocaine
Room 4
Name: R
Date of adm: 4/10
Age: 66
Gender: Female
Code Status: Full code
Chief Complaint (CC): Progressive LE weakness, paresthesias
Isolation Status: None
Any allergies: NKDA
Diagnosis:
Suspected Guillain‑Barré Syndrome
Hypokalemia
PMHx: Obesity, chronic knee pain, gastric sleeve
Current surgery: None
Bed Type: Med‑Surg
Rhythm Type: NSR
Neuro: A&Ox4, Bilateral LE weakness (L>R)
Respiratory: RA
Cardiovascular: Stable
GI: Regular diet
GU: Voiding
ACHS: No
IV Accesses: PIV
M/S Activities: Limited mobility
Orders and Follow‑Ups: IVIG x5 days, neuro eval
Discharge Disposition: Pending strength recovery
Imaging: Pending workup
VTE Prophylaxis: Enoxaparin
Pain Management: Tylenol
Update: IVIG 4/5
Room 7
Name: A
Date of adm: 4/12
Age: 68
Gender: Female
Code Status: Full code
Chief Complaint (CC): Bright red blood per rectum
Isolation Status: None
Any allergies: NKDA
Diagnosis: Lower GI bleed likely diverticular
PMHx: Vertigo, diabetes
Bed Type: Med‑Surg
Neuro: A&Ox4
Respiratory: RA
Cardiovascular: Stable Hgb
GI: Rectal bleeding resolved
Diet: Regular
Orders and Follow‑Ups: Monitor H/H, high‑fiber diet
Discharge Disposition: Likely home
VTE Prophylaxis: SCDs
Pain Management: Tylenol PRN
Any questions: GI follow‑up?
Room #: 11
Name: T
Date of adm: 4/12/26 (Day 1)
Age: 54
Gender: Male
Code Status: Full code
Chief Complaint (CC): LLE pain/swelling
Isolation Status: None
Any allergies: NKDA
Diagnosis: Recurrent LLE DVT and Cellulitis
PMHx: HTN, HLD, gout, recent PE
Bed Type: Medsurg
Neuro: A&Ox4
Respiratory: RA
Cardiovascular: On heparin gtt d/ced
GI: Regular diet
GU: Voiding
Orders and Follow‑Ups: Heparin drip, heme/onc following
Discharge Disposition: Pending anticoag plan
VTE Prophylaxis: Therapeutic heparin
Update: Home lovenox self-administered.
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