[NPInfo] Malodorous pt

Mon Mar 17 13:52:20 PDT 2008

Julie: I think this is the doc from Long Island who said that a  
paricular PA was killing people. The hospital stood up for the PA and  
so did all of the attendings.
I'll post on ACC.
Dave
On Mar 17, 2008, at 4:03 PM, jlambertrn at comcast.net wrote:

> Hi all-
> Interesting suggestions from everybody. I know this is off topic,  
> but did anyone see the Fox News Channel am show called Fox &  
> Friends today? They did a 5 minute piece on the Heparin Overdose of  
> the Dennis Quaid twins in LA. Then they lead into discussion  
> regarding the rate of medication errors, etc., in the US anually,  
> yada, yada, yada. To comment further on medication errors, they  
> have this MD in the studio with them under the title of  "Anthony  
> Colontonio, MD, Patient Safety Advocate. I'm thinking- OK, a doc  
> who has probably retired, and is now in some position with some  
> "official" advocacy group... how nice. How wrong I was to assume  
> that!  He makes one comment about the heparin incident and then the  
> co-host asks him: "What can a person do to make sure that errors  
> don't happen to them while they are hospitalized?" He then goes on  
> a one minute speech which basically said make sure that you are  
> being seen by a physician and not a mid-level provider because a  
> lot of times t!
>  hey are
>  unsupervised and are doing procedures and making decisions on  
> their own which can lead to medical errors and unsafe care. I  
> nearly choked on my coffee and wanted to throw my cup through the  
> TV. I am para-phrasing his comments, but boy did he slam NP's/PA's  
> without using the actual terms, substituting with that horrible  
> word "mid-level." I immediately wanted to email the show and find  
> out where they found this guy and who gave him the title of patient  
> safety advocate? I was outraged, but alas, I had no time because  
> this NP had to go to work and see her patients, and provide  
> quality, evidence based care to them all.  When I came home, I  
> immediately googled this guy Dr. Colontonio to see what his story  
> is. It's pretty interesting, so here is the link if you want to see  
> it: http://www.nypost.com/seven/02102008/news/regionalnews/ 
> mds_aide_is_eyed_in_3_hosp_deaths_905410.htm
> I wish I could get a transcript of the entire piece to share with  
> everyone. I'm sure you would be as appalled as I was (and still  
> am). I am going to email the show at Fox and let them know that if  
> they really practice the fair and balanced thing, than they should  
> let a NP/PA appear on the show to totally dispel his allegations. I  
> know this is long and rambling, but this really got me. If anyone  
> would like to drop them an email to show them our displeasure on  
> this man's comments, please do: www.friends at foxnews.com    Dave  
> Mittman, could you post this email to ACC-Circle? Thanks.
>
> Julie Lambert NP
> -------------- Original message --------------
> From: "suernfnp at iwon.com" <suernfnp at iwon.com>
>
>>
>> Clinical name for excess body odor: Bromhidrosis
>>
>> Check for liver, kidney, DM, GI problems. Then check for yeast or  
>> tinea
>> infections. Any skin problems? (rash, skin cancer, hemorrhoids).  
>> Chain smoker,
>> heavy alcohol use? Hot flash menopausal?
>>
>> If all is ruled out, she can try taking:
>> 2 or 3 charcoal tablets daily
>> chlorophyll tablets
>> Lactobacillus (Activia or other)
>> plenty of filtered water
>> No odiferous foods (garlic, onion, asparagus, curry, cumin)
>>
>> check out eMedicine Bromhidrosis http://www.emedicine.com/derm/ 
>> topic597.htm
>>
>> Sue D in MI
>>
>>
>>
>>
>>
>> --- On Mon 03/17, jamestblackwell at aol.com <  
>> jamestblackwell at aol.com > wrote:
>> From: jamestblackwell at aol.com [mailto: jamestblackwell at aol.com]
>> To: npinfo at nurse.net
>> Date: Mon, 17 Mar 2008 13:19:09 -0400
>> Subject: Re: [NPInfo] Malodous pt
>>
>> Basic blood work did not show any abnormalities, thyroid ok, pt  
>> has already
>> eliminated garlic, fish,?beans?and other strongly odorous foods  
>> from her diet.?
>> She doesn't smoke, no signs of infection, no flatuence or other GI  
>> problems, and
>> physical exam entirely normal (no tremors, oral exam normal, no  
>> excessive
>> sweating) except being?overweight (BMI <30).?
>
> Any other ideas on what to
>> check or how to treat??
>
> James
>
> -----Original Message-----
> From:
>> Linda Marie De Zago
> To: 'NP Info'
>>
> Sent: Mon, 17 Mar 2008 11:32 am
> Subject: RE: [NPInfo]
>> Malodous pt
>
>
>
> Hi James and everyone else:
>
> As an ICU nurse
>> there was always something malodorous about the
> neuropatients. We could clean
>> and scrub but the foul smell continued.
> As a NP student (where I ended up
>> working as a NP for one year) one of our
> patients was very malodorous. The
>> doctor never knew how to address hygiene
> matters with him so !
>> I
>> went and sat down with him to take a solid H&P.
> Hygiene was not an issue. A
>> neuro work-up ensued and the patient was
> diagnosed with Parkinsons shortly
>> after.
>
> Out of curiosity, what is considered to be the "usual
>> suspects"?
>
> Regards,
> Linda
>
>
> -----Original
>> Message-----
> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net]
>> On Behalf
> Of jamestblackwell at aol.com
> Sent: Monday, March 17, 2008 10:58
>> AM
> To: npinfo at nurse.net
> Subject: [NPInfo] Malodous pt
>
> Anybody out
>> there have any suggestions on what to do for a 40-ish y.o. woman
> who has body
>> odor affecting her quality of life and employment status?? She
> bathes
>> regulary, has tried different antiperspirants, and the usual suspects
> have
>> been eliminated.
>
> James Blackwell,
>> NP
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