BowelBro #3

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A bowel obstruction isnt a symptom; its considered to be an emergency. Usually dealth with un a hospital setting.
If it’s a subacute obstruction due to scarring then it can settle with conservative treatment (we used to call it drip and suck - nil by mouth and NG tube/IV fluids). Or if it’s due to constipation then it will settle with treatment like hardcore laxatives/enemas.
 
If it’s a subacute obstruction due to scarring then it can settle with conservative treatment (we used to call it drip and suck - nil by mouth and NG tube/IV fluids). Or if it’s due to constipation then it will settle with treatment like hardcore laxatives/enemas.
I know. But that would be done in hospital. The only way hes an inpatient in a hospice is if its been pre arranged and booked in; he hasnt just fallen ill and been admitted to hospice care today.
 
I know. But that would be done in hospital. The only way hes an inpatient in a hospice is if its been pre arranged and booked in; he hasnt just fallen ill and been admitted to hospice care today.
Where I work there is a waiting list for hospice beds. People are admitted as soon as there is a space no matter what day it is, but are often waiting 3-4 days or occasionally longer. I imagine his current admission stemmed from the obstruction he was talking about being in hospital for last week and he’s under them for symptom management now.
 
Where I work there is a waiting list for hospice beds. People are admitted as soon as there is a space no matter what day it is, but are often waiting 3-4 days or occasionally longer. I imagine his current admission stemmed from the obstruction he was talking about being in hospital for last week and he’s under them for symptom management now.
Yes exactly. Its pre arranged. If its even true. Yes I know theres a nurse in one of the photos but we have no real idea why hes in there.
 
Referrals for our Hospice services are usually made via a patient's GP, district nurse or hospital Consultant and nurses.
From their website, a blockage is a medical emergency so surely whether his self funding or not this would’ve been dealt with in A&E my guess is this has been going on a while they cant operate due to his tumours so unfortunately there’s only medical management you hospice has therefore been prearranged for a few days hence his attention seeking reappearance and trying to cream as much money as possible out of people, maybe he is actually on very borrowed time 🤔🤔
Yes exactly. Its pre arranged. If its even true. Yes I know theres a nurse in one of the photos but we have no real idea why hes in there.
Exactly Betty he will only let his 🐑 know what he wants just for the drama and attention he is 💯 not at deaths door but he’s a prize bleep just like NNL to get attention 🤬
 
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So he’s in a hospice? Is that true?
All I can think about is that he wasted his final days focusing on us. What a waste of time.
I can’t believe he did that. His ideals never seemed rational to me. He lives in some fantasy that nobody else would ever want to own. Certainly a strange character.
He’s probably in Hospice having the therapy that was detailed in his ‘letter’. Wasn’t the recommendation to have palliative chemo?
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Here’s the ones he put on today .
Sad about the book … hope refunds aren’t mentioned in the small print as null and void if the writer dies!
 
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I can’t believe he did that. His ideals never seemed rational to me. He lives in some fantasy that nobody else would ever want to own. Certainly a strange character.
He’s probably in Hospice having the therapy that was detailed in his ‘letter’. Wasn’t the recommendation to have palliative chemo?
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Sad about the book … hope refunds aren’t mentioned in the small print as null and void if the writer dies!
So he has basically walked away from NHS palliative treatment and the plan is to pay private? To be able to have chemo at home?
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Palliative chemo is given in hospital not a hospice. Most chemo is palliative. For most stage 4 patients treatment is palliative. Just means cancer can sometimes slowed down but not cured right? So he has basically walked away from NHS palliative treatment and the plan is to pay private? To be able to have chemo at home?
Millionaires can afford it though hey :) lay in your own bed having treatment.
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Yes exactly. Its pre arranged. If its even true. Yes I know theres a nurse in one of the photos but we have no real idea why hes in there.
Agreed sure he was wearing the same red t shirt when he was last in hospital with a blockage (while he was on his insta break).
 
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I was reading about the rise of colorectal cancer in young people and it's very worrying. Due to young folks not getting screened it normally isn't diagnosed until it has advanced. Keep an eye on your poop and if you see anything unusual or have a change in bowel habits for 2+ weeks inform your Dr. They can have a stool sample done.
I wonder if the obstruction is from the fentanyl? I know that pain can cause very bad constipation. I know someone that was on fentanyl after a procedure they were not given stool softeners or laxatives (big mistake). They had to have a medical enema (a pipe up their bum essentially, horrible). Very undignified.
Would he be able to do a medical enema? Or is it tumour and not poop blocking him? I am not sure how it would work in a patient with stage 4 cancer.
 
Where I work there is a waiting list for hospice beds. People are admitted as soon as there is a space no matter what day it is, but are often waiting 3-4 days or occasionally longer. I imagine his current admission stemmed from the obstruction he was talking about being in hospital for last week and he’s under them for symptom management now.
Would a patient prone to bowel obstructions/blockages be prescribed fentanyl durogesic?
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I was reading about the rise of colorectal cancer in young people and it's very worrying. Due to young folks not getting screened it normally isn't diagnosed until it has advanced. Keep an eye on your poop and if you see anything unusual or have a change in bowel habits for 2+ weeks inform your Dr. They can have a stool sample done.
I wonder if the obstruction is from the fentanyl? I know that pain can cause very bad constipation. I know someone that was on fentanyl after a procedure they were not given stool softeners or laxatives (big mistake). They had to have a medical enema (a pipe up their bum essentially, horrible). Very undignified.
Would he be able to do a medical enema? Or is it tumour and not poop blocking him? I am not sure how it would work in a patient with stage 4 cancer.
Had the same experience with fentanyl in our household. Bowel became sluggish and impacted. Movicol, fleet enemas etc had no chance. Hospital had to intervene.
 
Exactly that he’s still a lying piece of 💩
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Did he thought ??!! Did he duck you’re telling me he’s so bleeping ill but having no treatment? Nothing, nada he’s pulling the sob story again and I’m buying NONE OF IT.
He’s literally full of tit 😜
A good cleanse is needed and big show will be on his way home. Dramatics are his specialty!
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A bowel obstruction isnt a symptom; its considered to be an emergency. Usually dealth with un a hospital setting.
Agree. Even surgical intervention as a palliative approach is possible.
 
Would a patient prone to bowel obstructions/blockages be prescribed fentanyl durogesic?
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Had the same experience with fentanyl in our household. Bowel became sluggish and impacted. Movicol, fleet enemas etc had no chance. Hospital had to intervene.
I regularly prescribe opiate patches and always give laxatives alongside.

he has a defunctioning colostomy so there should be less chance of obstruction but I guess if the tumours are growing/spreading it could happen elsewhere
 
‘Bowel obstruction’ can be a bit of an umbrella term: it doesn’t ness mean the patient can’t go at all, or is completely impacted, it might mean they are severely constipated and are backed up (or they’re backed up and still going but are acrually constipated- it’s a mind field).

There are very strong medications (like Kwan prep or Gastrograffin) that can be taken at home to help- a hosp isn’t always the only route.
 
I regularly prescribe opiate patches and always give laxatives alongside.

he has a defunctioning colostomy so there should be less chance of obstruction but I guess if the tumours are growing/spreading it could happen elsewhere

Agree sometimes you don’t have a choice but to give opiates like fentanyl in pts at risk of bowel obstruction - the alternatives are paracetamol and ibuprofen which may not quite cut it for cancer pain- but yes you should also give laxatives alongside.

Rich has tumours on the peritoneum (lining of the abdomen). Very common for pts with this to get subacute bowel onstruction and sadly surgery is often not possible.

If a pt is known to the palliative care team they may well be admitted directly to a hospice from home - particularly on the eve of a nursing strike when hospitals will be in chaos.

Don't get me wrong - Rich isn't my cup of tea at all - just from the medical side a lot of what he is saying makes sense . If he is making it up - he's doing a v good job!
 
I definitely think he is in the hospice and has the obstruction. I know Cynthia Spencer very well—(amazing hospice) so it’s legit.

I don’t like the guy, but I do think it devalues our arguments, if people are constantly trying to question whether he has cancer or not, or whether he has stage 4 or not. He definitely has it. There is no need to question it anymore IMO. And I guess he is not doing very good at all, if he is lying in a bed at a hospice right now.

If he is there, and not at the hospital—then my gut instinct tells me this admission was not sprung on him. But rather he has had contact with them before, and probably quite recently too. The last obstruction was only a few weeks ago.

Is he in denial, or calculated? I think a combination of both. This is the same guy who was talking about his DS form, buying his dream car and his exciting business plans all in a 24 hour period.

So a huge disconnect there, about the realities of his situation. Because he does know. But his behaviours are never in alignment with what he knows.
 
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