IM: Almost Done

Since I only had one patient I went to see another patient who just had his toe amputated (he's a Type II DM who neglected a wound on his foot until it was too late). He had a low grade fever but was otherwise okay; we're just worried he might become septic if his infection wasn't isolated to his toe (he also has osteomyelitis). My liver failure patient isn't doing too well; he's become pretty thin and I think some of his ascites is coming back. He also pulled out his feeding tube sometime during the night. >_< It's almost like he wants to let himself go. At any rate, he's going to have that feeding tube put back in. Though I got to wonder...that tube went all the way to the duodenum, so pulling it out must have been a pain in the you-know-what. It must have hurt, too. I asked why he couldn't have a PEG put in, and Dr. B said that you don't put PEGs in patients with ascites. I hope that wasn't a stupid question, because I really didn't know.