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Reply to "No Idea What to Do"

Glad you're feeling better, PouchLogic. It's a very individualized decision and I was just sharing my threshold for going. Anyone who has had obstructions knows that part of the hell is trying to figure out what to do..."do I go in or not? Do I drag my spouse out of bed at 2am and into a cold car or do I squirm for another few hours?" There is a lot of handwringing involved. I guess I see how little they can actually do for SBOs so unless I can't handle the pain anymore and I can't stay hydrated due to vomiting, I'd rather wait it out at home. Another definite go would be fever, hypotension, etc. as that may indicate a perforation. Short of these, I wait and avoid the ED which is currently bursting at the seams with COVID patients and incredibly taxed health care providers in my neck of the woods.

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