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hey guys john adamson the rehab documentation guru it's been a little while i uh just haven't felt like talking about anything so anyway i thought i'd bring up a case from the other day and it was just a reminder to me that not always are we gonna be able to do something that we would like to do for a patient and not always is it appropriate really for us to do something for a patient case in point i had a patient elderly let's just say above retirement age he had gone through extensive abdominal surgery because he had colon cancer and uh they had done um an anastomosis after they'd removed part of his colon they'd anastomosed the two ends of the remaining colon and it failed and he ended up with peritonitis and anyway so they put a colostomy in him and then they they've got some other tubes in him uh i'm guessing involved in the drainage of some of the fluids and and some of the other problems that he's got and as a result of the extensive abdominal surgery he ended up with what appe...