Case Study 376 Short Bowel Syndrome

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376 Short Bowel Syndrome increasingly dependent upon Jim to maintain and coordinate her care. Early in their relationship, several of Lynn’s doctors and surgeons encouraged Jim to learn as much as he possibly could about Lynn’s condition. They knew, as a scientist living with Lynn and focused on only one patient, through time and necessity, Jim was going to become an “expert in Lynn.” Because of a high-output end-jejunostomy, Lynn required intravenous (IV) support for many years, some of the time infusing IV nutrition (i.e., total parenteral nutrition [TPN]) and some of the time infusing IV hydration with added magnesium. From 2003 to 2006, a customized care plan was painstakingly developed and personalized for her needs. Over time, Lynn was
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