Yesterday we spent significant time on our 8 patients. All had issues that required thought and some required doing some reading. We had our first opportunity to use a new drug – Methylnaltrexone for Opioid-Induced Constipation in Advanced Illness.
Our patient came in from hospice with abdominal pain and severe obstipation. We used standard treatments with only modest success. Adding methylnatrexone made a huge difference, allowing the patient to be ready for discharge today.

