ownl. She piIonized mis needs. Once members of the inpatient team elicited this backstory, they contacted a social worker who arranged for IG to receive all subsequent dialysis at the medical center- the same site where her grandson received his care. She would no longer have to choose between his well-being and her own. A review of her chart a year later showed that she hadn't missed dialysis again. Question 1: Why did it take 4 ED visits before anyone thought to ask IG what was going on? Question 2: How might the label noncompliant have contributed to the delay in her receiving care? Blank # 1 Blank # 2"noncompliant." Finally, during that admission, a member of the inpatient team-a fourth-year medical student-reached out through an interpreter and learned that IG was responsible for a grandchild who had an unrelated chronic kidney condition and often needed to be seen in the medical center's pediatric nephrology clinic. This situation posed a logistical challenge for her, as the medical center was located about 7 miles north of her home and the site where she received her dialysis was located south of where she lived. The Medicaid transit van that she relied on to get to appointments could take her either to her dialysis site or to the medical center, but it couldn't take her from one facility to another. Hence, whenever her grandson needed medical care or hospitalization, she was forced to choose between his care and her own. She prioritized his needs. Once members of the inpatient team elicited this backstory, they contacted a social worker who arranged for IG to receive all subsequent dialysis at the medical center- the same site where her grandson received his care. She would no longer have to choose between his well-being and her own. A review of her chart a year later showed that she hadn't missed dialysis again. NeQuestion 30 (4 points) Listen IG, a 62-year-old Spanish-speaking woman with chronic renal failure, came to the emergency department (ED) 4 times over a period of 6 months because she'd missed her hemodialysis. Each time she had more or less the same symptoms and signs, including electrolyte abnormalities, fluid overload-and even, on one occasion, ominous electrocardiogram changes. The physicians who cared for her were technically proficient: they would stabilize her myocardium with calcium gluconate, 12 drive potassium into her cells with insulin and glucose, and get her onto dialysis within a couple of hours. She'd be discharged the next day with instructions not to 15 miss her dialysis again and to follow-up with her primary care clinician. What no one did, until the fourth admission, was to ask her why she kept missing her hemodialysis. All they'd documented in the medical record was that she was "noncompliant." Finally, during that admission, a member of the inpatient team-a fourth wear medical student reached out through an interpreter and learned that In O GO EN