Are there any medical experts that can explain what this means?

[Robbam55]

This was written in my clinical notes.

Disposition:
Disposition order:Transfer to other Acute Care Facility (ED Transfer to Other Acute Care Facility) - Ordered
14:47:00 EDT, Acute Care Facility, Medically Indicated Transfer, Guarded, surgery, death,

[Blunky]

ED to another ED or specialty care facility is what the first part means. They are required to document where they send a patient when discharging them from their care.

The second part is the reason for the transfer. Don't freak out over the "death" part, they're just the possible reason for discharging you, however unlikely.

Sounds like it was for a surgery?

[Robbam55]

I went to a small hospital near by for severe abdominal pain. They did a ct scan and said I had a perforated bowel and they couldn’t do anything and I had to be transferred to a trauma unit. I then had emergency surgery and spent nearly two weeks in the hospital. I don’t understand what the last part means. “Guarded surgery death”.

[Blunky]

Guarded is when you tense up your abdominal muscles from pain or pressure. Usually from your organs being inflamed, which a perforated bowel would definitely cause. Like you're "guarding" your abdominal cavity.

Surgery is self explanatory and death refers to the outcome if the procedure is not done.

So sorry to hear you had to go through that. Every patient I've ever had that's had a perforated bowel was in immense pain and pain meds barely touched it.

[Robbam55]

2 shots of morphine. The first didn’t do anything.

[douride2]

Wouldn't this question be better asked to your doctor.