Michelle, welcome to the forum. I'm glad you finally decided to post. I don't have a definitive answer for you, but perhaps someone else will. However, when Hospice gets involved, their care is supposed to be palliative; i.e., comfort measures only. Perhaps the physician feels that every two weeks is sufficient to meet that criteria, but anything more would be considered too aggressive.
Michelle, you may be right. See if you can make an appt. to talk to or see the Director of the facility he is in or a patient advocate, if they have one. You need to express your concerns about the way your friend is being treated (or not treated in this case.)
Rick, it is my understanding that Michelle's friend is in a hospice inpatient facility, so not able to just have him zipped away somewhere else. I'm not sure about hospice facilities, but I know that nursing homes generally have one doctor, who is the Medical Director. They are not specialists and usually have other nursing homes to visit, as well, so they're not in one place all the time. Generally, unless there is an emergency, they only see patients 1-3 x a week. In her friend's case, and from what has been posted, it seems that the physician is not comfortable with paracentesis and considers it an aggressive treatment if done too often. Hospice, by its very nature, does not act aggressively.
Nevertheless, I think Michelle should speak with the Director of the facility, a patient advocate, or even a nursing supervisor, since the patient in question is so uncomfortable.
Post Edited (hep93) : 12/10/2009 2:47:37 PM (GMT-7)