Saturday, May 30, 2009
I cant fault the nurses on the floor. They were creamed. They are understaffed because so many of them that should be taking care of patients are now walking around with clipboards making sure that the paperwork is done, regardless of the actual patient care. We now have nurses that take care of patients and nurses that take care of paperwork and manage the administrivia. The more admistrivia they manage, the more they create. The more paperwork nurses we need. Since the hospital is going broke, they cant afford to hire more nurses. The result, less patient care and more administrivia.
So I get three pages regarding a nonessential paperwork form within 30 minutes and the patient with a severe infection was not seen for 2 and a half hourse and did not get his first dose of antibiotics until 4 hours after he was admitted.
Thursday, May 28, 2009
Sunday, May 24, 2009
As we drove back from visiting a relative in poor health, we saw a tragic site. Some motorcyclist were riding side by side behind several cars. As the cars slowed down to take the exit the motorcyclist found themselves too close and one of the bikes went down on the interstate and flipped. We immediatly pulled to the side and ran to help. Car after car stopped and people jumped out to render assistance. One man ran into the interstate and directed cars away from us as we held pressure and held the motorcyles passengers neck in line. Another man ran into the road to save the motorcycle's driver who in his post concussion was walking right into the traffic. All told we had at least 10 people there is less than a minute. There were 4 nurses including one from our trauma center, 2 physicians, an off duty EMT and three others who risked the high speed traffic to help. EMS was there in a few minutes, the same gentleman who ran into the interstate to save the driver directed the traffic to clear a lane for the ambulance. The rider and his passenger will be OK, rain will wash the blood off the road and others will go home after putting their life on the line to save anothers.
Thursday, May 21, 2009
Wednesday, May 20, 2009
Well, as luck would have it, he managed to get shot again in another drug deal and was brought right back to the trauma center where the group of docs that he is suing had to save his life again. Traditionally, trauma patients are entered into the system for their labs and xrays by a code name until their real name is known. He was recognized immediately by the ER staff. Rather than using the standard trauma name from the list, they entered him as Plaintiff Plaintiff into the computer. The doctors and nurses of the trauma center now refer to themselves as co-defendants.
I would hate to be in the intensive care unit with the docs and nurses who I am frivoulously suing in charge of my sedation and pain medication.
Sunday, May 17, 2009
The very next patient came into the ER with severe back and shoulder pain. He had been seeing his independent nurse practicioner for a large swelling on his shoulder that did not get better with the multiple courses of antibiotics. The back pain had been getting worse for months. Our xrays showed that shoulder mass was a metastatic tumor as was the tumor that had eroded the body of his T6 vertebrea causing his severe back pain. Turns out he had been having hemoptysis a few months ago and the same NP treated it with antibiotics for his cough. His lung cancer is unresectable. We tried to get medical records from the NPs clinic. They do not answer the phone on the weekends or have an answering service.
The last case was the one that really broke me. A really nice gentleman who came in to the ER with generalized weakness and headaches. He was really proud that he had never had any medical problems and he attributed it all to his holistic lifestyle. In fact he goes and sees his holistic physician once a month. They had been trying all different types of therapy but he was getting weaker and weaker and ended up in the ER when he fell. His EKG showed AFIB, his ejection fraction on echo was about 20% and his lungs were full of emboli from atrial clots. His histrory was a bit hard to get as he had to breathe with the rebreather.
I know that there are good nurse practicioners, good pharmacists and good holistic practicioners out there. I also know that there are bad doctors out there. What I think makes the ones that are good, good is that they know that something is out of their league and they get help. Hopefully, they get help for their patients before its too late.
Sunday, May 10, 2009
He took all of our tax money, plus that of our children and spent it all. The good news is that some got $500 back. The loose change of the $100,000 plus that his budget will put us in debt. Perhaps in that "bill of right for credit card users" it could include a statement that "credit users shall spend as much as possible with no consideration of limits and all amounts due shall be payed by others until their and their childrens assets have been exhausted."
Saturday, May 9, 2009
This was in no way a formal study, but I would sure like to see one. Better yet, I would love to see a report of the adversiting demographics that the trial attorneys go after.
Wednesday, May 6, 2009
As I mulled this over, I wandered to the doctors lounge. There several of the other docs were having a discussion about healthcare costs and wondered why have health insurance at all? Why not universal governement health coverage like Medicare and Medicaid. I couldn't control my usual introverted quiet self and let go.
I explained that people spend more carefully when it is their own money that they are spending. Like the difference between the two patients that I saw earlier. One of the docs immediately pointed out that one got the MRI where the other didn't. I told him that this does not mean he got the best care, it just means he spent the most money. As people who are disconnected from the cost spend more and more, suddenly there has to be cuts. Since it is not your money, the people whose money it is (Government) will then decide on how its spent and will have to limit it. With private insurance you are contracting for and paying for future care and have some control of how that is spent. Its your money not the governments that is being spent. The nephrologist jumped in and explained that he was doing dialysis on a patient from Canada who was here to have her CABG because she could not have it back home.
So, we can give the government our money, they then make that money theirs and they decide how it will be spent; or we can save or use our own money to help pay for the care that we want.
Sunday, May 3, 2009
Chrysler like the other big three had huge entitlement burdens that they could not shake. It had a huge tax burden that its foreign competitors did not have and regulations up the wazzo. As the economy declined, it could not survive. The government stepped in, gave it billions of dollars and did nothing to the taxes or the entitlements. It still failed and those billions are gone. They now want it to go bankrupt and merge with a Italian company that has failed many times and now is a constant failure supported by the bankrupt Italian Government. Italy supported the company by raising taxes and entitlements and now they have huge emigration of their young out of the country. Obama wants to raise taxes and increase entitlements here.
Medicine is like Chrysler. It is plagued by huge entitlements, regulation and taxes . Obama wants to change healthcare like he did Chrysler. He wants to increase the entitlements and wants to raise taxes to pay for it. Given what he has done for Chrysler I wonder how long it will be before he bankrupts medical care.