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How Frightening!
Anonymous
Wednesday, December 24, 2008 at 12:47 PMre: How Frightening!
Mandy Crest
Wednesday, December 24, 2008 at 01:36 PMMy sentiments exactly, Curt. I understand that the Obama administration, as well as many members of Congress, are opposed to this policy.
I sincerely hope that they will address it as quickly as possible and not let it fall through the cracks. It's a very slippery slope.
Let's keep a watchful eye on this one!
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Doctors informed consent, varies doctor to doctor & patient
JohnCE
Thursday, December 25, 2008 at 09:31 PMI fight a system where I was a healthcare professional and the Doctors all know it in a fairly large area of the country, from Illinois, NC, to SC., and they know that in a few years I could have has the same degree as them. I am a professional Biomedical Engineering Director with advanced degrees and decades of experience, FDA contact for my many facilities also. I had a MI after the second dose of Novantron and the local Hospital where they took me had contract doctors that didn't know the 12 lead EKG with an large elevated T wave (which usually takes days to see) or the cardiac enzimes to check. Saw a Cardiologist that worked in conjunction with my hospitals-, and shouted his name, he came in, showed him my graphs and labs, and said I needed to be cathed ASAP, he said yes and told the staff at this hospital that was going to put me on the floor for observation to have a police escort and and advance life support ambulance to race to this larger hospital, I was wheeled straight into surgery and the cart was preformed, this took 43 minutes from onset. I was aware the whole time and had been in over 1,000+ caths in the past. I asked him to swing the monitors over while the cath was done, when he went to pull back after inserting 2, 4mm stents in my Right Cornary Artery, I said while we were there lets check out the rest of my heart, which he did. For days I was throwing 5-6 PVC's in a row and knew 6 was life threating. The doctors tell thier residents that I will question them alot. Currently treated by department heads in General, internal, and neurosurgery. Sometime they throw out too much information that has a psychological effect on me knowing the meaning of it. Never fail if you don't get the right answer to say, wait a minute and set back down and talk more on treatment and/or conditions. The hospital I go to is approx 1,800 beds so I get to educate many before my main doctors comes in, they do it on purpose and tell the resident that I will know if they are BSing me quickly. I think they all should be given a number in medical school and treated for a week as a number instead of a person. Then maybe they will learn more on the subject and also on compasion. Instead of this will have a little stick instead of a hell of alot of pain would be more correct. Being on the other side of the system after 25 years has given me insight into the othe side of the bed. My mother was an assistant administrator in the days when there was very few, and she always instilled into me, THE PAPIENT COMES FIRST WITHOUT EXCEPTION.
re: Doctors informed consent, varies doctor to doctor & patient
Mandy Crest
Friday, December 26, 2008 at 12:17 AMJohn,
There's nothing like first-hand experience! You are in the unique position of seeing health care up close and personal from both sides, so I'm thrilled that you chose to share your story with us.
I think there are more good health care professionals than bad, but that the system -- with all the insurance nonsense -- has come between patients and doctors. Most of us do not have a medical background and although we need to be our own advocates, we simply do not have the medical education of doctors. Therefore, it is imperative that there is a high level of trust.
I sincerely hope that we are successful in seeing some major health care reform passed in the near future.
Thanks again for sharing. Input like yours helps us all to understand important health care issues.
re: re: Doctors informed consent, varies doctor to doctor & patient
JohnCE
Friday, December 26, 2008 at 12:43 AMThank you for your reply:
I believe that their is many good doctors and healthcare professionals out their, but as with all professions it only takes a few to make the whole system look bad. Decades ago it was almost alway an MD that ran the Hospital. Nowdays it seems like Administrators wants to make more square footage and carpet, most have a FACHE background and don't do alot of "hands on" like days of old. When I worked up in Louisville, the medical staffs raises was mostly based on knowledge of conditions/interventions and the proper use of equipment. Now my staff is given a % that you must average to your emoloyees to even things out. To have a median of 4% raise, you would have to give an outstanding evaluation to make 5%, but in the other direction you would have to give the 3% raise to make it back up. Talk about personalities there. Hospitals have such a huge mark up also. A prefill syringe of Demerol cost me $3.21 and marked up to over $125. or a bag of D5W at $90. They all say that it has to go through so many hands. We profitted 25 Mil/year over construction/equipment and raises. I did not know all the figures, but I was chairman of the 2000 year change over committee. The administrator gave me power to bring our place up to speed and last year we were named in the top 25 most wire hospitals in America. An honor I guess, spent only $895,000. to do it and with my also doing the medical purchasing/evaluations saved the 4-5 million/year. Very stressfull job when you have your department and your hand in 38 others also. Too much paperwork indeed.
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How did this news not get coverage from the mainstream media? This is one of the most frightening laws to come out of the Bush administration. As a chronic pain sufferer, what if my MD is opposed to opioid meds or other potentially life changing treatments? You are absolutely correct that this will further divide the patient from the doctor. I hope that groups raise this issue with President Obama and get this stupidity tossed out.
I already held a dim view of Bush (and I'm a Republican) but this tops the cake. He will indeed go down in history as the worst president ever. it sure appears that Bush is owned by big business and he does their bidding at the cost of 300 milion American lives. How tragic!
Curt