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Old 08-29-2007, 12:19 AM
Machiavelli Incarnate
 
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Originally Posted by Sam View Post
FL- I am sorry you had that experience. You sound knowledgable about your daughters condition and I hope she has a good outcome.

I will say the issue of low standards of care or malpractice are serious issues-however they are not the cause of the astronomical healthcare inflation we have seen. Tort refrom would have little impact on lowering the cost of healthcare. It would only put the responsibilty of malpractice and longterm care secondary to malpractice onto the taxpayer.

Example: If a physician makes a catastrophic mistake that requires their patient to need care their entire life that could cost in the millions-and there is a cap of 500,000 the burden of the malpractice is shifted from the physician and onto the tax payer. Specialists are most likely to get sued and most make incomes over 7 figures. In fact tort reform would not only raise taxes it could in rare instances diminish quality of care if the motivating factor for the physician was only to avoid a lawsuit (hopefully that would not be likely-but the possibilty exists).

Physicians and Registered Nurses are like any other profession-most are competent and compassionate....but there are always a few who either are unable or lose thier ability to do their professional best.

I have worked in teaching hospitals, the VA and now a private non-profit hospital. I prefer large regional private non profit hospitals for the highest quality of care

FL-the hospital record is a legal document. The saturation levels should be documented by the R.T. Get a copy of the record...if you think it has been tampered with that can be detected easily.
I don't know how it can be tampered with, but at this point it is my daughters word against the physicians. The Administrator said that he would be by to talk to my daughter to get her statements, but in two days, has not bothered.

Sam, one of the reasons I think that healthcare expenses have gone up, is the way they do business. For instance, several years ago they offered Nurses that had been with the hospital two years a chance to go on PRN(?) in other words, call in. The idea, I'm sure, was to save money, but it doesn't. Even as a call in, nurses are given benefits if they work more than 25 hours a week. They also receive a great deal more to be call-ins. Many of the nurses have chosen to do this, because they still get alot of hours, benefits, and they get to choose their hours/days and they make better money.

And sub-contracting doctors for the ER would surely be more expensive than supplying your own in house doctors.
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  #12 (permalink)  
Old 08-29-2007, 02:57 AM
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unfortunately, THAT was out of reach too.
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Old 08-29-2007, 03:27 AM
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Default I couldn't agree more

Quote:
Originally Posted by freedomlover View Post
Ya know, that is wonderful advise. However, sometimes it is not mistakes, but just plain arrogance on the doctors part.

Example one: My daughter went in with asthma problems. After dealing with it for years, I made myself pretty knowledgable about what works for her. I suggested that her first nebulizer treatment contain epi. The doctor kept her on a straight treatment, laced with epi for an hour continuously, and refused to come back into the room to discontinue the treatment. The result is she came very close to stroking out at the age of 17.

Example two: My son needed stitches in his head, but he is allergic to tetanus. I would not let the doctor administer the tetanus and he got absolutely hateful with me. My regular doctor ordered a special shot (globular something) but it had to be administered at the hospital. When they came into the room to give him the shot (special ordered, very expensive) they had two syringes. I asked what they were. They were the globular shot and a tetanus shot. When I refused the tetanus shot AGAIN, the same doctor argued with me and called me stupid.

Example three: My daughter was admitted to the hospital for here asthma and pneumonia. It is written very clearly that she is allergic to theopholine (theador, ect.). The doctor decided that that they had changed theopholin, so my daughter could have it. By the next morning, I knew what they had done. She was bouncing off the wall, throwing up, diarhea, and her asthma was much worse. A stay that would have lasted 2 maybe three days, turned into a two week stay.

Example four: My pregnant daughter went to emergency room in respiratory distress. They order one treatment and two steroid shots, and sent her home with an sats level of 90%, cross-wheezing, still complaining of difficulty of breathing, enclave of ribs and throat, crackling in lobes and blue around mouth and fingernails. The doctor told her she was fine. Less than an hour later, she was returned to the hospital admitted, and now she is going downhill. They started with treatments every six hours, then 3 hours, now she is at "as needed status" which means that she can have 3 every 90 minutes.
Another time I went in the hospital with a severe lung infection. Because I am hypo-adrenal, they gave me Prenisone to keep my immune system going.
Unknown to me (or the staff) I am one of the 5% of people that go into a Steroid Induced Psychosis when given Prednisone. No one...not the doctor or the nurses could figure out why I was going nuts. I have no history of mental illness. Only my brother figured out it must be one of my medications (after they called him and told him to start looking for a mental hospital to put me in).
But more to your point....everyday I take cortisone with no problem, and every time I see a new doctor, he always wants to put me on Prenisone.
When I tell him I can't take it, he's says that's not possible....Prednisone and Cortisone are the same. When I ask him why he prescribes Prednisone then, he says, "well, prednisone is more effective for some conditions". Well...if that is so, then they can't be exactly the same, now can they?
They just don't get it and they assume we ae idiots.
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Old 08-29-2007, 10:08 AM
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Originally Posted by wvpeach View Post
Its good practice to be pro active at hospitals when a loved one is sick.

Stay at the hospital , ask questions and make sure those mistakes aren't made.
I've been very fortunate in the health dept. The only time I was really involved with a long hospital stay for a serious illness was for my grandfather.
He was in for complications from prostate cancer which eventually lead to his death. While he was there, I became the watchdog. I questioned everything , and some posters may have to look up the word "civil", but I did it in a civil way.
Everyone involved was very helpful and would take any time needed to explain what was happening and why.
There was always family around and maybe it did have an effect on how he was treated. Maybe it was just standard at that hospital.
Being involved and asking questions sure can't hurt.
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Old 08-29-2007, 10:21 AM
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Quote:
Originally Posted by freedomlover View Post
I will admit that I have had, personally, very good physicians. The problems have almost always been in the emergency room where this hospital subcontracts doctors from a health care system. When the local doctors ran the ER, there were not these types of problems.
exactly freedom lover and do you realize that a x-ray taken in a ER now days might be faxed to India to have it read? because India will do it for pennies on the dollar .

That a african company may own the pharmacy in that hospital and send some nice african PHD who can barely speak English to run it, and run it into the ground he does, to african health care standards, thus the sewer back ups in IV prep rooms.

That a NY firm who has never been to your community may own the food services, A arab company the cancer treatment facilities, A investment firm the rehabilitaion department, a think tank in washington the security services.

Everything is being out sourced and sold off, including our medical facilities.

Most people are not even aware this is happening. Health care is going to get worse, and worse because of stuff like this and insurance companies are about to jump off the ship and dessert it. they wrung every drop of profit they could from people over the last 50-60 years and they are not about to pay back any of that money to fix our health care.
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Old 08-29-2007, 10:24 AM
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You did exactly what you should do Just me

And you are right you get more flys with sugar than vinegar.

Quote:
Originally Posted by justme View Post
I've been very fortunate in the health dept. The only time I was really involved with a long hospital stay for a serious illness was for my grandfather.
He was in for complications from prostate cancer which eventually lead to his death. While he was there, I became the watchdog. I questioned everything , and some posters may have to look up the word "civil", but I did it in a civil way.
Everyone involved was very helpful and would take any time needed to explain what was happening and why.
There was always family around and maybe it did have an effect on how he was treated. Maybe it was just standard at that hospital.
Being involved and asking questions sure can't hurt.
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Old 04-01-2008, 08:41 AM
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Malpractice Suits are the symptom, not the problem. This country suffers preventable deaths due to MEDICAL MISTAKES at the phenomenal rate of between 80.000 and 100,000 souls EVERY YEAR. If someone would muster the courage to correct that problem, law suits would dry up. Americans pay out many times as many dollars each year in medically related expenses (insurance, lab fees, co-payments, government subsidies to drug firms and HMOs, payment of treatment of uninsured, etc.) than it would cost for a single payer system to cover everybody.

That was the main point being made by Michael Moore in his movie Farenheit 911. Solutions to the major problems confronting this country are being stymied by the constant inteference of big business, who keep throwing barriers in the way of real progress because it threatens their monopolies. Shining examples are (1) the way the oil industry manipulates and controls all efforts at development of successful alternative energy systems (i.e. the permanent magnet motor developed by the man in Oklahoma who has already successfully demonstrated it as an automotive power source that uses no gas or oil), (2) the drug lobby literally writing their own ticket insofar as new laws are concerned, that are designed to stifle a system that accepts huge subsidies for research and development from the American taxpayers, yet gouges them at prices several times what they charge people in other countries for the drugs that were essentially financed by U.S. citizens, and finally (3) the so-called U.S. Chamber of Commerce (has no official connection to the U.S. Government) that portends to represent the best interests of the country, but which is really no more than a business union with interests that run counter to those of the working class Americans.
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Old 04-01-2008, 09:31 AM
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Default Not the reasons

Quote:
Originally Posted by Politically incorrect View Post
Ask any Republican why health care is so high. He will tell you it is because of the huge sums of money juries award people who claim malpractice, hence, making malpractice insurance premiums sky high.
The actual reason that malpractice insurance is so high, is because there is so much malpractice.
Not only by doctors, but by nurses, hospitals, pharmacies, etc.
Consider the following: my wife was in the hospital for knee replacement surgery. Right after the surgery, a nurse hooked her up to a pain pump that delivers pain medicine whenever the patient presses a button. However, the nurse left the button on top of the pump where my wife couldn't reach it...rendering it useless. Fortunately, I was there to correct the nurse's mistake. The next day, they unplugged the pump to take her (and the pump) to PT, but when they brought her back, the back-up battery was dead, and they forgot to plug it in the wall outlet. When I got there she was in alot of pain because, once again, a mistake had been made.
Two more mistakes were made when I was in the hospital...one of them nearly costing me my life.

The other thing contributing to the high cost of health care is the HUGE profits pharmaceutical companies make.
Example: Oxycontin has been on the market for years. The cost of producing a drug goes down over the years and yet the cost of Oxycontin has increased 500% since it first when on the market.
60 tabs of 80 mg Oxycontin costs over $1000. The profit margin is astronomical.
It's easy to see why health care cost so much .
While factors in the cost equation, they are not the main drivers. Malpractice costs are a relatively small portion of the problem and concentrated among certain specialities, drugs while expenisve overall offset a great deal of medical costs. The use and misuse and overprescribing of drugs are a factor.

There is no incentive for anyone to care what health care costs, nearly 50% of care is unnecessary, and there is an error or inappropriate care rate also close to 50%, people don't take care of themselves leading eventually for the need to use the system and then there is the aging poplulation, and state mandates (adding up to 25% to health insurance premiums).

This is a complex issue largely controllable by the actions of doctors and patients, but we have not placed the correct incentives anywhere in the system. Doctors make money by providing care so they provide care and patients want an easy fix to problems so they demand care and in most cases have no significant stake in the cost.
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