FUN: Hospital stupidity

Saturday, August 28, 2010

FROM MY HOSPITAL NOTES

About 1AM, the night nurse WOKE Our Girl <<the patient>> up to tell her that “they needed her ADVANCED DIRECTIVE. BEFORE they could do the procedure today.”

(<Expletive Deleted> are you <synonym for excrement output> me! How many copies have I given RWJUHNB over the past 5 years and you can’t find ANY of them.)

So, now, Our Girl is upset. Is this procedure more dangerous due to the low platelets? Why are they asking for it now? Has the leukemia gotten worse? And what am I supposed to do at 1AM in the morning? Should I wake up the PA <<meaning me, the spouse>> who probably just went to sleep? Argh!

(Actually I was still awake.)

SOoo at 5:50AM, she calls PA. I’m dead out, but I hear the phone. Now, I start think: “Oh <excrement> what’s gone wrong now!” I answer the phone but she’s hung up. I’m looking at the caller id to see who called. Then, my cell phone starts to ring in its charging station in the “office” bedroom. So I stub my big toe running to catch it.

(THink of your favorite Marx Brother’s movie)

It’s Our Girl, who’s royally <synonym for urine output> off and relates the whole tale.

Now, I’m starting to worry. Why now, what’s changed since last night at 9pm. Is this just bureaucratic stupidity? No going back to sleep now.

(My toe still <Expletive Deleted> hurts.)

When I was on the phone, I couldn’t remember where the <Expletive Deleted> the papers were. I know that the originals are safely in the safe. But those are legal size and I don’t have a legal size copier. I know that they are on the website in a password protected directory but I haven’t used it in years. I should have a copy in the “medical records” bag but I haven’t looked for it in a year.

So, now I’m cranked.

Yeah, the form’s copies were where they were supposed to be in the bag in the patient’s room all the time.

Keep reading. It gets better!

I arrive around 730AM with the forms, (and coffee). (I’m going to need a LOT of coffee to stay awake today.) Our Girl says “don’t give them; make them ask”.

The morning proceeds, she goes for the test, and the routine rambles on.

Yup, you guessed it. NO ONE EVER ASKED!

Wait it gets better yet.

The “nurse manager” for the floor comes around two days later “conducting a patient satisfaction survey”. By now, Our Girl has had two days to stew and brew. Now, she RARELY complains or asks for anything in the hospital. She feels genuinely upset to be imposing on the hospital workers. BUTT (there’s always a big but) this is an exception. She vents it all out. Chapter and verse. And this manager says: “Oh, X is pregnant and has ‘baby brain’.”

Talk about volcanic eruption! Pour some case on the smoldering camp fire why don’t you? It was almost out and you have now mad eit ten times worse. Our Girl ended with: “Then she should be working in a file room somewhere; not tending to patients.” Nurse Manager shrugs her shoulder, thanks Our Girl for her input, and departs.

Our Girl is STILL <synonym for urine output> off and has it stuck in her craw!

And, I’m still amazed at the stupidity of all involved, the poorly designed processes, and the technology failure to capture and prevent.

Argh!

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PLINKY: One Law I’d Abolish

Saturday, August 28, 2010

It’s sad that “We, The People” keep allowing the political class to enslave us.

money to burn

It would be the 1913 law that created the Federal Reserve Bank.

This created a banking cartel of elite bankers, a monopoly, and turned us into serfs working for them. Andrew Jackson killed one central bank. Teddy Roosevelt stumped against monopolies. But some how this one whizzed by “We The People”.

It allowed bureaucrats to manipulate the money supply for the benefit of the banking elite and the politicians. It allowed Welfare and Warfare without having to pay for it. When FDR stole everyone’s gold and Nixon finally closed the Gold Window, the enslavement was complete.

Lest you think my tin foil hat is a might snug, because the Federal Reserve Bank’s charter talks about reserving purchasing power, consider that since 1970 the purchasing power of the dollar has lost 95% of its value. Since 1913, no one even talks about that. Some “preservation”.

In current day America, we have an out of control Gooferment, spending worse than drunken sailors — at least sailors are spending their own money and stop when they run out. Future generation are in debt to the Chinese in amounts that are nonredeemable. Deficits as far as the eye can see. Unfunded liabilities every where you look. Gooferment bureaucrats are over paid and have lifetime benefits retiring long before the serfs that have to pay the taxes.

My Rx:

0. End the FED, fiat currency, and use long term bonds (50-100) years to dig ourselves out;

1. End the personal and corporate dole;

2. End gooferment public education;

3. Stop the various wars — foreign and domestic;

4. Repatriate the troops home;

5. End the drug war; pardon all non-violent drug offenders;

6. Downsize ALL gooferments;

7. Eliminate all taxes but tariffs and excise;

8. Reform “social security” similar to what Chile did in the 1970;

9. Reform all Gooferment pensions similarly;

10. Begin to put politicians and bureaucrats on trial for “conflict of interest” and corruption. Enact term limits — one term for any elective office; one 18 year term staggered for SCOTUS.

11. Repeal the 16th and 17th Amendments.

And, it all starts with the law that created the Federal Reserve Bank. Which by the way is not Federal, Reserves nothing, and is not a Bank in any normal sense of the word. And why does it have its own police force. And, why has it never been audited.

Argh!

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WHIZDUMB: FOWG’s guide to “Patient Advocacy”

Saturday, August 28, 2010

http://en.wikipedia.org/wiki/Advocacy

*** begin quote ***

Advocacy by an individual or by an advocacy group normally aim to influence public-policy and resource allocation decisions within political, economic, and social systems and institutions; it may be motivated from moral, ethical or faith principles or simply to protect an asset of interest. Advocacy can include many activities that a person or organization undertakes including media campaigns, public speaking, commissioning and publishing research or poll or the ‘filing of friend of the court briefs’. Lobbying (often by Lobby groups) is a form of advocacy where a direct approach is made to legislators on an issue which plays a significant role in modern politics.[1]

*** end quote ***

http://en.wikipedia.org/wiki/Patient_advocacy

*** begin quote ***

A patient advocate acts as a liaison between patients and Health Care Providers to help improve or maintain a high quality of health care for the patients. The terms patient advocate and patient advocacy have a broad range of usage and may be applied to the actions of many different individuals and organizatons. The patient advocate may be an individual or an organization. Patient advocacy organizations are often non-profit and focus on one aspect of health care or a specific disease. There are also governmental agencies that study and ensure compliance with government regulations or help individuals get information, financial aid, or help with interventions to allow improved health care for the individual. Some patient advocates work for the institutions that are directly responsible for the patient’s care. Many health care professionals see themselves as advocates for their patients. In any case, the Patient Advocate is a vital instrument to both patient and physician in the optimal delivery of health care. There is currently no curriculum, certification or standards for becoming a patient advocate. A Patient Advocate need not be in the health care profession and may simply be a concerned citizen, supportive neighbor, friend or family to listen, take notes and help the patient communicate, understand, remember and cope with an often confusing and fearful process.

*** end quote ***

  1. Awareness
  2. Organized data collection
  3. Roster of Doctors and Pharmacy information
  4. Drug lists (including brand name and generic name, dosages in plain speak, who ordered when, who stopped it when, why is it being taken specifically)
  5. Readings and Lab Reports
  6. Itemization of major events with description
  7. Injections, Immunizations, Transfusions, Infusions, and Procedures
  8. Ledger for medical expenses
  9. Correspondence
  10. Archive for all of the above

It’s import to keep authentic holographic notes in a bound book. You need some type of a numbering system to refer to document into your bound book. The exception to the hearsay rule is recrods kept in the normal course of events.

As far as litigation is concerned, fuhgeddaboudit! (translation from the Brooklyn dialect: “forget about it” with a sneer.) Unless they have killed you or crippled you for life, it’s just not worth the effort and expense.

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