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Old 01-11-2018, 06:02 AM   #4929
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Thanks, Bud.

While I without exception felt I had very skilled and knowledgeable caregivers, and received excellent care, there is now a very strong feeling of being not completely ďsafeĒ in this new kind of medical care...having to do with things that were missed when I was admitted, and something critical I was not advised of during my stay...an issue not part of my discharge instructions, nor relayed to my pcp for follow-up.

But for my pressing my pcp on a related issue on Monday, the problem would still be hidden in test results in my electronic file...my care now transferred out of the hospital and back to him.

No collective memory, continuity fragile, and many cooks in our healthcare kitchen.

Used to be, test results and interpretations came to your physician in hard copy, looked at by them before being filed. That is no longer the case, and the conga line practice of pseudo-pcpís passing thru your care whilst you are in the hospital is by its very nature ripe for error.

Iíve now allowed my medical social worker daughter access to my electronic health record, should there be a time when I canít look at it and speak to things myself...she in coordination with my son would be my medical advocates.

We are not naturally geared to look at test results and ask questions about our medical care, ourselves, I donít think...but we need to be.

Itís a whole new medical care world out there.

Maggie
If I remember correctly hospital and medical errors cause in excess of 1,000,000 deaths per year. It's only going to get worse is what I see as fewer people are entering the nursing and doctor fields.

Take Care, hug Lily- it always helps.
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Old 01-11-2018, 11:26 AM   #4930
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Originally Posted by paiceman View Post
If I remember correctly hospital and medical errors cause in excess of 1,000,000 deaths per year. It's only going to get worse is what I see as fewer people are entering the nursing and doctor fields.

Take Care, hug Lily- it always helps.
It's certainly an issue, but a million deaths per year might be a little high side estimate. 🤔
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Old 01-11-2018, 01:31 PM   #4931
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A Different Life II

I think itís around 100-150,000 per year last time I looked. Still too darn high. Wife is an RN, and she sees the deterioration in health care skills, defensive procedures, and other crazy stuff going on daily. Itís not like it used to be....

Itís not that itís super hard to get into the medical field, IMHO, the problem, especially in nursing, is that people are unwilling to work that hard, with that many stressors, for organizations that donít want to pay for the skills needed. Sore subject around my house...
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Old 01-11-2018, 01:57 PM   #4932
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I agree, rmkrum. Back in my day in nursing, there was a dedication and a satisfaction in making a difference, helping people, doing all one could to help them heal. The feeling of being a part of a team that prides themselves on saving lives was as important to me, as the salary, (which was always unimpressive....too little for the level of education and expertise that was demanded of each and every nurse).

These days, I think there may be a minimum of people who go into th field of nursing to make a difference in the lives of others. The "IT's ALL ABOUT ME GENERATION" ....perhaps way too many young folks who are unwilling to work the long, hard hours after obtaining an advanced level of education, for never close to the salary that they deserve, is having an impact on the nursing field.

Too many kids, feeling too entitled. The hospital philosophy of paying too little, expecting too much, not valuing the experience of the older nurses, who have earned the right for a more substantial salary, which hospitals do not want to pay, let alone the fact that few older nurses are retained long enough to collect a pension....all this factors in to a decline in the level of expertise in the field. Add to that, the insurance industry control....$$$$$! No wonder it is like it is today. Enter the government involvement in patient care....well, we all know how well they manage "anything"!
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Old 01-12-2018, 05:51 AM   #4933
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This article keeps popping up on my home page...

https://www.huffingtonpost.com/entry...b01e1a4b181060

I’ve cancelled my stay at Tybee Island and Edisto for this winter, but anticipate returning there next year...one, a beloved place of many years, and the other a new one just discovered in 2017.

Doug and I were so very fortunate, to have 6 1/2 retirement years of roaming and discovering the country together, and I the ability to do it by myself these past nearly 4 since his death.

Yes, I choose to be grateful, in spite of recent events, as it is better to look up than back.

I’ve had other disasters in my life...for which my track record of surviving is 100%, thank you very much... and a number of near-misses, where I’ve been pulled the right direction by an unseen hand, just in the nick of time.

I have fully recovered from the recent event, minus the inconvenience of double vision , having resumed all activities that can take place within my little house, or escorted out beyond my driveway.

Reading and typing with the left eye closed necessarily limits those activities, but I can live with that.

My eye doctor yesterday saw nothing unexpected going on, giving what occurred and where, and anticipates I will make a full recovery within the next 6 weeks.

Minus the blood thinners , this shouldn’t happen again, and it could have been so much worse.

I am grateful.

Maggie
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Old 01-12-2018, 07:33 AM   #4934
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I had the opposite experience with the health care system in caring for my Father in his final years. He was in a deteriorating condition with both cardiovascular and respiratory decline.Over a 4 year period he would periodically find himself admitted to the hospital after receiving care in the ER.
While admitted, the Hospitalist, Cardiologist, Etc would insist on tests etc to find the "cause" of his decline.After my questioning this, they would agree that there probably is no treatment available to him and on my insistence, release him rather than subject him to the exams and longer hospital stay.
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Old 01-12-2018, 08:10 AM   #4935
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Thatís very good to hear, on the one hand, but on the other may demonstrate an excess at the other extreme.

Thereís got to be a happy medium, and that may exist within our own efforts and those of our appointed advocates on our behalf.

Maggie
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Old 01-12-2018, 08:12 AM   #4936
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Colorado Lady; I couldn't said it any better. We worked days, nights week-ends holidays etc. some times we worked our shift with OT and went in on the next with little or no sleep all because not enough staff. This is where the "mistakes" happen. Also when it comes to staff, yes the "off shore" nurses are used and needed. They are also a "warm" body. There are the times when one is praised and another when criticized.
NSBCPA; I have seen both sides like you stated; where the family wants
everything done and also like you stated "make the patient comfortable. There is a form called"ADVANCED DIRECTIVE" this is where the patient consents or rejects as to life support procedures and if needed someone responsible for the decision.
On my last Dr. visit, I was asked if mine had been completed ( I'm 77) per NEW Medicare Guideline. hummm ?
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Old 01-12-2018, 02:36 PM   #4937
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Thank goodness I have been able to crochet thru this little episode.

This was todayís project, a cover for the Iowa grandís IPad...after she announced to me when I saw her after Christmas that sheíd had to throw her case/cover away, because it had gotten ďslimeĒ all over it.

If you have or know gradeschoolers, theyíre all into ďslimeĒ they make out of Elmerís Glue and who knows what else... kind of like the Silly Putty we played with as kids.

I hated looking at her carrying and storing a naked IPad.
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Old 01-13-2018, 05:18 PM   #4938
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Our internist whom we've had for over 30 years is part of a university system and told me on my last visit that he is warn out. Not by patients, nurses etc but by interns assigned to him for further training who know very little and constantly talk about time off and the long hours often rushing thru patients so they can leave.
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Old 01-13-2018, 08:43 PM   #4939
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Maggie, just ran across this development. Hoping you a speedy recovery. I highly recommend a book by Julia Fox Garrison, Don't Leave Me This Way. Best book on strokes ever

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Old 01-14-2018, 05:43 AM   #4940
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Thank you, Dana.

My left eye has almost returned to its assigned spot, mid-socket , tho I suspect the resolution of the double vision is on its own, and separate, timetable.

Reading about the type of stroke I had....I choke on that word each time, preferring small brain stem bleed...because googling it is what one does in the 21st century, they can be devastating.

I was lucky. I thought I had injured my eye, and had time to do a few things, as well as determine whether Prompt Care or the Emergency Room was the necessary destination.

I put Lily out before calling my son, knowing she would be by herself for awhile.

I also sat in the bathtub with the handheld and showered, then put on clean pjís and a robe, because I was too violently nauseous to completely dress.

Remember...a sudden vision change is considered a stroke until determined otherwise, and loss of balance or sudden nausea/vomiting can indicate someone is having a stroke.

I was very lucky.

Maggie
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Old 01-14-2018, 11:09 AM   #4941
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Yes, Maggie. You are very lucky and we are all very grateful for it. Prayers continue for your full recovery. God bless you. Evelyn.
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Old 01-14-2018, 11:29 AM   #4942
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I appreciate those, Evelyn.

Maggie
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