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re: What is Healthcare's future?
Posted on 8/5/16 at 5:54 pm to lsucoonass
Posted on 8/5/16 at 5:54 pm to lsucoonass
quote:
I didn't know his condition I'm assuming he stated such but I didn't read the whole thread
He didn't mention it here. He's been around the board for a while and has discussed it on a handful of occasions if I'm remembering correctly.
Posted on 8/5/16 at 6:03 pm to Hopeful Doc
Gotcha.
I'm just in my first year of ot school. Other than anatomy and physiology I don't know how much more I would learn about the heart.
I don't think I want to dissect another cadaver ever again.
I'm just in my first year of ot school. Other than anatomy and physiology I don't know how much more I would learn about the heart.
I don't think I want to dissect another cadaver ever again.
Posted on 8/5/16 at 6:06 pm to LSU alum wannabe
all I know is that it's fricking expensive now
Posted on 8/5/16 at 7:21 pm to LSU alum wannabe
Healthcare has become what it is today for so many reasons. As a provider in family practice, I complete understand why family practice physicians would do MDVIP.
In Louisiana, the Medicaid expansion has really made things interesting. Many family GPs quit taking Medicaid so the system I currently work for has seen a huge increase in Medicaid patients, many of whom are total cluster f$cks and opiate seeking.
Patient compliance and accountability Are huge issues, this helps drive up the cost of healthcare. Insurance companies put pressure on providers to meet certain health measures/standards, which can be hard to do if your patient is anything but interested in anything but Norco.
So I guess to answer your question--- the future is grim unless there are major changes.
In Louisiana, the Medicaid expansion has really made things interesting. Many family GPs quit taking Medicaid so the system I currently work for has seen a huge increase in Medicaid patients, many of whom are total cluster f$cks and opiate seeking.
Patient compliance and accountability Are huge issues, this helps drive up the cost of healthcare. Insurance companies put pressure on providers to meet certain health measures/standards, which can be hard to do if your patient is anything but interested in anything but Norco.
So I guess to answer your question--- the future is grim unless there are major changes.
Posted on 8/5/16 at 8:28 pm to jennBN
quote:
What is Healthcare's future?
You are so far off base...I would save everyone if I could. But until you are forced to essentially torture people for the peace of family members you cannot possibly understand. I have done things to the human body that I thought should have been criminal because a family member said to do everything. So how bout you frick off you judgemental prick.
You ever put someone down? There are two sides to that coin. I've been involved in care that went beyond "slow codes". Definitely not for everybody. Helped care for a cva/bleed that was massive. We had no ICU beds and the guy was old and very ill. He was given copious amounts of morphine until he died. Which is how I would want to go. His son was at his side. His wife had passed. The nurse who was in charge of him asked me (my involvement) to go to the other Pyxis to get more morphine. He had probably 8-10 4mg vials lined up on a mayo stand that he'd given. He needed more. The gentleman was essentially euthanized. I cared for a similar patient years ago. Cancer not stroke. He was in pain and struggling to breathe. A DNR. Pressure was shite over shite. I gave him Demerol (few years ago) and went to lunch. Again, a son at the bedside. I came out of the lounge and son came out of the room. He was gone.
We do terrible things to people. I've joked many times uneasily with many code teams as we flog an old patient, "we are gonna rot in hell for doing this." But putting a patient down ain't for everybody either.
I see no solution for end of life care. You discuss it and the term "death panel" gets used. Discussion is over. The average person does not understand that most code teams and slow codes ARE death panels.
Posted on 8/5/16 at 9:19 pm to Epic Cajun
quote:
Patient lies, patient dies
Doesn't even have to lie. Patients are notoriously incompetent medical historians.
Posted on 8/5/16 at 9:45 pm to lsunurse
Nurse, my explanation may be overdramatic but the essence of what I said will be true. I dont wear tinfoil, and spent my work-life in health care, as is the rest of my family.
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