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re: Hospital pushing discharge for my 70 y/o parent who is COVID positive and hasn't improved

Posted on 4/2/20 at 11:54 pm to
Posted by Unknown_Poster
Member since Jun 2013
5758 posts
Posted on 4/2/20 at 11:54 pm to
quote:

Was definitely wrong on that one point.

Did not expect LA to get as crushed as they are.


Not the flu, bro?
Posted by tiger91
In my own little world
Member since Nov 2005
36707 posts
Posted on 4/2/20 at 11:55 pm to
Well I’d look into options for her at home if she is discharged. Home health. Sitter if possible. Alert button if she’ll be home alone depending on the situation.

Good luck and I pray she’s better quickly.
This post was edited on 4/2/20 at 11:57 pm
Posted by Tunasntigers92
The Boot
Member since Sep 2014
23658 posts
Posted on 4/2/20 at 11:56 pm to
Thanks tiger91, that was me, I was able to get a hold of her, things are incredibly grim in the New Orleans hospitals, I fell to my knees when I heard her voice, she told me what's really going on is being kept from the media, which I guess I understand. They don't have the proper supplies, this nurses and doctors are becoming infected more and more by the day. Please keep all healthcare workers in your prayers, they are doing the best they can, with that little they have.
Posted by NeonSunburst
Member since Oct 2010
2798 posts
Posted on 4/2/20 at 11:56 pm to
I would demand the Zpack and hydroxychloroquine.
Posted by tiger91
In my own little world
Member since Nov 2005
36707 posts
Posted on 4/2/20 at 11:57 pm to
Glad you were able to talk to her. I realize — I work as a consultant at a nursing home and fortunately all of our people as of now are good and they have supplies that are needed.

God bless y’all.
Posted by Big EZ Tiger
Member since Jul 2010
24269 posts
Posted on 4/2/20 at 11:58 pm to
Just tell them you're not comfortable having her discharged at this time since she is still having these issues. If they try to say they are going to have to go ahead with the discharge, tell them you want to file an appeal. It will stop the process at least for a few days and hospitals don't like dealing with appeals (and they definitely don't really want to be discharging someone they know probably isn't quite ready for a discharge when an appeal is filed). They don't want anyone coming back at them for negligence or anything like that.
Posted by tiger91
In my own little world
Member since Nov 2005
36707 posts
Posted on 4/2/20 at 11:59 pm to
Yes appeals will stop the process and worth a try if they deny your request to hold off.
Posted by cadillac7563
Birmingham, AL
Member since Aug 2014
1586 posts
Posted on 4/3/20 at 12:00 am to
Sorry but 'feeling bad' and having fevers are not indications for hospitalization. If she doesn't need oxygen and can keep herself hydrated then she's better off at home not infecting anyone else
Posted by Unknown_Poster
Member since Jun 2013
5758 posts
Posted on 4/3/20 at 12:01 am to
quote:

Pediatric ER

So you were basing the 'ER's not crowded' anecdotal evidence on a population (kids) that is rarely showing symptoms getting infected? Oh man. But, anyway, what's a few dead kids and old folks in comparison to the economy, Scruffy?!
This post was edited on 4/3/20 at 12:02 am
Posted by Tunasntigers92
The Boot
Member since Sep 2014
23658 posts
Posted on 4/3/20 at 12:04 am to
How are you handling children who want to see their parents?
Posted by wfallstiger
Wichita Falls, Texas
Member since Jun 2006
11432 posts
Posted on 4/3/20 at 12:10 am to
Have her physician interface with the hospital staff
Posted by iliveinabox
in a box
Member since Aug 2011
24115 posts
Posted on 4/3/20 at 12:21 am to
quote:

You can refuse discharge.
what typically happens when one decides to go down this avenue
Posted by wfallstiger
Wichita Falls, Texas
Member since Jun 2006
11432 posts
Posted on 4/3/20 at 12:27 am to
Ours would go to the Chief of Medicine who would review the case and offer discharge criteria path that all could agree upon. Was typically signed off on by the CEO.

You could try to secure durable power of attorney over healthcare for her
This post was edited on 4/3/20 at 12:30 am
Posted by Big EZ Tiger
Member since Jul 2010
24269 posts
Posted on 4/3/20 at 12:29 am to
quote:

Sorry but 'feeling bad' and having fevers are not indications for hospitalization.

Sorry, but pneumonia in both lungs, a COVID diagnosis and fever in an elderly person equates to more than just 'feeling bad' and are indications for hospitalization.
Posted by DJ3K
Member since Dec 2011
6757 posts
Posted on 4/3/20 at 1:47 am to
Maybe try appealing her discharge notice to get some sort of stay order?
Posted by LSUGrad9295
Baton Rouge
Member since May 2007
33483 posts
Posted on 4/3/20 at 1:52 am to
quote:

One of our best friends is an ER physician and lord the stories


My friend's crazy uncle used to be an ER nurse in BR. He would often regale us with stories from when he worked the overnight shift on weekends.

Apparently, Baton Rougeans have an affinity for sticking things in their arse that don't belong there...and they do it between the hours of 2am and 5am on weekends.
This post was edited on 4/3/20 at 1:53 am
Posted by MojoGuyPan
Intercession City, Florida
Member since Jun 2018
2797 posts
Posted on 4/3/20 at 1:52 am to
Sucks for your mom but Sean Payton needed a ventilator.

If she can hang on, maybe they'll let her back in after Ford sends in their first shipment.
Posted by UncleD7734
Member since Apr 2019
1298 posts
Posted on 4/3/20 at 2:19 am to
Ok
Posted by YipSkiddlyDooo
Member since Apr 2013
3636 posts
Posted on 4/3/20 at 2:20 am to
quote:

are indications for hospitalization


No those are indications for admission which is what already happened.

Does the patient still have abnormal labs that the hospitalist would like to monitor? What about oxygen requirements? IV medications? Telemetry/cardiac monitoring?

Now I’m rarely primary on my post ops but let’s pretend I was...I’m not discharging an elderly, febrile, pneumonia patient who’s confirmed covid positive...it seems their pulmonary function can decompensate rather quickly.

That being said, at least 9 times out of 10, when the family doesn’t want discharge...they are wrong
This post was edited on 4/3/20 at 9:04 am
Posted by Homesick Tiger
Greenbrier, AR
Member since Nov 2006
54210 posts
Posted on 4/3/20 at 4:00 am to
Here in Ark., paper reported an elderly person over 65 who had been in the hospital with the virus was improving, was sent home and suddenly died four days later. Didn't say what the actual cause of death was however. Not trying to scare you but as some have said I'd keep her in the hospital fighting tooth and nail until she's significantly better, according to you.
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