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Posted on 4/3/20 at 8:27 am to Scruffy
quote:
What would like to know?
Nothing. Just curious. Our current 8 y/o went thru it a few years ago. It was the sickest he's ever been. The docs couldn't figure it out at first. As a result, we missed the window for the IV IG treatment. Fortunately, there was no cardiac involvement. We had our final Echo last summer and the cardiologist gave us the all clear for the next 5 years. Everything worked out, but it was scary stuff when we were going thru it.
On a positive note, after our case, our pediatricians office now looks for it and have identified a couple of cases since we had it.
This post was edited on 4/3/20 at 8:29 am
Posted on 4/3/20 at 8:40 am to Wiseguy
quote:
Someone asked about PT in the hospital. In our hospital only MD/NP/PA and RN are routinely allowed in COVID rooms. RT as neede but to be minimized. Everyone else is not supposed to go on the room.
I’m a PT and we’re still going into covid rooms here in S. Fla. In fact our lazy arse doctors are still using their same pre covid order sets which are basically ordering us for 75+ percent of the covids(and OT as well) without them even realizing it.
Half of those folks are ambulating independently in their rooms without any issues so we give the nurse a handout with some basic exercises the patient can do in their rooms to maintain their strength and have them relay questions to us. Another 25 percent are extremely elderly/demented/ patients who had poor mobility prior to the virus. The 25 percent or so that actually need us and have a good prognosis for rehab (like OP’s mom) we go in and eval and then treat 3-4 days a week to preserve PPE, they walk to bathroom with nurses/ do exercise sheet on other days.
This post was edited on 4/3/20 at 8:43 am
Posted on 4/3/20 at 8:41 am to Big EZ Tiger
Her diagnosis does not determine if she needs to be admitted. It is the amount of support that she is requiring. If fevers are manageable (in other words not responding to tylenol) then the main thing that is looked at is the respiratory function. If she can tolerate PO medications and is not needing extra oxygen then she can go home.
The fact that she is positive for Covid doesn't change this approach to treating pneumonia.
The fact that she is positive for Covid doesn't change this approach to treating pneumonia.
Posted on 4/3/20 at 8:58 am to wope
appeal to your local news station reporter....
light is always the best disinfectant
light is always the best disinfectant
Posted on 4/3/20 at 9:01 am to wope
They are going to try to push out as many COVID patients as possible because the assumption at this point is that payment for COVID (including from insurance companies) is going to be 0.
Posted on 4/3/20 at 9:12 am to Dixierebel
quote:
I'm a Nurse so this is what I would do:
This is where others can stop reading
quote:
Criteria for discharge from the hospital is fever free x 24 hrs without Tylenol
That’s not true. We discharge plenty of febrile patients. Not to mention that lit reviews demonstrate no significant differences in readmissions rates in people who a discharged with vs without fever.
Posted on 4/3/20 at 9:18 am to latxwoman
quote:
The biggest problem is many do not go to the hospital early enough but go in the last few days of the disease. At that point, they go straight on a vent and likely do not make it.
Most hospitals are already overwhelmed and will not admit you unless you are having trouble breathing. Infected people with mild to moderate symptoms are told to stay home and manage the disease from there. How early would you suggest someone go to the hospital?
Posted on 4/3/20 at 9:34 am to wope
If you’re truly concerned that discharge will put her in harm’s way, refuse the discharge. Is she on Medicare or managed Medicare? If so, and they’re insisting on discharge, you can get her more time by requesting the Medicare letter to appeal discharge. That requires the hospital to lay out its plan for a safe discharge and care for the patient, once discharged. They’re going to hate you, but so what. You’re likely your mom’s only true advocate. Good luck!!!
Posted on 4/3/20 at 9:35 am to wope
Keep us posted on her condition. Hope for the best.
This post was edited on 4/3/20 at 9:36 am
Posted on 4/3/20 at 9:36 am to LSU316
quote:
the assumption at this point is that payment for COVID (including from insurance companies) is going to be 0.
This is the dumbest thing I’ve heard today. But it’s early and I have a 6 year old so you’re unlikely to hold the distinction until tomorrow
Posted on 4/3/20 at 10:14 am to wope
quote:
Hospital pushing discharge
There are metrics in Obama care regarding discharges and overnight stays in the name of “improving patient care” that have to be met.
Doctor discretion is very limited on the basis of the “if/then” criteria for overnight. That is in part why so many procedures are now same day surgeries.
Posted on 4/3/20 at 10:16 am to wope
quote:Assuming she has Medicare, she should have signed/received a copy of something titled "An Important Message From Medicare"
Hospital pushing discharge for my 70 y/o parent who is COVID positive and hasn't improved
Ask for that document if you don't have it as it has instructions on what she should do if you feel you're not ready for discharge.
Posted on 4/3/20 at 10:21 am to shel311
She does have Medicare and I will definitely get the document to appeal the discharge if it gets that far.
Question: what if I refuse to show up to pick her up? She's unable to drive and also has memory issues and cannot be alone. She has no other family in the area.
Man, this shite is so fricked up.
Question: what if I refuse to show up to pick her up? She's unable to drive and also has memory issues and cannot be alone. She has no other family in the area.
Man, this shite is so fricked up.
Posted on 4/3/20 at 10:24 am to latxwoman
quote:
and sometimes people seem stable but they crash very quickly. This disease takes weeks to kill someone, and the last ten days are the worst.
Posted on 4/3/20 at 10:25 am to wope
Why won't you name the hospital?
Posted on 4/3/20 at 10:27 am to JohnnyKilroy
I don't see the upside in naming it. What does it matter? What does it change? There are crazy people on here.
I'll say that it is an Ochsner-affiliated hospital that is not in the New Orleans area.
I'll say that it is an Ochsner-affiliated hospital that is not in the New Orleans area.
Posted on 4/3/20 at 10:28 am to wope
So we know where not to go should we or our families get this shite.
This post was edited on 4/3/20 at 10:28 am
Posted on 4/3/20 at 10:30 am to wope
I still don't understand why you are so upset she is getting discharged. The hospital can't do anything for her and she is taking up resources for no reason.
Posted on 4/3/20 at 10:30 am to JohnnyKilroy
quote:
Why won't you name the hospital?
My guess is Ochsner
They pulled the same shite with my Grandpa last year when he had the flu
The way hospitals in general treat elderly people is disturbing
The staff shows no respect for their well being, as if they aren’t worth their time & effort
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