The official thread where everyone tries to catch up to Joe, and Windy keeps track of who posts on the even K's

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#61,757
#61,757
I'd sure want confirmation from her attending. I once worked on a patient record of a guy who nearly died of internal bleeding, and the last note by the attending said "never again on anticoagulants." The resident sent him home with an order to restart his anticoagulant...

I doubt your wife is in any parallel danger, but when the attending says to expect one thing, and another physician does something different without explanation of why things changed, I'd be up at the nurses' station asking questions.

You're learning a lot about the healthcare system!
 
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#61,758
#61,758
joevol33 said:
I'll probably call tomorrow and tell them I'm upset for telling me that, letting me leave, then this goober comes in and tells them send her home
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When I had to go back to the hospital from the rehab facility when pneumonia came back the nurse came in my room after 3 or 4 days at 5:30 in the afternoon and said I was discharged and to get my stuff together. I told her I can’t get my stuff together and I don’t have anybody available to come get me and I wasn’t going anywhere until the next day. She left and came back about 30 minutes later and said I could stay the night and leave the next day. Thought that was pretty funny since I already told her I wasn’t leaving that night. #dumbassnurses
 
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#61,759
#61,759
Utilization Management (UM) rides the docs pretty hard when the notes, labs, etc don’t have whatever magic words and numbers required to justify keeping patients in hospital. Don’t know if that’s what’s going on here with Joe’s wife.

But for your case (Squirrel), there is a Joint Commission requirement that “discharge planning must begin upon admission.” In other words, they can’t do a total hip replacement on Monday, and on Tuesday say “k thx bai”and send you home to your log cabin at the end of Dead Possum Holler Lane with the 57 steps up to the front door. They have to have asked and documented that you have a ride, that you can take care of yourself or have someone there who can, that you’re going to a place that is safe and appropriate for your medical state, blah blah blah.

If they haven’t done all that, then they have failed to do their discharge planning, and you can say “hell no, I won’t go.” Boom!
 
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#61,760
#61,760
VolNExile said:
I'd sure want confirmation from her attending. I once worked on a patient record of a guy who nearly died of internal bleeding, and the last note by the attending said "never again on anticoagulants." The resident sent him home with an order to restart his anticoagulant...

I doubt your wife is in any parallel danger, but when the attending says to expect one thing, and another physician does something different without explanation of why things changed, I'd be up at the nurses' station asking questions.

You're learning a lot about the healthcare system!
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I probably won't get too ugly, but I'm gonna ask what happened.
 
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#61,762
#61,762
On a different note, my friend (Mexican guy, racist Joe has a Mexican friend! ) just walked in here and handed me $40. He said he couldn't cook, and wanted to do something, so told me to buy something for my family tomorrow. He bout made me cry, he's a legit good guy, and a good friend for a long time.
 
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#61,763
#61,763
joevol33 said:
On a different note, my friend (Mexican guy, racist Joe has a Mexican friend! ) just walked in here and handed me $40. He said he couldn't cook, and wanted to do something, so told me to buy something for my family tomorrow. He bout made me cry, he's a legit good guy, and a good friend for a long time.
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Joey you better do that though
 
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#61,766
#61,766
joevol33 said:
I probably won't get too ugly, but I'm gonna ask what happened.
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If the physician group is honest, they shouldn’t be offended. Passing the baton (communication among docs, especially when one goes off shift) is notorious for oopsies.

If nothing else, you’ll be giving them invaluable feedback about how well (how badly) they are communicating with patients and families.

The new buzz-word in medicine is “patient-centered care”, and it doesn’t always come naturally.
 
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#61,767
#61,767
joevol33 said:
I said in the other thread, but I hate I sounded ungrateful. I want her home, and you all know how I hate going to Atlanta. I just want her 100%, and it being a Dr neither of us knew just didn't sit right.
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There’s an interesting and very real dynamic or phenomenon or something in medicine that patients and families don’t want to be perceived as obnoxious or pushy, because there’s this feeling that the patient is a hostage, at the mercy of the medical staff, and so we don’t want to get them mad at us. I’ve done it myself back in the day and failed to advocate for my family or myself despite that little voice in my head saying “Something’s wrong!”

I’m better now, as an old broad who doesn’t particularly care if they like me or not. :p I discovered a long time ago that anyone who is in a hospital bed, including in the ER, should have a family member or friend there to say “Wait a minute, can you explain that please?”

I wasn’t able to get to Memphis immediately after my mother shattered her thigh bone 15 or so years ago (she snuck onto Audubon golf course late one Thursday afternoon to practice her short game and stepped into a hole at dusk as she was leaving.) She had an IM nail (long steel rod) implanted in her thigh bone with strict orders for non-weight-bearing, and when the weekend shift took over, the physical therapist thought she had had a total knee replacement and had her stomping up and down the hall, putting full weight on her broken leg.

Trust, but verify!
 
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