Text 19689, 124 rader
Skriven 2014-11-22 12:04:00 av NANCY BACKUS (1:123/140)
     Kommentar till en text av MICHAEL LOO
Ärende: Re: horsepistils 316
============================
-=> Quoting Michael Loo to Nancy Backus on 11-19-14  13:10 <=-

 NB>>> In most cases.  I suppose one might consider that the stakes might
 NB>>> be higher in the hospital setting...   
 ML>> The ability to pay off med school loans ...
 NB>> I was thinking more the lives of the patients... but I suppose that
 NB>> could factor in as well...  ;0
 ML> Lives of the patients? Secondary except insofar as it
 ML> affects the stats.

More important than in private practice, anyway... 
 
 ML>> It's all a complicated mess, and I don't see much can be
 ML>> generalized from what happened to me; it's not even clear
 ML>> whether next time (heaven forfend) will or should be
 ML>> approached the same way.
 NB>> Granted the complicated mess... but that might well have been a
 NB>> reaction to the drug...  'twere me, I'd avoid it, on general
 NB>> principles...
 ML> The drug, as I now read, has some interesting effects,
 ML> including neurological ones that can be permanent. It
 ML> seems that my numbness and tingling are wearing off
 ML> somewhat, so maybe the nerve damage is reparable in
 ML> this case.

One certainly hopes it repairs... and I'd be an awfully hard sell to
take it again were it I...
 
 ML>> If they were going to put a PICC in they should have done
 ML>> it either during the second hospitalization or as part of
 ML>> the third admission. Not waiting until every vein was blown.
 NB>> Very true.  But, this /was/ a hospital... and somewhat unfathomable...
 ML> They're just so effing shortsighted.

Quite.  Tunnel vision, perhaps, focusing on the short-term and acute and
not seeing the longterm or big picture... 
 
 ML>> Over a hundred sticks, not counting forty-eight (I said fifty
 ML>> before, but this time I counted) finger pricks. Think about it.
 NB>> Totally uncalled for and ridiculous... and common...  I remember once
 NB>> having to put my foot down for a (head) resident that thought he
 NB>> needed to track MJ's arterial O2 by having an artery stick every couple
 NB>> of hours...  her wrist (the only place left that they could get in) was
 NB>> a pincushion, and she was crying with the pain... I told the staff that
 NB>> any more orders for that had to be cleared with me, and that I would
 NB>> need a very good reason for why it was needed.
 ML> So why didn't they put in a multiple use A-line? Oh, I
 ML> know the answer - see what I said about residents a day
 ML> or two ago.

Yup.  Also, I think he saw it as his personal experiment, but forgot
that it was a real person he was using... I was not impressed.

 ML> The chief resident on my service was a somewhat self-important
 ML> young man with a Very Famous Name. I sort of inquired behind
 ML> his back, and it turns out he is the eldest son and apple of
 ML> the eye of Very Famous Name. Through the back channels he
 ML> apparently heard that I knew his father, and my treatment got
 ML> ever so much more respectful; unfortunately, shortly thereafter
 ML> the GI service got its fingers into the pie and messed everything
 ML> up again.
 
Sometimes it's useful to know and be known... but it only goes so far. 
Too bad it didn't reach into the GI service as well... 

 ML>> It is unclear what causes me to bleed - all my factors are
 ML>> in the normal range, but most of them are scraping the bottom.
 ML>> I figure that when they all hit bottom, I bleed. Every Boston
 ML>> hospital adventure I've had has featured bleeding of some
 ML>> degree (and every time but one of life-threatening severity).
 NB>> I'd start avoiding Boston hospitals... sounds like much too much
 NB>> adventure there...  ;/
 ML> There is no allopathic treatment for my condition, and the
 ML> only one that alternative medicine suggests is Vitamin K,
 ML> which doesn't work for me. Doesn't matter where the adventure
 ML> is. Traveling (or doing any exercise) is always going to be
 ML> a calculated risk.

And sometimes one might as well take the risks rather than waste all the
life one has...  :)   I looked in my Healing Foods book, and there
wasn't any entry for bleeding, only bruises... Prevention included
Vitamin K foods and ones including bioflavenoids especially rutin...
also cayenne and turmeric... FWIW... 

 ML>> More people get killed from falling off cliffs and perhaps
 ML>> out of bed than have succumbed to that (scary) disease.
 NB>> But those who succumb to ebola get so much more press than those that
 NB>> fall out of bed... 
 ML> I figure we'll lose maybe 10 to 50 to ebola in this
 ML> country before we get a handle on it - far fewer than
 ML> will die from running red lights, eating too much tofu,
 ML> or the flu.

Quite probable...

 ML>> I'm back with a vengeance. Have to reboot every time I
 ML>> want to go on the Internet, which is peculiar, but at
 ML>> least this thing is kind of working, as is my brain.
 NB>> It's good to have you back full force..  ;)
 ML> Turns out Zone Alarm is incompatible with my reinstallation,
 ML> so off it goes. Relying on an outdated Windows Firewall now.

Ah.  At least there was a (fixable, somewhat) explanation...
 
 ML>> Beach, where there are enough old folks so the medical
 ML>> facilities must be pretty decent. Williamsport for
 ML>> the holidays. A busy dance card already.
 NB>> It certainly does so appear..  :)  Hopefully Washington won't be in
 NB>> too much chaos... particularly on the home front.  And hopefully the
 NB>> medical facilities in FL won't be needed... I've not been hearing all
 NB>> that good about them. ;/
 ML> Funny - some of the highest rated facilities are in FL -
 ML> as well as some of the worst. Probably has something to do
 ML> with financial disparities in the various subregions.

Could be.  And/or who they perceive themselves to be serving...

ttyl        neb

... Food can't be "healthy." Food, in most cases, is actually dead.

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