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Ever been to the hospital?
  When I was born...
  I'm trying to lose that memory, thanks.
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faolan


O.G. Gaian

PostPosted: Thu May 25, 2006 5:23 pm


As much as I love California in general, I've just got to mention this. I know there are not many people here yet, but... to anyone who reads this, whether or not you reply, it's something to be aware of, and speak out -- loudly -- if and when you have the chance.

On Sunday, a good friend of mine lacerated her hand and nearly lost a finger. She does not have health insurance, and because she is over eighteen, under sixty-five, is not pregnant, does not have children, and has not been diagnosed with a disability, she does not qualify for Medicare. So her only option was to go to County USC Medical Center.

Because she was taken by ambulance, she was initially seen right away. Her artery, nerve, and tendons in her finger were severed. The tendons had contracted back into her hand, so she needed an operation to pull them back up and reattach them.

Correction -- needs an operation.

For this minor surgery, she is still in the hospital, waiting until they get to her. They've told her she should be getting it done this Friday, but to give you an example of how certain that is, I visited her Tuesday night and of the other four people in the room with her, one girl had been scheduled for surgery Monday morning. They hadn't come for her yet, more than twenty-four hours later.

And because everyone in that room is scheduled for surgeries that require general anesthesia -- being put under -- and when that's the case the patient cannot have anything in their stomachs (food or liquid), every person in that room is on an IV diet until whenever the operation is.

And of course, the longer the delay in reattaching things like muscles, ligaments, tendons, and so forth, the poorer the prognosis becomes.

What it comes down to is that, in the name of cutting back on medical costs, the state has created a system in which a patient, rather than being quickly taken care of and sent home, is admitted and cared for unnecessarily for several days, generating a cost of I can't even guess how much and lessening the chances of a full recovery.

Furthermore, when I went to see her, I had to walk past the outpatient clinic -- the infamous urgent care waiting room -- and, to my horror, there were people lined up outside who couldn't even get into the clinic yet. These are people who did not go to a convenient clinic (and there are many free and low-cost clinics throughout Los Angeles); these are people who need urgent medical care.

Another close friend of mine works in the office and one such clinic, and she keeps up-to-date on the politics and policies of health care. I can assure you, the state of affairs at hospitals such as County USC is the direct result of the governor's -- your governor's -- policy regarding health care spending.

Needless to say, I'm going to be doing a lot of research regarding patient advocate groups and legal options, because in this lawsuit-crazy society, California's public health program is just about begging for a malpractice suit.
PostPosted: Thu May 25, 2006 5:30 pm


I had that problem before.

I got into a fight, was choked, passed out and when I collapsed hit something so I bit a huge hole in my lip. WHen I woke up I had my dad take me to the emergency room and like...I was bleeding heavily and it was bad, but I had to wait for a doctor in a practically empty waiting room for like 3 hours before I got seen.

Macaroni Jesus
Captain



faolan


O.G. Gaian

PostPosted: Thu May 25, 2006 5:36 pm


Ouch.

And the sad thing is, it's not much better if you do have insurance -- my dad has a Blue Cross HMO and for weeks, his leg has been swollen and very painful. Since it's an HMO, his doctor has to reccommend him to a specialist, which Blue Cross has to then approve, and so forth. His doctor finally told him he should go to the county hospital in Riverside (where he lives), because the insurance company was dragging its feet. So he did... and Riverside General is nothing compared to County USC, but he waited there for ten hours before a doctor finally saw him.
PostPosted: Thu May 25, 2006 5:40 pm


Its really bad, but I dont think its much better anywhere else...

even canada, whose healthcare is free and stuff, isnt very good health care sweatdrop

Macaroni Jesus
Captain


[He.Wants.Revenge]
Crew

PostPosted: Thu May 25, 2006 7:01 pm



That is sad to hear.
Luckily, I've never had any injuries that would require me to go to the hospital.
PostPosted: Thu May 25, 2006 9:34 pm


I've spent my fair share of time in a hospital due to a few surgeries i had to have. Just by talking with the people who worked there i could see all the holes in the health care system. Those people do what they can though, for the most part.

~Mr_Akiraguy~



faolan


O.G. Gaian

PostPosted: Thu May 25, 2006 10:29 pm


~Mr_Akiraguy~
I've spent my fair share of time in a hospital due to a few surgeries i had to have. Just by talking with the people who worked there i could see all the holes in the health care system. Those people do what they can though, for the most part.

Yep. That's what's so frustrating, I think... the people who do the work really work their asses off. But they're constrained by insurance and government, and so many people get inadequate care.
PostPosted: Thu May 25, 2006 10:29 pm


yeah, doctors seem to do the best with what they have

Macaroni Jesus
Captain



faolan


O.G. Gaian

PostPosted: Thu May 25, 2006 10:35 pm


Yep. My friend who works at a clinic tells me that the way the insurance scam industry works, when a doctor joins an insurance group -- for the insurance to cover visits to that doctor, basically -- it's under conditions like, the company will pay them this much for seeing the patient, that much for treatment... and for a patient with an HMO, the doctor is paid very little compared to PPO patients, which is still pittance compared to Medicare or cash patients... and those just make up for the losses the clinic suffers from the HMO patients, since the treatments nearly always cost quite a bit more than what the insurance companies reimburse the doctors for.
PostPosted: Mon May 29, 2006 3:10 pm


I broke my arm when I was 9 and had to wait like 6 hours before they even looked at me. That was sooooooooooo painful. whee cry

.Spaztic Flower Pots.
Crew



faolan


O.G. Gaian

PostPosted: Mon May 29, 2006 9:51 pm


[Sharpie Eater]
I broke my arm when I was 9 and had to wait like 6 hours before they even looked at me. That was sooooooooooo painful. whee cry

eek

You poor thing!!!!
PostPosted: Mon May 29, 2006 9:56 pm


faolan
[Sharpie Eater]
I broke my arm when I was 9 and had to wait like 6 hours before they even looked at me. That was sooooooooooo painful. whee cry

eek

You poor thing!!!!


Yeah, that sucks big time

Macaroni Jesus
Captain


Bestmom

PostPosted: Thu Jun 01, 2006 5:59 pm


When I was in Ca my son broke his arm, But I guess being in a small comuinty they seen him right away, and we were only in the hospital for about an hour or so before we were sent home but he had to wait a week before thaay would put a cast on his arm.
PostPosted: Fri Jun 02, 2006 1:12 am


Bestmom
When I was in Ca my son broke his arm, But I guess being in a small comuinty they seen him right away, and we were only in the hospital for about an hour or so before we were sent home but he had to wait a week before thaay would put a cast on his arm.

Yeah... they have to, on that one -- the swelling has to go down.



I actually spent all day there with her again today -- her operation last Friday went as scheduled, and she was released on Sunday -- along with a bottle of vicodin, which was finished last night. Today was the day of taking the great big surgical splint (very thick and heavy, practically a cast but no plaster) off and setting her up with a much lighter one, the name of which I'm blanking on...

Her appointment was for 8:30 this morning.

And, just for reference, vicodin is like some kind of magic fairy dust on muscular types of pains, and is a very practical painkiller because it doesn't impair your nervous system as something like morphine might. The problem is that the severed nerve in her finger is what the majority of her pain is from. The past two nights at nine-thirty, she's taken the vicodin, a couple Tylenol PMs, 600mg of ibuprofen, and two or three large bowls of THC. And by one in the morning, the pain has woken her up.

By noon, when she was finally called in for her 8:30 appointment, to say that she was in bad shape doesn't even deserve to be called an understatement. Her skin was a pasty grey color, she was clammy and shaking, and there'd been several times already that I'd been sure she was about to pass out. And we'd been in the examination room about five minutes when a nurse poked his head in the door and said, "oh, you're in here? Well, we're going on lunch, so it'll be awhile."

...

I thought he stood a better chance of becomming lunch, and April's response to him... well, expressed very similar sentiments. He scurried away, saying the doctor would be right with her.

The doctor arrived, did not bother to look at her chart, and asked what was wrong, why she was back so soon after her operation. ********... because that was the day they'd set for her appointment when she was originally discharged? And he refused to discuss any options for finding her something for he pain right then.

And when she told him the vicodin hadn't been effective for a few days now, and could he give her something else -- they'd given her demoral in recovery, and that had been helpful. A cousin of mine had given me two of her demorals a couple years ago that she'd been prescribed for her cramps, but this doctor informed us that was impossible, because demoral could only be administered through an IV drip. He prescribed her... vicodin and another one, to be taken together. More on that in a minute.

I finally realized a couple hours ago, though... gray. Shaking. Sweating. And asking for an opiate. I don't know if he thought the bandage, stiches, and recently operated hand were props of some sort, but I honestly think that he believed she was a heroin addict looking for a fix.

Then came the removal of the bandage. Although the slightest jostling sent her reeling in agony, he grabbed the arm and started cutting. I'm actually surprised he didn't open a new incision on her arm, the way he was going at it. Not that he wasn't being asked to adjust his manner -- April screamed when he yanked her arm up and started begging him to wait, stop... mostly just incoherent screams, though. Not cries or sobs... screams. And when he got to her hand, I discovered that she had a reserve of volume and frequency. The gauze was stuck in places to the stiched incision, and he yanked as most of Los Angeles probably wished he would give her a second and stop. He was pulling the fingers straight as he cut -- and since he hadn't bothered with her chart and hadn't cared to listed when she told him the operation had been to re-attach a severed tendon, it obviously wasn't about to occur to him that he was in danger of snapping that tendon right then.

I'm not exaggerating anything... and if I'd been standing outside, I'd have thought she was being raped.

The bandage finally detached, the doctor left. Because, y'know... that wound was laying out, open... I tried not to, but I caught a glimpse of it and nearly hit the floor. Not infected, though. Just... *shudder* I'd been holding her in a bear hug the whole time, half-afraid but half-wishing she'd pass out. Took her a few minutes, but she stoped crying and just sat there trying to breathe, or think of other things, or... anything.

And then I started to realize that the office sounds from the doctor side of the door were greatly diminished. After awhile, April noticed this, too. And it'd been about a half hour since he left when someone passing by glanced in and asked why we were still in there. We stared at him and then she used her right hand to point to her left and said, "because this is an open wound that needs to be cleaned and rebandaged?" And the man said the doctor had finished, that he must surely have told us she had to go sit in the waiting room to be called into the cast room. We were amazed. Couldn't believe it. The general waiting room? An open surgical wound? But the doctor was gone, he told us. Everyone had gone to lunch.

In the end, we went out and found an unoccupied bench near the cast room door. And... yep. We waited. While people shuffled around, young children squealed and ran around the place knocking into people, and other patients came into the waiting room and were then called into the cast room within minutes. We tried catching the attention of nurses, orderlies... anyone who could tell us what we needed to do to get her treated. And then I had to leave -- there were ten minutes left on the meter, so I went to move the car. I... am squeamish. I felt like crying, or screaming... because of what I'd seen April -- and a couple other patients -- being put through. I sat on the curb and smoked for... it must have been forty-five minutes. Apparently, she'd waited another half hour before snagging the man who'd come in to tell us what was going on earlier when the doctor decided cleaning her up wasn't worth his time, holding her hand to him, and asking what was going on, why she wasn't being called in and why no one would give her any information. He hadn't really seen it earlier, and when he did now, his jaw dropped and he said, "They sent you out here like that???" And then he got her some of that medicated gauze to put over it, which started to ease the pain immediately, and found out that they weren't expecting her in the cast room -- they were waiting for her in physical therapy, where she'd be fitted with her splint.

So she went looking for me at that point, which was the point at which I was just coming back in, so we went down to physical therapy, which seemed like it was in another dimension rather than just on another floor. Within minutes, her hand was actually made comfortable, and she was smiling and laughing.

Amazed at the complete difference it made not only that the heavy, bulky thing had been replaced by a lightweight splint, but also that her hand and fingers had finally been positioned so that the muscles were totally relaxed, the stitches weren't rubbing against anything, and the wrist angled so that circulation wasn't impaired, we made our way to the hospital pharmacy. And I wish I could remember the name of that second medication he'd prescribed, because as soon as she handed the slip to the technician, the girl looked at it and said, "You can't take these both together!" eek Turns out that this other med interacts with the vicodin and will knock you completely out and then send you into convulsions. They tried to get ahold of the doctor, but couldn't. In the end, the pharmacist filled the vicodin.

All this is going into a letter. I need to find out who at the hospital is entitled to a copy... Mayor Viallaraigosa and everyone on city council seems reasonable. Wouldn't hurt, I'm sure, to send copies to the state rep...

I want his job performed by someone else.


skyblueandblack

Crew

Professional Antiquarian


Macaroni Jesus
Captain

PostPosted: Fri Jun 02, 2006 1:22 am


wooo

long eek
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Welcome to California: Population You

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