MURDER, POLITICS, AND THE END OF THE JAZZ AGE
by Michael Wolraich
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Univ Maryland Medical Dumps Gown Clad Woman on street
By NCD on Thu, 01/11/2018 - 12:40am |University Medical Center spokesman: We share the shock and disappointment of many who have viewed the video. In the end we clearly failed to fulfill our mission with this patient."
URL:
https://www.cbsnews.com/news/man-captures-video-of-patient-dumping-outside-baltimore-hospital/
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Comments
I think our entire health care system is ready to crack. I know, I've been accessing it a lot lately, I see it everywhere.
It's like not a single person working in it seems happy with their job, and most seem angry.
It's the money-driven medicine thing. Things like the Aetna monster merging with the CVS monster. The labs and radiology clincs all merging and merging and merging every other day. From day to day, it can change what provider is "in plan" for any one patient. And if you work in the system, your boss can change day to day, too.,
The NYC area (nonprofit, teaching) hospital giant NYPresbyterian (affiliated with both Columbia and Cornell medical schools) spends a lot of money on personal-narrative TV ads (they saved the little girl's ability to do gymnastics!) and other ads promoting all the wondrous things they do and how "exciting things are going on here". So exciting that every single person who works for them seems harried and angry, as if they all work in a ghetto E.R. Meanwhile some of their exciting plans as a landlord gobbling up every property they can get their hands on include raising the rent of a beloved watering hole for everyone who works around their main campus so that they have to close, to $40,000 a month!
We are fast growing a monster medical-industrial complex. Things are going to continue to blow up, especially with the boomers accessing it more and more . Quality of Life indeed.
by artappraiser on Thu, 01/11/2018 - 5:16pm
P.S. This Dec. op-ed by Frank Bruni really hit me hard:
Are You Old? Infirm? Then Kindly Disappear
It's about how an older handicapped woman is treated as invisible or worse lately. But not because that whole thing general, but because of this one paragraph. I've seen this sort of thing a lot in health care offices lately and it has horrified me:
Sick patients are treated like cattle, they don't have to be in a wheelchair, just sick.If they could just die in the waiting room, that would make the receptionist happy to have one less piece of livestock to handle. If you're sick and not a healthy, able person ready to spar with them, and be happy and pleasant, they don't really want to deal with you. Not at the shopping mall, mind you, that's always been a problem in society. But where you go for help if you're sick. Any notion of "bedside manner" is long gone, it's like we're reversing to pre Florence Nightingale days.
by artappraiser on Thu, 01/11/2018 - 5:31pm
This was a medical staff screw up. A schizophrenic patient rattled some resident and attending staff. I don’t know if it was ER service, internal medicine service, or psychiatry service. Heads should roll. Senior staff should not have let this patient out of the ER. University of Maryland houses the Shock Trauma service. Stress is part of the job in an ER. People should be fired. The medical board and the city and state legislatures need to get involved. To be honest, this is the type of case other hospitals would transfer to UM.
by rmrd0000 on Thu, 01/11/2018 - 8:58pm
The supervisor of the security personnel that night and the chief of security, whether on or off duty, and the top hospital administrator on duty should be held accountable.
It's possible busy doctors ordered her released from inpatient care, to go back home or with relatives as per facility policy, which of course did not happen. Hospital administrators are responsible to assure discharge policies and procedures are properly executed.
by NCD on Thu, 01/11/2018 - 9:50pm
The temperature was 37 degrees. The is NO excuse.
by rmrd0000 on Thu, 01/11/2018 - 10:20pm
I didn't say there was an excuse.
I have worked in hospitals, gone through JCAHO certification, written policies and procedure manuals, there was no medical error reported. Doctors do doctoring, they don't handle patient discharge from the hospital.
There was a failure of proper patient discharge. Hospital administrators are responsible to see policies are done properly, from admission to discharge. Administrators are MBAs/MPHs who run the place. They are the highest supervisor for every employee in every department, and do all planning and budgeting.
Also, the security supervisor in charge of the employees who ejected her is also accountable.
by NCD on Thu, 01/11/2018 - 11:16pm
Sorry. My comment was directed at University of Maryland Hospital, not you.
The woman was psychotic. She was not calm and able to carry on a sensible conversation. She was not oriented. She had few clothes. A competent third year medical student would not send her home. A competent nurse practitioner would not send her home. A competent physician would not sign her out.
Edit to add:
She cursed someone. She threw feces. She pissed someone off. She was psychotic and needed medical care. She was abandoned by medical staff.
by rmrd0000 on Thu, 01/11/2018 - 11:28pm
The hospital CEO :
I would hesitate to condemn the doctors without evidence. She has not needed to be readmitted.
Patients, especially psychotic, can seem stable, well behaved, when seeing the doctor and later turn angry with other staff, particularly if the other staff is rude or indifferent.
Poor hospital administration can drive good doctors elsewhere.
by NCD on Fri, 01/12/2018 - 12:12am
I'd surmise there's aa bigger problem of several classes of people/not quite patients who need fitting in somewhere, and we often drop the responsibility on hospitals.
I had the issue the other night - a guy sleeping on the sidewalk in slightly above freezing - my daughter calls to help, wife checks w police, there's a sleep facility he could go to, but not transportation, etc. And this is in a culture fairly well set up for homeless. The US is just spread out and huge and often bleak and imposing for this stuff.
by PeraclesPlease on Fri, 01/12/2018 - 4:49am
She HAD HEALTH INSURANCE, that's the thing that's makes this not the same old same old, she also had caring family they could have contacted but they didn't try:
https://www.cbsnews.com/news/cheryl-rebecca-chandler-mother-says-her-daughter-was-left-in-the-cold-outside-hospital/
If you're really sick but it's not an easy call for them or you're a lot of trouble some other way, the system is starting to crack, I'm telling ya, I've seen it too often accessing it myelf. Many providers just can't take it anymore, the want easy, obedient cattle who aren't too sick or else are unconscious. Florence Nightingale is history, she's gone.
Edit to add: I tell everyone now: don't go to a hospital alone and too sick to defend yourself without an advocate at your side, you're risking your life.
by artappraiser on Fri, 01/19/2018 - 5:17pm
p.s. Teaching/university hospitals can be the worst, lotsa chaos.
by artappraiser on Fri, 01/19/2018 - 5:19pm