Lather, rinse, repeat. Difficulty in accessing psychiatric care and lack of follow up blamed for a mentally ill Louisiana patient stabbing her grandmother to death. Sketchy episodic care doesn’t address underlying psychiatric problems. Patients go from emergency department to psych hospital to emergency department. Because only 145 psychiatric beds are available in the entire state of Louisiana, patients who are a risk to themselves or others are sedated and wait in emergency department beds for days to weeks until inpatient beds open up. Effective July, the state is dropping funding for 35 more inpatient psychiatric beds, which will make definitive care for seriously mentally ill patients that much harder. As the emergency nurses complete the every 15 minute checks on sedated patients as required by JCAHO (and complete the requisite paperwork each 15 minutes), there will be even less care available for other patients with emergencies.
What are we whining about? The best paying jobs belong to doctors. I saw a graph on a message board somewhere showing that upon graduation from college, it took doctors 19 years to catch up to the salaries made by a UPS driver. While attending physicians are paid well, don’t forget that doctors have to spend hundreds of thousands of dollars on college and medical school – while at the same time their peers are earning money working. Residency positions pay much less than attending positions while interest accrues on the educational loans.
When you think about the $105/hour that surgeons are quoted as earning, take away $25/hour in taxes, then deduct $25 to $50/hour each year for medical malpractice premiums, then deduct another $15/hour for student loan payments, then factor in that few surgeons work only 40 hours per week. I’d venture a guess that an average surgeon works more like 60 hours per week.
When you hear about how good all the greedy doctors have it, keep in mind that many times there’s more than meets the eye.
Eat your veggies, dear, they’re good for you. Woman sentenced to 4.5 years in prison after putting foxglove plants in her husband’s salad. Foxglove is what digoxin – a heart medicine – is derived from. Oh, and if that didn’t work, she also stockpiled the poison ricin.
Not sure why they needed a poll to figure this out … When you increase the number of patients with “insurance”, then decrease the number of emergency departments and decrease the number of family practitioners so that the “insured” patients can’t find routine medical care, what do you expect will happen? Emergency department visits will increase and the strain on the safety net will get worse.
Hey! Who keeps messing with the nitro drip and why do the monitors keep blinking on and off? Israeli officials dig up grave site and remove Pagan bones to make way for new “fortified” emergency department. The citizens are pissed off. The graves have been desecrated. Can you say Poltergeist 4?
Liar liar. Healthcare worker files complaint after waiting 8 hours with abdominal pain at LA County Hospital. She stated that her vital signs were never taken and that she was told the average wait time to be seen was 35 hours, so she left and went to another hospital.
After an investigation, it was discovered that the staff took her vital signs 4 minutes after she arrived and that her name was called after only 4 hours. With patient volumes up by 15%, expect wait times at LA County/USC to increase.
Do you want me to fill out the JCAHO forms before or after I write admission orders, transfer the patient in Room 2, intubate the trauma patient and sew up the laceration? Emergency physicians in this study from Australia were interrupted an average of 6.6 times per hour. Eleven percent of all tasks were interrupted and 3.3 percent of tasks were interrupted more than once. It took doctors less time to finish interrupted tasks, leading researchers to believe that doctors “cut corners” when finishing an interrupted task.