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	<title>Comments on: Healthcare Update 10-04-2012</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Write-in Candidate</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-102177</link>
		<dc:creator>Write-in Candidate</dc:creator>
		<pubDate>Fri, 19 Oct 2012 23:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-102177</guid>
		<description><![CDATA[It is against everyone&#039;s interests for me to be sitting here waiting. It would have been in everyone&#039;s interests for me to finish the phd and to problem solve years ago.]]></description>
		<content:encoded><![CDATA[<p>It is against everyone&#8217;s interests for me to be sitting here waiting. It would have been in everyone&#8217;s interests for me to finish the phd and to problem solve years ago.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Write-in Candidate</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101776</link>
		<dc:creator>Write-in Candidate</dc:creator>
		<pubDate>Tue, 16 Oct 2012 07:32:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101776</guid>
		<description><![CDATA[I do not understand the deliberate non-communication. I have no clue what to do. There is no security issue and never was.]]></description>
		<content:encoded><![CDATA[<p>I do not understand the deliberate non-communication. I have no clue what to do. There is no security issue and never was.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101444</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 10 Oct 2012 17:04:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101444</guid>
		<description><![CDATA[Other than the untrue statements about tort reform, that&#039;s the kind of proactive, market based ideas all physicians should be promoting.  Especially platform #s 1-6, and 10.]]></description>
		<content:encoded><![CDATA[<p>Other than the untrue statements about tort reform, that&#8217;s the kind of proactive, market based ideas all physicians should be promoting.  Especially platform #s 1-6, and 10.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Write-in Candidate</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101443</link>
		<dc:creator>Write-in Candidate</dc:creator>
		<pubDate>Wed, 10 Oct 2012 16:59:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101443</guid>
		<description><![CDATA[I have no clue what I am supposed to do to address confusion and misinformation. I tried being patient and have been waiting for years now.]]></description>
		<content:encoded><![CDATA[<p>I have no clue what I am supposed to do to address confusion and misinformation. I tried being patient and have been waiting for years now.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: joules</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101439</link>
		<dc:creator>joules</dc:creator>
		<pubDate>Wed, 10 Oct 2012 15:54:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101439</guid>
		<description><![CDATA[http://americandoctors4truth.org/about.html]]></description>
		<content:encoded><![CDATA[<p><a href="http://americandoctors4truth.org/about.html" rel="nofollow">http://americandoctors4truth.org/about.html</a></p>
]]></content:encoded>
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		<title>By: Steve</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101395</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Tue, 09 Oct 2012 23:07:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101395</guid>
		<description><![CDATA[I second that- when I did my EMT class circa 1999 (2 years before this incident) I was taught to never hog tie a patient or transport them face down for exactly that reason.  I don&#039;t think this is a great case to highlight the catch-22 that EMS providers face with combative patients because protocols were most likely broken with the hog tie.

In the past few years there has been much more emphasis on no physical restraint without chemical restraint first (or shortly thereafter).  This has made things a lot safer for the patient and the providers- assuming that you have a progressive EMS system with ALS providers with sedative meds available.]]></description>
		<content:encoded><![CDATA[<p>I second that- when I did my EMT class circa 1999 (2 years before this incident) I was taught to never hog tie a patient or transport them face down for exactly that reason.  I don&#8217;t think this is a great case to highlight the catch-22 that EMS providers face with combative patients because protocols were most likely broken with the hog tie.</p>
<p>In the past few years there has been much more emphasis on no physical restraint without chemical restraint first (or shortly thereafter).  This has made things a lot safer for the patient and the providers- assuming that you have a progressive EMS system with ALS providers with sedative meds available.</p>
]]></content:encoded>
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		<title>By: Chris</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101385</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Tue, 09 Oct 2012 17:12:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101385</guid>
		<description><![CDATA[We had a case at a local hospital in my area where a mentally ill, combative patient was also hog-tied and placed face down and left alone in an exam room. He pleaded repeatedly that he couldn&#039;t breathe and was told that if he was talking, he was breathing. He stopped talking after a while.....yep, he was dead.]]></description>
		<content:encoded><![CDATA[<p>We had a case at a local hospital in my area where a mentally ill, combative patient was also hog-tied and placed face down and left alone in an exam room. He pleaded repeatedly that he couldn&#8217;t breathe and was told that if he was talking, he was breathing. He stopped talking after a while&#8230;..yep, he was dead.</p>
]]></content:encoded>
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		<title>By: NRn</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101177</link>
		<dc:creator>NRn</dc:creator>
		<pubDate>Sun, 07 Oct 2012 01:26:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101177</guid>
		<description><![CDATA[It never fails to zing me when a patient (or family member) starts off an ER visit with:

I hate this hospital.

I wouldn&#039;t bring a dog to this hospital.

Last time we came here I had to be stuck 18 times before they finally got my blood.

They screwed up and killed my relative here.

Its really sad. I came out of nursing school taking very seriously a study I&#039;d read stating that nurses are consistently voted the most &quot;trusted&quot; people by profession. This is what I&#039;ve faced daily in many years being an ER nurse in 2 very good hospitals. Its only getting worse, this &quot;you against me&quot; hostile attitude I see in patients.]]></description>
		<content:encoded><![CDATA[<p>It never fails to zing me when a patient (or family member) starts off an ER visit with:</p>
<p>I hate this hospital.</p>
<p>I wouldn&#8217;t bring a dog to this hospital.</p>
<p>Last time we came here I had to be stuck 18 times before they finally got my blood.</p>
<p>They screwed up and killed my relative here.</p>
<p>Its really sad. I came out of nursing school taking very seriously a study I&#8217;d read stating that nurses are consistently voted the most &#8220;trusted&#8221; people by profession. This is what I&#8217;ve faced daily in many years being an ER nurse in 2 very good hospitals. Its only getting worse, this &#8220;you against me&#8221; hostile attitude I see in patients.</p>
]]></content:encoded>
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	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101141</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Sat, 06 Oct 2012 12:46:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101141</guid>
		<description><![CDATA[That case is a good one to highlight the usefulness of having a videotape of the incident.]]></description>
		<content:encoded><![CDATA[<p>That case is a good one to highlight the usefulness of having a videotape of the incident.</p>
]]></content:encoded>
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	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/10/healthcare-update-10-04-2012/#comment-101140</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Sat, 06 Oct 2012 12:45:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8640#comment-101140</guid>
		<description><![CDATA[&quot; How exactly is quality improved when the government is encouraging hospitals to discharge patients early and then fining them if they let patients back in the doors?&quot;

This is Obamacare, my friend.  You want government to solve your &quot;tort problems&quot;, this is how they&#039;re going to solve it.  Sure, you&#039;ll have no malpractice liability, but here come the arbitrary rules and regulations regarding &quot;quality of care.&quot;

Still looking for that physician legislation to roll back the increase of government in medicine.  The AMA that hopped on the Obamacare bandwagon certainly isn&#039;t going to propose it.  Where are the other physician lobbyists?]]></description>
		<content:encoded><![CDATA[<p>&#8221; How exactly is quality improved when the government is encouraging hospitals to discharge patients early and then fining them if they let patients back in the doors?&#8221;</p>
<p>This is Obamacare, my friend.  You want government to solve your &#8220;tort problems&#8221;, this is how they&#8217;re going to solve it.  Sure, you&#8217;ll have no malpractice liability, but here come the arbitrary rules and regulations regarding &#8220;quality of care.&#8221;</p>
<p>Still looking for that physician legislation to roll back the increase of government in medicine.  The AMA that hopped on the Obamacare bandwagon certainly isn&#8217;t going to propose it.  Where are the other physician lobbyists?</p>
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