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	<title>Comments on: Healthcare Update &#8211; 11-05-2012</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/11/healthcare-update-11-05-2012/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/11/healthcare-update-11-05-2012/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: DensityDuck</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/healthcare-update-11-05-2012/#comment-104838</link>
		<dc:creator>DensityDuck</dc:creator>
		<pubDate>Wed, 07 Nov 2012 21:28:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8714#comment-104838</guid>
		<description><![CDATA[As I&#039;ve said elsewhere, the response to &quot;death panels&quot; should have been &quot;hell yeah, we&#039;re instituting death panels.  Anyone who thinks we shouldn&#039;t have them has never had to watch an elderly relative die in pain, by inches, while doctors are forced to pretend like there&#039;s some use keeping them in a full-care hospital as opposed to giving them a morphine drip and a comfortable bed.  We spend millions of dollars a year on giving old people a few more years of life, and bad years at that, because our system is set up to incentivize painful life over painless death.  My grandfather had a stroke that melted his brain, but the DNR didn&#039;t quite have the right signatures, so by God those doctors wer gonna keep his heart going no matter what, even if it cost fifty thousand dollars, even if they had to break two of his ribs doing chest compressions.  You&#039;re damn straight we&#039;re advocating death panels.&quot;]]></description>
		<content:encoded><![CDATA[<p>As I&#8217;ve said elsewhere, the response to &#8220;death panels&#8221; should have been &#8220;hell yeah, we&#8217;re instituting death panels.  Anyone who thinks we shouldn&#8217;t have them has never had to watch an elderly relative die in pain, by inches, while doctors are forced to pretend like there&#8217;s some use keeping them in a full-care hospital as opposed to giving them a morphine drip and a comfortable bed.  We spend millions of dollars a year on giving old people a few more years of life, and bad years at that, because our system is set up to incentivize painful life over painless death.  My grandfather had a stroke that melted his brain, but the DNR didn&#8217;t quite have the right signatures, so by God those doctors wer gonna keep his heart going no matter what, even if it cost fifty thousand dollars, even if they had to break two of his ribs doing chest compressions.  You&#8217;re damn straight we&#8217;re advocating death panels.&#8221;</p>
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		<title>By: GrumpyRN</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/healthcare-update-11-05-2012/#comment-104795</link>
		<dc:creator>GrumpyRN</dc:creator>
		<pubDate>Wed, 07 Nov 2012 16:12:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8714#comment-104795</guid>
		<description><![CDATA[Re the LCP, please read this cut and pasted from &quot;The Medical Registrar&#039;s&quot; page on Facebook. Yes, yes I know, that means nothing but the 8000+ likes and the comments says much, much more.

Speaking to a dying patient&#039;s relative, &quot;...well Mr Doe, at this point I think the most important thing is to keep your mother comfortable. There is a care pathway we...&quot;

&quot;Is that the Liverpool Pathway? I read about that in the papers.&quot;

Filling with apprehension, &quot;Oh yes?&quot;

&quot;Yeah, that Melanie Phillips in the Mail. God she talks a load of shit. I don&#039;t know what she expects you to do, keep dying people alive just to watch them suffer? You do what you have to doctor, we trust you, not some publicity seeking hack writing for a fish and chip wrapper.&quot;

You can find it here from November 2nd;

https://www.facebook.com/medicalreg?ref=stream


Also see this;

http://www.endoflifecareforadults.nhs.uk/assets/downloads/LCP_consensus_statement_24_09_12.pdf


As you can see, it seems to be that those in the business of dying are pro-LCP.]]></description>
		<content:encoded><![CDATA[<p>Re the LCP, please read this cut and pasted from &#8220;The Medical Registrar&#8217;s&#8221; page on Facebook. Yes, yes I know, that means nothing but the 8000+ likes and the comments says much, much more.</p>
<p>Speaking to a dying patient&#8217;s relative, &#8220;&#8230;well Mr Doe, at this point I think the most important thing is to keep your mother comfortable. There is a care pathway we&#8230;&#8221;</p>
<p>&#8220;Is that the Liverpool Pathway? I read about that in the papers.&#8221;</p>
<p>Filling with apprehension, &#8220;Oh yes?&#8221;</p>
<p>&#8220;Yeah, that Melanie Phillips in the Mail. God she talks a load of shit. I don&#8217;t know what she expects you to do, keep dying people alive just to watch them suffer? You do what you have to doctor, we trust you, not some publicity seeking hack writing for a fish and chip wrapper.&#8221;</p>
<p>You can find it here from November 2nd;</p>
<p><a href="https://www.facebook.com/medicalreg?ref=stream" rel="nofollow">https://www.facebook.com/medicalreg?ref=stream</a></p>
<p>Also see this;</p>
<p><a href="http://www.endoflifecareforadults.nhs.uk/assets/downloads/LCP_consensus_statement_24_09_12.pdf" rel="nofollow">http://www.endoflifecareforadults.nhs.uk/assets/downloads/LCP_consensus_statement_24_09_12.pdf</a></p>
<p>As you can see, it seems to be that those in the business of dying are pro-LCP.</p>
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		<title>By: steve</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/healthcare-update-11-05-2012/#comment-104559</link>
		<dc:creator>steve</dc:creator>
		<pubDate>Tue, 06 Nov 2012 08:10:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8714#comment-104559</guid>
		<description><![CDATA[RE: Liverpool Pathway

Now that&#039;s better , a more balanced link, without all the I stubbed my toe and they handed me the body bag junk.

Have a glass of wine to celebrate, (checks the daily fail &quot;a thousand thing that will give you cancer&quot; scare list)...oops maybe not!]]></description>
		<content:encoded><![CDATA[<p>RE: Liverpool Pathway</p>
<p>Now that&#8217;s better , a more balanced link, without all the I stubbed my toe and they handed me the body bag junk.</p>
<p>Have a glass of wine to celebrate, (checks the daily fail &#8220;a thousand thing that will give you cancer&#8221; scare list)&#8230;oops maybe not!</p>
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