See more news from around the web over at my other blog at DrWhitecoat.com
An example of the downside to government-run health care. Patients in Venezuela can’t get proper medical care. 300 cancer patients were just sent home when supply shortages and “overtaxed equipment” made it “impossible … to perform non-emergency surgeries.” 70% of the radiation therapy machines are inoperable. Basic supplies such as needles, syringes, medications, operating room equipment, X-ray film, and blood needed for transfusions are all in short supply. There is no anesthesia for elective surgery. Patients can no longer get organ donations or organ transplants.
The most important point in the article is that Venezuela’s constitution guarantees free universal health care to its citizens. They don’t just get government-mandated health “insurance,” they get free health care … and look what happens.
We need to be very careful about what type of health care system we ask for in this country. The government that has the power to give everything to you also has the power to take everything away from you.
Another example of what can happen with “free” medical care. Don’t have a heart attack after 5PM on weekdays or any time on weekends in Kaslo, British Columbia – the ED is closed. If your body doesn’t pay attention to those hours, you’ll have to travel an hour over mountainous terrain to get to the next closest hospital. Hope there’s no snow.
Interesting study in Annals of Emergency Medicine showing that sending daily text messages to poorly controlled diabetic patients improved medicine compliance (.pdf file). There was no statistical change in the HbA1c, but patients receiving text messages used the EDs less than the control population and patients actually liked receiving the messages. Kudos to the investigators for thinking outside the box.
LA County Medical Center board approves $7.5 million settlement to formerly homeless patient after patient was discharged from labor and delivery department at 39 weeks gestation with abdominal pain without being evaluated by obstetrician. Patient returned 12 hours later with ruptured uterus and child born with severe brain damage.
Idaho man suffers broken ribs after being hit by drunk driver … while playing cards in his living room. But there’s more to the story. The man’s dog went missing after the accident. A town resident found the dog wandering … near the emergency department of the hospital where the patient was taken. Happy and amazing reunion.
Entering the emergency department with atrial fibrillation? You have a 69% chance of being admitted according to this American Journal of Cardiology study.
Patients gone wild. Arizona man arrested for being aggressive with emergency department staff and trying to bite a male employee several times. Must have been a full moon.
Patient at Chicago-area Riveredge psychiatric hospital hangs herself with bedsheet. Hospital cited for putting patient in a room with a 7 foot ceiling and having the wrong type of vent covers which placed the patient in danger of “immediate jeopardy” by making it possible for the patient to hang herself. Beware the bad outcome.
Another reason not to practice medicine in Florida. Predicted medical malpractice loss ratios in Florida for 2014 are highest in the nation – and more than nine times greater than the predicted loss ratios in states such as Indiana and Minnesota. Pennsylvania comes in second highest on the predicted loss ratio list. Check out the link a the top for other reasons not to practice medicine in Florida.
A pair of settlements paid by Iowa State underscore two important points. First, lumbar punctures are not complication-free. One 69 year old patient received $1.75 million after a lumbar puncture left him paralyzed in his lower extremities. In another non-medical case, a patient was awarded $125,000 for a retaliatory discharge from her job after she filed a workplace violence complaint. If hospital administrators take action against ED staff members for complaining about patient violence, there can be liability for doing so.