Author Topic: The Citizen's guide to surviving Health Care Professional Encounters  (Read 1731 times)

French G.

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Well, we have the guide to surviving law enforcement encounters, but statistically a doctor is waaaay more likely to put you in the ground than an LEO.

  I would be interested to hear what folks think is essential to making it out of the hospital in a manner other than feet first. I don't have much experience, I did 10 days in the hospital as a 5 year old and have survived military medicine for 12 years now. The recent eye-opener for me was breaking my leg which put me in the health care mill and under the knife.

  I broke my fibula a few inches up from the ankle and had to get it screwed back together. Pretty minor, but the things I saw from other patients! First, from me. I was given all my medications by the interns in training when they checked me out of the hospital. The meds included a big cool box for my Lovenox blood thinner which I was to self inject for two weeks. Silly me, I figured that big shiny box equaled medicine inside, but no, they had the gall to call me the next day and tell me I had forgotten to pick up this medicine when I left. Them who wheeled me past the pharmacy when they had already given me all my other medications. No problem, except I was already 5 hours from a military hospital and heading still farther away. I saw another fellow in great pain repeatedly run out of morphine in his self-administer pump and then the nurses take 40 minutes to find a doctor to re-prescribe another dose. I saw one fellow complain that the Percocet the ER had given him had sent him on a new civilian ER trip for seizure and double digit blood pressure, barely raised an eyebrow with his military doc. Mostly, I saw a high caseload and patients or their advocates being way too passive. So, my rules.

-Stay out of the damn hospital! Stay healthy.

-Question everything, especially medication.

-Toughen up, I know pain is different for everyone, but the less time you keep yourself comatose on pain meds, the better. I took a total of 6 Percocets and about 7ml of the morphine pump right after surgery. If I had to do it again, I'd opt for none, the lack of awareness and lingering effects on your entire body suck. Plus, narcotics make me mean until I fall asleep.

-Have someone with you if you are going lights out, and have your personal life straight. I didn't have one with me, figured I would wake up.

-Take charge of your own care and recovery. My view is docs, like LEOs, want to be in charge. Hence the advice to take pain medication before you are in pain, stay doped up, do not move!  Heck with that, in my case I never went back for the blood thinner, I figured the best way to prevent blood clots was to get out of bed and stay active. I was supposed to go on vacation before this, so I went, 3 days after surgery I was hiking on crutches, got it up to about 3 miles a day and made it 2/3 the way up Mt. Pisgah in N. Carolina. Great upper body work-out. The point is, I didn't lie in bed, feel sorry for myself and eat some more pills. I got very antagonistic in my head, I could see the doctors wanted to treat everyone the same and it didn't work for me, so I adopted a screw the docs outlook.

-Touch nothing, wash often. Hospitals are germ havens. That said, the only medication that I ever eat right on schedule are any antibiotics I am prescribed.

-Mark the affected part. The surgical team had a good protocol, every one of them asked what was getting cut on and then initialed the effective part in Sharpie.

AKA Navy Joe   

I'm so contrarian that I didn't respond to the thread.

Iain

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #1 on: December 21, 2006, 08:08:46 AM »
I'd say don't go to hospital unless you need to is good advice. The corollary is that you might not be the best judge of need. When I was 16 I did work experience in a histology lab, saw the thumb with tumour that the former owner had eventually decided needed looking at. The tumour was about half the size of a tennis ball, and secondaries had been found.

More later.
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mfree

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #2 on: December 21, 2006, 08:13:51 AM »
Hospitals man, people die there!!!  shocked

Strings

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #3 on: December 21, 2006, 10:33:49 AM »
Hmmm... got x-rayed at the horsepistol after a 'blading accident (boss insisted). After getting lectured about not wearing a helmet (sprained my wrist), I got a lil' irritated with Dr Feelgood:

me: What do I do now?
Dr: Uhhh... imobilize it...
me: *holds up braced wrist* Like this?
Dr: Uhhh... yeah...
me: s'long, and thanks fer nothing...

 Had a VERY healthy friend go in for kidney stones. We're talkng a guy that is an absolute nut about his health: makes mtnbkr look like a layabout fatman. Woke up one night to a nurse getting ready to inject something into his IV, and asked what it was:

nurse: Oh... it's your heart medication!
friend: my WHAT!?!?! I'm not ON any heart meds!
nurse: Well... it's right here on your chart! The doctor knows what he's doing!
friend: Honey... you try to stick that in my IV, I'm gonna stick it up your ass!

French G.

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #4 on: December 21, 2006, 01:58:36 PM »
Quote
Hospitals man, people die there!!!  shocked

Yes, I know, I am actually talking about healthy folks who die for something totally unrelated to what they went in for. I can see the thing with Hunter's friend going down, I have never been so nervous in my life as when the staff was getting rid of that stupid morphine pump. They turn it off, unlock it and remove the syringe. So here they are hanging on to about 25cc worth of whatever morphine derivative, trying to roll the pump out of the cramped space, while said syringe is still connected to the mainline in my arm  shocked Glad they didn't bump that on anything. 

  I remember the poor diabetic fellow in Florida that had to get a leg amputated, getting the wrong one cut off, then the right one of course.


  I remember stories of my dad saving my no-account grandfather, the man had a 105 fever and seizures, and the local hospital said it was DTs since the old man was an alky. My dad took him out of there and the real hospital diagnosed some form of meningitis, the high fever certainly hastened his senility along with the years of alcohol and possible alzheimers.


AKA Navy Joe   

I'm so contrarian that I didn't respond to the thread.

AmbulanceDriver

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #5 on: December 21, 2006, 02:25:30 PM »
French, how's this for some comic relief...

I'm an EMT, and a pre-med student.

I avoid hospitals as much as possible...  Unfortunately I am prone to kidney stones, which pretty much guarantees at least one trip every 12-18 months to the hospital to either get pain taken care of, or x-rays, ct's, etc to find out if I need to have the stone broken up or if it'll pass on its own. 
Fortunately, I've only had to have general anesthesia 3 times, once for a hernia operation when I was 2, and then twice for kidney stone treatments.  Here's the secret to surviving your encounter with a hospital.  EDUCATE YOURSELF.  KNOW the risks ahead of time.  ASK lots of questions of the nurses, doctors, etc.  If something doesn't sound right, or if something doesn't feel right, make LOTS of noise until your concerns are addressed.

So here's a funny story of the first kidney stone I had.   I went in on the morning of my appointment to have the lithotripsy done (having the stone broken up w/ sound waves).  So after the battery of questions, having ME write "yes" and "no" on the correct sides for treatment, etc, we get down to time for the procedure.   They give me a little bit of a valium derivative to mellow me out before the procedure (I was *REALLY* anxious) and wheel me into the procedure room.  Lots of people in there, doctors, nurses, and the anesthesiologist.   So my urologist and the anesthesiologist were discussing whether they needed to use general anesthesia or just sedation, depending on if they were going to put a stent in, and if they used general, they would need to intubate me.  I look up at the anesthesiologist and raise my hand like I want to ask a question in class...   He asks what I want, and in the haze of drug induced delirium, I look at him and tell him, "I want you to do me a favor.  If you have to do general, and intubate me, I want you to call AMR, and have a Paramedic come over and do it right."    The whole room went dead quiet, I think even the monitors quit beeping.....  Smiley   And the anesthesiologist turned purple....   And way back in the back of my head, that last little shred of lucidity pops out with, "I don't think that was a very smart thing to say...."   And then the urologist and nurses were practically choking trying not to laugh......
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Strings

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #6 on: December 21, 2006, 02:35:03 PM »

heh... then there was dad's last hospital stay here in the states. Bear in mind, the man was (at the time) in his 60s, and had been a medic in Korea...

 I think it was hernia surgery. The first fun was dad wanting a smoke after the operation: the nurse INSISTED on getting the doctor's permission before letting dad go outside. When she finally located the doc and got said permission, she came to tell us: ran into us as we came back in from outside (we did an immediate about-face, since we now had permission)...

 The there was the bladder: the nurse insisted that dad had to void on his own before they'd release him, but I heard the doc tell him "we'll catheterize if you want". Round and round they go, and dad starts explaining what equipment he wants me to pick up at the local drugstore (so he can do the damn thing himself). Finally an ordely walks in (guy was maybe 20), asks us to leave the room (mom-in-law was there: we stepped into the hallway), and we overhear him asking dad "so... have you ever had a catheter?". Dad's reply kinda rattled the boy "Son... I was putting in catheters before you were born. Either get it done, or give me the kit and get the hell out of my way!". Dad always WAS so mild-mannered, quiet, and retiring...

grampster

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #7 on: December 21, 2006, 03:31:03 PM »
French,

About that guy in Florida that had both of his legs amputated because they cut the wrong one off first....Well he got an attorney in order to sue the hospital.

He was informed that he was not able to sue the hospital...
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Monkeyleg

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #8 on: December 21, 2006, 05:37:20 PM »
Oh, yeah. All of last year.

January of 2005, my right ear was sounding "squishy." Must be an infection. Off to the GP who gives me some eardrops.

Nothing. Things are still squishy. Something's wrong.

April 21, 2005 I'm extremely dizzy. Go to the ER, thinking maybe it's signs of a stroke. They do a CT, and find nothing...other than a very large growth in my left sinus cavity.

Off to a specialist. He looks at me and says, "your left eye protrudes more than your right. It's because of the growth. We need to do MRI's and biopsies."

Me: "Here's my driver's  license from 1982. Here's another from 1986. Here's one from 1990. You can see that the left eye protrusion has been there for decades. The problem is with my right ear."

Doesn't matter to this guy. He's all hot to do what I've termed the Hannibal Lecter surgery: shave the head, then cut from ear to ear over the top of the scalp, peel my face down, and drill in through the front.

I don't think so.

As Divine Providence would have it, the hospital where Hannibal wanted to do his surgery wasn't in my network. So, he referred me to another otolaryngologist. That surgeon looked at the films, then looked into my sinuses, and said, "that growth has been there for decades, and isn't going anywhere. Your problem is with your right ear."

Thank you Jesus. And, while you're at it, make sure that first surgeon's BMW gets keyed by some gang-bangers. And then blast that little sucker surgeon to Hell.

Years ago, my brother went in to the hospital for a hernia. He was lying on a gurney in the hallway. The nurses started to wheel him into the operating room. The chart they had said "brain surgery," not "hernia."

Strings

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #9 on: December 21, 2006, 06:13:29 PM »
>Things are still squishy. Something's wrong.<

Nothing's wrong... just yer brain comin' out, is all! Wink

>April 21, 2005 I'm extremely dizzy.<

You mean you could tell a difference from normal?!?!!?


:neener: Tongue

French G.

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #10 on: December 21, 2006, 07:13:22 PM »
AmbulanceDriver, that was a comedy classic. I was damn nervous about getting general and told them so, they asked why and I referred to the chance of never waking up. I was happy to see that none of the anesthesia team was younger than 40 and felt even better when the OR nurse looked more like a career aircraft mechanic(like me) or a tow truck driver. Turns out before he was an OR nurse he was a Special Forces paramedic with the Army. Very happy to see someone competent there and let him know that. Other than that, sciatic blocks are fun!

Grampster, very noble of you to fill in for Preacherman, but don't quit your day job.  In other news I hear that poor guy wanted to kick the surgeon's ass, but well...

Brain surgery/hernia could be, maybe a woman wrote the chart and was not enamored with the males of the species that day.

A hospital stay rule not directly related to survival but one that really increases quality of life is to be nice to everyone but the doc. Getting along good with the charge nurse, the orderly, and anyone else with a mundane job to do within your area will make your life a lot better. I learned this the first hospital stay at age 5, incessant lobbying/guilt prompted one of the nurses to bring in Campbell's soup and Kraft macaroni and cheese, which us young people deemed much superior to the dreck we were eating. Cute nurse, wasted on a 5 year old.  sad

AKA Navy Joe   

I'm so contrarian that I didn't respond to the thread.

Strings

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #11 on: December 21, 2006, 07:29:26 PM »
my last nurse wasn't cute, and had NO sense of humor. You'ld think, having dealt with folks coming out from being under (and still addled), that they'd shrug things off...

Headless Thompson Gunner

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Re: The Citizen's guide to surviving Health Care Professional Encounters
« Reply #12 on: December 21, 2006, 07:46:39 PM »
Advice for surviving Health Care Encounters:

Your own common sense is worth more than a medical degree.

Avoid hopsitals at all costs.

Don't take any medication unless you know what it is, why you're taking it, and when/how you're supposed to take it.

Don't let them cut you open unless you have at least three independent opinions that all conclude the same procedure is necessary for the same reasons.

Don't agree to any procedure, medication, or treatment until you understand it inside and out.

ER doctors and nurses always have great stories to tell.