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May 19, 2024 - 10:27:15 PM
12768 posts since 8/22/2006

When considering the advice given by attending physicians.


yahoo.com/news/many-families-p...0012.html

correct me please if I wrong but doesn't the attending physician recommend to remove someone from life support based on that physicians prognosis? 
 

Edited by - 5B-Ranch on 05/19/2024 22:30:25

May 19, 2024 - 10:46:25 PM
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Bill Rogers (Moderator)

USA

28043 posts since 6/25/2005

“Attending physicians” are now mostly “hospitalists” who have little sense of their patients, knowing them only because the patient was brought to the hospital. They may rotate and likely know patients’ conditions only from other doctors’ notes. The organization of medical care has drastically changed in the last 20-25 years—and not, I think, for the better.

Edited by - Bill Rogers on 05/19/2024 22:49:34

May 20, 2024 - 4:37:20 AM
Players Union Member

Texasbanjo (Moderator)

USA

30200 posts since 8/3/2003

From what I've seen and been part of, the hospitalists are there to quickly get the patient to improve so they can move them out of the hospital. If that doesn't happen quick enough, then, in my opinion, is when they start with the take them off life support. Also, in my opinion, the hospitalists don't care about the patients, they don't have time to get familiar with them and/or their families.

It's up to the family, not the doctors and one can take the doctor's recommendation or not. One factor in that decision is cost. It would cost a small fortune to keep someone in a deep vegetative state in a nursing home for months. Many people do not have that kind of money. Many families don't want to watch their loved ones suffer for months.

May 20, 2024 - 5:07:24 AM
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628 posts since 7/13/2008

I would think that whether a patient is taken off life support would also be directly influenced by any Advanced Directives that were the wishes of the patient. I wonder if that was factored into the study. I've had an Advanced Directive for about ten years. What some people consider "regaining significant function" may not be what I would consider "significant function."

From personal experience, I would say that ultimately God gives you a choice in any case.

May 20, 2024 - 5:29:25 AM
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41240 posts since 3/5/2008

During me heart issues..
I spent time in 2 differnt hospitols..n administrations...

One was vastly Superior...

On a side note..
I actually became a test subject..
That the hospitol..
Really..really wanted to succeed...
As it ment big $.. n prestige ..to.. them..

So ..
The way i see it...
I got extra good care..to insure thier success..

N..ofcourse..i reaped the ..real benefits... :0)
At least imo......

Edited by - STUD figmo Al on 05/20/2024 05:30:27

May 20, 2024 - 6:31:03 AM
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Buddur

USA

3934 posts since 10/23/2004

If it were up to insurance companies...

...noone would ever be put on life support...costs too much money.

May 20, 2024 - 6:46:50 AM
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slammer

USA

4547 posts since 12/30/2008

Sadly, and this is only my opinion having been in the medical profession for 40 years, Hospitalists, again, IMO , are physician’s that could Not maintain their own practice in either a private setting or clinical and are short term bottom of the barrel “doctors” that could pass a test and now just follow a protocol book without ANY common sense and getting paid to work and cover a shift without any attachment to the patient.
I’m sure there is the exception, although I haven’t seen it. I do have to say they are Great at pissing away peoples money by providing what I call “Shotgun medical care”, by ordering every test in the book and see what you can hit to make a diagnosis. Again no common sense and No sense of realistic care.
It all started with the shortage of physicians and physicians that wouldn’t commit to their patients and were tired of making rounds in the hospital if they admitted you.
No rounds, no nights, no weekends and all replaced by the 2nd rate Hospitalists.
Again, JMHO !!!
Think I’m wrong? Ask your Hospitalist where their from, how long they’ve worked there and where’s their next gig. They are short term rent a docs.
Slammer!!!

May 20, 2024 - 7:45:58 AM
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Owen

Canada

15162 posts since 6/5/2011

I've been told that our [i.e. Canada's] hospitals and medical system are operating as they should, i.e. when problems arise, they're identified and the powers that be correct them. 

I see no cause for concern.  wink  

[It should be easy enough to copy our system .....  .]

Edit: "follow a protocol book" and to hello with common sense seem pretty widespread in my experience, w-a-y beyond the medical system.... we can't have no uppity square pegs when we only have round holes.

Edit #2: Fwiw, I support MAID, though not having it in conjunction with a "health care directive" is a shortcoming, IMNSHumbleO.

Edited by - Owen on 05/20/2024 07:59:34

May 20, 2024 - 7:50:07 AM
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41240 posts since 3/5/2008

quote:
Originally posted by slammer

Sadly, and this is only my opinion having been in the medical profession for 40 years, Hospitalists, again, IMO , are physician’s that could Not maintain their own practice in either a private setting or clinical and are short term bottom of the barrel “doctors” that could pass a test and now just follow a protocol book without ANY common sense and getting paid to work and cover a shift without any attachment to the patient.
I’m sure there is the exception, although I haven’t seen it. I do have to say they are Great at pissing away peoples money by providing what I call “Shotgun medical care”, by ordering every test in the book and see what you can hit to make a diagnosis. Again no common sense and No sense of realistic care.
It all started with the shortage of physicians and physicians that wouldn’t commit to their patients and were tired of making rounds in the hospital if they admitted you.
No rounds, no nights, no weekends and all replaced by the 2nd rate Hospitalists.
Again, JMHO !!!
Think I’m wrong? Ask your Hospitalist where their from, how long they’ve worked there and where’s their next gig. They are short term rent a docs.
Slammer!!!


"Shotgun medical care"...?

Well..

 

It dose ..sound ..cheaper than..

Life Support.... :0/

 

;0)

May 20, 2024 - 7:53:44 AM

41240 posts since 3/5/2008

quote:
Originally posted by Owen

I've been told that our [i.e. Canada's] hospitals and medical system are operating as they should, i.e. when problems arise, they're identified and the powers that be correct them. 

I see no cause for concern.  wink  

[It should be easy enough to copy our system .....  .]


Mebee.. they'll come up with a ...

Final Salootion... :0/

 

Oh ..wait..

I do know that they offer..one.. ;0)

May 20, 2024 - 8:20:16 AM
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Players Union Member

Texasbanjo (Moderator)

USA

30200 posts since 8/3/2003

quote:
Originally posted by slammer

Sadly, and this is only my opinion having been in the medical profession for 40 years, Hospitalists, again, IMO , are physician’s that could Not maintain their own practice in either a private setting or clinical and are short term bottom of the barrel “doctors” that could pass a test and now just follow a protocol book without ANY common sense and getting paid to work and cover a shift without any attachment to the patient.
I’m sure there is the exception, although I haven’t seen it. I do have to say they are Great at pissing away peoples money by providing what I call “Shotgun medical care”, by ordering every test in the book and see what you can hit to make a diagnosis. Again no common sense and No sense of realistic care.
It all started with the shortage of physicians and physicians that wouldn’t commit to their patients and were tired of making rounds in the hospital if they admitted you.
No rounds, no nights, no weekends and all replaced by the 2nd rate Hospitalists.
Again, JMHO !!!
Think I’m wrong? Ask your Hospitalist where their from, how long they’ve worked there and where’s their next gig. They are short term rent a docs.
Slammer!!!


I agree with you completely.  I had my fill of hospitalists when my mother was ill and when Dave was ill.  They are so busy making rounds on various floors that they don't seem to have time to talk to the families and often even to take proper care of the patients.  At least that's my take,  having been on both the family side and the patient side.  Lord save me from hospitals and hospitalists.   

May 20, 2024 - 8:22:10 AM
Players Union Member

Texasbanjo (Moderator)

USA

30200 posts since 8/3/2003

quote:
Originally posted by Owen

I've been told that our [i.e. Canada's] hospitals and medical system are operating as they should, i.e. when problems arise, they're identified and the powers that be correct them. 

I see no cause for concern.  wink  

[It should be easy enough to copy our system .....  .]

Edit: "follow a protocol book" and to hello with common sense seem pretty widespread in my experience, w-a-y beyond the medical system.... we can't have no uppity square pegs when we only have round holes.

Edit #2: Fwiw, I support MAID, though not having it in conjunction with a "health care directive" is a shortcoming, IMNSHumbleO.


Unfortunately, here in the U.S. (or at least where I live), it does no good to complain, either by letter, in person or phone.  You are ignored and nothing improves.

May 21, 2024 - 6:31:16 PM
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Owen

Canada

15162 posts since 6/5/2011

Oh, we don't even have to complain.... the powers-that-be that fix things are the same powers-that-be that see/identify the areas for improvement.   That's their job, and they do it very well; they're aware of problems (?) before "we" are, and our input isn't needed.  [At least that's what I've been told.]  wink

May 22, 2024 - 3:10:31 AM

41240 posts since 3/5/2008

quote:
Originally posted by Texasbanjo
quote:
Originally posted by Owen

I've been told that our [i.e. Canada's] hospitals and medical system are operating as they should, i.e. when problems arise, they're identified and the powers that be correct them. 

I see no cause for concern.  wink  

[It should be easy enough to copy our system .....  .]

Edit: "follow a protocol book" and to hello with common sense seem pretty widespread in my experience, w-a-y beyond the medical system.... we can't have no uppity square pegs when we only have round holes.

Edit #2: Fwiw, I support MAID, though not having it in conjunction with a "health care directive" is a shortcoming, IMNSHumbleO.


Unfortunately, here in the U.S. (or at least where I live), it does no good to complain, either by letter, in person or phone.  You are ignored and nothing improves.


I agree..an individual is iggnored..

But if enuff people stand up things can change..

 

It is a very hard thing to acheeve that..

 

But..

If..n..When things get bad nuff..

People will do what they need to do..

Like...WORK TOGETHER..... Regaurdless of petty differances..amongst themselves.

 

Then you have an awake citizenship..

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