Comments on: Digging for dollars http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/ tales from the nurse anesthesia front, and some other yarns Tue, 14 Oct 2008 20:16:37 +0000 http://wordpress.org/?v=2.1.3 By: Onehealthpro http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1695 Onehealthpro Sat, 02 Feb 2008 19:44:08 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1695 How tragic! Dr. Gome sounds like a vulture. Can you refer these patients to social service? Bedsores of the size you are describing are an issue that licensing agencies should address. Onehealthpro How tragic! Dr. Gome sounds like a vulture. Can you refer these patients to social service? Bedsores of the size you are describing are an issue that licensing agencies should address.
Onehealthpro

]]> By: I wonder http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1698 I wonder Sun, 03 Feb 2008 04:21:20 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1698 Ah, the clean up guy... It may well be that many people see this fellow as a vulture, but let us not forget, vultures are an important part of nature. Don't we need the 'clean up guy'? Sure, it may seem like a compassionless job, but is it? Noone else is there for these people, but him. Their families have left them for dead but decided to extend their suffering indefinitely, the law will allow noone to end their suffering and they have been locked away in a modern sanatorium. Afterall, if we had to see them everyday we would then have to question the laws surrounding euthanasia, can't have that now can we? (insert sarcasm here). So, is it the 'clean up guy' we should be questioning or law that force people to become breathing husks that we should question? This is particularly true when we see so many of these patients who would never want to live this way. If asked (or actually informed?), I wonder how many people, regardless of religion, would choose to live in such a way? Maybe the clean up guy is the ONLY one with any compassion for those we have shut away for fear of confronting faith derived convictions which have sentenced them to continual suffering? At least the clean up guy is doing something.... Ah, the clean up guy…

It may well be that many people see this fellow as a vulture, but let us not forget, vultures are an important part of nature. Don’t we need the ‘clean up guy’?

Sure, it may seem like a compassionless job, but is it? Noone else is there for these people, but him. Their families have left them for dead but decided to extend their suffering indefinitely, the law will allow noone to end their suffering and they have been locked away in a modern sanatorium. Afterall, if we had to see them everyday we would then have to question the laws surrounding euthanasia, can’t have that now can we? (insert sarcasm here).

So, is it the ‘clean up guy’ we should be questioning or law that force people to become breathing husks that we should question? This is particularly true when we see so many of these patients who would never want to live this way. If asked (or actually informed?), I wonder how many people, regardless of religion, would choose to live in such a way?

Maybe the clean up guy is the ONLY one with any compassion for those we have shut away for fear of confronting faith derived convictions which have sentenced them to continual suffering? At least the clean up guy is doing something….

]]> By: Terry http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1700 Terry Sun, 03 Feb 2008 17:07:34 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1700 You've made some excellent points. I am not convinced of Dr. Gome's compassion, though. It appears to me that the only thing he is doing is prolonging their truly wretched existence. As to the "bigger" picture, I'm totally with you there. I am hopeful that with our upcoming elections and a new administration in the Oval Office, this very issue can get some attention and be addressed. Thanks for your comments, and for reading my blog. You’ve made some excellent points. I am not convinced of Dr. Gome’s compassion, though. It appears to me that the only thing he is doing is prolonging their truly wretched existence.

As to the “bigger” picture, I’m totally with you there. I am hopeful that with our upcoming elections and a new administration in the Oval Office, this very issue can get some attention and be addressed.

Thanks for your comments, and for reading my blog.

]]> By: RehabRN http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1705 RehabRN Mon, 04 Feb 2008 11:38:07 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1705 We have a doc like this at our place. My preceptor called him "Dr. Chop". He amputates in stages, so he gets more business, or at least, that's how it looks, anyway. Pt. gets metatarsal amp, waits a little bit, gets infected, gets a BKA, waits, then gets an AKA. I didn't really believe this until I saw the first three pts. A few things in common--All diabetics and all had the same surgeon. We have a doc like this at our place. My preceptor called him “Dr. Chop”. He amputates in stages, so he gets more business, or at least, that’s how it looks, anyway.

Pt. gets metatarsal amp, waits a little bit, gets infected, gets a BKA, waits, then gets an AKA.

I didn’t really believe this until I saw the first three pts. A few things in common–All diabetics and all had the same surgeon.

]]> By: Freadom` http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1708 Freadom` Mon, 04 Feb 2008 18:56:36 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1708 He's got to be pretty darn good at this though. If my family needed bedsore maintenence, sounds like he'd be the best man for the job. He’s got to be pretty darn good at this though. If my family needed bedsore maintenence, sounds like he’d be the best man for the job.

]]> By: Rob at Kintropy http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1745 Rob at Kintropy Sun, 10 Feb 2008 13:00:02 +0000 http://everydaynurses.com/wordpress/2008/02/02/digging-for-dollars/#comment-1745 Maybe the best way to avoid the bedsores and pathetic state of some nursing homes is to avoid nursing homes whenever possible. There are state-level pilot projects and Medicaid waivers for providing home-based nursing to elderly adults. Imagine the dignity, comfort, and independence (as well as one-on-one attention/care) this would provide. Still requires oversight, of course, but I think it's preferable to institutionalization. I'd like to see these programs become the norm wherever possible. Essentially, this is the same type of care my daughter, Hannah, receives at home under a Medicaid waiver. We've been able to raise her at home, with all her family and friends' support, as a result. Maybe the best way to avoid the bedsores and pathetic state of some nursing homes is to avoid nursing homes whenever possible. There are state-level pilot projects and Medicaid waivers for providing home-based nursing to elderly adults. Imagine the dignity, comfort, and independence (as well as one-on-one attention/care) this would provide. Still requires oversight, of course, but I think it’s preferable to institutionalization.

I’d like to see these programs become the norm wherever possible. Essentially, this is the same type of care my daughter, Hannah, receives at home under a Medicaid waiver. We’ve been able to raise her at home, with all her family and friends’ support, as a result.

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