HEALTH CARE CONSUMER

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Posted by RICH SPURR on January 29, 1998 at 11:24:35:

pATERNALISM- THE TYPE OF PATIENTS THAT FIT HERE I BELIEVE ARE THE SHORT STAY PATIENTS SUCH AS LAP CHOLES, CYSTOGRAMS, AND OTHER SURGERIES THAT DO NOT REQUIRE A LENGTHY STAY OR RECUPERATION PERIOD.

CONSUMERISM- Most of the patients that we receive at our hospital are of this type. HMO'S and managed care plans dictate where the procedure is performed, and how much the provider will be reimbursed.

Mutuality- My two examples here are the CABG (heart bypass) and the oncology patient.

Default- Alcohol or drug dependent in my view would fit here. Quite a few of the post-op patients that we see come back for morphine, demerol, and dilaudid medications. The reason is these patients have been given heavy doses in the past and cannot be weanded off the medications.

2.Health information- Local tv news in my view is the best source since it covers the area hospitals and any new procedures and medicines that are being utilized.

VIDEOS- IN MY VIEW, VIDEOS ARE O.K., BUT UNLESS THEY ARE UPDATED EVERY YEAR, THE PATIENT IS THE ONE WHO MIGHT SUFFER IN THE LONG RUN DUE TO LACK OF INFORMATION.

3. GOOD PATIENT- ONE OF MY BEST PATIENTS WAS A NINE YEAR OLD GIRL WHO CAME TO THE RADIOLOGY DEPT. AFTER SHE HAD BEEN ABUSED BY SOMEONE IN HER FAMILY. THE YOUNG GIRL HAD A SWOLLEN LEFT ORBIT ALONG WITH NUMEROUS BRUISES, BUT DID NOT MAKE ANY FUSS OR COMPLAIN. SHE DID EVERYTHING THAT I ASKED OF HER. AFTER I TOOK HER RADIOGRAPHS, I TOOK HER TO A PLACE TO SHOW WHAT I TOOK PICTURES OF.

AFTER SHE WAS DISCHARGED, I RECEIVED FROM HER A BEAUTIFUL BASKET OF FRUIT FROM HER AND HER MOM SAYING " THANKS FOR SHOWING ME MY FACE."

BAD- MY " BAD " PATIENT HAPPENED SEVERAL YEARS AGO WHEN I RADIOGRAPHED THE DRUNK DRIVER WHO HIT MY GIRLFRIENDS' CAR WHICH NEARLY KILLED HER. HE WAS BELLIGERNET, UNCOOPERATIVE, RUDE, COARSE, AND ANY OTHER NASTY WORD I COULD THINK OF. AT THE TIME THAT I WAS WITH HIM, I DID NOT KNOW WHOM HE HAD HIT UNTIL THEY BROUGHT MY GIRLFRIEND IN.

I MUST ADMIT IT TOOK ALL I HAD NOT TO BE UNPROFESSIONAL TOWARDS HIM FOR WHAT HE HAD DONE.

WHAT REALLY UPSET ME AND HER FAMILY THE MOST WAS THE FACT HE DENIED DRINKING OR EVEN BEING DRUNK.

EVENTUALLY, HE HAD TO ANSWER TO THE POLICE AND THE COURTS FOR WHAT HE HAD DONE TO US. THE WORST OF ALL,

WAS HOW MY GIRLFRIEND APPEARED. TO THIS DAY, I CAN SEE WHAT HER FACE AND BODY LOOKED LIKE AFTER ARRIVING AT THE HOSPITAL.

Also, we at SW Regional keep a list of these patients who also go to other hospitals and try to obtain the medications.

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: pATERNALISM- THE TYPE OF PATIENTS THAT FIT HERE I BELIEVE ARE THE SHORT STAY PATIENTS SUCH AS LAP CHOLES, CYSTOGRAMS, AND OTHER SURGERIES THAT DO NOT REQUIRE A LENGTHY STAY OR RECUPERATION PERIOD. : CONSUMERISM- Most of the patients that we receive at our hospital are of this type. HMO'S and managed care plans dictate where the procedure is performed, and how much the provider will be reimbursed. : Mutuality- My two examples here are the CABG (heart bypass) and the oncology patient. : Default- Alcohol or drug dependent in my view would fit here. Quite a few of the post-op patients that we see come back for morphine, demerol, and dilaudid medications. The reason is these patients have been given heavy doses in the past and cannot be weanded off the medications. : : 2.Health information- Local tv news in my view is the best source since it covers the area hospitals and any new procedures and medicines that are being utilized. : VIDEOS- IN MY VIEW, VIDEOS ARE O.K., BUT UNLESS THEY ARE UPDATED EVERY YEAR, THE PATIENT IS THE ONE WHO MIGHT SUFFER IN THE LONG RUN DUE TO LACK OF INFORMATION. : 3. GOOD PATIENT- ONE OF MY BEST PATIENTS WAS A NINE YEAR OLD GIRL WHO CAME TO THE RADIOLOGY DEPT. AFTER SHE HAD BEEN ABUSED BY SOMEONE IN HER FAMILY. THE YOUNG GIRL HAD A SWOLLEN LEFT ORBIT ALONG WITH NUMEROUS BRUISES, BUT DID NOT MAKE ANY FUSS OR COMPLAIN. SHE DID EVERYTHING THAT I ASKED OF HER. AFTER I TOOK HER RADIOGRAPHS, I TOOK HER TO A PLACE TO SHOW WHAT I TOOK PICTURES OF. : AFTER SHE WAS DISCHARGED, I RECEIVED FROM HER A BEAUTIFUL BASKET OF FRUIT FROM HER AND HER MOM SAYING " THANKS FOR SHOWING ME MY FACE." : BAD- MY " BAD " PATIENT HAPPENED SEVERAL YEARS AGO WHEN I RADIOGRAPHED THE DRUNK DRIVER WHO HIT MY GIRLFRIENDS' CAR WHICH NEARLY KILLED HER. HE WAS BELLIGERNET, UNCOOPERATIVE, RUDE, COARSE, AND ANY OTHER NASTY WORD I COULD THINK OF. AT THE TIME THAT I WAS WITH HIM, I DID NOT KNOW WHOM HE HAD HIT UNTIL THEY BROUGHT MY GIRLFRIEND IN. : I MUST ADMIT IT TOOK ALL I HAD NOT TO BE UNPROFESSIONAL TOWARDS HIM FOR WHAT HE HAD DONE. : WHAT REALLY UPSET ME AND HER FAMILY THE MOST WAS THE FACT HE DENIED DRINKING OR EVEN BEING DRUNK. : EVENTUALLY, HE HAD TO ANSWER TO THE POLICE AND THE COURTS FOR WHAT HE HAD DONE TO US. THE WORST OF ALL, : : WAS HOW MY GIRLFRIEND APPEARED. TO THIS DAY, I CAN SEE WHAT HER FACE AND BODY LOOKED LIKE AFTER ARRIVING AT THE HOSPITAL. : : Also, we at SW Regional keep a list of these patients who also go to other hospitals and try to obtain the medications.

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