[HSF] Death on waiting list

[Michael Firstenberg]

But, here in the USA the "short waiting list" is not just the endless
resources paved with gold - in fact an arguement can be made to just the
opposite.  Keep an in-patient a day or 2 (or more) waiting for surgery,
particularly without a valid reason (which of course varies on who you talk
to) and the hospital adminitrations come knocking on your door about length
of stay.  Increase LOS and the hospital losses money and you dont make
friends in high places.  Not to mention, the extra tests and blood draws
that must get done during those days and your transfusion rates go up, which
means all sorts of other problems.  The least of which are the referring
services constantly bugging you about when you are going to operate on their
patients (their motivation is mainly to get a train wreck pre-op off their
service).......

-michael


On 4/24/07, Tea Acuff <tacuff at swbell.net> wrote:
>
> The blessed silence from my retorts were due to an actual vacation (life)
> without email.
>
> I do think that i agree with D. Harris about nothing wrong with a day or
> two (or more) for an "elective" case for both the patient and the surgeon
> (and team). I wonder if my continued worsening instead bettering of my
> mortality by risk adjustment is due to my "down staging" my patient's acuity
> from "urgent" (<24 hrs) to "elective" for many patients. ?? Does anyone know
> the difference in STS mortality of elective verses urgent vs emergent for
> CABG? Is salvage now or was ever a category?
> tea
>
>
> ----- Original Message ----
> From: "Salerno, Tomas" <TSalerno at med.miami.edu>
> To: OpenHeart-L at lists.hsforum.com; OpenHeart-L at lists.hsforum.com
> Sent: Sunday, April 15, 2007 11:35:59 PM
> Subject: RE: [HSF] Death on waiting list
>
>
> waiting lists in the USA are in general about one hour
>
> TS
>
> ________________________________
>
> From: openheart-l-bounces at lists.hsforum.com on behalf of Tea Acuff
> Sent: Mon 4/16/2007 12:32 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Death on waiting list
>
>
>
> About the only waiting going on in the United States of America (no ugly
> "American" short hand) is over the weekend. Excepting the Veterans
> Administration Hospitals of course.
> tea edward acuff junior medical doctor
>
>
> ----- Original Message ----
> From: Tina i Mladen Kocica <kocica at sezampro.yu>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Sunday, April 15, 2007 9:59:59 PM
> Subject: [HSF] Death on waiting list
>
>
> Our heart surgery waiting lists (WL), here in Serbia, are permanently
> growing, with today average of about 1000 people per centre annualy. It
> seems that we do not make them properly, since death rate on WL is also
> permanetly increasing (from 8% three years ago to 15% last year).
> Questions:
> 1) General opinion about WL for heart surgery (ethics)?
> 2) Criteria? Who makes them?
> 3) Your annual WL load?
> 4) Your WL mortality?
>
> Regards,
> Mladen
>
> Mladen J. Kocica, M.D.
>
> Clinic for Cardiac Surgery
>
> Institute for Cardiovascular Diseases
>
> UC Clinical Centre of Serbia
>
> 8th Kosta Todorovic St.
>
> 11000 Belgrade
>
> Serbia
>
> Tel: + 381 (11) 3670609
>
> Fax: + 381 (11) 3610880
>
> E-mail:  <mailto:kocica at sezampro.yu> kocica at sezampro.yu
>
> URL:  <http://www.kocica.org/> www.kocica.org
>
> URL:  <http://www.ctsnet.org/home/mkocica> www.ctsnet.org/home/mkocica
>
> URL:  <http://www.srscvs.org/> www.srscvs.org
>
>
>
>
>
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