[HSF] Health Care Baby Sitting

[Prasanna Simha M]

I generally insist that they go off cigarettes and start them on a
deaddiction program. One advantage in India is to set the wife on
nagging mode on the husband.
Prasanna

On Mon, Nov 2, 2009 at 12:11 AM, Prasanna Simha M
<prasannasimha at gmail.com> wrote:
> And also begs for the concern regarding alcohol addiction. the tyranny
> of the patients demands does not also factor in the patients duties.I
> had one colleague who would refuse to do elective CABG's till they
> were off cigarettes. Maybe seems extreme but but it used to work well.
> Prasanna
>
> On Sun, Nov 1, 2009 at 11:56 PM, Edward Bender <ebender001 at me.com> wrote:
>> Eight months ago I did double valve replacement (MVR/AVR) on a 75 year old
>> man with unremitting sepsis, heart failure, and infected native valves.  He
>> was admitted to our hospital yesterday for alcohol toxicity/detox, covered
>> in feces, and a cold left leg (previous fem-pop bypass occluded). An echo
>> was obtained showing normal prosthetic valves functioning without any
>> vegetations. No signs of sepsis, but the hospitalist who admitted the
>> patient wanted to make sure there was no cardiac source for an embolus.
>> Patient is in sinus rhythm.
>>
>> As long as we operate on patients like this, we will have outcomes that are
>> worse than what we would hope for.  It would be nice if our health care
>> plans could attend to the needs of the patient after discharge. Home health
>> agencies will not see the uninsured, the under insured, or medicaid
>> patients. What we need is a healthcare baby-sitting service. If we are to be
>> graded/judged on our outcomes, those that are doing the judging should own
>> up to the fact that sometimes its the patients and not the ³greedy² doctors.
>>
>> Ed Bender, MD
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>
>
>
> --
> Prasanna Simha M
>



-- 
Prasanna Simha M