September 08, 2006

I can't believe this...

No, I am not a doctor. Nor am I a nurse. I've never taken even so much as a CPR or first aid course outside the cursory one they teach in high school driver's ed so you can save your passengers after you've screwed up behind the wheel.

Even so, I know that after major surgery you do not send someone home who has not passed a decent bowel movement, who blew out his own catheter in the middle of the night, who cannot even eat because of the nausea and what vomiting does to his split sternum, who sill has bedsores, and who be left alone for hours at a time because he cannot get out of a chair unassisted. It is dangerous, it is irresponsible, and it is bad medicine.

Yet today when I went to take Delfts a bowl of fruit from the cafeteria breakfast bar he told me he thought that they were considering exactly that. Even though he badly wants to be out of this hospital, even he thinks that Monday is entirely soon enough.

I do not know who is pushing this release, but I strongly suspect the insurance company is putting the pressure on the hospital and the surgeon. Yes, it is true that under perfect conditions a patient having the same surgery could reasonably expect to have been home long before today. This, however, was far from a perfect case. Five days of atrial fibrillation did number on him, and the fact that he was in very poor condition prior to the surgery only contributed to the situation we have now. A former health care worker with whom I am friends was astounded that they sent him home from the Congestive Heart Failure unit over the weekend prior to his surgery based on his overall condition and the problems he was having.

And now they want to send him home again.

This is not a good thing. It is, in fact, a very bad idea. I desperately hope that this is more the product of a combination of pain meds affecting Delft's mind, and not a real option that they are considering for him.

In the meantime, he truly enjoys the calls. He has missed you all so very much. Thank you for calling him. I fixed the phone number in the previous post, so it is correct now.

Update: Well, I am much relieved after talking to Delft's nurse. Relieved, but not as relieved as I'd like to be.

It seems that after the successful cardioversion on Tuesday, he was able to keep a sinus rhythm only until Wednesday night. He's been in and out of A-fib and back on the meds for it since then. He has been light-headed and dizzy, so much so that they had to cut his 11am walk back from 150 feet to 75 feet.

Based on all of his indicators, there is no possibility of his being released either today or tomorrow for love or money. He got his conversation with his nurse all mixed up in his drug-addled mind and completely misunderheard what was being explained to him. It is a Very Good Thing™ that he was wrong. He has no business being home alone. Hell, he has no business being at home even with other people as long as his cardiac rhythm isn't regulated.

Posted by: Mamamontezz at 10:47 AM | Comments (164) | Add Comment
Post contains 569 words, total size 3 kb.

1 Absolutely mindboggling! Keep on their case, Mamma, and do what ya can to protect Delft's interests!

Posted by: Kiril, The Mad Macedonian at September 08, 2006 12:29 PM (6OfUy)

2 A couple of years ago, my boyfriend had a major surgery, and the hospital wanted to release him the next day. Insane! He couldn't even get out of bed without assistance. Not to mention, he is also diabetic, which increases the possibility of complications....and he was running a fever. I put my foot down.....there was NO way I was going to take him home! There's no way I could have cared for him by myself. Fortunately, the doctor came to my rescue, and my love ended up spending 3 nights at the hospital. It doesn't seem to make sense that insurance companies insist on discharging patients so soon. It seems like in the long run it would cost them more due to complications that can arise in after care. Oy. Well, my thoughts are with you and your family. Hang in there. *hugs*

Posted by: DogsDontPurr at September 08, 2006 05:03 PM (C3TZY)

3 A pox on all the beancounters in the insurance business. Is there any form of life lower than those who'll jeapordize a human life to save their bosses a penny. I've had similar experiences with three of the most recognized insurance companies, their initials are Blue Cross, Aetna and Connecticut General. That surgeon's decision has weight, if the insurance company decides otherwise sue them for non performance and don't give up.

Posted by: Jack at September 09, 2006 02:14 PM (nls8g)

4 I just read the message on Bert's Blog for Sept. 8. I believe that a patient/or his family can say they do not want him discharged from hospital if he is not able to be at home. He (or Lila) can request of the Dr. that he stay in hospital. Of course, the Dr. needs to tell the insurance company that because of ......., he needs to be in the hospital longer than "the book says" for the type of surgery he went in for. Some patients do not have all the other problems that Bert had and still has. I clicked on "Comments" and did not get the page to put my comment. So maybe you can get the word to Lila. Also, when he does go home, the Dr. can request Home Health Care or Visiting Nurse, I think. Something to check on. I talked to you Mom the other night for a while. She was so glad that Bert was finally able to be in a room. Hope you are doing OK. Take care! Mary

Posted by: biglilsis at September 09, 2006 05:12 PM (JhbHP)

Posted by: Rachel at September 10, 2006 07:48 AM (y415J)

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Posted by: Luke at September 10, 2006 07:49 AM (GtVBV)

7 Thank you Mamamontezz. This makes me furious and I bet it is the insurance company. For one thing they think they only have to go by the book shall we say and not by how each individual person is doing. Everyone has their own time of how long it takes to be ok to leave a hospital. This is outrageous. Please give him our love and tell him we miss him but want him much stronger before he leaves the hospital. He means a lot to so many of us and that sinurance company can .........well you know ( insert plenty of words of disgust here).

Posted by: Wild Thing at September 11, 2006 08:16 AM (tj1zH)

8 ... get well soon, Delfts...

Posted by: Eric at September 13, 2006 08:47 PM (r5XsL)

9 What HE said!

Posted by: Kiril, The Mad Macedonian at September 14, 2006 12:07 AM (sedi1)

10 Hang in there! Hang the stinking insurance companies. If the docs say they're gonna release Delfts tell them you'll sue. Gotta get his rythme under control and get his strength up. Prayers to contunue...

Posted by: sig94 at September 14, 2006 10:04 PM (BnMdL)

11 Hope all is well enough with the family. Drop by regularly to see if there is an update. My prayers are still with ya'll.

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12 Hope things are going well for all of you....

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