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View Diary: Pandemic Challenges For Hospitals (68 comments)

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  •  as the diarist notes above, (8+ / 0-)

    we must be prepared to provide Home care.

    The last place I plan on going during an outbreak is a hospital, whether for myself or a family member.  It would be pointless, unless you were one of the very first to get there, or unless they were dispensing morphine in the parking lot for terminal cases.

    •  Amen to that! (7+ / 0-)

      ...Folks want SOMETHING done - and when they have a negative flu test, negative strep screen, no evidence of a bacterial infection, and I suggest chicken soup, lots of fluids, Mucinex and Ibuprofen, they practically beg for a "shot" or something.
       We need more grandmothers with common sense, more education about home health care!

      In a time of universal deceit, telling the truth becomes a revolutionary act. - George Orwell

      by drchelo on Sun Feb 10, 2008 at 06:40:29 AM PST

      [ Parent ]

      •  here's something (6+ / 0-)

        "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

        by Greg Dworkin on Sun Feb 10, 2008 at 06:46:17 AM PST

        [ Parent ]

      •  The funny thing is (2+ / 0-)
        Recommended by:
        maybeeso in michigan, mdgarcia

        When Kaiser goes to prescribe antibiotics to anyone in my household, I ask if it's necessary?  They always look at me like I'm the crazy one.

        And then you have the people who whine about taking them and they aren't working and going back to the doctor and I have to say, you know, it's probably a virus and that's why antibiotics won't do a damn thing for you.

        It's out of control really and frightening how many people are still uneducated about this.  And I work with engineers.

      •  Dr. Sidney Maurer (2+ / 0-)
        Recommended by:
        Rick Winrod, Ellinorianne

        was one of the founders of the Nurse Practicioner program, working with Sargeant Shriver. They were setting up neighborhood health care clinics, and like you, they were overwhelmed.

        "We thought, who could see kids? Moms. But they had to have at least three kids, so they had a good cross-section of situations to draw from," explains Dr. Maurer. "Then they went through some training, and it evolved into the Nurse Practitioners we know today."

        drchelo, it seems to me unfortunate that so many people come in for the flu when there's so little you can do for them. I wonder what can be done to give people more ability to know when it's worth coming in and when not. For example, you could even have signs/handouts in the waiting room about the flu, what you can do, what symptoms are alarming and what symptoms are not, and what you're likely to do for the patient.

        I have a useful book from Kaiser Permanente that has a whole set of symptoms and illnesses and what kinds of home care and when it needs medical attention and when it's time to call the ER. What if everyone got a book like this every year, like the phone book?

        Obviously, you still won't reach everyone. And, obviously, we still need more urgent care capacity. I consider myself relatively well informed and I still make mistakes (in both directions) about whether to see a doctor for myself or my child.

        Fry, don't be a hero! It's not covered by our health plan!

        by elfling on Sun Feb 10, 2008 at 09:53:31 AM PST

        [ Parent ]

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