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Minor Rant: Dependability

Phylodog

Hidin since '06
Minuteman
Aug 9, 2006
2,372
22
52
Arcadia, IN
Since the US Army made a man out of me many years ago and taught me what it was to be a responsible adult I have found it extremely difficult to deal with those who choose not to do what is expected of them, do what they say they're going to do or accept responsibility for their actions.

I'm typing this from my hospital bed after needing emergency surgery yesterday afternoon to remove a sebaceous cyst from my back which had become infected and was rapidly getting worse despite the antibiotics I was taking. I've gotten around two hours of sleep because it feels like they used an ice cream scoop to gouge out a hole in my back and the pain meds offer enough relief for a brief nap before losing effectiveness.

The cyst was supposed to be removed in July. I had already been through an initial consult with the surgeon when I showed up for the simple procedure a month and a half ago. I was told it would take 20 minutes start to finish, a little glue would patch me up and I could return to work the same day. Instead I laid in the bed of the operating room for almost two hours while the nurses paged the surgeon and called his office but received no response or explanation. Needing to return to work for a meeting I left.

So here I sit, wide awake when I should be sleeping and feeling like a junkie for asking the nurses for more pain meds every hour and a half. I've already missed a week of work and I'm told I will have to miss another because the wound will have to be packed every day for the next week to ten days. Wondering how much this is all going to cost me now when it was supposed to be minimal.

I don't understand why it appears to be so damned difficult for some people to do what they are supposed to do. It really isn't that difficult most of the time and the thoughts of how much better life would be if you could just count on people frustrates me to no end.

I apologize if this is an incoherent ramble, the nurse dumped another load of dilaudid into the line shortly after I began typing it.
 
Re: Minor Rant: Dependability

Disorganization in matters of critical importance is inexcusable. Seems like having your supply line tell you, "More ammunition? Oh, we forgot to order the ammunition, sorry. It should be here next month. You have enough to hold out that long, right?"
 
Re: Minor Rant: Dependability

In America these days, there are only two types of workers. Those only there for the money, and those that put their name on their work.
 
Re: Minor Rant: Dependability

Phylo, best wishes to a speedy recovery bro, and regardless of level of coherence u were in you are right on bro.

One of my pet peeves is responsibility, and you can certainly not run a business without it. I'd like to say lack of it gets worse with each generation but in your case it seems that prejudice doesn't fit.

God save us all when the entire Medical institution is controlled by the Gubmint. They will certainly care a lot more about care and responsibility then, yeah right.

Our only hope is to be certain we pass the torch of responsibility along to our children, which thank God it appears I have with my grown children.

Wishing you a speedy recovery bro

Don
 
Re: Minor Rant: Dependability

Sadly, the system we have developed over years has driven itself to the point that you are nothing more than an enumerated piece of meat on a production line.

Patient care and well-being have been pushed off the bottom of the list.
What's important is that they get the paperwork done properly and that the codes all line up so that payment will come in a somewhat timely manner.

Wishing you a speedy and complete recovery.
The sooner you heal and get out of that machine, the better your chances.
 
Re: Minor Rant: Dependability

Calling bullshit on that.

Perhaps Phylo's doc failed him but don't paint everyone who practices surgery or medicine with that brush.

I can tell you from first hand experience that there are times, increasingly frequent, when the planned surgery or office visit has to be delayed because of an emergency. There are not enough general surgeons now, and proportionally there will be fewer in the future. His experience will be commonplace because there is only one of me and there are thousands of you, all wanting to be taken care of right now on your own schedule.

Phylo, speedy recovery for you bro. Sorry your doc screwed you over.
 
Re: Minor Rant: Dependability

<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: tucker301</div><div class="ubbcode-body">Sadly, the system we have developed over years has driven itself to the point that you are nothing more than an enumerated piece of meat on a production line.

Patient care and well-being have been pushed off the bottom of the list.
What's important is that they get the paperwork done properly and that the codes all line up so that payment will come in a somewhat timely manner.

Wishing you a speedy and complete recovery.
The sooner you heal and get out of that machine, the better your chances.

</div></div>

Completely agree. Patients don't directly pay for health care and the link where the "customer" should get all of what they pay for and bargained for is sometimes broken. I've been dicking around to get my shoulder fixed for over a year.

When cops make a mistake these pages light up with criticism. The medical industry is running at about eight times the pay of a cop.

Rant on!
 
Re: Minor Rant: Dependability

I will clarify one thing with regards to my statements above.
There are a lot of good people in the healthcare industry. People who entered the field with the noble intention of helping their fellow human beings in their time of need.

To the healthcare corporations they work for, and the insurance companies and government agencies that move the money around, they too are pieces of meat.
 
Re: Minor Rant: Dependability

<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: nock</div><div class="ubbcode-body">Welcome to the new medical plan. </div></div>

How is this new?
What's being discussed here has been eroding the current system for decades.
 
Re: Minor Rant: Dependability

I too suffer from the samethings, I must do my job right the first time everytime, I have no pitty for those who make excuses, or can not live up to there responsibilities or take them seriously. I would make an appointment with said Doctor, explain to he\she that the circumstances that lead from forgetting to show up to work.
 
Re: Minor Rant: Dependability

Emergency surgery: $ 19,754.35

Pain meds on demand: $ 75.00 per push of the button

Packing and re-packing an open wound: $ 1.75 each time

Remembering mis-spent Army years that you can never get back: Priceless!
laugh.gif



Get well soon!
 
Re: Minor Rant: Dependability

Damn man, hope you get better soon! As far as the other conversation: I think the whole system has became so litigious that Doc have to CYA at every step and we, as patents suffer from that.
 
Re: Minor Rant: Dependability

Phylodog, I wish you the best on your recovery. i had a similar issue but to a smaller scale about 8 months ago when a doctor no showed on me and then later turned into a huge ordeal after having to reschedule and push things back to fit his schedule.

I was about to go on a bit of a rant in regads to the guys making coments about government run healthcare but this isnt the place. phylo's issue has nothing to do with it and by and large would not at all be effected by it except for the bill he receives later.

My delayed treatment ended up putting me in physical therapy for 8 weeks. Technically ocupational therapy on my hand. 8 one hour visits came to just shy of $5K. luckily i have all around good healthcare coverage. my out of pocket was $100. What should really be questioned is how they get away with charging nearly $500/hour. for 20 min of that hour they had me stretching on my own. 20 min i was hooked up to a machne that provided electric stimulation to my wrist, and the other 20min was basically a massage of my arm and hand. for $500 i would have expected a happy ending as well. but people dont raise a fuss because like me they didnt pay that much out of pocket and compare to the whole bill how could you think of complaining and in the end poof I was healed. the system, from start to finish is broken. the day doctors started getting paid by the head through HMO's we were in trouble. When more staff occupied the billing offices then the exam rooms again we were in trouble and the largest death panels of all time sit atop the boards at the insurance companies. A good friend of mine worked for united health for years as an actuary. he described it as the roman coliseums but instead of ceasar with a thumbs up or down it was just an equation spitting out an answer.
so this rant isnt to be taken as pro or against government healthcare. I just hope to god for our kids sake and my sake when im an old fart who cant move with out help all realize that the system in horribly broken, with rewards (ie pay) being based on the wrong services (i.e. fix vs cure, patch vs prevent). the idea that a man with healthcare can go bankrupt because of cancer or a heart attack, or that a doctor or hospital can refuse someone because they are too risky a case, or an issurance company can deny someone becasue they are sick, were sick, or have a genetic predespisition to becoming sick, is simply wrong. and although i a simple man does not have the simple solution, i am just still amazed by the hundreds and even thousands of smart, people who think that the system is ok.
 
Re: Minor Rant: Dependability

I went thru the same procedure ..... NOT fun thats for sure. I was out of work for 3 months. Had to have the wound packed twice a day, morning and night. Then had to saok in a tub of hot soapy water for 30 mins at a time. It absolutely sucked.

But good news is, I was off pain meds in 3 days.
 
Re: Minor Rant: Dependability

First... you had a cyst bad enough to see a doc and scheduled surgery 6 weeks out? WTF? Were you waiting to become systemically fucked? Doc can't always tell what crazy lengths a cyst has gone. My brother had one with two 6" legs going through his ass-cheek. They fileted his whole ass and refloded the skin down. Outpatient procedure, went home that day on the doc's recommendation due to....

Second, get out of the hospital. The last place you want to be after surgery is in the hospital. If you want to keep that mildly infected cyst warranting surgery from being a nice MRSA or C-Diff fight for your very life, by all means book an extra night. You'd be safer finding a homeless man to clean your wounds with whatever rag he has handy. I'm being deadly serious. Get out of the hospital, ASAP. Almost every hospital now has those bacteria, even in the gotdamn maternity wards. Nice way to start life huh? You think your general surgery room is cleaner than the maternity ward?

Oh, and hope you feel better. I know it sucks. Do go home where you're safe though.
 
Re: Minor Rant: Dependability

<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: BugSniper</div><div class="ubbcode-body">First... you had a cyst bad enough to see a doc and scheduled surgery 6 weeks out? WTF? Were you waiting to become systemically fucked? Doc can't always tell what crazy lengths a cyst has gone. </div></div>

Not sure where you got that. I've had the cyst for 15 years. Was scheduled to have it removed in July but the surgeon decided to do something else that day. Had it been removed then I wouldn't be having this problem.

Home from the hospital now and lying in my own bed again. Sounds like I'll be here for at least a week as they replace the gauze that's packed in there on a daily basis. Had the nurse take a pic for me when she changed it out this afternoon and it looks a lot better than I thought it would and much better than before the surgery.
2010-09-24_16-29-30_186.jpg

The gauze in the pic is what she pulled out and had to replace.

Thanks for the well wishes
 
Re: Minor Rant: Dependability

F, i was just at the doctor's office on Wednesday talking about the same procedure. He said it was no big deal. Local anesthetics. I kinda' might have to re-think this.

Get well soon 'dog.
 
Re: Minor Rant: Dependability

Wow, just wow. I had that procedure done a couple years ago on an office visit/outpatient basis and was in and out in about an hour. Wasn't infected to start with though and I had lived with the thing for about 15 years before getting rid of it. Good luck with your recuperation and I'm sure you'll be feeling fine in no time.
 
Re: Minor Rant: Dependability

This is the exact reason I have everything that is even half way considered serious done at the Mayo Clinic in Rochester MN. Two transplants, two finger amputations, a bout with cancer and a heart attack just to name a few. It is a one of a kind place. I drive the 10 hrs without hesitation whenever needed. Godspeed in your recovery brother.

okie
 
Re: Minor Rant: Dependability

I entered the healthcare field in high school(1988) as a basic EMT, then onto the Army as a Combat Medic. I stayed in the field as a Para, the went on to RN and Grad School. I regret staying in the field now, as I've seen my reimbursement from insurance companies dwindle to the tune of about 10%/yr since 2005. Healthcare, without doubt, is out of control. I'm looking hard at a second career. May just sell-out go work for big insurance since they're pocketing all the political power. To think that every professional medical/ nursing organization I belong to fervently supported the "New" healthcare plan.
<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: tucker301</div><div class="ubbcode-body">I will clarify one thing with regards to my statements above.
There are a lot of good people in the healthcare industry. People who entered the field with the noble intention of helping their fellow human beings in their time of need.

To the healthcare corporations they work for, and the insurance companies and government agencies that move the money around, they too are pieces of meat. </div></div>
 
Re: Minor Rant: Dependability

Just about the only person you can depend on these days is yourself. There are very few people that care about the problems of others these days. I deal with very undependable people every day at work so I feel some of your pain, I spend most of my days picking up for others slack, then when I fire someone for being a slacker they just go and collect unemployment. So now they get paid for doing even less. In alot of industries whether it be healthcare or otherwise there is no shortage of people that just dont care to do their jobs. It will only get worse, I see it every day in the lack of caring of future generations.
 
Re: Minor Rant: Dependability

Guess that is why doctors get to say "It's a practice". If I did that to your car we would be refunding all your money, paying for your car rental, listening to you bitch about you wasting a precious hour of your time, and then maybe seeing the judge that already assumes you are screwing the customer because you charge $110 an hour.
Went to Kaiser a couple weeks ago to the urgent care (not emergency) because my left eye was killing me for a couple of days. Figured I must have pink eye or something. So I call and tell them something is wrong with my eye and explain what my symptoms are and we agree that I need to see an Ophthalmologist. I get there and pay my $25 and wait for the doc to come in. She comes in and asks me what's wrong, I tell her and she says I need to see an Ophthalmologist. I say "you are not one?" she says "no". So now she sends me upstairs for the eye doc and I have to pay another $25 for that. I say I just payed downstairs! Sorry sir that is a different department. Eye doc pulls a piece of metal out of my eye. Boy do I feel better.
Here is a better one. Yesterday my father in law that had his prostate removed because of cancer was just told that the reason the cancer came back was the surgeon that removed his prostate forgot to remove the connective tissue that should always needs to be removed with the prostate so now they can't go back in out of fear of spreading. chemotherapy continues and it will most likely kill him....
 
Re: Minor Rant: Dependability

<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: BugSniper</div><div class="ubbcode-body">First... you had a cyst bad enough to see a doc and scheduled surgery 6 weeks out? WTF? Were you waiting to become systemically fucked? Doc can't always tell what crazy lengths a cyst has gone. My brother had one with two 6" legs going through his ass-cheek. They fileted his whole ass and refloded the skin down. Outpatient procedure, went home that day on the doc's recommendation due to....

</div></div>
OK, I'm about to rock you world. Before that got infected and became an abscess, the ICD-9 (diagnostic coding) of that lesion is 706.2, epidermal inclusion cyst. Take a moment Monday, call your insurance company and see if YOUR insurance company covers removal of that (would be CPT 11403 + 13101). If you code if for what it honestly is, insurances, (at least where I am), will not cover removal of these. Yes, it takes about thirty minutes, outpatient, and usually no pain meds other than Tylenol if not infected. They will, however, cover Incision and Drainage of an Abscess (ICD 682.5; CPT 10060 or 10061), which it becomes once its infected. I am personally blown away that Cory got hospitalized for this. To get my patients treated, I have to send the to a surgeon who plays dumb and codes it as a "I don't know what this mass is" 238.2. And if the good insurances aren't covering it now, just wait....