Healthcare Industry Post CoVid Prediction

jvandy50

Well-Known Member
Established Member
Premium Member
Joined
Sep 22, 2015
Messages
2,268
Location
AR
I went to PT school with a guy who is exactly 10 years older than me. He turned 50, and i 40 this year. I have thought more than once if i were him and had that extra decade of retirement put back, I’d probably quit working right now. Turns out, i talked to him last week and he is actually contemplating it. He didn’t really say why, but i could tell in his voice he’s simply fed up.

Little things that people don’t think of right now...

1) A complete disruption of communication...rarely are our patients good historians, either dementia or just little to no medical knowledge. A caregiver many times is not allowed in the doctor’s visit or hospital with them. Many of them have no idea why they’re having therapy when i show up. They don’t know what tests were ran, couldn’t tell ya if they had a FX or a CVA...forget about meds. (I do home health also so this stuff is not always accessible in a computer)

2) the nursing home is so obsessed over cleanliness and masks that everything else is getting neglected...like actual health issues are being put aside. I continue to find people that are supposed to be wearing O2 and they aren’t, sitting there desatting to the 70s/80s...but got that ****in mask on though.

3) i had a total knee come in last week...tested positive 2 days later...they make us discharge. They would not let me go in and treat her even though i made her my last patient of the day and I said I’d leave after her.

Just a few little examples of things that are going to continue to make proper care difficult. I’m wondering at what point covid liability and neglect/malpractice liability crash into each other.
 

venmos1

Well-Known Member
Established Member
Joined
Mar 6, 2006
Messages
1,573
Location
Maine
I went to PT school with a guy who is exactly 10 years older than me. He turned 50, and i 40 this year. I have thought more than once if i were him and had that extra decade of retirement put back, I’d probably quit working right now. Turns out, i talked to him last week and he is actually contemplating it. He didn’t really say why, but i could tell in his voice he’s simply fed up.

Little things that people don’t think of right now...

1) A complete disruption of communication...rarely are our patients good historians, either dementia or just little to no medical knowledge. A caregiver many times is not allowed in the doctor’s visit or hospital with them. Many of them have no idea why they’re having therapy when i show up. They don’t know what tests were ran, couldn’t tell ya if they had a FX or a CVA...forget about meds. (I do home health also so this stuff is not always accessible in a computer)

2) the nursing home is so obsessed over cleanliness and masks that everything else is getting neglected...like actual health issues are being put aside. I continue to find people that are supposed to be wearing O2 and they aren’t, sitting there desatting to the 70s/80s...but got that ****in mask on though.

3) i had a total knee come in last week...tested positive 2 days later...they make us discharge. They would not let me go in and treat her even though i made her my last patient of the day and I said I’d leave after her.

Just a few little examples of things that are going to continue to make proper care difficult. I’m wondering at what point covid liability and neglect/malpractice liability crash into each other.
That's insane. And it's bs. They are either grossly under estimating the compounding issues of delaying other treatments of just don't gaf. Milking that covid money machine. Overall health is going to be piss poor very shortly. I'm sure you guys are already seeing it.
 

Double"O"

N2S come get some
Established Member
Joined
May 12, 2003
Messages
22,349
Location
PA
I went to PT school with a guy who is exactly 10 years older than me. He turned 50, and i 40 this year. I have thought more than once if i were him and had that extra decade of retirement put back, I’d probably quit working right now. Turns out, i talked to him last week and he is actually contemplating it. He didn’t really say why, but i could tell in his voice he’s simply fed up.

Little things that people don’t think of right now...

1) A complete disruption of communication...rarely are our patients good historians, either dementia or just little to no medical knowledge. A caregiver many times is not allowed in the doctor’s visit or hospital with them. Many of them have no idea why they’re having therapy when i show up. They don’t know what tests were ran, couldn’t tell ya if they had a FX or a CVA...forget about meds. (I do home health also so this stuff is not always accessible in a computer)

2) the nursing home is so obsessed over cleanliness and masks that everything else is getting neglected...like actual health issues are being put aside. I continue to find people that are supposed to be wearing O2 and they aren’t, sitting there desatting to the 70s/80s...but got that ****in mask on though.

3) i had a total knee come in last week...tested positive 2 days later...they make us discharge. They would not let me go in and treat her even though i made her my last patient of the day and I said I’d leave after her.

Just a few little examples of things that are going to continue to make proper care difficult. I’m wondering at what point covid liability and neglect/malpractice liability crash into each other.

Its the same way on the RN side man...i bitch daily about the lack of comms between departments...example...i had a pt we were gonna prone but i was having issues with his heart rate and what suspected to a AAA...put in an order for a stat abdominal ultrasound, those tools in rad never told the people to do it...i saw the order had been reviewed but rad bur an hour later they showed up and wondered why i was pissed...i had anesthesia there, resp, me and another RN to help

Same thing on the floor, nobody is talking to eachother, i had to explain to rad again my plans for a abdominal ct on a vented pt to three people in the same dept...jesus
 

Double"O"

N2S come get some
Established Member
Joined
May 12, 2003
Messages
22,349
Location
PA
That's insane. And it's bs. They are either grossly under estimating the compounding issues of delaying other treatments of just don't gaf. Milking that covid money machine. Overall health is going to be piss poor very shortly. I'm sure you guys are already seeing it.
Exactly
 

C2tuck

Well-Known Member
Established Member
Joined
May 29, 2019
Messages
1,712
Location
North Texas
Its the same way on the RN side man...i bitch daily about the lack of comms between departments...example...i had a pt we were gonna prone but i was having issues with his heart rate and what suspected to a AAA...put in an order for a stat abdominal ultrasound, those tools in rad never told the people to do it...i saw the order had been reviewed but rad bur an hour later they showed up and wondered why i was pissed...i had anesthesia there, resp, me and another RN to help

Same thing on the floor, nobody is talking to eachother, i had to explain to rad again my plans for a abdominal ct on a vented pt to three people in the same dept...jesus

That’s another reason I liked the ER. We had everyone right there. Residents, Attending, Nurses (plenty of you really needed them) Techs, RT, and CT/ Radiology. Plus being a “teaching” hospital we usually had tons of nurse and medic students around.
 

Double"O"

N2S come get some
Established Member
Joined
May 12, 2003
Messages
22,349
Location
PA
Kiss my ass Deceptive....lol

20210106-133239.jpg
 

kirks5oh

kirks5oh
Established Member
Joined
Nov 23, 2004
Messages
7,437
Location
wi
Used to have pride when one of my kids said they want to grow up and be a doctor. Now a days, I’m not 100% sure. It’s a long road to get there, and unless you specialize, you’re better off being a physician assistant or nurse practitioner.
Constantly decreasing reimbursement, constantly dealing with increased regulations and administrative bullshit/paperwork, having to see 20% more patients to make the same salary, all the while dealing with expert internet doctors who think their google search = 20 years of training, all the while wanting to sue if something goes wrong. It wears on you
 

jvandy50

Well-Known Member
Established Member
Premium Member
Joined
Sep 22, 2015
Messages
2,268
Location
AR
Used to have pride when one of my kids said they want to grow up and be a doctor. Now a days, I’m not 100% sure. It’s a long road to get there, and unless you specialize, you’re better off being a physician assistant or nurse practitioner.
Constantly decreasing reimbursement, constantly dealing with increased regulations and administrative bullshit/paperwork, having to see 20% more patients to make the same salary, all the while dealing with expert internet doctors who think their google search = 20 years of training, all the while wanting to sue if something goes wrong. It wears on you
We have one doctor in the tiny town where i work. She has a clinic there, as well as doing rounds at the nursing home weekly. I would never want her responsibility, hours, reimbursement, terrible patients, etc. This area is eaten up with opioid seeking medicaiders, and IIRC correctly she was getting less than $20 per visit from those not too long ago(may have changed by now as insurance does often). But man, to be a doctor now, you reallllly better want to be doing it for the love and spirit of helping people...but even then, they. Will. Wear. On. You.
 

Users who are viewing this thread



Top