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thank you for this information sis. I agree, even if we are ranting, we must still be objective.
@ mommy chester: yes, some hospitals give a 24-hour period for those who can not deposit right away. this must be paid by the end of 24 hours. yes 10K is actually a small amount compared to some private hospitals that will require 50K or even 100K for ICU cases.
@ mommy cottoncandy:
Nababayaran ang utang pero ang buhay, hindi.
I agree. in any cse, hospital policies are hospital policies. the doctors do not have any say in hospital policies. their concern is simply the well being of their patients.
doc ina, i need your opinion about this. The pedia's initial findings for the seizure were sepsis and meningitis. There were already a lot of medications injected to my nephew and later did she found out that she wan't able to see one lab test that made and broke everything considering that ALL lab tests where given to her ahead of time? What can you say about the reason given to us that my nephew's pneumonia worsen because of the virus inside the ICU? Any thoughts on nurses who eats inside the ICU and how visitors can come and go without wearing lab gowns, slippers and masks? Why was an autopsy needed to determine the real cause of death? Why were the doctors not sure about it? I guess this is were my frustrations are all coming from. I hope you could enlighten me. TIA
I might misunderstand your question, kindly clarify: There were already a lot of medications injected to my nephew and later did she found out that she wan't able to see one lab test that made and broke everything considering that ALL lab tests where given to her ahead of time?
so.. there was no lab test done? or the lab results were not relayed to the doctor? or the doctor did not care what the results were?
in any case, upon history and physical examination, a doctor will make a working diagnosis
, which will be the basis of all labs and medications upon admission. Depending on daily physical examination and upon the arrival of lab results, the working diagnosis may change (new diagnosis or additional diagnosis). This does not mean that the doctor is wrong.
for example: cough. there are a lot of things that can cause cough, and the doctor will make a working diagnosis based on the history and physical examination. for example the working diagnosis is primary complex. let's say an xray was done. this will confirm the working diagnosis. for example the xray showed bot PC and pneumonia. this does not necessarily mean the doctor was wrong. It just means that there could be additional symptoms that were not evident upon first examination, and only appeared on the second or third examination.
medications are given already upon admission, especially if it is a critical or life-and-death situation. we cannot wait for the lab results before we give any medication because some procedures take a long time (ex: a cbc will take about 1 hour, while a culture will take 5-7 days). If we wait, it might be too late. What can you say about the reason given to us that my nephew's pneumonia worsen because of the virus inside the ICU?
I agree this is possible. Any person who gets sick automatically will have their immune systems down. If the person is in the ICU, that means the disease is really life-threatening and therefore, the body may not be able to fight off everything. So the body's immune systems are down. Tubes are inserted into the body, which are needed to sustain life. All these tubes can be possible sources of infection., which again, can lower the immune system further. At this stage, anything can lower the immune system even further. (the doctor has to weigh the benefit vs the harm of these invasive procedures. Example, yes, the tube that goes into the lungs is a possible source of infection. Does the patient need it? yes. Will the patient die earlier if the tube was not inserted? yes. that makes the tube more beneficial than harmful) Even just one small booger (kulangot) or just one minute exposing the patient to someone with colds, or simply not washing the hands before touching the patient. All things considered, anything and everything could have caused the pneumonia to worsen. Any thoughts on nurses who eats inside the ICU
there should be hospital policies regarding staff meals and break schedules. Usually, there is a pantry for eating and for breaks. However, some hospitals are not able to provide these facilities to their staff.
In defense of the nurses: they are people too. I don't know how long they have been on duty. I don't know if they are allowed breaks between their shifts. Usually, doctors and nurses DO NOT have breaks. especially the young residents (but that's a different story). Usually, the shifts are either 8 or 12 hours straight. Eating and going to the bathroom are done only when you can steal some time from what you are tasked to do. Breaks are not scheduled every 3 hours or whatever, like in offices. Breaks do not last as long as 15 minutes. Only 1 minute or less if you have to pee and wash your hands, and 5 minutes or less (or while walking) for eating.
Residents (the young doctors who do not get paid) have it even worse. They are on a 24 to 48 hour duty. No breaks. Eat whenever you can, and sleep whenever your patients are sleeping. No pay. this is a story too long and too close to my heart. will reserve my tears for another post. (hehe)how visitors can come and go without wearing lab gowns, slippers and masks?
hospitals are not all the same. some will require strict sterile conditions before entering the ICU, in the premise that they want to prevent further infection. Some hospitals do not require such strict procedures, especially for adult ICU because the patient has been from the outside world, and whatever bug is in him is brought from the outside.
Why was an autopsy needed to determine the real cause of death? Why were the doctors not sure about it?
There may be many indications for an autopsy. It should not be regarded as a gruesome or mortifying act. it is simply a medical procedure done on a dead body. Very much like operating on a live person. Unlike in movies where an autopsy seems like the body is being butchered to a million pieces. No. An autopsy is very much like a scene in an operating room. Doctors are in sterile gown with cap and mask, taking care of the body as if it were a live patient.
Whatever the reason for having an autopsy done, the main goal is to identify the cause of death. As mentioned earlier, doctors initially make a working diagnosis. After giving all the medications and doing all the procedures necessary to save the life, and the patient still succumbs to death, the final test/procedure that can be done to identify the final diagnosis is only an autopsy. There is no other procedure that can replace that.
I do not know what the doctor's opinion of the case was. They may have known the diagnosis and simply want to confirm the diagnosis. Or they may have not known it all together. Whatever the reason was, DOCTORS ARE NOT GODS. They are just human beings who do not have the power to see the inside of a human body nor to heal by themselves. They are simply hands of God who try in all their best to apply everything they have learned in medicine in order to save the life of any and all the patients they see.
I understand your frustrations, mommy cotton candy. Doctors try with all their might to help their patients. No doctor will want any harm.
I agree with mommy toughmom. If this really bothers you, it would be best to take it up with the hospital administration.
If you have any more questions, I will be glad to answer them.