There are too many cooks in the health care kitchen This article is also from Dr. Kevin's blog. This is something which I have previously mentioned in a slightly different context.
I object to all the extraneous people costing patient money. There is no end to people populating medical entities all doing minor variations of the same job. Do we need to pay all those people a lavish salary? My contention is NO.
Do we need 40 or so different people roaming around and questioning us like a team of homicide investigators? I don't think so.
Do we need a different diagnosis from myriad people? Is it a game of 20 questions and we get to pick which diagnosis we wish to have? Of course not, the patient's job is to endure it all and then pay up. It's scandalous.
I got around it by having a patient advocate. One more person involved in my care, right? lol. The difference is that the patient advocate was MY employee. Her job was to make sure that the HOSPITAL workers remembered their place. Her job was to make sure that I was treated like a human being, not a slab of meat, there to be used for profit.
Hi,
ReplyDeleteI really like your blog because I also deeply distrust Midazolam and its current usage as an amnestic and substitute for actual pain-management during medical procedures. Just stumbled upon this fascinating article, of which unfortunately only the abstract can be read for free, but that is already absolutely shocking. Endoscopists in Germany actually took a survey among endoscopists and their perception of what sedated patients go through. It's bone-chilling and straight from the horse's mouth:
http://www.researchgate.net/publication/6342516_Midazolam-pain_but_one_cannot_remember_it_A_survey_among_Southern_German_endoscopists
"77% of endoscopists utilized midazolam for sedation. Ninety-eight percent of the questioned physicians felt that patients have pain during endoscopy with midazolam+/-opioid, but do not remember later. Ninety-two percent reported that it happens that patients moan aloud because of pain and almost half of the endoscopists (48%) reported of screaming. The majority of the endoscopists (91%) reported fierce defense movements with midazolam or the need to hold the patient down on the examination couch because of fierce movements, respectively (75%). Seventy percent of the endoscopists wished to have the rooms for endoscopy preferably soundproof away from the waiting room and 93% wished for better sedative agents."