Wednesday, August 17, 2011

Offshoot of Midazolam Poisoning, Medical COSTS

I got this in my inbox. Feeling Poorer? Health Care Bears Some Blame I have opined that Versed/Midazolam adds millions and BILLIONS (trillions over time) to the cost of health care. Everybody is getting this poison for just any little pretext. Proof is even in the people who come here to badger me! They claim Versed is safe BECAUSE it's used millions of times per day. Let's examine their claims.

The lowest estimate I have been able to find of the additional cost of sedation is $300. (this is a ridiculously LOW number! Normal is 1 or 2 THOUSAND dollars for Versed sedation.) If you multiply that $300 number by just one million, what do you get? That's PER DAY! The actual cost is much, much more at least in my case...

First on the "additional cost" list is the whiney crybaby crna. Mine cost an additional $800 dollars. These little anesthesia nurses are all over the web moaning that $250,000 a year or so isn't enough for sedating people and forcing them to submit! Then factor in the cost of your other nurse(s). That cost goes up for each level of care. So once you are sedated the medical center can charge you MORE MONEY for the same damn nurse(s). Next on the list is the ability for the care-givers to claim you gave consent for more procedures and drugs than you did. In my case the cost of G/A is a direct result of the Versed injection. This is purposeful. If they can't get permission beforehand they give you Versed so that they CAN get permission after Versed. You would probably even SIGN SOMETHING while under the influence of Versed. In my NEVER TO BE HUMBLE opinion, all of these costs are can and should be laid at the door of Versed.

I would sure like to see a study about how much our costs for medical care have accelerated since the advent of Versed! I would also like to see a true report on the additional costs associated with using a crna. After all, the cost seems to be the same whether using a nurse or an MDA and often the nurse is required by law to have an MDA "supervisor." (careful with medical terminology because "supervision" is another word which means something different to medical people than it does to us.) I believe that the number associated with just these 2 things would end in a LOT of zeros.

Ok, so what about those of us who have a severe and long lasting reaction to Versed? How much have we spent on counseling subsequent to Versed? How much have we spent on prescription drugs to combat the long term effects of Versed, PTSD, panic attacks and the like? How many people have ended up in an extended care facility or nursing home because of POCD brought on by sedation with Versed? How much does that cost? What about the loss of productivity because of the slowdown of mental accuity due to Versed? A lot of people I've talked to have lost their job because their brain never returned to their pre-Versed condition.

(Stats on iatrogenic problems here; THE LEADING CAUSE 0F DEATH IN THE US IS THE HEALTH-CARE SYSTEM I take exception to the "inadvertant" medical harm done in re Versed because medical people are INTENT on injecting Versed, so it really isn't "inadvertant" harm is it? Just think of all the extra money that the medical people rake in because of their mistakes! The charts on the above link are shocking! If you don't like the numbers on this particular site, I invite you to look at many, many other sites where the stats remain pretty much the same. I'd like to see stats on ONLY Versed, as opposed to the medication mistakes in total, by reputable post medical care investigations.)

What a windfall this Versed has turned out to be for the profit margin of medical care!

Tuesday, August 16, 2011

Blurb

I found a little nugget here; ASA: Patients demand physicians provide anesthesia care At the very bottom is an obvious crna extolling the virtues and perfection of, well, crna's of course. Here's the statement that I find disturbing...

"But most important - the American public believes that their attending surgeon is probably in the OR..." This is from "NShort"

How many times have I said that I am not sure that my alleged surgeon is who actually performed my crude surgery. Given the amount of nerve damage and all those screws sticking out everywhere, I have often (almost) jokingly claimed that the janitor tried his/her hand at ORIF distal Radius surgery. I am not convinced 100% that a janitor DIDN'T do the surgery. The surgical outcome for my arm doesn't demonstrate even a basic level of skill.

If I had had my instructions followed and had been given the nerve block, pain meds and nausea meds as I PRESCRIBED I would have known who was performing my surgery wouldn't I? But no, I am not allowed to dictate to these superior beings what is acceptable to me! Well, my outcome is not acceptable to me either.

Medical people, I detailed that IF the extremely dangerous and unpredictable axillery block (according to the crna/phony MDA) didn't work, they had my instructions to perform an additional block (Bier) or use lidocaine, procaine or whatever to infuse the area of surgery. That's it. NO conversion to G/A! Not only did I get everything that was expressly forbidden, my surgery was so poorly performed that I will never completely believe that an actual doctor did it.

Now I see the quote above and I wonder; What the Hell are you people doing? Do we patients have to demand a video tape of our surgery? Really? What a bunch of scum-bags you are if this type of patient oversight is required! Stop trying to give us amnesia so you can substitute beginners for doctors! Stop trying to give us amnesia so that you can "obtain consent" from drugged out people! Obviously patient monitoring and recording is REQUIRED to make sure you guys are doing the right thing.

I am not a training cadaver. Whomever *I* decide will do the surgery MUST do the surgery. Interns, residents, PA's and janitors can get somebody else. Another thing, if *I* am going to be used as the training cadaver, then I demand a huge reduction of rates, or maybe these trainees should be paying me a fee for use of my body as a training tool. I would be taking unnecessary risks by allowing trainees to work on my body and I believe I should be entitled to some kind of remuneration for this. If my surgeon chooses to be golfing when he is supposed to be performing my surgery, I need to know this and I certainly won't expect to PAY THIS PERSON, for work performed by somebody else.

What an alarming statement this piece of work made. And apparently HE has no problem at all with this kind of thing going on wherever HE works. So all that crap we've been given about the safety of numbers of people working together in a medical situation are bogus. They are all in collusion to rob us of our money, rights, dignity and health etc. aren't they?

Monday, August 15, 2011

AWESOME Article on Dr. Kevin's Site

I got this article from my inbox. I subscribe to KevinMD.com and every once in a while he puts up an article that is so insightful I feel it belongs here... Here is the link;

What this doctor learned when he was a patient

I have taken the liberty of reproducing a couple of quotes from Dr. D, the author of the above article. Mainly as a way to get you to read it. (My remarks are in parenthesis)

"Just a few days as a hospital patient cleared my mind of any misconceptions. Abject helplessness combined with severe pain trumps everything. And helplessness is far worse than pain. Dr. D had never done anything as a doctor that caused more stress than allowing myself to be put to sleep for a major operation with a surgeon I had only spoken to for 30 seconds."

(Does this sound familiar? It's the HELPLESSNESS combined with rude arrogant jailer-like health care workers that was so devastating to me. Versed is the worst drug in the world for making us helpless. We have no control over our bodies, our memories, (most of the time) and we are subjected to torture. I wonder how this Dr. would feel if he DIDN'T 'allow himself to be put to sleep' by a NURSE and was put to sleep anyway. Talk about HELPLESS!)

"The real surprise was realizing that duration of pain was far worse than intensity. I had a throbbing pain during my recovery that I could rate as a 4 if I’m generous, but it lasted for weeks and nearly drove me insane. Low-intensity pain that won’t leave can make a person much more miserable than 10 out of 10."

(The pain from a tourniquet applied at pressure and unrelieved for 70 minutes, when it actually could have been alternated, was more excruciating than the surgery itself. And it lasted longer than the pain of the incision. This doc is correct, the constant pain is MUCH worse than high pain that doesn't last in my case as well. The same thing happened with the pain from my ORIF femur!)

"3 weeks of lying on my back absolutely helpless and unable to do anything had me at the lowest place I’ve every been. One night I—a generally tough dude—cried myself to sleep."

(Been there, done that. I am so tough and un-emotional in emergencies that I reset my own arm. Couldn't let my daughter see it all deformed... I did an excellent job too. My Femur was another story. I tried to reset it, but it folded backward at mid thigh and I was sitting on my knee with my foot protruding behind me, flat on the ground. My unbroken leg was straight out in front of me where I sat. The grinding, ice clinking sensation when I tried to drag the leg and foot back out in front of me, where it looked normal, reminded me that there was a Femoral Artery in there just waiting to be cut. Since I could already feel the bleeding inside my leg (major warmth followed by swelling) I decided I needed professional help immediately. Like Dr. D, helpessness is NOT my friend...)

"Okay, I have to admit something a bit embarrassing here: We doctors sometimes think of our patients as a completely alien form of human life. It isn’t intentional. We wouldn’t even admit it out loud. It’s a weird psychological quirk that happens like a reflex."

(Oh I can't believe that! (heavy sarcasm, facetiousness, whatever) After my debacle with my ORIF distal Radius fracture and my experiences running this blog, I have said this about medical workers many times. Maybe not in the same funny way, but pretty much my take on the attitude of medical workers. "...weird psychological quirk..." Yup!)

"Doctor D has spent a lot of time educating you on how to deal with difficult doctors. One of the worse maladies plaguing the medical field is piss-poor communication, and Dr. D’s orthopedist has about the communication skills of a mentally-retarded clam."

(Ya THINK! LOL How many of us have these same complaints, but when we say ANYTHING about it we are verbally attacked by medical workers. This man has such insight, and conveys his knowledge with a sense of humor. I hope you guys can enjoy him. "...piss-poor communication, ...a mentally-retarded clam." Oh LAWD, that just about sums it up with my surgeon as well. Wiping eyes.)

Sunday, August 14, 2011

More On My Personal Experience With Versed

Most of my friends know my story, but by now it's buried way back in my blog.

I went to the outpatient treatment center at a big medical center. My surgeon had conned me into doing this ORIF thing for my broken arm. Supposed to be a simple surgery with very little risk associated with it. The surgery was supposed to allow me to return to work almost immediately. The surgery is easily done with a nerve block. This is what I consented to. I consented to a low risk surgery and a nerve block for anesthesia.

Enter the crna Aaron. He pretended to be my MDA. At no time did he reveal that he was a nurse OR that he was going to perform my anesthesia. I needed to know one or the other of these important facts. I would never have allowed a nurse to perform any anesthesia upon me at all. Not a nerve block and not any of the rest of the stuff he did to me against my will and without my consent. I clearly stated that ANY drug that would incapacite me was strictly forbidden and no G/A. (Nurse or not, this was NOT allowed!)

The next problem is the substitution of a PA whom I had never met as my Doctor of record. At no time was Travis identified to me as my substitute surgeon. There I was waiting for my surgeon to come in and explain things, but Travis was there instead. Of course I had no questions of Travis... Who the Hell was he and why was he in the room? I didn't know enough to ask that question. Stupid me, I had CONTRACTED with a specific person as surgeon and HE NEVER APPEARED PRIOR TO SURGERY. He sent a complete stranger who never identified themselves as my new surgeon. Tricky!

Upon injection of Versed, which I am pointing out is an INCAPACITATING DRUG, the first thing I noticed was an inability to speak. In my head, everything seemed normal, except that when I tried to talk, gibberish came out. I was very puzzled. Had to think about THAT little item. Unfortunately as I was trying to figure out why I couldn't get the words to form from my mouth, the nurse was busily injecting more poison into my body.

The next thing I noticed was that I was very obedient. I had a desire to obey them and I did. At least my body did. There was a peculiar disconnect from my brain to my body. I could not stop myself from obeying their every command. Trust me, this is not comforting at all. In the TRAPPED part of me, my soul if you will, I was frustrated, infuriated, horrified, aghast, etc. that my body was obeying THEM and was completely beyond my control. I have never felt so helpless and humiliated in my life. My blood pressure and heart rate shot up.

I couldn't do anything about it by this time... I was too uncoordinated. I tried to keep them from touching me, but they just laughed at me. I was an object of scorn and derision. At the time I had NO IDEA that I was supposed to have amnesia. The slurring of words is supposed to be the clue that you have amnesia. You would not believe the change in attitude that slurring of words brings on in a medical suite. Like that song "Carnival" which I quote in an earlier post, it was if "Makeup on their faces, actors took their places, next to me." The complete change in their behavior was uncanny. In a way, I wish the amnesia had worked. I wouldn't have the memory of their callous disregard for me, and their hateful statements, once they felt I was helpless and had amnesia. But I was cognizent, trapped in an insane asylum that was called medical care.

Whenever my surgeon finally got around to seeing me, over an hour late, he immediately flipped my arm over backwards and began trying to see how far he could bend my wrist into unatural shapes. He called it "manipulating" the arm. Is this good? I was scared that he would do some nerve damage among other things by doing this. Since I had no idea that the incision was going to be throught the tendons on the underpart of my arm, it was a mystery as to why he was bending it backwards to start with. Then he nastily said "Put her out."

I swear to you I was being as still as I could. Absolutely motionless. I was afraid that they would do even worse things to me, like give me G/A against my will. They had already drugged me with a "date rape drug" against everything I told them and now I was afraid that if I did or said anything, that they would knock me out. So I stayed still and silent, but my horrible surgeon ordered them to "put her out" anyway.

At this time I truly expected my team to say something like "But Dr. this patient has refused G/A, we can't give it to her." My mind must have been addled because they had already beaten me over the head with Versed against my instructions, why would I think they would follow the rest of my directives? Why in the world would I still have hope that they would follow the law about informed consent? I knew I HAD NOT SIGNED any document to allow the use of Versed or G/A, but this didn't matter.

My body continued to obey them as they prepared to do what my surgeon wanted. I couldn't believe it! I still can hardly believe it. I was totally trapped in a part of my brain, watching, listening and enduring. Bad, bad, BAD experience.

Also of note is the stories they all made up about what happened. I kept telling them that I know what had happened and that they were telling me falsehoods. Finally that witch Dorothy, the "patient relations" nurse told me that "You can't possibly know what happened as we gave you a little something to cause amnesia." WHAT! I felt like I was in the twilight zone. After everything I told them and the LEGAL boundaries I had placed on them, they tried to create AMNESIA! What the bloody HELL! Wow! I had to repeat their nasty talk verbatum and create a timeline for them before it finally began to soak in that I didn't get amnesia. Then the REAL stories started.

Since they couldn't refute the reality of my experience they began backing down from their stories. Suddenly, I WASN'T screaming in pain after all... "You lifted your shoulder." Aaron said. Liar. No I didn't. I was deliberately being corpse still.

All of a sudden my surgeon NEVER works on conscious patients so the whole thing was lies to justify the fact the HE is uncomfortable with cognizent patients. His excuse also went from "You were screaming and wouldn't hold still" to "You said ouch." What a LIAR! This is something that should have been revealed by Doug (surgeon) when we had that "significant discussion" about G/A that he CLAIMS we had in his office. Actually I told him that G/A was out of the question. That was our "significant discussion" about G/A. He even tried to claim that he told me that I would have to take it up with anesthesia. Liar. He NEVER said anything of the sort! Sheesh, I wasn't even on Versed in his office and he tries that crap on me? Can you say pass the buck? The crna claims that he only did the G/A because the Dr. wanted it. Passing the buck back to the Dr.

Neither one of the people, not Aaron nor Doug, ever considered that I had said NO to the entire thing. Aaron started it by giving me an incapacitating drug against my will. Doug finished it by demanding that I be put out. They are both equally culpable in the vicious attack.

Saturday, August 13, 2011

Latest Post

I am re-printing one of the latest posts from here; Midazolam Sedation Is Not ALWAYS Safe - Forum Thread Page 2 I am absolutely guaranteeing that this is exactly what will happen if ANYBODY tries to give me Versed again... I was violent and dangerous in the PACU from Versed and if I hadn't been so shocked and surprised when I was injected with "Vitamin V" the simple muscle relaxant, I would have become violent in the preop area. The duplicity and anti social behavior required to attack somebody with this kind of drug against their will is shocking. I had no idea. Now that I know the score, the minute I can't speak anything but gibberish, or I feel a deep burning desire to obey, WATCH OUT! I mean it. I will lash out violently, anybody near me will be fair game as you all will be in collusion to drug me with a drug which I will clearly state beforehand, is unacceptable in any amount and for any reason. Not a single molecule of Versed is to be injected into my body. There will be no confusion, just as there was no confusion the first time. But I'm on to you people now. Anyway, here's the post.

















Given Versed Without Consent
posted by mike on 12 July 2011 at 5:33 pm
I specifically told my gastro doc that I didn't want Versed since so many of my nurse friends have horror stories about this drug. Just before my procedure, an arrogant nurse told me that "everyone gets Versed" and argued with me about my choice. Without any consideration for my consent, she started to push the Versed into my IV and I grabbed her hand, but she tried to inject the rest. The test was never done and by the time my double vision cleared, my heart was racing and everyone was in a panic...the endo suite was a wreck. I have never been violent, but I remember holding the nurse by the hair and punching her repeatedly in the face....evidently for quite some time. Everyone kept telling me not to worry (she was pretty banged up), it was her fault for violating my wishes. I had my hand x-rayed and got an appointment for the hand clinic. This was terrifying for me; the nurse was home for 2 weeks and nobody would tell me how badly she was hurt..just that it wasn't my fault. Nice drug. The doc told me that she needed some sense knocked into her..I felt badly until I had the Versed nightmares. I found out that she had a broken zygoma(?) some bone in her face.

From My Inbox

My health care debacle went far beyond the administration of Versed and G/A against my will. My surgery was botched as well. After reading this article, I realize it could have been worse... Suppose my surgeon had chosen some other procedure to perform instead of my ORIF distal Radius fracture? Now if I had been allowed to remain "awake and alert" as I demanded, this couldn't have happened to me, but alas they deliberately and maliciously diregarded my precise instructions and gave me the very things which I had declined. I have said often in this blog that I feel that patients should stay awake (NO Versed) and monitor their health care staff whenever possible. It really is safer for the patient to keep track of what is going on. It could save your life, or at least prevent some mistakes. You can't tell me that working on a cognizant patient doesn't cause the people involved to be more careful! Anyway here is the link; (love the title)

Careful where you swing that axe, doc "Maybe my standards are unreasonably high — but I fully expect every surgeon in the country to be able to find the body part he’s supposed to operate on. Apparently, this is too much to ask…" (First sentences of the article from Dr. Douglass)

Thank you Dr. Douglass. You confirm my theory.

Unsedated Colonoscopy

I searched this term and here is the very first article I found on this subject. There are lots of them... Sedation-Free Colonoscopy: Why Isn’t It the Standard? Gut Check on Gastroenterology There are actually several comments on this article which point DIRECTLY to the comfort level of the doctor. Should this be a reason to allow a brain scrambling drug, which increases the risk of perforation (not to mention the risk of developing devastating mental effects from sedation) and allows the doc to go really fast? Just how good IS an exam where the docs' most pressing problem is how to go really fast? This isn't health CARE is it?