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Politics : Politics for Pros- moderated -- Ignore unavailable to you. Want to Upgrade?

To: KLP who wrote (284445)	12/16/2008 2:38:59 AM
From: SiouxPal	Read Replies (3) \| Respond to of 793955

'On a happier note...remember the old days in history, where the ole Doc made home calls...people lived and died early sometimes, and life went on. Maybe that's where we are headed.' Remember the good old days? Those were before George became president. Way back when you were all gung' ho for George. Remember then?

To: KLP who wrote (284445)	12/16/2008 9:58:12 AM
From: skinowski	Read Replies (2) \| Respond to of 793955

Thank you. I'll need to think about all this. They do have places for recuperative care - SNF's - Skilled Nursing Facilities, LTAC's - Long Term Acute Care places (Doesn't the last one sound like a contradiction in terms? -g). The problem is that the system is very complicated. I usually call upon experts - the hospital case managers, social workers (who often are pretty good at working miracles), etc. If you feel that the Big Honcho Doc didn't treat you right, a simple and effective way would be to write to the State Medical Board (with a copy to the hospital). No matter how big that honcho is, he'll be asked to explain his actions. None of those guys are in the business of upsetting people; he'll need to give a good answer, and he'll learn a lesson. Hey, ultimately health care is a service industry - which means that - at least in a certain sense - the customer is always right. For a Doc, having an appropriate attitude and being able to communicate is as important as knowing one's stuff. About House calls.... In my experience, in more than half the cases what happens is that either the patient really had to be in the hospital, or the house call was not truly necessary. However, it is also true that often this cannot be determined until after the fact. These days in some ways we are probably not as good as the old timer Docs used to be - we don't function quite as effectively without our blood tests, our CT scans, etc. Otoh, we can do more for a person than what old timers could do. My guess is that we'll see more house calls in the future. Much of the diagnostic equipment is becoming very portable and easy to use. Last but not least, for the price of a day in the hospital - or a visit to the ER - a person could rent a suite in the most expensive hotel in town, have a nurse in the room around the clock, pay for all medications, have Docs and specialists visit every day - and still save a fortune when all is said and done..... :)