November 10th, 2009 by Happy Hospitalist in Better Health Network, Opinion
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When a patient decides they are leaving against medical advice what responsibility does the physician have to their care? When I was a resident in training, and even early on in my position as a hospitalist, I would get a call from the nurse that Mrs Smith was demanding to leave the hospital against medical advice. I would tell the nurse “Fine. Let her go. I’m not her father.” I would tell the nurse to discharge Mrs Smith with no medications and leave it up to them to find follow up.
I would suspect this is a prevalent attitude for many hospital and emergency based physicians. I’ve seen it over and over again. And I still see it today. Many doctors and nurses feel obliged to let grown men and women make poor decisions. However, being a grown man or woman able to make poor decisions is apparently not enough to keep a doctor for being sued and losing that lawsuit because a patient chose to make poor decisions. Read more »
*This blog post was originally published at A Happy Hospitalist*
October 3rd, 2009 by Toni Brayer, M.D. in Better Health Network, Health Tips
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This little girl accidentally got Super Glue onto her eyelid. She came to the doctor without pain and she was able to move the eyeball under the lid but could not open it.
Her doctor in Decatur, Ala gently irrigated the eye area with normal saline and applied antibiotic ointment and a gauze patch over the eye area but the lid remained stuck together. The next day he was able to gently pull the lid open.
If you should ever glue parts of your body together with Super Glue (cyanoacrylate), the treatment is easy. Acetone, the ingredient found in nail polish remover will dissolve Super Glue. A Q-tip with acetone, gently applied to the area, will dissolve the bond without damaging the skin. Don’t pull the skin apart, but gently roll or peel it.
If Super Glue gets in the eyeball, the eye protein will disassociate from it over time. A warm sodium bicarbonate solution eyewash will help remove the adhesive.
Photo/story credit: Consultant
*This blog post was originally published at EverythingHealth*
March 27th, 2009 by Jon LaPook, M.D. in Better Health Network, Video
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Would you know what to do if you needed an ambulance or if you had to go to an emergency room? During 2005, an estimated 115 million visits were made to emergency rooms in the United States – up 31 percent from 1995. About 14 percent of patients arrive via ambulance. Emergency rooms across America are overloaded – partly because many of the almost 50 million uninsured use the emergency room as their primary physician (and partly because we tend to focus on treatment of illness rather than prevention – but that’s another blog post).
During the next two segments, I will take you way behind the scenes and give you tips on how to be prepared in case the unexpected happens and you end up on your way to an emergency room. This week I play the part of a patient with chest pain and take you inside a New York City ambulance with paramedics Ray Cordi and Hanan Cohen. Next week my colleague, Richard Schlesinger, and I continue your tour inside the emergency room at New York Presbyterian Hospital/Columbia University Medical Center, the first time this institution (where I am on staff) has ever allowed such inside access to the media.
Watch CBS Videos Online
**This blog post was first published at CBSDOC.COM**
