Talk of The Villages Florida - Rentals, Entertainment & More
Talk of The Villages Florida - Rentals, Entertainment & More
#46
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I am a fan of teaching hospitals. One small, very small, consideration with Shands, which they will not be telling you is that under a recent law passed in Florida there is a very low malpractice cap on any error made there. One certainly hopes no errors would ever be made but they do happen.
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#47
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Here is some information, one respected well balanced source, on when is a stress test needed, and nuclear vs exercise.
Choosing Wisely | Stress tests for chest pain To the OP, as you have suggested that your being fit should have gone into the decision making process, I would respectfully disagree. You presented with acute chest pain. Your past ability to exercise did not preclude your having a significant cardiac event at the time of this hospitalization. Had they said, "Well, she is Beachbody Coach so we don't have to evaluate her heart, she must be fine." that would have been terrible care. As to who ordered what test, I can't tell from your posting. You said you were seen by a PA, and then said a doctor ordered your test. A PA is not a doctor and despite your telling the PA you wanted a treadmill, if the MD the previous evening had ordered a nuclear test, that order would still apply. I don't know what your blood work showed or whether there might have been some concerns on your baseline EKG that they may not have even mentioned to you as they can be non-specific. You can be 100% certain that some technologist in the cardiac lab did not make the decision of what stress test you would receive. They were following an order from someone. And as someone else posted, if you objected to having the test it is completely within your rights to decline it. At worst this will result in someone coming to explain to you the pros and cons and that if you die from an MI on the ride home they told you to have the test (CYA informed consent). |
#48
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Now... lets go on the premiss that someone wrote the wrong order and they were simply following orders. That brings us to the fact that the wrong orders had been written. Compound that with the fact that no one would check with the doctor when I told them it was not right... second mistake!!!!! As to all other testing... All were perfect! NO heart problems of any kind. Blood test were excellent as well as the EKG..
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#49
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The same is true of many hospitals, especially public hospitals, that receive legislative relief or very limited malpractice caps.
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All the great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope. Winston Churchill |
#50
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Quote:
State Limits on Medical Malpractice Awards | LegalMatch Law Library |
#51
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A muscle pull? Bad food?
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#52
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Everything everybody has typed to you is great and you should follow through on all the suggestions......I also, however, have no idea what you mean by "Beachbody Coach" and I can ASSURE you a health care worker having to spend an extra 3 minutes to look it up would detract from another patient's care..............In addition, IF YOU HAD TO HAVE SURGERY/ANESTHESIA, giving you food would be even more harmful. HOWEVER, nobody should be comparing treatment in the past to todays' health care moving towards socialized medicine. With the deficit reduction act and SO MANY CUTS to reimbursements, health care workers have to do a lot more with less resources/help....HERE'S the fact that you never hear on the Sales Bus Tour. ACHA, The Agency for Health Care Administration turned down the application to build another hospital on Route 44 in Wildwood......The Villages Hospital WILL HAVE only a total of 323 beds and there are approximately 110,000 Seniors 50+ living in the Villages..........that means, there will not even be enough beds to house 1% of the population here....... a population that uses healthcare 3X more than younger generation.......We are also in high season (Jan, Feb, March, April) and all the seasonal renters choose to go to this hospital (they don't know any better).
GIST: Ask to be released (even if it's an AMA) and follow through on your instincts.........I am sure your Caretakers were trying to do 5x more than what they normally do out of season...... |
#53
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Just FYI to those that might need it but contacting risk management did me no good Peggy Grey is the manager and Penny Bennet is the rep. I believe the phone number is 751-8008.
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#54
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I spent 3 days in the TVRH and I had no problem....I had A-fib and took me in right way. I too spend 30 hours in the emergeny room on a bed as hard as a rock. That is my only complaint . Other then that I had a very good experience.....Was very please....
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#55
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They immediately took you somewhere to hook you up to a monitor--GREAT, you GOT IMMEDIATE care for CHEST PAIN. Nitro on your chest wall, one of the first lines of defense for potential heart damage. Great-side effect is headache. Gurney- yes, that is what is in ALL Emergency Rooms. Sorry, with holding ER patients for days because the SNOW BIRD season is here and the beds are full with patients. The new addition should open this month- however, ER will not be expanded until Fall 2016. You will stay on a gurney while in the ER. Hungry? Hmm, you are having CHEST PAIN--you should be NPO (nothing to eat or drink) until ALL results are in-in case you are having a heart attack. Sorry, EKG is not the only indicator of heart attack. Lab work and yes, they do three sets of cardiac enzymes and then routine lab work as well- to see if maybe your WBCs changed as well from the baseline. Waiting for pain medication? Might had to get a MD to write the order, then pull the medication. Along with take care of 4 other patients- maybe a critical patient? Approx 30 minutes is appropriate. 9:20 you were informed you have a room- GREAT!! You are a lucky one that didn't have to spend the night a busy ER. The nurse then has to call the floor nurse and give report. In hopes that the nurse on the floor is available that first call to take report. Then, need to find someone to take you upstairs that can monitor your heart as you travel-usually a nurse or paramedic. Remember the same thing going on with you may be happening with the other 4 patients the nurse is just settling in or giving discharge instructions too at the same time. Or, just maybe they had another loved one come in without a heart beat or breathing on their own--CODE BLUE--usually 3 nurses, Respiratory Therapy and MD with paramedic. There is no CODE BLUE team in any ER--it is the staff already there helping others just like you. Dietary concerns- Valid, maybe education to the nurse that offered saltines! Along with sandwich (yuck)! Grapes, sounded good.... Stress Test- I would research that further request copy of your records and orders, etc. You were awake right? Not under anesthesia- you can certainly question anything and tell them no without doctor clarification. That should not have happened to you and I am sorry that it did. I am sorry you feel you would do everything not to go there again. Seems you have concerns- but certainly not life threatening and you received PROMPT treatment in the ER regarding your chief complaint of CHEST PAIN. Which is ruled out CARDIAC first- just thought you should know what usually goes on in any given ER and reading your post--you might have not been able to see what was going on behind the scenes. TVRH will never be able to handle the stress of the continued growth of THE VILLAGES. Look at all the people in The Villages- do you know that ER is only 24 rooms with hallway beds? Yes, 24 rooms. So- 100,000 people, I think approx 260 beds--when the hospital is full, there is no rooms for the patients being admitted to go upstairs (or off a gurney). You sit and wait, receive the same care as if in a room--without the private room and with all the chaos of the ER on any given night during snowbird season. I am sure you are aware of 1/3 of the patients who use the hospital as an urgent care and child care clinic. The Villages need a 24 hour Urgent Care near Brownwood/Wildwood Area. That would assist in the overflow of patients with the ER. I also think that another hospital would benefit this aging population. You can certainly choose another facility for your continued emergency care- however, it might be more than the food that you complain about next time. Each visit, nurse, MD are different. Good luck and best wishes for quick recovery. |
#56
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Well said 57Chevy. A knowledgeable individual making a response that should be understandable to most. We are fortunate to have a number of posters who have a medical background.
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All the great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope. Winston Churchill |
#57
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See post #55 -57ChevyFI-
Best response that I have seen on TOTV for issues at "Our Hospital". Thankfully from one who has a clear working knowledge of ERs and can write with skill and clarity.
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"All that is necessary for the triumph of evil is that good men do nothing" Edmund Burke 1729-1797 |
#58
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One would think that the medical and hospital services in a place like the Villages would be top notch and second to none! I have heard nothing but bad things about this hospital. We will go to Leesburg or Ocala should we need a hospital.
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#59
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Quote:
Excellent post. Thank you.
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It is better to laugh than to cry. |
#60
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My Villages Hospital Review
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I would also note that it is uncommonly difficult to manage the swings in patient volume that occur when Season brings another 25-30K people to our community. I've not been happy on one or two occasions with TVRH myself. But I've contacted administration to let them know. They can't fix a problem unless they know it exists. And I believe they are genuinely interested in fixing things. It is in their best interest to do so, as well as in our interests.
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All the great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope. Winston Churchill |
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