[PennBF]

The impact of the Flu is pretty pervasive as we were at Shande's Hospital in Gainesville yesterday and they have set rules that no shaking of hands and only 2 guests per patient regardless of the length of stay.

[perrjojo]

Originally Posted by fw102807

The issue for me is not having to wait a few more hours but patients in the ER waiting for a bed and patients waiting to get in the ER because of the backup. As was said there has to be a better way.

So true. I came into the hospital through the ER and waited 7 hours In the waiting room and then anotherb12 hours before getting a room. 5 Days latter my Gastrointestinal came by a 7:00 AM and said I was good to go but I had to wait until 7 PM for the ER doctor(who admitted me) to come by and say I could leave. All I could think about was all of those people waiting unnecessarily in the ER.

[MrGolf]

In my case I came in through the ER. Was told the hospitalist was the person responsible for the release. I was sent to the ERfrom my cardiologist.

[dillywho]

Originally Posted by fw102807

That does not mean that there isn't a better way. If everyone just accepted things as the way it is then we would still be getting around in a horse and buggy. There is always a better way it just takes someone to discover it.

I did not mean that there cannot be a better way, but right now there isn't. Until that discovery, and I do believe there are people working on it in the medical arena everywhere, it is what it is. Complaining, or whatever you wish to call it, on TOTV or any other forum is not that discovery.

The backup many times is from patients who use the ER as their primary physician, not just here, everywhere. They are not the only problem, but a very significant part of it. The ones I am talking about are the ones who will not purchase insurance or pay for their care in any manner, yet will have the latest in electronic gadgets, drive nice cars, buy the latest fashion fads, etc. and then depend on the taxpayers for their medical needs whether major or minor.

[dillywho]

Originally Posted by perrjojo

So true. I came into the hospital through the ER and waited 7 hours In the waiting room and then anotherb12 hours before getting a room. 5 Days latter my Gastrointestinal came by a 7:00 AM and said I was good to go but I had to wait until 7 PM for the ER doctor(who admitted me) to come by and say I could leave. All I could think about was all of those people waiting unnecessarily in the ER.

Thank you for thinking of those other people waiting for rooms.

Unfortunately, the hospital cannot chance pulling the ER doctor away from there long enough to dismiss patients. My guess is, and it is only a guess, that the ER doc comes by at the end of his/her shift and does dismissals. Just because their shift has ended, does not mean that they can hang it up and go home. The same holds true for everyone there. They are simply lucky when they can. Many of the nurses are there after their shifts to finish up the paperwork required at dismissal for their patients. By then, the next shift is seeing to the ones not getting to go home. Too many of us are from occupations that when the clock says it is quitting time, we quit. That never has been, nor will it ever be, in the medical profession.

With the current shortage of doctors and nurses, it may be a while before there is much relief nationwide. Only the truly dedicated are even entering the field, when there are less demanding and lucrative jobs to be had.

Originally Posted by dillywho

I did not mean that there cannot be a better way, but right now there isn't. Until that discovery, and I do believe there are people working on it in the medical arena everywhere, it is what it is. Complaining, or whatever you wish to call it, on TOTV or any other forum is not that discovery.

The backup many times is from patients who use the ER as their primary physician, not just here, everywhere. They are not the only problem, but a very significant part of it. The ones I am talking about are the ones who will not purchase insurance or pay for their care in any manner, yet will have the latest in electronic gadgets, drive nice cars, buy the latest fashion fads, etc. and then depend on the taxpayers for their medical needs whether major or minor.

I agree that this is not something that is going to be resolved during this flu season. Policies and procedures need to be reviewed and I am sure that technology will play a large part in a solution but public ignorance will always be a challenge. I just do not like hearing people say well that's just the way it is.

[dillywho]

I just do not like hearing people say well that's just the way it is.

I agree, but sometimes it's true. Solutions, like so many other things, just take time. That's not to say they are not out there and you are right, mid-crisis is not the time for those solutions to be explored. Sometimes solutions can come because of the lessons learned during those times.

[graciegirl]

Originally Posted by fw102807

I agree that this is not something that is going to be resolved during this flu season. Policies and procedures need to be reviewed and I am sure that technology will play a large part in a solution but public ignorance will always be a challenge. I just do not like hearing people say well that's just the way it is.

But sometimes...........THAT IS THE TRUTH. I was released to go home at nine O'clock at night by my PCP who did it in person. I had seen him that day at seven in the morning. I was frankly irritated and impatient and grouchy and my dear crew of Henry and Helene had been there with me every waking hour since I was admitted eight days prior, sitting on hard and uncomfortable seats and swearing they weren't.

But I am here. Getting better every day and I have complete trust and even more respect for our doctor. It is not an easy vocation. It may change, the process, and then people will be bringing suit against hospitals for being released too soon.

[dillywho]

Originally Posted by graciegirl

But sometimes...........THAT IS THE TRUTH. I was released to go home at nine O'clock at night by my PCP who did it in person. I had seen him that day at seven in the morning. I was frankly irritated and impatient and grouchy and my dear crew of Henry and Helene had been there with me every waking hour since I was admitted eight days prior, sitting on hard and uncomfortable seats and swearing they weren't.

But I am here. Getting better every day and I have complete trust and even more respect for our doctor. It is not an easy vocation. It may change, the process, and then people will be bringing suit against hospitals for being released too soon.

Good point!

[8notes]

Originally Posted by fw102807

That does not mean that there isn't a better way. If everyone just accepted things as the way it is then we would still be getting around in a horse and buggy. There is always a better way it just takes someone to discover it.

[PennBF]

We love Mayo in Jacksonville and could not even think of going somewhere else. They saved my wife who had Stage 3 Cancer. Having said this she spent 8 days in the hospital and was treated like a queen. The staff, Dr's, aides, etc could not be better as well as the room and all facilities. BUT when she was discharged from the Hospital there was a wait. Not sure how long but it was not immediate. I guess all hospital discharges have a built in wait and so I guess you have to just sick it out!!

My point is not that people have to wait to be discharged but that people in the ER have to wait to get the room. On the day my husband went in there were people on gurneys in the hallway waiting for an ER room because people in the rooms were waiting to be admitted and that was last year not now in the middle of a flu epidemic. No one can tell me that there is not a better way to deal with this than to hold people for 10 hours waiting to be discharged. There is ALWAYS room for improvement.

[JoMar]

Things always have solutions when you are on the outside looking in.

[dbussone]

Originally Posted by MrGolf

In my case I came in through the ER. Was told the hospitalist was the person responsible for the release. I was sent to the ERfrom my cardiologist.

You have choice as to who your physician of record is. If you don’t have a doc, you will be assigned one. My primary doc will be my physician of record, and if a surgeon or other specialist is needed my primary will request an appropriate consultation.


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[dbussone]

Originally Posted by dillywho

Thank you for thinking of those other people waiting for rooms.



Unfortunately, the hospital cannot chance pulling the ER doctor away from there long enough to dismiss patients. My guess is, and it is only a guess, that the ER doc comes by at the end of his/her shift and does dismissals. Just because their shift has ended, does not mean that they can hang it up and go home. The same holds true for everyone there. They are simply lucky when they can. Many of the nurses are there after their shifts to finish up the paperwork required at dismissal for their patients. By then, the next shift is seeing to the ones not getting to go home. Too many of us are from occupations that when the clock says it is quitting time, we quit. That never has been, nor will it ever be, in the medical profession.



With the current shortage of doctors and nurses, it may be a while before there is much relief nationwide. Only the truly dedicated are even entering the field, when there are less demanding and lucrative jobs to be had.

It’s not the ER doc who discharges patients, it’s a hospitalist- a doc employed by the hospital to care for admitted patients. In many cases the hospitalist is a specialist of one type or another who works hospital shifts for extra money.


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