Comments on: Death of common sense http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73073 Anonymous Wed, 21 Mar 2007 11:29:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73073 Anon 8:27 shows why there is still a need for UM people to refuse to pay for wasted hospital days Anon 8:27 shows why there is still a need for UM people to refuse to pay for wasted hospital days

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73066 Anonymous Wed, 21 Mar 2007 01:27:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73066 All the hospitals I have been at in recent years took away stool cards. They claimed patients were getting them done without being billed. Now we wait 2-3 days for a poop, then send it to the lab where it takes 2 days to get a result. Awesome.<br/>Also the RNs cannot place PPDs anymore. They must be placed and read by an MD. All the hospitals I have been at in recent years took away stool cards. They claimed patients were getting them done without being billed. Now we wait 2-3 days for a poop, then send it to the lab where it takes 2 days to get a result. Awesome.
Also the RNs cannot place PPDs anymore. They must be placed and read by an MD.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73040 Anonymous Tue, 20 Mar 2007 02:57:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73040 I still keep it in my pocket for my diagnostic purposes. Screw the lab and administrative wonks. <br/><br/>Of course, as a hospitalist it's convenient. I can order it and deer the rectal if it's positve to the next shift. <br/><br/>Ah, isn't medicine great to nurture these deliquent behaviors. I still keep it in my pocket for my diagnostic purposes. Screw the lab and administrative wonks.

Of course, as a hospitalist it’s convenient. I can order it and deer the rectal if it’s positve to the next shift.

Ah, isn’t medicine great to nurture these deliquent behaviors.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73026 Anonymous Mon, 19 Mar 2007 23:06:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73026 What if we all just decided to start ignoring the CLIA rules one day--July 4 would be a good day.<br/><br/>I worked in labs as an undergraduate and summers during medical school. I've done CBC's on automated equipment, and with manually hemocytomters, spun and streaked thousands of urines and throat swabs, have a degree in biochemistry, and some government dweeb tries to tell me I can't do a stool guaic? What if we all just decided to start ignoring the CLIA rules one day–July 4 would be a good day.

I worked in labs as an undergraduate and summers during medical school. I’ve done CBC’s on automated equipment, and with manually hemocytomters, spun and streaked thousands of urines and throat swabs, have a degree in biochemistry, and some government dweeb tries to tell me I can’t do a stool guaic?

]]> By: Judy http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73020 Judy Mon, 19 Mar 2007 19:24:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73020 Now I know I'm in good company.<br/><br/>NICU nurses haven't been "competent" to check stool samples for occult blood in quite sometime. Not only that, but we can't even dip urine or check the specific gravity on a refractometer - a fairly idiot-proof piece of equipment. <br/><br/>We can check hemoglobin levels, because the gadget we use for that hasn't been removed from the unit yet. I think they forgot. <br/><br/>I'm going to retire if they decide we can't do point of care blood sugars. Waiting 30-60 minutes for an answer from the lab could be lethal. Now I know I’m in good company.

NICU nurses haven’t been “competent” to check stool samples for occult blood in quite sometime. Not only that, but we can’t even dip urine or check the specific gravity on a refractometer – a fairly idiot-proof piece of equipment.

We can check hemoglobin levels, because the gadget we use for that hasn’t been removed from the unit yet. I think they forgot.

I’m going to retire if they decide we can’t do point of care blood sugars. Waiting 30-60 minutes for an answer from the lab could be lethal.

]]> By: Gasman http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73018 Gasman Mon, 19 Mar 2007 17:45:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73018 xIt's hit all areas. The century old standard of measuring hematocrit by centrifuging a capillary tube has now been judged unacceptable because we would need to run standard samples every shift and undergo periodic retraining. So this has meant on two occasions for me (12 for our group) the placement of central lines in kids impossible to draw blood from just to obtain the simplest and oldest of blood exams. Uncounted hematocrits have never been checked because no sample could be had and central access was too outlandish. xIt’s hit all areas. The century old standard of measuring hematocrit by centrifuging a capillary tube has now been judged unacceptable because we would need to run standard samples every shift and undergo periodic retraining. So this has meant on two occasions for me (12 for our group) the placement of central lines in kids impossible to draw blood from just to obtain the simplest and oldest of blood exams. Uncounted hematocrits have never been checked because no sample could be had and central access was too outlandish.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73015 Anonymous Mon, 19 Mar 2007 16:33:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73015 Ayn Rand fabulously illustrated scenarios like this in Atlas Shrugged. And that was written half a century ago. Ayn Rand fabulously illustrated scenarios like this in Atlas Shrugged. And that was written half a century ago.

]]> By: Matthew http://www.kevinmd.com/blog/2007/03/death-of-common-sense.html/comment-page-1#comment-73013 Matthew Mon, 19 Mar 2007 16:21:00 +0000 http://clients.emmense.com/kevinmd/2007/03/death-of-common-sense.html#comment-73013 Clearly, what we need is a much, much larger role for government in health care.<br/><br/>Or something. Clearly, what we need is a much, much larger role for government in health care.

Or something.

]]>