Comments on: Rehospitalizations http://www.kevinmd.com/blog/2008/08/rehospitalizations.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/2008/08/rehospitalizations.html/comment-page-1#comment-87070 Anonymous Fri, 15 Aug 2008 03:55:00 +0000 http://clients.emmense.com/kevinmd/2008/08/rehospitalizations.html#comment-87070 If this comes to pass then it just might be better to kill these sick old people rather than discharge them. Or never admit them. Just through them out of the ER and let them die where they fall. If this comes to pass then it just might be better to kill these sick old people rather than discharge them. Or never admit them. Just through them out of the ER and let them die where they fall.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/08/rehospitalizations.html/comment-page-1#comment-87068 Anonymous Fri, 15 Aug 2008 01:10:00 +0000 http://clients.emmense.com/kevinmd/2008/08/rehospitalizations.html#comment-87068 yeah most of the readmits i see are that the medicare patients are very sick. End stage copd meets inpt criteria walking down the street and so they get admitted and discharged over and over. <br/><br/>dvts in cancer patients aren't preventable completely, you can decrease incidence but at what cost. How many bleeds will you have because you over anticoagulated someone. yeah most of the readmits i see are that the medicare patients are very sick. End stage copd meets inpt criteria walking down the street and so they get admitted and discharged over and over.

dvts in cancer patients aren’t preventable completely, you can decrease incidence but at what cost. How many bleeds will you have because you over anticoagulated someone.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/08/rehospitalizations.html/comment-page-1#comment-87065 Anonymous Thu, 14 Aug 2008 22:00:00 +0000 http://clients.emmense.com/kevinmd/2008/08/rehospitalizations.html#comment-87065 We review readmits at the hospital department meetings. The major reason for readmission is NOT inappropriate follow up, it's that a significant fraction of these patients are incredibly sick. Many of our Medicare admits have multiple additional problem. For example, many severe COPD patients have several admits each winter despite appropriate care and close follow up. Like DVTs and catheter related infections, these can be reduced but not eliminated. <br/><br/>However, since the likely goal of this is cost reduction and postponing the inevitable collapse of the Medicare Ponzi scheme, it doesn't matter whether these are unavoidable. We review readmits at the hospital department meetings. The major reason for readmission is NOT inappropriate follow up, it’s that a significant fraction of these patients are incredibly sick. Many of our Medicare admits have multiple additional problem. For example, many severe COPD patients have several admits each winter despite appropriate care and close follow up. Like DVTs and catheter related infections, these can be reduced but not eliminated.

However, since the likely goal of this is cost reduction and postponing the inevitable collapse of the Medicare Ponzi scheme, it doesn’t matter whether these are unavoidable.

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