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["Lynn Wigglesworth" <lynnw1366 AT hotmail.com>]

They did the surgery on my mother yesterday. They inserted a rod with a 
plate and screws. They've arranged for her to be transferred to a 
rehabilitation center for a couple of weeks. She had a choice of two 
centers; I chose the one where her regular doctor visits every day...maybe 
they can deal with some of her chronic problems while she's there.

Lynn Wigglesworth
Tioga Co. PA

----- Original Message ----- 
From: "Leslie" <cayadopi AT yahoo.com>
To: <homestead AT lists.ibiblio.org>
Sent: Tuesday, January 20, 2009 10:01 PM
Subject: Re: [Homestead] Anti-hospital Rant


Well said.

Just one thing, in case Lynn doesn't know -- compound fracture refers to a 
bone that breaks thru the skin - which requires immediate treatment and is 
treated as a priority on the triage list in the ER, and emergency surgery, 
if required to realign the bone ends - but not surgery if they can be 
reduced [aligned] without surgery. That's painful - so often anesthesia in 
OR just to reduce pain while aligning the ends. Except some fractures 
require plates & screws to fix.

If it is just the bones ends separated apart, but not broken thru the skin, 
not quite the same thing on the triage priority list.

Still this is ridiculous - including all the steps Lynda posted, why not 
just call an orthopedic doc in?






--- On Tue, 1/20/09, Lynda <lurine AT com-pair.net> wrote:

From: Lynda <lurine AT com-pair.net>
Subject: Re: [Homestead] Anti-hospital Rant
To: homestead AT lists.ibiblio.org
Date: Tuesday, January 20, 2009, 1:19 PM

By-pass the floor and go straight to administration.  Tell them that you are
fully aware of how the Medicare system works and that if they don't
straighten up and give your mother the appropriate care you will be making a
demand for a FULL (important word to use) Medicare review of the WHOLE
hospital and its care of patients.  Further, you want to know when the next
QA Committee (Quality Assurance) meeting is and that you demand to be put on
the agenda.

Inform the head of the medical staff, they should have a medical director,
that you will be filing a complaint with the state medical board if care
does not improve immediately.

And, you are correct about clots, etc.  Further, every P & P (policy and
procedure manual and all hospitals have them) that I've ever seen calls for

*immediate* treatment of a compound fracture!  That doesn't mean wait two
days, that means getting an orth surgeon called in to do emergency surgery!
This is particularly important in the elder when blood flow is a problem and
the longer you wait the more likely you are to further compromise their
circulation.

Lynda
----- Original Message ----- 
From: "Lynn Wigglesworth" <lynnw1366 AT hotmail.com>


> Since the list is slow this morning, it's time for a rant. My mother,
92
> years old, fell on Sunday morning and broke her arm. I saw the xray in the
> ER, and it's a bad break, jagged, and open, with a large chunk of bone
> detached and off to the side.
>
> She was admitted to the hospital from the ER Sunday afternoon, and they
> have
> done NOTHING for her yet. I watched the nursed change her sheets and roll
> her over on the broken arm...my mother was screaming in pain, and they
> just
> say "I know it hurts, but we have to get this sheet out from under
you".
> They wouldn't feed her in case the specialist wanted to rush her to
> surgery.
> As far as I know, she's had one or two meals since breakfast on
Sunday.
> The
> specialist didn't even look at her until Monday evening, and they
didn't
> schedule surgery until 3:00 today. She could starve by then.
>
> Isn't there a serious danger of a clot causing embolisms or aneurisms
with
> an open break? She's been trapped in bed since Sunday morning, so her
poor
> circulation is further challenged.  Is that any way to treat an old lady?
> Why I hate doctors and hospitals. I call/show up and throw a hissy fit for
> them to do something for her, but no one pays attention to me...I'm
just
> "that crazy daughter".
>
> Lynn Wigglesworth
> Tioga Co. PA
>
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