Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Surge in hospitalization?
Old 06-20-2009, 09:00 AM   #1
Thinks s/he gets paid by the post
Leonidas's Avatar
 
Join Date: May 2006
Location: Where the stars at night are big and bright
Posts: 2,847
Surge in hospitalization?

Youngest son is in the hospital recovering from an operation he had Thursday at a hospital in the Texas Medical Center Texas Medical Center - Wikipedia, the free encyclopedia

The experience has been good, and we've moved through the system smoothly with almost no hiccups. However, there were some delays at first; the OR was a little backed up, and then we were in the recovery room for hours while they waited for a room to be ready. The surgeon told me the hospital was completely full, which was unusual for this time of year. He said winter was usually the busy time. The recovery nurse was commenting on how busy they were that night. It seemed busy, with close to 50 patients rotating through recovery while we were there for about 5-6 hours.

I've had a few brief conversations with staff members from other hospitals and I've asked how busy they were and they mostly agreed that they were swamped. The only exception was a team of surgical residents I was standing in line with last night at McDonald's. Apparently their schedule was messed up because of a continual reshuffling of operations due to changing priorities brought on by a massive influx of new cases. The difference was that they said that Summer was their busy time and it wouldn't slow down until September. They seemed a little young and full of themselves (look at us - we're busy busy busy slicing people open), so I'm not sure about their evaluation. Especially compared with everyone else saying that the volume is unusual.

I caught a brief news story that said hospitalization was up across the country as people who still have jobs, and health insurance, are trying to take care of health issues while they still have the insurance.

Rich, anybody else in the healthcare biz, are you seeing a surge in demand?
__________________

__________________
There is no pleasure in having nothing to do; the fun is having lots to do and not doing it. - Andrew Jackson
Leonidas is offline   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 06-20-2009, 09:37 AM   #2
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Well, I'm not in the healthcare biz and can't comment on a surge...just wanted to say I hope your son is doing ok.
__________________

__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Old 06-20-2009, 09:55 AM   #3
Moderator Emeritus
CuppaJoe's Avatar
 
Join Date: Jun 2007
Location: At The Cafe
Posts: 6,866
I also hope your son is doing well, is he home?

I had one experience with an out-patient procedure where I got into the recovery chair about 3 p.m. and at midnight they gave up because I wasn't passing the exit requirements so they admitted me for the night. On another later occasion, they sent me home almost instantly even though I wasn't passing the same tests. A friend took me home and was appalled that they sent me home that way, her daughter is a doctor and she believed this is a huge change in discharge procedures, I remember her using the word, barbaric. I'm wondering if there are fewer hospital beds now because procedures that used to be in-hospital are now done on an out-patient basis.
__________________
CuppaJoe is offline   Reply With Quote
Old 06-20-2009, 10:11 AM   #4
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,612
I have read articles about this. Health insurance costs are expected to rise for employers 9%, according to PriceWaterhouseCoopers, and one of the reasons specifically cited is that "workers worried about losing their jobs are using their health care more while they still have it".

Personally, I'd be more afraid to discover a pre-existing condition just before I lost my group health insurance, but maybe that's just me.
__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Old 06-20-2009, 11:10 AM   #5
Moderator Emeritus
Bestwifeever's Avatar
 
Join Date: Sep 2007
Posts: 16,373
Hope your son is recovering and will be home soon, Leonidas.

I wonder if the number of beds has been cut back (like the number of flights in the travel biz), and now they are all filled.
__________________
“Would you like an adventure now, or would you like to have your tea first?” J.M. Barrie, Peter Pan
Bestwifeever is offline   Reply With Quote
Old 06-20-2009, 11:49 AM   #6
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
Moemg's Avatar
 
Join Date: Jan 2007
Location: Sarasota,fl.
Posts: 10,032
Hope your son is doing well !
When I worked in health care there were times when we were swamped for no rhyme or reason and then it would slow down . Summer is a huge time for accidents . People bringing out the lawnmowers , hedge clippers , fireworks , sports and of course motorcycles .
__________________
Moemg is offline   Reply With Quote
Old 06-20-2009, 12:09 PM   #7
Thinks s/he gets paid by the post
 
Join Date: Dec 2007
Posts: 4,764
It comes and goes. Sometimes they send nurses home because of not enough patients. Other times they are begging people to stay over or come in early for OT.
__________________
Notmuchlonger is offline   Reply With Quote
Old 06-20-2009, 01:04 PM   #8
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Quote:
Originally Posted by Leonidas View Post
Rich, anybody else in the healthcare biz, are you seeing a surge in demand?
We're always near or at capacity. Haven't seen anything national.

Best wishes to your son.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 06-20-2009, 01:29 PM   #9
Thinks s/he gets paid by the post
DblDoc's Avatar
 
Join Date: Aug 2007
Posts: 1,224
Hope your son gets well soon.

PNW ED volumes are down as is reimbursement as we see more unemployed without insurance presenting for care. Our OR volumes are also down but we see no difference in bed availability when admitting patients as hospital staffing is reduced and sick calls spike with the nice weather.

DD
__________________
DblDoc is offline   Reply With Quote
Old 06-20-2009, 01:31 PM   #10
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,612
Quote:
Originally Posted by DblDoc View Post
PNW ED volumes are down as is reimbursement as we see more unemployed without insurance presenting for care.
This is another quoted reason as to why health insurance premiums are expected to be much higher again next year.

It's also a sign of how the system is screwed up. When people who can't pay come in for care, those who CAN pay (those who are insured or have a lot of cash) have to pay more.
__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Old 06-20-2009, 03:05 PM   #11
Moderator Emeritus
Nords's Avatar
 
Join Date: Dec 2002
Location: Oahu
Posts: 26,617
Quote:
Originally Posted by Leonidas View Post
Rich, anybody else in the healthcare biz, are you seeing a surge in demand?
Hope your son's doing OK, Leo. Few things scarier to a parent than their kid in the hospital, especially when it involves anaesthesia.

I've read that June/July is a busy transition time when the medical school graduates are making their way to their internships and getting started on their learning curves. So maybe what you were seeing was an instructional three-ring circus?
__________________
*
*

The book written on E-R.org, "The Military Guide to Financial Independence and Retirement", on sale now! For more info see "About Me" in my profile.
I don't spend much time here anymore, so please send me a PM. Thanks.
Nords is offline   Reply With Quote
Old 06-20-2009, 07:02 PM   #12
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Jul 2006
Posts: 11,018
In my area volumes are significantly up due to the pandemic.
__________________
Meadbh is offline   Reply With Quote
Old 06-21-2009, 11:13 AM   #13
Thinks s/he gets paid by the post
Leonidas's Avatar
 
Join Date: May 2006
Location: Where the stars at night are big and bright
Posts: 2,847
Thanks for all the kind thoughts guys. He's doing well but won't be home for a few days more - perhaps Thursday or Friday. He has to transition from the epidural to oral pain medication and the plan is to start today by gradually reducing the epidural while starting the oral medication. They shoot for at least 24-hours completely free of the epidural before they will discharge him. His anesthesiologist is talking about extending that a little just to be sure before she sends him home.

It's amazing how quickly they get them up and around after an operation. He walked a bit Friday with two nurses supporting him and was weak and nauseous. Saturday he walked twice as far in the morning, and then by the afternoon he walked twice as far again and did the last bit unsupported. I've noticed other patients making the same rapid recovery. One girl could barely walk with two nurses holding her up one morning, and by the next she was walking around by herself and laughing.

We have seen a lot of students (there's two or three medical schools in the center and probably a dozen nursing colleges), but they're always accompanied by regular staff. June is probably the time newbies start transitioning in, we had two yesterday - one who obviously had been working there for a while already, and then a brand new one who came in and to introduce himself and ask our permission to be part of the nursing team for our son. I thought that was kind of interesting.

There are no cutbacks here. I commented to one of the techs last night that she was working a long shift that day, and she said "They're giving us lots of overtime because of vacations, so I'm getting all I can." It looks like every hospital here (there's 14 or so) are building new towers. They're working around the clock on what looks like billions in construction projects.

Thanks for the replies and especially the kind thoughts. The operation he had is interesting and we were completely amazed by the results. We really lucked out on the surgeons, the senior guy has done almost 1,000 of these procedures, his younger partner has been working with him for years and they had a complete team that they work with exclusively for this. It went smooth as can be. The only issue we had was a pain control problem the first night, but they called their "pain response team" and they were there in minutes adjusting the medication and have been on top of it since then.

I may post a picture or two later (I have interior shots even), but if you're interested there is a wiki article here: Nuss procedure - Wikipedia, the free encyclopedia
__________________
There is no pleasure in having nothing to do; the fun is having lots to do and not doing it. - Andrew Jackson
Leonidas is offline   Reply With Quote
Old 06-21-2009, 12:56 PM   #14
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Jul 2006
Posts: 11,018
Leonidas, I'm glad your son is feeling better. Although the main benefit of the Nuss operation is cosmetic, it's a major procedure, and, like all surgical procedures involving bone, quite painful.

Now DS will be able to strut his manly chest at the girls!
__________________
Meadbh is offline   Reply With Quote
Old 06-23-2009, 11:04 PM   #15
Thinks s/he gets paid by the post
Leonidas's Avatar
 
Join Date: May 2006
Location: Where the stars at night are big and bright
Posts: 2,847
We brought him home today and he's doing fine.
Quote:
Originally Posted by Meadbh View Post
Although the main benefit of the Nuss operation is cosmetic...
My insurance company wouldn't have paid for it until we visited a crew of specialists to document the health issue. When my wife first advocated this procedure a couple of years ago I was somewhat opposed because I thought she was approaching it from the cosmetic angle. But after our visits to the pulmonologist and a pediatric cardiologist I changed my mind.

If anything, the last year of our son's life proved to me that his condition was severely impacting his health. His lung capacity was less than half of normal and deteriorating. He was on a steroidal inhaler just so he could make it through a normal school day. All of the images we had done in the workup showed his lungs were being compacted by his chest, and the before "interior" shot we got from the surgeon showed his sternum right on top of his heart. The after shot shows that he now has breathing room, literally.

Back OT - The ER was pretty dead over the weekend, but on weekdays they had them stacked up all over the place. It's a children's hospital so I don't know if that makes a difference, but as I remember it, most ERs were jam packed on Friday and Saturdays.
__________________
There is no pleasure in having nothing to do; the fun is having lots to do and not doing it. - Andrew Jackson
Leonidas is offline   Reply With Quote
Old 06-24-2009, 08:15 AM   #16
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
bbbamI's Avatar
 
Join Date: Dec 2006
Location: Dallas 'burb
Posts: 9,039
Quote:
Originally Posted by Leonidas View Post
We brought him home today and he's doing fine.
Great to hear Leo!
__________________

__________________
There's no need to complicate, our time is short..
bbbamI is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Eased rules cause thai baht to surge... Lancelot Life after FIRE 10 07-11-2007 11:36 PM
U.S. Sends Surge of Homicidal Astronauts to Iraq frayne Other topics 0 02-12-2007 06:30 AM
Surge suppressor for new HDTV? MooreBonds Other topics 7 11-19-2006 03:30 AM
Foreclosures Surge Aaron FIRE and Money 8 09-14-2006 12:59 PM

 

 
All times are GMT -6. The time now is 07:30 AM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.