Thank you, Jennifer!
Friday, April 5, 2013
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
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2013
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April
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- Tuesday guest post
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April
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13 comments:
It has an extra-large operating table to accomodate the half-man/half-giraffe patient.
Seriously, though, what is a hybrid operating room?
half OR, half ER waiting room.
It's where we operate on centaurs, griffins, and mermaids.
Mr Spock says your argument is illogical.
Mr. Wikipedia says it's not just an OR-it's theatre.
"A hybrid operating room is a surgical theatre that is equipped with advanced medical imaging devices such as fixed C-Arms, CT scanners or MRI scanners."
So hybrid ORs are actually a real thing and we are currently in the middle of building one in the hospital I work in. In most facilities, minimally invasive procedures (interventional radiology and the cardiac cathertization lab) are set up in a different area of the hospital from the operating rooms. Patients with multiple medical issues would have to have anesthetized in the IR or cath lab, procedure completed, woken up, and then moved to the OR to have the whole procedure repeated. A hybrid OR is set up to accomodate equipment and positioning requirements for multiple types of procedures. It also allows for instant transfer from a minimally invasive procedure to an open surgery should a patient become unstable mid procedure.
Sounds incredibly high tech and incredibly expensive, but potentially life saving.
Well with Medicare you can now spend a few days (and nights with meals and nurses and tests and treatments and microwave-heated disposable washcloths) but not actually be admitted. Then Medicare won't cover your care in. Rehab (short term care in nursing home so you can get strong enuf to do tasks like get out of bed safely alone or use the toilet alone). Either you give a nursing home enuf cash for 30 days of care up front or go home with your aged spouse or your sandwich generation adult offspring to help you at home. Medicare pays for lots of experts and tests but not the basic care you need. However, if the hospital did not actually admit you and you end up back in ER with complications, then hospital can admit you for lots more tests and an intensive care bed! Penny wise and pound foolish!
So I thought a hybrid OR was the latest Medicare quality management strategy.
Yes AND no.
Whether it is penny wise and pound foolish depends on the averages, not on an individual case. What concerns me as an individual (potential) patient is whether, if there are complications, the outcome will be less favorable as a result.
In the cardiovascular world a Hybrid OR is basically a cath lab, that is also equipped to be an OR should the patient go south on the table. It's nice not to have to move them.
http://www.cathlabdigest.com/articles/Is-Hybrid-Cath-Lab-Way-Future
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