this totally had me fuming. i think parade will be hearing form a multitude of health care professionals. how about a article with information such as 1.) having a primary doctor. 2.) knowing the names of your medication. 3.) knowing your own medical history. 4.) knowing your allergies. 5.) not lying to the health care professional about symptoms. 6.) making wise health choices.
the article had sugesstions such as:
1. reminding the nurse that you are there she may "forgotten you".
2. arriving by ambulance will get you seen faster. ( gee thanks parade).
3. asking for "the attending physician." "not everybody in a white coat is a doctor." that is completely insulting to pas and nps.
in the actual magezine article there was a little box at the end of the article with the info about knowing your doctor's name and knowing your meds etc. the rest of made it sound like medical professionals are incompetent. congress doesn't need to spend more on uncompensated er care. people need to learn how to use the er appropriately. in my area we have many locations of sliding scale fee clinics with great docs. but people still use the er's for the things that have been discussed on allnurses.[/quote]
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thanks for posting the link.
there was a previous thread about this article, but it didn't post a link. from the notes in that thread, i was expecting something awful, but this article really wasn't that bad overall.
i doubt that arriving by ambulance will get you seen faster, but it's better for someone to travel by ambulance if they're having a heart attack, stroke, or serious injury anyway. as i've pointed out to my parents many times, you can't do cpr and drive at the same time. call an ambulance. and it's not bad advice to ask the person in the white coat who they are -- but the reality of the situation is that you're rarely going to see an attending physician, and the article should have pointed that out.
1) it's good advice to have a primary doctor, and know their name, how to spell it, and how to contact them. this information should be on a card in your wallet or in your address book in your purse.
2) also on a card in your wallet: a list of your allergies and what type of reaction they cause. ("lasix makes me pee too much" or "benadryl makes me sleepy" are not allergies, and one should know the difference.) i make my husband carry a list of my allergies in his wallet, and i have a list of his.
3) know your medications including correct spelling
, dose, frequency, and why you're getting that med. it's not enough to tell me that you're taking viagra (wink, wink and sly grin to young female nurse.) don't let us assume that you're taking it to enhance your sexual function when you're really taking it for your end stage pulmonary disease. again, this should be on a card in your wallet. on another card, you're spouse's meds.
4) know -- and communicate -- your medical history. some of this will be obvious from your list of medications, but if it's not, or your caregivers are inexperienced, it's helpful to spell it out. i need to know you had an mi in 1999 and a cabg in 2000. if you had a surgery, tell us. tell us what surgery you had, why you had it, when you had it, and where you had it. (i don't need to know that your cousin's husband's best friend drove you to the er, or that all 67 of your lodge buddies visited you after your surgery. save that sort of thing for when your kids visit.)
5) and please tell us all of your symptoms. when my husband took me back to the er after my back surgery a few weeks ago, he told them i had a headache. he had forgotten to mention the discectomy i'd had a few hours ago (outpatient surgery), the projectile vomiting, or the fact that the headache was the reason i'd taken the percocet prescribed for post-op pain. the post op pain was nothing compared to the headache! it made the difference between a migraine work-up and lying flat for a week due to a dural tear. my husband should have known better, but he was frightened and upset.
so while the article wasn't bad overall, i would have emphasized what you can do to improve your care -- and demanding to see an attending "if you're not comfortable" wasn't even on my list!