Why? - page 3
I couldn't decide weither to put this under OB or NICU... Most everybody likely knows what I do, but just in case...I am Clinical Coordinator for an agency that does PDN on high tech kids...I have... Read More
Jun 2, '02Joined: Nov '01; Posts: 765; Likes: 14I don't know what drug that medical director was on but he was wrong. I believe in being up close honest with the whole situation. Still give their options which every parent has no matter what we think it is up to the parents. We can't decide who lives or dies we just take it one viable day at a time.
Jun 2, '02Occupation: RN Specialty: CV-ICU ; Joined: Oct '00; Posts: 2,343; Likes: 51Kids, I sent you a PM about this. Our choice is not so much to question WHY such a thing happens, it is to look for our own answer to that question: WHY?
We are imperfect humans in an imperfect world. I don't think we intend to play God; but sometimes it certainly may look that way.
Jun 2, '02Joined: Aug '01; Posts: 892; Likes: 3It is not us nurses who are doing the "saving" ...It is not ""Why are WE doing it??"" Not WE as in nurses.....
In my neck of the woods anyway, There's a half dozen hospitals within a few miles of each other.....the neonatologists compete with each other..........they've been competing it for twenty years ! If they hear one of the hospitals, (and they all communicate with each other), has revived and maintained a 1000 gram fetus, then.....if at our hospital, a 980 gram is delivered, they will work like hell to sustain it and have EVERYBODY in the hospital working 24/7 to sustain it. It doesn't have a thing to do with any of the things you all have mentioned here....patient, Gods' plan for the patient, God, parents, ad infinitum.............
It is a serious competition....it is EGO. The doctor's ego,...he is the one who is controlling the situation. Besides , that little dab of flesh is a veritable gold mine for the hospital....The state...your state taxes will pay up to four million dollars keeping it alive....
Big bucks..... the b.s. about keeping it alive because of the patient's destiny , Gods' ordaining of its' soul, the parents' , etc. is just b.s. dished to nurses to make the process palatable to us, so we will participate in the game. After all, we are benefactors too....$$$. A hospital with 2 or 3 800 grammers has a steady paycheck from your state revenue offices..... and the 4 mill can be increased if necessary. Doctors have a powerful state and national lobby.
Call it what it is...ego and greed...
Call it ego gratification and greed $$$$
As in all things, follow the money....
Jun 3, '02Occupation: Patient Education Specialty: 7 year(s) of experience in LDRP; Education ; Joined: Mar '01; Posts: 7,470; Likes: 56Prn-
You raise some interesting points, but I look at it a different way. While the neos are "competing" you say, to maintain a younger infant than the next hospital, aren't they in fact, acting also on the demands of society?
Society demands and expects that these docs can save these tiny babies. At least around here, the small community hospitals that don't have the latest, techo hoopla are looked down upon within society - because society places value on big time, techno hoopla.
Hospitals aren't built, and services aren't offered that aren't exactly what the public wants.
Also, if the public didn't want these docs to save these babies, they wouldn't opt to go to a hospital with a NICU, they wouldn't opt to deliver at that gestation, so it doesn't matter WHAT services that hospital offered, if the public didn't patron that place, the docs wouldn't get rich, as you say.
The docs get rich because MORE and MORE patients go to them - as a result of what they CAN do, because the public DEMANDS it. They don't get rich simply from keeping a 2000 grammer on a vent. That actually costs the hospital money, and, in alot of cases, the sickest babies are usually on T-19 or no insurance or some other slow to reimburse program.
The doc gets rich because their patient base increases, as a result of what they can offer.Last edit by Susy K on Jun 3, '02
Jun 3, '02Joined: May '02; Posts: 278; Likes: 5prn nurse
I have NEVER run into this, and I have worked in several areas where hospitals competed for business.
This competition should be reported to your hospital's ethics committee.