Posted on 07/10/2021 7:38:46 AM PDT by BenLurkin
Hospitals represented by the association argue that existing seismic standards are too costly, are in some ways unnecessary and that their industry needs more time to recover from massive financial losses during the pandemic.
In a letter to legislative leaders late last month, the association claimed that even with federal aid, California hospitals lost $8 billion in 2020 caring for COVID-19 patients and expect to lose another $2.2 billion this year.
Existing law requires that by 2030, every hospital building is capable of operating following an earthquake
(Excerpt) Read more at latimes.com ...
“Yes, you read that right, total hip and knee replacements are being discharged same day.”
We belong to the big west coast PPP, and they have been doing discharge on the same day.
One of our DIL’s had a hip replaced in her early 50’s two years ago, and she was discharged late the afternoon after her surgery.
The Rehab RN was at their front door the next morning by 10 am. The Rehab RN or team was there every other day for about 2 days.
In a week, they had her going up one flight of stairs to their bedroom and back down. Then, she was walking around the flat side walks in her neighborhood.
Primary goals besides soloing the stairs, was her going to the bathroom by herself and able to fix snacks and some to drink. Then, she prepped the dinner meal for our son/her husband to prepare.
An 83 year old friend had a knee replacement, and the same rehab team had her outside walking in a week. Their home is all on one level with the exception of one step from their kitchen to the family room. Friends had built in a ramp for her as per the measurement from the rehab team. Her rehab for the knee was shorter re time versus the new hip for our DIL.
That’s about the time we started piloting our program. The big west coast outfit had been doing it, which which then prompted Medicare to make changes to how total joints are scheduled. There’s a lot of coordination required to make it work.
“The big west coast outfit had been doing it, which which then prompted Medicare to make changes to how total joints are scheduled. There’s a lot of coordination required to make it work.”
The big West Coast outfit can organize and direct the coordination that is needed for the operation/followup and send the patient home that same day.
The other hospitals have all types of known empires and unknown alliances in and outside the hospital. Sometimes better patient care gets the short end of deal.
I had a cardiac stent put in, 3 years ago this fall.
30 minutes after my stent was put in, my wife and I shared my chicken sandwich. About an hour later, they discharged me. My wife picked me up at the patient pickup circle and drove me home.
After 1 hour ride home, one of our adult son’s met us in our carport and made sure that I didn’t slip on the ramp going from our carport into the house.
Then, I took a nap for about 30 minutes and was fine with no pain or pressure on my chest.
I talked to everyone, and I had an early dinner with a glass of red wine and went to bed. That was the extent of my post stent recovery versus 1-2 days in the hospital ~ 1 day pre stent and 1 day post stent.
I spent zero nights in the hospital.
Did they access your radial artery? The cardiologists where I work do the majority of their procedures that way. They are discharged the same day.
Where I worked at previously, the residency program taught radial access, but most of their procedures were still done through the femoral artery. And all patients receiving stents were admitted overnight. Only diagnostic cases were discharged same day.
We had some old school docs who st
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