“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