A strange thing happened yesterday...

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Greetings! Yesterday, I had a vascular ablation performed on my accident damaged leg at a well known teaching university hospital. After the procedure, my leg was wrapped and I was discharged, advised that I could resume my normal activities. About half way home I needed to make use of the indoor plumbing, and the nearest McDonald's lobby was closed, so my alternate was a department store.

About 35 yards in, I realized that I was bleeding and leaving an easy to track blood trail. The store staff was very helpful, and called an ambulance. Upon arrival, the squad applied a pressure bandage and transported me to the local hospital.

At the hospital, the doctor removed the surgical dressings, cleaned the "wound" (which had stopped bleeding), and then applied a quick clot dressing. I was in the ER about 2-3 hours when the doctor gave me the option to either stay for observation or go home, since he wasn't able to connect with the surgical department. I was confident in his treatment and headed for home.

This morning I contacted my surgeon's office to fill them in. I was advised that the ER doctor had called after hours, that was why he didn't reach anyone in the department. I was asked if I applied pressure, but how do you do that properly when you don't know where the leak is because the leg is covered in post-surgical bandages. The nurse was amazed that I was transported by ambulance, commenting that a little bleeding was typical. Having lost a lot of blood (the ER nurse's assessment), enough that either Ronny Milsap or Ray Charles could have tracked me, she was shocked to hear that I went to the ER!

I specifically chose a teaching hospital because you would expect them to be on the cutting edge. Needless to say, I am a bit disturbed by the reaction to the post-op events. At this point, I am leery of straying too far from my tourniquet and a quick clot bandage!
 
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First, I am grateful you are better.

Second, I worked at a pediatric teaching hospital, in the ER for nearly 20 years. Depending on the specialty, you may receive cutting edge treatment. You may also be lost in the bureaucracy of the system.

The larger the facility, the greater the bureaucracy.
 
Greetings! Yesterday, I had a vascular ablation performed on my accident damaged leg at a well known teaching university hospital. After the procedure, my leg was wrapped and I was discharged, advised that I could resume my normal activities. About half way home I needed to make use of the indoor plumbing, and the nearest McDonald's lobby was closed, so my alternate was a department store.

About 35 yards in, I realized that I was bleeding and leaving an easy to track blood trail. The store staff was very helpful, and called an ambulance. Upon arrival, the squad applied a pressure bandage and transported me to the local hospital.

At the hospital, the doctor removed the surgical dressings, cleaned the "wound" (which had stopped bleeding), and then applied a quick clot dressing. I was in the ER about 2-3 hours when the doctor gave me the option to either stay for observation or go home, since he wasn't able to connect with the surgical department. I was confident in his treatment and headed for home.

This morning I contacted my surgeon's office to fill them in. I was advised that the ER doctor had called after hours, that was why he didn't reach anyone in the department. I was asked if I applied pressure, but how do you do that properly when you don't know where the leak is because the leg is covered in post-surgical bandages. The nurse was amazed that I was transported by ambulance, commenting that a little bleeding was typical. Having lost a lot of blood (the ER nurse's assessment), enough that either Ronny Milsap or Ray Charles could have tracked me, she was shocked to hear that I went to the ER!

I specifically chose a teaching hospital because you would expect them to be on the cutting edg
e. Needless to say, I am a bit disturbed by the reaction to the post-op events. At this point, I am leery of straying too far from my tourniquet and a quick clot bandage!

When I had my kidney removed in 06, it was done in a large teaching hospital. Now I have enough problems I want the A team (My urologist/surgeon) doing the cutting and slashing. Yes actually doing the work not standing by and letting a apprentice surgeon do the job. I discussed this in detail with him and had put this on the papers you sign before they wheel you into surgery. Told the anesthesiologist that also.

Of course being knocked out I have to trust that my wishes were carried out. Surgery went well and at this point I'm a over 15 year cancer survivor.

:D Course that procedure is about the worst thing a gun carrying person can go through. You are unarmed,naked, unconscious, tied to a table and all sorts of masked people with lots of sharp knives are surrounding you!
 
Incompetence and indifference is rampant in every segment of the medical field. One must pay close attention, ask questions, and be, or have, a strong advocate for yourself. There are also many fine and caring people in medicine. It's a crapshoot. Glad to hear things worked out OK for you.
 
Since we are talking blood, as I aged I started using an aspirin a day to help with blood thinning. Now after a little cut in my garage, I bleed worse than any elk I ever shot. If my wife comes up missing and the CSI team comes and luminals my garage, it is automatic life in prison. I would not be shocked to see yellow crime scene tape around my garage anytime I use a sharp instrument. I hate trash alongside roads, so I pick up a 5 mile section of county road as my public service. The other day a Walmart bag was stuck to a barbed wire fence. Stopping to remove it, I got poked in the back of the hand with an adjacent bard. No big deal except I poked a vein. Blood was squirting everywhere. As I got back to the truck to retrieve a rag, I got blood all over the truck and myself. Finally after a box of tissues and an oily rag the bleeding stopped. The odd thing was my hand instantly swollen to nearly twice its size and ached all the way up my wrist. There must have been some contaminate on the barb. Hand stayed swollen for 2 days before returning to normal. Odd.
 
Incompetence and indifference is rampant in every segment of the medical field. One must pay close attention, ask questions, and be, or have, a strong advocate for yourself. There are also many fine and caring people in medicine. It's a crapshoot. Glad to hear things worked out OK for you.

My dad always said that not all doctors got As & Bs; some got Bs and Cs and Ds. But they got the diploma.
I always thought the workman's comp clinics' doctors got the Cs and Ds.
 
What do you call the one that was last in his class in med school……..unfortunately, doctor, the same as the valedictorian. 35 years in healthcare and we have the same quality and patient experience issues as the day I entered healthcare administration.
 
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