Thanks to HIPPA (which stands for lawyers are watching if personal healthcare information is released) I can’t be specific with names in this report, but I’ll relate the pertinent medical facts and assure you that every aspect of what I am going to tell you is true.
The story begins last week when a woman, age 70, goes to take out the garbage at her suburban home. She’s done this hundreds if not thousands of times since she’s lived in the house for about 40-years.
Well, this trip didn’t go as planned. As she turned to wheel the garbage container out to the street, she slipped and fell on the driveway.
Unable to get up, she flagged down a passing car…which summoned the local EMS team and they suspected a broken hip. So off to suburban Hospital A.
There, while her kids figured out what went on and came from work to see her, the Big Wheels of Healthcare began to roll. Turns out Hospital A didn’t do the kind of surgery needed, so she was moved to big urban Hospital B. Apparently, there is some kind of bidding/buying process for surgery time…but she goes to Hospital B.
Once there, she is MRI’ed and prepped for surgery. The Doc is first rate and the surgery is done in 2-hours and all is well.
This was on Thursday or Friday and by Sunday the woman is back at home, one of her children with her for the first week since (with a new hip to get used to_) because she’s considered a secondary falling risk…and all this makes sense. The woman is fit and I gotta say, down just 2-days for a hip replacement, is pretty damn good – at any age.
The one thing apparently “normal” from hip replacements is that there are quite a few meds involved. Serious antibiotics, tissues this’s and pain killer that’s.
All of which leads (indelicately) to having to use the bathroom every couple of hours where thins are decidedly are “loose” to put it as delicately as I can.
So the daughter on shift decides to call the on-duty consulting nurse. She wonders if this loose condition is normal?
“Oh, sure…not unusual at all…” she is reassured by the nurse.
“OK, thank you, bye… “ says the on-duty daughter.
“Wait! Before you go, I need to ask you some questions.”
“Oh…OK…what?”
“Has you mom been to Sierra Leone in the last 21 –days?”
“No.”
“Has she traveled to Liberia or Nigeria in the last 21-days?”
“No…she hasn’t left (city name) in several years.”
“OK. Has she traveled to Mali in the last 21-days?”
“No.”
“Have any contact with anyone just back from West Africa”
“Not that we know of….”
This went on a bit longer, the consulting nurse explaining along the way that these were new Health Department required questions as part of Ebola operations.
It takes over a month to get the administrative wheels going and even then, people are still coming in from West Africa, crews are rotating in from the oil patch back and forth, yet this woman aged 70 who hasn’t left a 25-mile circle in several years, who has understandable G.I. tract follow-up from a hip replacement…
I shake my head in wonder, sometimes, as how the world really works.
I talk to my consigliore about it. Although he’s double-degreed in Accounting and Law, he has been fascinated with how bureaucracies work and almost went the Public Administration route.
Because of all his degrees, we’ve been following his projections on Ebola cases and seems pretty close to the mark so far. Especially the part where he forecast lying would be the biggest problem because people do what? (Go look at any political site, go on!): They LIE!
But when we were chatting about Ebola this week, he also mentioned that big bureaucracies have a problem with flexibility. Yes, yes, I’m beginning to see that.
As the showdown over the Maine nurse’s quarantine showed, sometimes we get treated to the real-life version of the old physics problem: “What happens when two irresistible forces collide?”
One State figures IT is the irresistible force. You can damn-sure bet the Obama Administration believes IT is irresistible, too.
The facts of the case ultimately yield the definitive answer the physics problem thusly:
If irresistible Force A is the stationary driveway and irresistible Force B is gravity, the result in Today’s World is a Recent Travel Quiz. The broken hip is ancillary to the discussion, though we wish the recipient a speedy recovery.
The broken hip has added tremendously to our understanding of modern healthcare. Rack ‘em & stack ‘em, bid ‘em, and fix ‘em, and push ‘em out the door. And then quiz them on stuff that was in the patient H&I (history and information) from the get-go.
Take this new-found knowledge, along with two aspirin, a law degree, plus three box-tops from political connections and you too might qualify to be the next Ebola Czar.
Just don’t spend too much time in the bathroom, even if you’ve had your hip replaced.
A Word from the Wiz
A reader of ours (The Wizard) is not surprised that my wife scored higher on an IQ test than I did. Come to think of it – and this is disconcerting – seems no one was surprised by the outcome except, uh, ME…hmmm…
Well, anyway, the Wiz has a sure-fire method to turn things around:
Saw your paragraphs on the IQ test today (Elaine’s is the same as my MBA daughter’s by the way).
I remember that last week (?) at some point you said that, while Elaine was trim & eats more healthfully and gets regular exercise, you could stand to lose 30 pounds and get off your butt now & then. That sounds a lot like The Lovely Mrs Wizard and me.
Coming back to the IQ thing, I have found a way to prove to my wife that I am smarter than her – and she can’t argue with it!! And you can use it too.
It’s quite simple – First you tell her that you can prove it – she will say something like ‘How do you figure?’, and you say “Well, I married you <big grin> and look what I got!! You married me <disgusted face> and look what you got.”
First time I did it, The Lovely Mrs Wizard’s jaw flapped open & closed silently a couple times, then it was just “DAMN!!!!”
Enjoy!
Wizard
Dear Wiz:
You may wish to get some pictures and maybe a video of the silently moving mouth. This will change over time. Trust me on this.
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