Thursday, January 17, 2013

Hospitals: Are We All Talking


Hospitals: Are We All Talking?


Elaine Waples
Elaine Headshot 11713Complications from my cancer sent me to the hospital again recently. The news that I was in trouble came unexpectedly from my oncologist’s office Thanksgiving eve, following a routine blood test. “Your liver numbers are out of whack.” My response was “Really?” as if I’d been notified that my driver’s license had expired.
I was diagnosed with a blocked bile duct and I missed the turkey and cranberry sauce. My oncologist called in a gastroenterologist, who scheduled a procedure to open the blocked duct. But my tissues were too distorted to complete the procedure, so the next day an interventional radiologist inserted a bile drain. I met him seconds before I drifted into sedation. When it was over and I was awakening, he offered me a cheery “good luck” as I rolled out the door. I never saw him again.

I returned two weeks later for a repeat of the original procedure, and this time it worked. A metal stent was implanted that propped open the duct and I was happily discharged. The next afternoon, though, I was back in the emergency department with a fever and elevated white count. A young doctor ran some tests, made some phone calls, and the staff hospitalist admitted me with pneumonia.
Over the next four days I received care from a rapidly growing list of consulting physicians: a pulmonologist, a different interventional radiologist, a partner to the first gastroenterologist and an infectious disease doctor. The hospitalist coordinated their care, monitored my progress and ordered meds and tests.
As the days moved on, the treatments, tests, antibiotics, and procedures continued. My husband and I experienced a revolving door of physicians who we met for the first time, each focused on something different. They were there for their specialized knowledge and skills: monitor the bile duct, eliminate the infection, drain the lungs. At times it felt like we were dealing with unrelated illnesses and I kept thinking, “I have cancer! Is someone connecting all this?”
The processes of hospital care are supposed to be understandable to the average patient. But I wonder if they are. Many patients expect that their care will be managed by a familiar specialist, the doctor who saw them last or their primary care physician. They may have never heard of a hospitalist or know what a consulting physician does.
We have realized that we have a strong role in making patient-centered care really work.  We asked questions of the doctors. Are you talking to my oncologist and my primary care physician? Some had puzzled looks, as if we had introduced a stunning no-brainer into the conversation. They all assured us that they had already connected directly, through the EMR, or through the hospitalist.
But we weren’t sure that was happening. We didn’t always know what they were saying and or what they were hearing. Questions got the information flowing and our conversations, both good news and bad, became more collaborative. Even so, it didn’t just happen. We had to elicit information. We had to be active advocates for my care.
I am out of the hospital now. I left with books, flowers, bottles of soap, lotions and an oxygen tank. I needed a Sherpa. I also had a pretty thorough “to do” discharge list that included a home health nurse, a therapist, pain meds and oxygen. I have since connected with my primary care doctor and my oncologist. I am vastly better, though there is a lot of treatment ahead. But at the moment, there is medical homeostasis.
I think about the experience often. My care was excellent. I was sick and in trouble, and it was the right care at the right time. The hospitalist who coordinated the care was skilled, diligent and competent. My team of consulting doctors were terrific. Left to my own devices, I probably could not have chosen more wisely.
But there was an eye-opener. The care was coordinated differently than I had imagined. I expected to see doctors I’d known before. It turns out they were involved, but with the new team in the hospital. It was clearly the right care, but much of it was, for us, out of sight, behind the curtain.
The doctors who treated me have moved on to other cases and probably never thought of me again. I owe them my deepest gratitude and I would like them to know how much better I am. I wish I could see them one more time.
But I won’t.  That’s just not how it works.

10 comments:

  1. I decided to share this because i am so glad today and happy that i am alive to see another new day and not just that but also to share the goodnews of how i survived a deadly stage 4 cholangiocarsinoma (bile duct cancer). I was told by my oncologist that she had just 6 months left to live and i was so scared to lose my wife. I was lucky to contact Dr Mrs Aleta who i told all about it and she is the nicest person i have spoken to. She recommended a herbal medicine for her which she took that cured her in less than a month. Well for more info about the medicine and cancer treatment simply reach her on aletedwin@gmail.com she can help you too. Contact her for any form of cancer too.

    ReplyDelete
  2. Am the happiest Father on Earth,
    My wife suffered from the problem of fibroid for eight years and we have look for solution for years, because she is scare of doing surgery We got a solution from Dr williams, he sent us is product which my wife used and now she is completely cured. she was able to give birth just last month and any one with such problem can contact him on his email address drwilliams098765@gmail.com
    Regards

    ReplyDelete
  3. ALL THANKS TO DR WILLIAMS WITH HIS HERB MY WIFE WAS COMPLETELY CURED FROM FIBROID.
    Is my pleasure to comment on this site and i thank the admin of this site for his/her great work so far.one of the happiest moment in life is when you see your own wife put to bed.this awesome moments makes you a man, I really don't know how to thank DR WILLIAMS for helping my wife get cured for over how many year of suffering from FIBROID. i came across DR Williams contact through a headline news on internet about how DR Williams help a woman to get cured of his fibroid and so many other with similar body problem ,i contacted him and he told me how to get his herb,few day later he sent me the herbal portion which my wife take every morning for 21 days, and his medicine was able to shrike the fibroid naturally,and now my wife is 4months old pregnant for our second child, and now she very okay without any side effects whatsoever, If you have fibroid, you can contact him on his email address drwilliams098765@gmail.com for advice and for his product.

    ReplyDelete
  4. As a sign of gratitude for how my wife was saved from fibroid, i decided to reach out to those still suffering from this.
    My wife suffered from fibroid for more 20 year of marriage after our first born and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he had difficulty with his menstrual period and the size of it was 5cm, and he always complain of stomach pain. we tried various therapies prescribed by our neurologist but none could cure her. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and he left the contact of the doctor who had the natural cure to fibroid. I never imagined fibroid has a natural cure if not surgery not until i contacted him and he assured me my wife will be fine. I got the herbal medication he recommended and my wife used it as instructed by dr Williams, and in one months time we went to the hospital for scan and the doctor confirmed that there is no trace of fibroid and now she is fully okay, even up till this moment he is so full of life. fibroid has a cure and it is a herbal cure contact the doctor for more info on drwilliams098765@gmail.com on how to get the medication. Thanks for reading my story

    ReplyDelete
  5. I GIVE ALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS COMPLETELY CURED FROM FIBROID
    I can’t believe this. A great testimony that i must share to all fibroid patient in the world. i never believed that their could be any complete cure for fibroid with out going for surgery ,i saw people’s testimony on blog sites and Facebook page of how Dr williams prepare herbal cure for diferent king of disease,and with the help of his herb they where able to shrink there fibroid naturally. i had to try it too and you can,t believe that in just few weeks i started using it all my pains stop gradually . Right now i want to tell you all that i just give birth to a baby boy last month,and on thin now i have not had any pain, and i have just went for text last week and the doctor confirmed that there is no trace of any fibroid in my system . Glory be to God for leading me to this great Dr williams I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no herbal cure for fibroid that is Not true ,just contact him and get cure from his email drwilliams098765@gmail.com and you will be free and free forever, Try it and you will not regret it because it truly works. i hope to see your testimony soon.

    ReplyDelete
  6. I GIVE THANKS TO DR WILLIAMS FOR GIVING ME LIFE.
    He helped me with a fast cure to fibroid,and the size of it was .7cm, Then I started taking the medication for only one month, and now am completely cured from it. I was able to make it without any surgery, now I can live like every normal human and I can eat any food of my choice If you need such help, contact him via mail on drwilliams098765@gmail.com for advice,i hope this also help some one out there.

    ReplyDelete
  7. MY NAME IS KATE I GIVE ALL THANK TO DR WILLIAMS.

    his product is by far the best plan for treating fibroids naturally...the practical step by step instructions and the detailed information regarding the real cause and how to treat uterine fibroids were a real eye opener. I started dr williams medication after intense bleeding and pain which occurred during one of my rehearsals (I am a professional violinist).I was later that week diagnosed with 2 medium sized fibroids which placed an enormous pressure on my bladder. I was advised by 3 different doctors to undergo surgery to remove these fibroids as I was told that there was nothing I could do to shrink or stop their growth. Luckily, I ran into dr williams by accident as I was searching for information on the net regarding my condition. I was so relieved to have found that surgery was not always the answer, that it can be dangerous and that uterine fibroid can return even after surgical intervention. In less than 4 weeks of taking dr williams herbal portion and following his instruction, both of my fibroid had shrunk by 100% and the second ultrasound taken 7 weeks after I began taking dr williams medication, had shown that both of these were completely gone. I also my periods became regular. and now am three months old pregnant, you can contact his email address on drwilliams098765@gmail.com for advice and for his product.

    ReplyDelete
  8. MY NAME IS NITA.

    Dr Williams,herbal treatment is the best to shrink fibroid naturally.

    Four months ago, I was scheduled an operation to remove a fairly large uterine fibroid (approx. 8 cm), which had caused me a great deal of pelvic pain and pressure on my bladder. My doctor insisted that there was no other choice but to go under the knife and I had reluctantly agreed (after trying several medications to decrease the size of the fibroid to no avail). It was approx. 2 months prior to the surgery when my husband comes across dr williams herbal remedies which my husband found and ordered for me online. With the help of my loving husband, I followed the step and procedure on how i should be taking it. and one months later I was scheduled for an ultrasound check: it was shocking. The fibroid had completely gone, I had consulted my doctor and cancelled the surgery and with your dedicated counseling guidance I managed to completely treat the fibroid from my uterus, along with the pain and anxiety that this condition had inflicted on me. Thank you so much for your kind help,any body with similar problem should contact him on his email address drwilliams098765@gmail.com his a good man.

    ReplyDelete
  9. I am Shelley from Los Angeles,California, I want to testify on how i got cured from fibroid, I have suffered from fibroid since the 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the pin during my menstrual period until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including fibroid, at first i doubted if it we be able to shrink the 9cm large fibroid in my womb, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from fibroid just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from fibroid you can contact him through his email on drwilliams098675@gmail.com for help.

    ReplyDelete
  10. "Dear dr williams, your herb has saved my life and my sanity. I was scared, and had been seeing numerous specialists and almost all of the straight away told me I had to remove my uterus because of my large fibroid. Can you believe this? To top it all up, none of those doctors had answered my simple questions on the subject. I was so scared that I would not be able to have a baby as surgery seemed like the only choice then. Your product had dramatically allayed my fears. I have read many other guides on the subject of fibroids and i think dr williams herb is yours offers and the only true and lasting solution to fibroid. I am a walking living proof of that claim. It has been 3 months since I implemented dr williams herbal portion, and I am now completely clear of fibroids and I am sure I am on my way to become a mother. I also feel very healthy and vibrant. Thank god for your work and support dr williams, for more information about his herb you can also contact his email address drwilliams098675@gmail.com

    ReplyDelete