Patience an antidote for failure in emergency rooms. (Commentary).I have met the patron saint of the half-full glass. Actually, I've known her most of my life as she became my mother when I was five. In a world defined by narcissism narcissism (närsĭs`ĭzəm), Freudian term, drawn from the Greek myth of Narcissus, indicating an exclusive self-absorption. In psychoanalysis, narcissism is considered a normal stage in the development of children. , victims, whiners and crybabies, SJ is beacon of selflessness, independence, patience and optimism. Even at age 76, dealing with cancer and recently shed of one breast as well as miscellaneous lymph nodes Lymph nodes Small, bean-shaped masses of tissue scattered along the lymphatic system that act as filters and immune monitors, removing fluids, bacteria, or cancer cells that travel through the lymph system. . Even, too, with a painful, post-operative infection that sent her to a hospital emergency room for the sort of experience that would have sent less saintly saint·ly adj. saint·li·er, saint·li·est Of, relating to, resembling, or befitting a saint. saint li·ness n. sorts into a homicidal hom·i·cid·al adj. 1. Of or relating to homicide. 2. Capable of or conducive to homicide: a homicidal rage. rage and which sheds light on the catastrophe that is our nation's health-care system. It was late Friday afternoon, of course, when all infections seem to perk up and doctors vanish into weekend twilight. The doctor on call promised to see her right away at the hospital emergency room, saying he probably would admit her. Arrival time: 3:45 p.m. By 7 p.m., the waiting room had filled with a smorgasbord of humanity. A large extended family seemed to be holding a reunion while the family patriarch lay dying beyond a curtain in the next room. Next to SJ sat a woman who also seemed to be dying. Outside, a car zoomed up, someone pushed a body out of the passenger seat, and the car sped away. SJ realized she wasn't dying, though, as a doctor's wife and stepmother to two doctors, she also understood that her infection could become life threatening if untreated. Her concerns were elsewhere, however, as she worried mostly about the children tumbling around the room missing their bedtime. It was now past nine. Sometime around 10 p.m., after waiting almost six hours, SJ was escorted to a gurney gurney /gur·ney/ (gur´ne) a wheeled cot used in hospitals. gur·ney n. pl. gur·neys A metal stretcher with wheeled legs, used for transporting patients. , where she was treated to an I.V. During the next two hours, her infection got inspected, swabbed, considered and discussed. Yes, it was a whopper Whopper - WarGames of an infection, the sort of thing one might want to keep an eye on to watch. - Shak. See also: Eye overnight. Alas, she was told at midnight, there were no empty beds. SJ was sent home. The doctor who had promised to meet her never materialized. "I learned a little more patience and humility," says SJ. "And I also learned that if you ever have surgery, make sure you ask your doctor for an antibiotic to start immediately." Two weeks later, the infection is still making life miserable for SJ. She's trying a new, stronger antibiotic this week. She tells the story of her visit to ER Hell as though it were not such a big thing. Except for the woman next to her who seemed to be dying. The woman finally gave up and went home--a better place to die after all. Here's the half-empty glass: No one should have to wait eight hours for a doctor, but thousands do every day. The crisis in our emergency rooms isn't new, but it's getting worse. A new study by the Center for Studying Health System Change The Center for Studying Health System Change (HSC) is a nonprofit, nonpartisan policy research organization located in Washington, D.C. HSC designs and conducts studies focused on the U.S. found that emergency-room overflow owing to increased demand and fewer hospital beds is putting patients at risk. The biggest problem is that more than 40 million Americans have no medical insurance and turn to the emergency room for their health care. As ER visits increase emergency rooms are dwindling dwin·dle v. dwin·dled, dwin·dling, dwin·dles v.intr. To become gradually less until little remains. v.tr. To cause to dwindle. See Synonyms at decrease. . In some strained urban areas, ambulances are being diverted to other facilities because of overcrowding overcrowding overcrowding of animal accommodation. Many countries now publish codes of practice which define what the appropriate volumetric allowances should be for each species of animal when they are housed indoors. Breaches of these codes is overcrowding. . Meanwhile, the cost of keeping emergency rooms equipped, staffed and ready to roll 24/7 is astronomical. The fixed expense of treating someone with a non-emergency such as flu and a true emergency, the definition of which includes infection, is the same. Combine these high costs with increased demand aggravated by a nursing shortage and fewer beds, and you get long waits and medical care so stretched that gravely ill or injured patients are at risk. It's been suggested that the emergency room logjam log·jam n. 1. An immovable mass of floating logs crowded together. 2. A deadlock, as in negotiations; an impasse. Noun 1. needs policy intervention. As an interim measure, we might try to identify and bottle whatever it is that makes SJ tick. It may not be the cure for cancer, but it might help the medicine go down. Kathleen Parker is a syndicated columnist for the Orlando Sentinel. |
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