There's regular time, and then there's hospital time. "A few minutes" = 2 hours, "Soon" (if said before breakfast) is after lunch, and "by the end of the day"...well, 11:59pm is still the same day, right?
I literally got discharged from the hospital today at 2pm.... the doctor said I was good to go at 8 in the morning and the nurse said she'd be back "soon" for my discharge lmao.
When I started, the main reason to postpone the discharge of a patient was a lack of discharge papers. No patient was allowed to be discharged without a discharge report for their family doctor with all we found and done during the stay. I had a pretty tough ward with over 18 Patients to care for and as beginner I worked realy slow not to miss anything important. So on a day the patient theoretically could discharge (as of opinion of my attendant, who usually came very late in the day) the letter wasn't written yet or waited to be adjusted with the latest findings and developements so I would tell the patient "when todays results are properly analyzed and tomorrows blood analysis is fine, you can go tomorrow". And I would still stay way over time to finish the discharge reports.
Once was in an hospital were I got told that they have certain times for discharge. And my doctors took too long so I had to stay an extra night. Nurse seemed annoyed by that policy so I guess she told me so I can complain to management about this stupidity. Yes it's 5 pm. But I can still get home. Especially since in my country the whole patient transport thing costs nothing for the patient and is like a taxi service 24/7.
@@kaitan4160 in cases like that you can always go "against doctor's advise" after signing a form. You might not get all discharge papers or new medication that day and nurses might not be too happy because it is more work for them (giving you the form to sign, prepping the files for archive, make sure your room gets cleaned by cleaning personell, and often get a new patient admitted to your former room from ER or ICU) but you are technically always free to leave, even during the night. (Given you are an adult able of consent)
So what you're saying is the difference between getting out of jail and getting out of a hospital is that you actually know when you're getting out of jail?
When to go out of jail safely. You are free to leave hospital any time but don't think your insurance would cover costs due to preterminating your stay and leave beforr the doctors are satisfied your bowel movement wasn't just a glitch in the matrix...
Best part is when they send psyc to see you, to make sure they don't have to "lock you up in the basement" (psyc ward was ground floor across the street, was his poor attempt at a joke) Because thats the reality. Once you go to psyc; you never know if or when you'll be allowed to leave. It no longer becomes your choice if you're involuntarily admitted 🙃 the differences between hospital and prison blur even more..
I had a similar experience. The doctor who ended up being the final authority was concerned that I wouldn't be able to take care of myself at home. That was probably an understandable concern since I'd been admitted a few days before with a punctured lung, 7 broken ribs, a hairline in my scapula, and they'd put a steel plate on my broken clavicle. All of that was on my right side. As soon as he told me the only concern he had was that I may not be able to care for myself, I jumped out of bed and put my clothes on in under a minute while he stood there. I then said to him that He needs to get my paperwork signed off between then and when I got to the front desk because I didn't have insurance and wasn't going to pay for another day there.
Even worse is primary tells patient yes you’re going home. But then doesn’t put the d/c orders in for 3-4 hrs. Poor nursing team having to explain every 15 minutes that we have to wait till the orders to d/c are in before the patient can leave. :/
That’s because we have to finish rounding on all the patients, we call all the consults, take 15+ calls from the nurses/lab/pharmacy, put the orders in the computer then get stopped by PT/OT/nutrition, aaaaall while we are rounding. Only then we can sit and start doing the med Rec, the instructions, patient education, follow up appointments, write the discharge summary (going back to read on the notes from previous days so that we can write a detailed hospital course) and then submit the discharge order. It is very tedious but the patients do not know that. Hence why I always tell the patient that they will be discharged around 4pm, so that the nurses can keep on doing what they have to do without interruptions from the patients asking for the time. I discharged them before 4pm, but I had already prepared them for the worst case scenario.
"Now I just have to talk to the lung doctor, but he won't be back until Monday" 😂 I actually didn't want to leave the hospital the day I was supposed to and ended up staying until the next day because I couldn't move to the wheelchair. I have an external fixator and when PT told me I HAD to move to the wheelchair that day I went, "there are RODS in my BONES!". They left me alone after that.
I went through this a couple years ago. Somebody tried to kill me so everybody got involved. Nobody got back to me the morning I was scheduled to be released. So I called my insurance company and asked them to not pay the bill after that day. Man, everyone showed up suddenly and had a consolation with me in the room. I was cleared, given instructions and supplies (for a few days) and released. Amazing how when money is involved how fast they move.
@@JinaMukherjeeF a Crack addict who was allowed to stay by her mom-in-law. I watched her kid, cooked, cleaned, did shopping and worked a full time job. When I didn't give her my over time paycheck for drugs she poisoned me. If you want the whole list it goes back to high school where I was the only new kid all 4 years. Hit with and thrown from cars doing excess of 35 mph. One of the neighbors kids tried throwing me into a sand pit. It gets worse, to the point I don't go without a shirt from the knife wounds from my now ex wife.
@@Doc_Schmidt I relate to this 100% I have had a ulcer perferate and heard this exact thing 😅 😂 but I ended up being in the hospital 7 more days because somehow I got meningitis the day after my surgery... 🤪 the universe ✨ needed me to stay in the hospital I guess...lol
In India, we have another set of patients. As an Intern right when you are about to discharge a case(phew!! finally!!), the patient will come up with a completely random symptom out of nowhere and your attending starts rolling their eyes at you, and now you have to call all the consultants from the other dept which the patient could have later seen as an outpatient....
Sooooo relatable. Some patients fear leaving hospital care or are of the perception that once in hospital every single detail symptom can be looked at and treated/cured in the same stay. Like a car inspection "I want everything" situation. Plus the symptoms often are so random and unrelated but yet the attendants eye rolling indicates very clearly: "you really should have known this about your patient days if not weeks ago and dealt with it. Why do I have to put up with that now?"
Also in india it takes ages to see a doc as an outpatient due to the volume of people waiting. Doctors per person are short in large population countires but when u get admitted for some reason its easy to get all the tests done quickly not running one department to another as an outpatient and can have multiple conditions treated in one place and same time. Which saves hazzle to some. My experience..
So true. Whenever a patient gets wind they are ready to discharge I always tell them to get comfortable because it'll take a couple hours to get everything arranged to actually discharge
🎶Memories🎶 it’s like this until the discharge orders are given and then you have all of 12 min to grab all your stuff, sort out your ride, get the picc line removed and take one last bm because the previous one got so many positive reviews.
I once told my nursing staff how much I appreciated them, how much I didn’t want to make work for them, and also that my insurance had already authorized my flight home and that I was going to discharge AMA if the weekend doctors didn’t get their act together. I’d been in hospital for a couple weeks for a triple bypass and I was sooo ready to go home. There was no way I was missing my flight. Happily, things moved rapidly once I explained I intended to discharge AMA.
On the weekend the doctor often sees 3x as many patients because they are working alone. Unstable patients are seen first, then discharges, then the rest. They were probably trying to care for unstable people and that is why they hadn’t gotten to you yet.
@@sheila5708 I have no doubt they were taking care of people. They’d already seen me, though, told me to make my airline reservations, and 10 hrs later hadn’t actually given orders for my discharge. I know there are layers of paperwork and too many people to take care of in too little time. I just had reached my limit and needed to go home.
As someone with Ulcerative Colitis I didn’t laugh! The accuracy of this was painfully spot on. (besides the lung doctor part). The 9 hour wait was also being a little optimistic. Lol.
Same. I've been in the hospital plenty of times. I know how things go with my illness. One time a Dr tried keeping me longer than I needed to be there. I finally threatened to leave AMA. Nurse tried the old "insurance company won't cover it" line. I told her straight up that she was wrong and I had already spoken with my insurance provider about this visit. Had discharge orders within the hour.
I had to go to the hospital in Hong Kong a few years ago, for a sudden onset of rt CVA pain, which I thought might be acute pyelo. Turned out to be a back spasm. A couple of drugs and I was fine. Went to the nurses station and told them I was okay and wanted to leave. Doc came right in and discharged me right away! And the cost was negligible! This would never happen in an American hospital!
Omg so true! My daughter has a kidney transplant so the nephrology team always wants to be consulted but then they’re like, “We’re fine from a kidney standpoint…” So it’s always a back and forth.
I have become overly obsessed with watching all of your videos!! I've learned sooo much and its beyond entertaining.. you've restored my faith in the tic tock/ youtube world to give some intelligent content from time to time.. Thanx Doc! You Rock 1✌🏻❤😊🐶
@@diane9247 no, just a UK hospital with good food that I liked. You probably wouldn't have or maybe would have liked the food. But not all hospitals are grim like your local hospital 🤷🏼♀️
Sooooo true. In the meantime the hospital keeps $$$$$$… I do prepare my doctors a day in advance to avoid this crap. I’m leaving the good way or the bad way…you can even record the conversations now a days. Once you tell that to the Chief of Clinical Services it’s amazing the speed everything takes. I love some of my docs, but I hate the game.
I spent waaaaaay to much time in the hospital in my youth and I found the phrase “20 more minutes until I’m AMA” really worked wonders in speeding things up. You really have no interest in catering to the whims of a bloated, poorly managed bureaucracy when the odds don’t favor you reaching 20.
This is why patient-centered coordinated care is important, although rarely implemented due to difficulty. I personally saw the benefits when I spent 2 months in the hospital a couple years ago. A typical day began with resident rounding in the AM followed by the whole treatment team rounding together to coordinate care and get patient feedback firsthand. This included primary and specialty teams, pharmacy, nursing, social work, and OT, PT, RT, etc…if necessary. Input was still given if any member was unavailable so there was never any limbo situation. For me, my electrolytes and blood counts were the enemy that kept me from discharge.
Well, every minute we are sitting there we are calculating how many “doctors” we will individually have to pay not including the nice hospital we are at. There is a whole different time zone in the hospital which is why I almost want to be code blue before I end up there. It’s easier in the US to get primary care and leave the emergency for real emergencies not to mention way more economical.
@@Benni711 thank you! (I still don’t see that interpretation but it totally makes sense the way you lay it out). I appreciate you passing on your comprehension, that helped A LOT. ❤️
Soooo true, everyone including, surgery, social work etc... has to sign off before you can actually go home. Covers you, the specialties and the hospital 🏥
This was me getting out of the hospital after my hysterectomy. I was only in overnight (only because it was my first surgery ever) and trying to go home the next day was like pulling teeth.
This channel is great because it perfectly demonstrates how healthcare systems can be; efficient, horribly inefficient, patient centred, non patient centred, humorous, devastating. Mainly without bias, opinion, or recommended solution, these smart sketches show what an average person in North America might deal with when faced with healthcare needs
So true 🤦♀️ its so embarrasing when we have to go through such a conversation with a patient (the problem is that we get annoyed that the patient doesnt get it)
That’s when you check yourself out. You’ve been told all the information you need to know about your situation, and you shouldn’t be punished because your medical team is taking a long time communicating with each other.
This is an excellent example of a paradox. This portrayal of the time and communication challenges of discharging a patient from a multidisciplinary care team is 100% true and accurate, while at the same time it is true and accurate that acute care patients don't realize any benefits of having a holistic multidisciplinary care team because providers don't communicate effectively or have enough time with the patient to treat holistically.
People would probably leave sooner if we weren’t so quick to sue health care professionals at the drop of a hat every time something went wrong. I don’t get to make the ultimate decision when someone leaves as a PT, but I have always thought as long as the person understands the risks of leaving before the MD’s recommendation and they have been deemed cognitively capable they should be allowed to make that decision. People should be allowed to make their own mistakes. I feel like a lot of people are held hostage in the hospital without someone explaining to them they can leave when they want, but insurance may not cover the cost of leaving AMA.
I was thinking the exact same thing! I'm not American so I was amazed at the amount of documents I had to read and sign when I went to the ER for a possible bleeding ulcer. Also they did every single test they could, even got an CT scan after the blood and urine tests. I realized all of that what out of fear of getting sued. I would've probably gotten sent home right after the blood test in my country.
Yes insurance will cover the visit if you leave AMA. It’s a common misconception MD’s are still taught to this day. Insurance will cover medically necessary procedures/costs even if you leave AMA.
Seriously so accurate. My daughter was in hospital for her mental health but she had been biting the skin near her nail and it started to bleed. We asked the nurse for a band aid, 2 and half hours later she comes back with a bandage not a bandaid. My daughter and I started bursting out laughing.
Thank you for your funny, yet VERY truthful videos! My family is dealing with this exact issue right now. Our hospitalist is like, "I'll defer to the surgeon, I'll defer to the nurses, I'll defer to PT..." uhm...ok I guess we won't ask you any further questions.
Real talk! I swear to God it’s like being in prison when you’re well enough to go home they won’t sign you out! It’s freaking ridiculous! Last time I had a hospital stay I got fed up and just left because the damn doctors wouldn’t communicate. I didn’t give a crap anymore whether they officially signed me out.
If only consulted doctors would ACTUALLY tell patients they aren't the ones who will be discharging them. Instead it usually goes like: Doc: "so your cardiac cath went well. Your blockages are stented and we'll have you come to the office for an echo in 1 month." Patient: Great! so can I go home? Doc: Yep, you're good to go home. Then I go in to give the patient his IV medication and he's fully dressed, cardiac monitor removed and proceeds to tell me his wife is waiting to pick him up because the "cardiologist said he's discharging him." 🙄
I was looking for this. Have had many patients over the years remove all their own equipment and IV’s and walk out because the doctor said I could leave. Had to call and give discharge instructions over the phone. Always fun.
We need a system where the meeting is held ahead of time and when the patient is ready for discharge, they can leave! People coming to pick them up aren't expecting to wait 9-10 hours. They are coming before work or after work and those delays can cost a person their job!
My wife got trapped in a hospital for 6 days once because the doctor who was in charge of her care left for vacation before making any notes on her. She was in for a quick cyst removal, and was up and ready to leave about 2 hours later but no one could find it her in touch with her doctor. All her signs were great, every doctor said she was good to go. About 10 minutes after she woke up they said they just needed her primary to write any instructions down for her on her discharge papers and she was set. By 30 minutes after, i stopped by the desk and asked wtf. The nurse told me they were gonna page my doctor. About 5 minutes later i found out my doctor had left the building, so they were trying to call her now. An hour after that i was told they couldnt reach her and would try again. We kept asking over and over and getting told different stories but every one boiled down to: the doctor left practically minutes after they finished without ever coming in to check on us or write up discharge, and we couldnt leave until they did. Day 2 in hospital: just waiting on primary Day 3: just waiting Day 4: just waiting Etc. Day 6 we get the green light to go, doctor finally called back. Our bill was over $84000 for the additional days which was not covered by insurance because the surgery we were in for should never have that many days and they coded it wrong with no explanation so the insurance red flagged it. We flipped out and ended up demanding an itemized bill and a written explanation to present the insurance in regards to their blatant incompetence/ negligence. Itemized bill shows up, no explanation, insurance doesnt care. Hospital at this point is demanding we discuss payment and wont even back down knowing it was their fault. 84k or a lawyer on retainer for 4k? We call up a lawyer, and hes practically got cartoon dollar signs for eyes when he hears whats going on. Licking his lips like the blood sucking vampire that just walked into an unguarded blood bank. He sends some friendly letters in every direction, from notifying the DPHE, to the hospital, every single consultant and 3rd party involved, even the primary directly. Hospital wants to back down but at this point our lawyer tells us its best to move towards court. At this point we both lost time at work and suffered, to which his first words were "going rate is to times that number by 3". 1 by 1, every bill involved is either covered by insurance or the hospital just completely erased. Its been about 4 months and all the bills are resolved but now the lawyer is basically after a negligence lawsuit. Thats when DPHE gets involved, asking me about the care i received in detail. They wanted a detailed account of every single interaction with everyone from the janitor to the security guard. The lawyer basically says at this point they have no leg to stand on and we are going to court. A week before court they are calling every few hours to offer a new settlement. Our lawyer looks at the settlement, which was a little over 75k, and tells us we can try to go to court but if we do its going to be tied up for months if not a couple years. We have a guaranteed win but by the time we secure it our time lost and inflation, it may not be worth much more. In addition, if the court awards less then 75k we may not get anything at all (though this was unlikely). We settled for the 75k. Lawyer totalled close to 15k. DPHE finally finished its investigation and it resulted in almost nothing.
There's this magical thing called chart notes, which avoids the need for everyone to make time to talk to each other. Truly genius idea, should be done in real life among friends and family too (not really that would be sad)
they either delay discharging you for hours or cant get rid of you fast enough (i had a nurse say “well you CAN go home if you want” and then proceed to try and verbally force me to leave in the most discreet way possible)
I once went almost the entire day without eating because of this. I would ask for something to eat and the many nurses/doctors that came into my room said they would ask someone to bring me food, never did. When the first doctor came in to check if I was good to go, then saw my blood sugar was low as hell and I had to be kept for 2 more hours until it went back up
As someone who has had a heart transplant…this is giving me PTSD! When I finally was able to go home it took me two days to do it! I was dressed and ready to go out the door until they had to find some random person to ask who wasn’t back until the next day. after four weeks in the hospital and only a few days until Christmas I was a very unhappy camper at that point!
Lol this is so true! Earlier this year I was hospitalized for a skin infection and I swear they were looking for ways to keep me in the hospital. And the guy across the hall from me was having a nuclear meltdown because he wanted to go home!
Holey moley, YES! My last outpatient surgery was actually the quickest I've ever left the hospital! I came out of surgery, woke up, laid in bed, until I was "aware" again, got up and dressed, Mom ran and got the car, a nurse wheeled me out, and I went home. We were gone in 2 hours! I've waited 6 hours before!
Ha ha ha! .. I feel this one!… once I started being aware of how many times they woke me up at night after surgery, I was on a MISSION to get discharged 🤣 even bickered with baby resident dr on team about “breathing in the tube thing”.. they had me do it wrong the first time 🤪.. when he came back I did double the “requirement” and he skulked away 🤣🤣 I went home the next day 😜 lol.. 5 days was plenty!!
I was ready to walk out when I was in for a kidney stone/kidney infection. I had never been so bored and annoyed in my life. They literally weren’t doing anything for me and kept pushing back my discharge time for no reason and I was surrounded by elderly patients who kept peeing on the floor and trying to run away and I was like great you cause the distraction and I’ll run the other way
As a patient at UWMC in Washington, I don't sweat getting out early. I have Factor V Leiden. While going to do a right heart Caf on a patient, me... that's on Apixaban. For two years after my heart transplant, you would figure they will know, it takes four days to be in the right level. But every night. I BECOME NPO. IN-PATIENT HAVE the FIRST PART OF THAT DAY SCHEDULE FOR Cafe lab. Every night after being on Heparin as a bridge. I AM NPO. Every morning, the discharge nurse has my walking paper ready. But the blood work numbers aren't at the right level. The fourth day...finally, discharge nurse is no where to be found. I am having a shower, ordering dinner for one last time. Even though I had the surgery early in the afternoon.
reminds me of working as an intern trying to finish doing all the final consults before the discharge so I can add the info and advice, just so both me and the patient can leave the hospital by four in the evening
Last time I went to surgery, both of the doctors spoke about my state together beforehand, and I was released to go home only a couple of hours later! Quick and easy.
When my wife was recently being discharged the doc came in at 4pm and told us we were good to go, just needed a prescription written. 5 hours later we finally go the prescription. We actually had to change pharmacies because our typical pharmacy was going to close and I needed to grab the meds before the morning dose.
Was in the hospital for 3 hours after not catching a flyball caught 16 stitches on the ball near my eye got 4 real stitches was under a CAT machine etc. Shits crazy man. Can't believe that man. Was so cool had a unbelievable shiner probably had it for a month
In my hospital, the consultant groups always tell the patient "you're good to go home today" and I always have to explain that all of the consulting groups and the Primary team all have to clear the patient before the patient can go home and it's the Primary team that will enter the discharge order, which hasn't happened yet. The patients never understand and then I'm doing that all day with them and their family who came to pick them up.
🤣🤣🤣🤣🤣 Every freaking time!!!! Now do a sequel of the discharge nurse getting you packed up (like you’ve been the one taking all day) and the transport practically dumping you out of the wheel chair into your car.
Lol! I had my 3rd child at 11:30 pm; easy peasy delivery. I felt great and had showered, dressed, breastfed multiple times by the time my doc got to me early the next morning. I begged him to send me home that day since I’d technically been there ‘overnight’. But no… I hate being in the hospital.
This happens even outside the hospital. Eight or nine years ago, my mother with Parkinson's had a GP, several sub doctors for the GP, a couple of ER doctors, a neurologist, a pain clinic doctor, a sleep doctor, an OBGYN, a urologist, and even a dermatologist...who were all working at cross purposes and didn't understand what any other the others were doing or why. One prescribes something for a side effect of some other drug, which causes 3 more side effects, and the next one prescribes more for those side effects, until she was not functioning and addicted to a couple of things. The lorazepam took me two years to wean her off using the "water method" of mixing it with water and reducing it 1% every week or so. It was a complete nightmare and I have no idea how old people who have no caregiver or advocate can navigate a complex disease like Parkinson's. (Ok, I exaggerated. The dermatologist just said she was fine and to go home--her skin splotches were a side effect of one of her Parkinson's meds. All the others were working at cross purposes, though, and I had to do my own research to figure out what the hell was going on. Her neurologist helped the most in unraveling all the problems piled on by others.)
I had to stay overnight after giving birth (everything was fine, we just triggered the threshold for monitoring). The worst part wasn't trying to get someone to say I could leave. It was the space between "yep, you're good to go" and actually getting to go, because you're sitting there thinking "was that it? Do I just walk out?"
From a nurses perspective this is one of the biggest pain points in healthcare. I laugh at many videos doc Schmitt but I must say...this one just makes me shake my head. This is so many days in the life... 🤦♂️
Pulm here. This cannot be more true! I really try my hardest to call primary as soon as I leave the pt’s room so that I’m not the reason they are here for longer 😂
Ohhhhh this is hitting the nail on the head trying to get the heck out of a hospital stay or outpatient surgery. I've had to wait 12-16 hour's before my Dr finally let me leave! One surgery I had to wait for a surgical intern to figure out where he put my prescription for pain meds and guess where it was! My actual surgeons pocket! Ay Yi Yi!
What's great is when you have like 4 teams of specialists plus your primary care team, and then you get a bill for every single individual who worked on you. Like damn, I didn't even get a choice to hire 14 of y'all!
And five of them just poked their heads in and said, "Hi, I'm ______ from ________ just checking up on you!" And ten more you never saw at all. Someone passed my file to someone else, gotta pay em!
When they find out you don't have insurance this process moves WAY faster! My husband fell 45ft, broke damn near every bone, ripped his left hip off, broke 5 vertebrae in his back, 12 broke ribs, internal bleeding, etc. Doctors said he would likely be there for at the least a month, found out we had no insurance and he was at home in 5 days. Was turned down to see the orthopedic doc for follow up unless he could pay out of pocket 600$ for one visit. Mind you all Doctors bills were taken care of by workman's comp. Thanks SC health care, or should I say health care in general....
Gosh, when I had my ovarian cancer surgery (TAH-BSO), they didn't even admit me because, thankfully, I was stable and didn't need admission. It is always better to recover at home when possible, even after a pretty major procedure.
This is exactly how it feels. After 5 weeks in the hospital, I was sooo ready to go home. It went in circles like this for almost 3 days while I was jumping out of my skin, itching to leave, but each day, I had to go back to bed and sleep another night and go through the routine of yet another day of doing nothing but wait. Being handed discharge papers is the happiest moment in a hospital patient's time there. haha
A funny little thing.. My hubby came into the Mayo emergency with a stroke. He did great, they did great, but wanted to keep him another day purely for a doctor appointment the following day. For a stroke test 0- 20 I think, anyway gages hardly an issue to you probably are paralyzed, he had a 1. So when he said he was going to leave, they said no. When he was visited by the hospital administrator, they said we really advise you to stay or else your insurance might not pay if you discharge early. Hubby said, oh ok, I'm self pay, so I'm good to go then? They stopped convincing him to stay so fast, they didn't even bother to give him his RX that he was told he needed. They didn't even do the traditional discharge because self pay is not beholden to their rules, nor are there any extra charges, and in fact an automatic discount- - not much, but there is one. He had his regular doctor contact Mayo for all the Rx, but wow, how fast they were at NOT caring as soon as you say cash only. Insurance is their payout /payday/lottery/kickback/scheme.
Was in an i pateint facitlity. My doctor told me i was good to go home. I went to my nurse for discharge and they said i couldnt leave. The next day my docter asked why i was still there and said the nurses wouldnt let me leave. Sometimes they just want your money(filling an empty bed). Went to a different facility for my outpatient program.
I do wish you guys could get more help in these hospitals.....after spending two different nights in the er man it did suck being told 20 mins before the med kicks in and we'll check on you and that turned into 40....I'm grateful but man
In the UK it seems a lot more straightforward.... the worst part about getting discharged is waiting for the pharmacy to send up your medication to the ward, that takes at least five hours.
In the U.S. you don’t get your meds from the hospital. You have to make an extra trip to a pharmacy for your prescriptions, which is inconvenient when you want to be home.
as a frequent flyer at our hospital, 2-5 times a year usually in for at least a week (ya I'm friendly with drs and RNs. we know each others kids on sight, about husbands and when babies are due..even knew before one nurse was going to propose to his g/f. the girls in dietary know my name and remember what i want in my coffee, even if i forget to order it). its like this. everytime... i will talk to the specialist at like 7am..the primaries arpn at 9 am.. the pt, ot, and social services staff between 10 and noon.. pulmonary arpn about 1..pain management at 1:30.. infectious disease about 3.. then back with primary team.. in between with floor nurses.. all saying they have no issues but they need to consult (enter any other team here) first... dietary and pharmacy will sneak in between all of them.. at 5:45 i will ask the nurse if i should order dinner, they will tell me still no orders yet it might be tomorrow ..right after i order dinner at 6 pm they will come to tell me they have the orders and i can call my husband....
There's regular time, and then there's hospital time. "A few minutes" = 2 hours, "Soon" (if said before breakfast) is after lunch, and "by the end of the day"...well, 11:59pm is still the same day, right?
Hilarious! But so true 😅
I literally got discharged from the hospital today at 2pm.... the doctor said I was good to go at 8 in the morning and the nurse said she'd be back "soon" for my discharge lmao.
That's also teenager time
So extremely true, They like constantly and we are so used to it
If you need pain killers ask 4 hours before you think you'll be in agony. 😬😂
When I started, the main reason to postpone the discharge of a patient was a lack of discharge papers. No patient was allowed to be discharged without a discharge report for their family doctor with all we found and done during the stay. I had a pretty tough ward with over 18 Patients to care for and as beginner I worked realy slow not to miss anything important. So on a day the patient theoretically could discharge (as of opinion of my attendant, who usually came very late in the day) the letter wasn't written yet or waited to be adjusted with the latest findings and developements so I would tell the patient "when todays results are properly analyzed and tomorrows blood analysis is fine, you can go tomorrow". And I would still stay way over time to finish the discharge reports.
Once was in an hospital were I got told that they have certain times for discharge. And my doctors took too long so I had to stay an extra night. Nurse seemed annoyed by that policy so I guess she told me so I can complain to management about this stupidity. Yes it's 5 pm. But I can still get home. Especially since in my country the whole patient transport thing costs nothing for the patient and is like a taxi service 24/7.
I hope your d/c notes are more succinct that your RUclips comments. Holy crap get to the point. Essential information only.
@@bidmcms3 Essential: the Pat. was not discharged bc d/c note wasn't ready.
But you missed out on the story ;)
@@kaitan4160 in cases like that you can always go "against doctor's advise" after signing a form. You might not get all discharge papers or new medication that day and nurses might not be too happy because it is more work for them (giving you the form to sign, prepping the files for archive, make sure your room gets cleaned by cleaning personell, and often get a new patient admitted to your former room from ER or ICU) but you are technically always free to leave, even during the night. (Given you are an adult able of consent)
But for these things the patient has to pay the hospital for an extra day which is often very costly...
So what you're saying is the difference between getting out of jail and getting out of a hospital is that you actually know when you're getting out of jail?
Hahaha
Hysterical Truth🤩👏😅~:)
When to go out of jail safely. You are free to leave hospital any time but don't think your insurance would cover costs due to preterminating your stay and leave beforr the doctors are satisfied your bowel movement wasn't just a glitch in the matrix...
@@naneneunmalklug4032 haha HORRIBLE truth right there!
Best part is when they send psyc to see you, to make sure they don't have to "lock you up in the basement" (psyc ward was ground floor across the street, was his poor attempt at a joke)
Because thats the reality. Once you go to psyc; you never know if or when you'll be allowed to leave. It no longer becomes your choice if you're involuntarily admitted 🙃 the differences between hospital and prison blur even more..
I had a similar experience.
The doctor who ended up being the final authority was concerned that I wouldn't be able to take care of myself at home. That was probably an understandable concern since I'd been admitted a few days before with a punctured lung, 7 broken ribs, a hairline in my scapula, and they'd put a steel plate on my broken clavicle. All of that was on my right side. As soon as he told me the only concern he had was that I may not be able to care for myself, I jumped out of bed and put my clothes on in under a minute while he stood there. I then said to him that He needs to get my paperwork signed off between then and when I got to the front desk because I didn't have insurance and wasn't going to pay for another day there.
Even worse is primary tells patient yes you’re going home. But then doesn’t put the d/c orders in for 3-4 hrs. Poor nursing team having to explain every 15 minutes that we have to wait till the orders to d/c are in before the patient can leave. :/
That’s because we have to finish rounding on all the patients, we call all the consults, take 15+ calls from the nurses/lab/pharmacy, put the orders in the computer then get stopped by PT/OT/nutrition, aaaaall while we are rounding. Only then we can sit and start doing the med Rec, the instructions, patient education, follow up appointments, write the discharge summary (going back to read on the notes from previous days so that we can write a detailed hospital course) and then submit the discharge order.
It is very tedious but the patients do not know that. Hence why I always tell the patient that they will be discharged around 4pm, so that the nurses can keep on doing what they have to do without interruptions from the patients asking for the time. I discharged them before 4pm, but I had already prepared them for the worst case scenario.
@@PedsDr AGREE!!!!! And the less interruptions we get the sooner we can finish the discharge
@@PedsDr Great idea!!!
Absolutely!
@@PedsDr Thank you for giving your patients realistic expectations~!
If u watch it for a loop, he never goes home.
Haha😂
Now that’s scary
"Now I just have to talk to the lung doctor, but he won't be back until Monday" 😂
I actually didn't want to leave the hospital the day I was supposed to and ended up staying until the next day because I couldn't move to the wheelchair. I have an external fixator and when PT told me I HAD to move to the wheelchair that day I went, "there are RODS in my BONES!". They left me alone after that.
I went through this a couple years ago. Somebody tried to kill me so everybody got involved.
Nobody got back to me the morning I was scheduled to be released. So I called my insurance company and asked them to not pay the bill after that day.
Man, everyone showed up suddenly and had a consolation with me in the room. I was cleared, given instructions and supplies (for a few days) and released.
Amazing how when money is involved how fast they move.
Who tried to KILL u man
@@JinaMukherjeeF a Crack addict who was allowed to stay by her mom-in-law.
I watched her kid, cooked, cleaned, did shopping and worked a full time job.
When I didn't give her my over time paycheck for drugs she poisoned me.
If you want the whole list it goes back to high school where I was the only new kid all 4 years. Hit with and thrown from cars doing excess of 35 mph. One of the neighbors kids tried throwing me into a sand pit. It gets worse, to the point I don't go without a shirt from the knife wounds from my now ex wife.
This is a method that may actually work. You would just have to be sure that all the specialties cleared you.
@@robertjones1791 I am now intrigued, confused, and relieved after hearing the story lol wow
@@thebusinesswoman23 so what intrigued you most? Thank you, many people are glad I survived. One isn't but she didn't matter.
I’ll bet the patient Mr. Jones relates to this video so much
I’m sure 😅
@@Doc_Schmidt I relate to this 100% I have had a ulcer perferate and heard this exact thing 😅 😂 but I ended up being in the hospital 7 more days because somehow I got meningitis the day after my surgery... 🤪 the universe ✨ needed me to stay in the hospital I guess...lol
In India, we have another set of patients. As an Intern right when you are about to discharge a case(phew!! finally!!), the patient will come up with a completely random symptom out of nowhere and your attending starts rolling their eyes at you, and now you have to call all the consultants from the other dept which the patient could have later seen as an outpatient....
Are you saying they WANT to stay in the hospital? Why???
Sooooo relatable. Some patients fear leaving hospital care or are of the perception that once in hospital every single detail symptom can be looked at and treated/cured in the same stay. Like a car inspection "I want everything" situation.
Plus the symptoms often are so random and unrelated but yet the attendants eye rolling indicates very clearly: "you really should have known this about your patient days if not weeks ago and dealt with it. Why do I have to put up with that now?"
@@limiv5272 it’s not that. It’s that they’re hypochondriacs or experiencing psychosomatic symptoms.
Also in india it takes ages to see a doc as an outpatient due to the volume of people waiting. Doctors per person are short in large population countires but when u get admitted for some reason its easy to get all the tests done quickly not running one department to another as an outpatient and can have multiple conditions treated in one place and same time. Which saves hazzle to some. My experience..
Hehehehe, Daily in my Duty
So true. Whenever a patient gets wind they are ready to discharge I always tell them to get comfortable because it'll take a couple hours to get everything arranged to actually discharge
You need a Thanos glove system. When the patient collects all the infinity stones then he is free to go home.
How many stones do I need to pass for that?
@@kaitan4160 One from each of your doctor/team. And there are not rules stopping you in your quest 😈.
Awesome idea.... needs a little brainstorming .
The final stone is when your nurse says you can go
@@jennakhivkapratt8751 So it starts with passing a Kidney stone then?
Doctor: “well, I’d recommend…”
Me: “I’m going home, now.”
🎶Memories🎶 it’s like this until the discharge orders are given and then you have all of 12 min to grab all your stuff, sort out your ride, get the picc line removed and take one last bm because the previous one got so many positive reviews.
I once told my nursing staff how much I appreciated them, how much I didn’t want to make work for them, and also that my insurance had already authorized my flight home and that I was going to discharge AMA if the weekend doctors didn’t get their act together. I’d been in hospital for a couple weeks for a triple bypass and I was sooo ready to go home. There was no way I was missing my flight. Happily, things moved rapidly once I explained I intended to discharge AMA.
On the weekend the doctor often sees 3x as many patients because they are working alone. Unstable patients are seen first, then discharges, then the rest. They were probably trying to care for unstable people and that is why they hadn’t gotten to you yet.
@@sheila5708 I have no doubt they were taking care of people. They’d already seen me, though, told me to make my airline reservations, and 10 hrs later hadn’t actually given orders for my discharge.
I know there are layers of paperwork and too many people to take care of in too little time. I just had reached my limit and needed to go home.
As someone with Ulcerative Colitis I didn’t laugh! The accuracy of this was painfully spot on. (besides the lung doctor part). The 9 hour wait was also being a little optimistic. Lol.
Same. I've been in the hospital plenty of times. I know how things go with my illness. One time a Dr tried keeping me longer than I needed to be there. I finally threatened to leave AMA. Nurse tried the old "insurance company won't cover it" line. I told her straight up that she was wrong and I had already spoken with my insurance provider about this visit. Had discharge orders within the hour.
@@jong3122
What was his motive for keeping you?
@kedabro1957 💰 🤑 💸
I had to go to the hospital in Hong Kong a few years ago, for a sudden onset of rt CVA pain, which I thought might be acute pyelo. Turned out to be a back spasm. A couple of drugs and I was fine. Went to the nurses station and told them I was okay and wanted to leave. Doc came right in and discharged me right away! And the cost was negligible! This would never happen in an American hospital!
Americans are also more self centered and litigious so unfortunately we have to add a thousand extra steps that take time.
Omg so true! My daughter has a kidney transplant so the nephrology team always wants to be consulted but then they’re like, “We’re fine from a kidney standpoint…” So it’s always a back and forth.
I have become overly obsessed with watching all of your videos!! I've learned sooo much and its beyond entertaining.. you've restored my faith in the tic tock/ youtube world to give some intelligent content from time to time.. Thanx Doc! You Rock 1✌🏻❤😊🐶
That’s so great to hear! Thanks for the support!
After having my son and then my gallbladder out, I didn't want to leave, the food was so good and the pain meds were bomb 😂😭
I know! I'm about to have baby number 6, I'm like can I stay 2 weeks?? I don't have to cook or clean and im allowed to sleep whenever I want!! Lol
The food was "so good"? You must have been in a Japanese hospital, then.
@@diane9247 no, just a UK hospital with good food that I liked. You probably wouldn't have or maybe would have liked the food. But not all hospitals are grim like your local hospital 🤷🏼♀️
Sooooo true.
In the meantime the hospital keeps $$$$$$… I do prepare my doctors a day in advance to avoid this crap.
I’m leaving the good way or the bad way…you can even record the conversations now a days.
Once you tell that to the Chief of Clinical Services it’s amazing the speed everything takes.
I love some of my docs, but I hate the game.
I spent waaaaaay to much time in the hospital in my youth and I found the phrase “20 more minutes until I’m AMA” really worked wonders in speeding things up. You really have no interest in catering to the whims of a bloated, poorly managed bureaucracy when the odds don’t favor you reaching 20.
This is why patient-centered coordinated care is important, although rarely implemented due to difficulty.
I personally saw the benefits when I spent 2 months in the hospital a couple years ago.
A typical day began with resident rounding in the AM followed by the whole treatment team rounding together to coordinate care and get patient feedback firsthand.
This included primary and specialty teams, pharmacy, nursing, social work, and OT, PT, RT, etc…if necessary.
Input was still given if any member was unavailable so there was never any limbo situation. For me, my electrolytes and blood counts were the enemy that kept me from discharge.
Worked as a CNA for 3 years. Trying to explain that primary team makes the decision to go home gets repetitive really fast lol. Also, first
BLUESHELL
Well, every minute we are sitting there we are calculating how many “doctors” we will individually have to pay not including the nice hospital we are at. There is a whole different time zone in the hospital which is why I almost want to be code blue before I end up there. It’s easier in the US to get primary care and leave the emergency for real emergencies not to mention way more economical.
Sorry. How is it easier to get primary care in the US?
@@caitlynguthrie5641 she seems well enough off that she's never had to wait 3 weeks to see a primary for an urgent health issue
@@TetsukoCrow that was kind of my question 🤣 Like what kind of insurance do you have? Insurance at all? Oh okay, cool
@@Benni711 thank you! (I still don’t see that interpretation but it totally makes sense the way you lay it out). I appreciate you passing on your comprehension, that helped A LOT. ❤️
"Everything looks great, you can go home just as soon as we get your paperwork!"
*Three hours later...*
😫😤
Soooo true, everyone including, surgery, social work etc... has to sign off before you can actually go home. Covers you, the specialties and the hospital 🏥
Dude seriously you're skits are on the nose to the point that it gives me axiety. Good job 👍
These are so true to life and they bring up frustrations that I've had with hospitals
This was me getting out of the hospital after my hysterectomy. I was only in overnight (only because it was my first surgery ever) and trying to go home the next day was like pulling teeth.
This channel is great because it perfectly demonstrates how healthcare systems can be; efficient, horribly inefficient, patient centred, non patient centred, humorous, devastating. Mainly without bias, opinion, or recommended solution, these smart sketches show what an average person in North America might deal with when faced with healthcare needs
Then by the time they have all talked to each other and decided you can go home, you have to wait an extra 4 hours for evening shift change!
So true 🤦♀️ its so embarrasing when we have to go through such a conversation with a patient (the problem is that we get annoyed that the patient doesnt get it)
That’s when you check yourself out. You’ve been told all the information you need to know about your situation, and you shouldn’t be punished because your medical team is taking a long time communicating with each other.
This is an excellent example of a paradox. This portrayal of the time and communication challenges of discharging a patient from a multidisciplinary care team is 100% true and accurate, while at the same time it is true and accurate that acute care patients don't realize any benefits of having a holistic multidisciplinary care team because providers don't communicate effectively or have enough time with the patient to treat holistically.
People would probably leave sooner if we weren’t so quick to sue health care professionals at the drop of a hat every time something went wrong. I don’t get to make the ultimate decision when someone leaves as a PT, but I have always thought as long as the person understands the risks of leaving before the MD’s recommendation and they have been deemed cognitively capable they should be allowed to make that decision. People should be allowed to make their own mistakes. I feel like a lot of people are held hostage in the hospital without someone explaining to them they can leave when they want, but insurance may not cover the cost of leaving AMA.
Insurance will definitely not cover an inpatient visit that ended with them leaving AMA.
I was thinking the exact same thing! I'm not American so I was amazed at the amount of documents I had to read and sign when I went to the ER for a possible bleeding ulcer. Also they did every single test they could, even got an CT scan after the blood and urine tests. I realized all of that what out of fear of getting sued. I would've probably gotten sent home right after the blood test in my country.
Yes insurance will cover the visit if you leave AMA. It’s a common misconception MD’s are still taught to this day. Insurance will cover medically necessary procedures/costs even if you leave AMA.
Seriously so accurate. My daughter was in hospital for her mental health but she had been biting the skin near her nail and it started to bleed. We asked the nurse for a band aid, 2 and half hours later she comes back with a bandage not a bandaid. My daughter and I started bursting out laughing.
I’m a doctor myself, and I will discharge myself against medical advice once I’m well. I ask/beg for the form and leave.
Thank you for your funny, yet VERY truthful videos! My family is dealing with this exact issue right now. Our hospitalist is like, "I'll defer to the surgeon, I'll defer to the nurses, I'll defer to PT..." uhm...ok I guess we won't ask you any further questions.
I literally did this as a consultant today LOL
Real talk! I swear to God it’s like being in prison when you’re well enough to go home they won’t sign you out! It’s freaking ridiculous! Last time I had a hospital stay I got fed up and just left because the damn doctors wouldn’t communicate. I didn’t give a crap anymore whether they officially signed me out.
Ahhh thats why it takes hours to get discharged
You’re great! The only social media doc who seems to know the frustrations of being inpatient!
If only consulted doctors would ACTUALLY tell patients they aren't the ones who will be discharging them.
Instead it usually goes like:
Doc: "so your cardiac cath went well. Your blockages are stented and we'll have you come to the office for an echo in 1 month."
Patient: Great! so can I go home?
Doc: Yep, you're good to go home.
Then I go in to give the patient his IV medication and he's fully dressed, cardiac monitor removed and proceeds to tell me his wife is waiting to pick him up because the "cardiologist said he's discharging him." 🙄
I was looking for this. Have had many patients over the years remove all their own equipment and IV’s and walk out because the doctor said I could leave. Had to call and give discharge instructions over the phone. Always fun.
We need a system where the meeting is held ahead of time and when the patient is ready for discharge, they can leave! People coming to pick them up aren't expecting to wait 9-10 hours. They are coming before work or after work and those delays can cost a person their job!
Not in UK, they'll send you home when your appendix & ovarian cyst have ruptured at the same time!
How tf did they miss an appendix rupture?!!!
It takes a special individual not to be petty to rude people u have power over. respect
from the series: "Things that doesn't happen in free universal healthcare countries. "
They seems to be happy to charge you for one more room day.
Yeah. If you're good to go, they'll almost chuck you out the window to make room for the next guy.
Exactly how to confuse the chain of authority so testimony gets muddled during a lawsuit.
My wife got trapped in a hospital for 6 days once because the doctor who was in charge of her care left for vacation before making any notes on her.
She was in for a quick cyst removal, and was up and ready to leave about 2 hours later but no one could find it her in touch with her doctor. All her signs were great, every doctor said she was good to go. About 10 minutes after she woke up they said they just needed her primary to write any instructions down for her on her discharge papers and she was set.
By 30 minutes after, i stopped by the desk and asked wtf. The nurse told me they were gonna page my doctor. About 5 minutes later i found out my doctor had left the building, so they were trying to call her now. An hour after that i was told they couldnt reach her and would try again.
We kept asking over and over and getting told different stories but every one boiled down to: the doctor left practically minutes after they finished without ever coming in to check on us or write up discharge, and we couldnt leave until they did.
Day 2 in hospital: just waiting on primary
Day 3: just waiting
Day 4: just waiting
Etc.
Day 6 we get the green light to go, doctor finally called back. Our bill was over $84000 for the additional days which was not covered by insurance because the surgery we were in for should never have that many days and they coded it wrong with no explanation so the insurance red flagged it. We flipped out and ended up demanding an itemized bill and a written explanation to present the insurance in regards to their blatant incompetence/ negligence. Itemized bill shows up, no explanation, insurance doesnt care.
Hospital at this point is demanding we discuss payment and wont even back down knowing it was their fault.
84k or a lawyer on retainer for 4k? We call up a lawyer, and hes practically got cartoon dollar signs for eyes when he hears whats going on. Licking his lips like the blood sucking vampire that just walked into an unguarded blood bank. He sends some friendly letters in every direction, from notifying the DPHE, to the hospital, every single consultant and 3rd party involved, even the primary directly.
Hospital wants to back down but at this point our lawyer tells us its best to move towards court. At this point we both lost time at work and suffered, to which his first words were "going rate is to times that number by 3". 1 by 1, every bill involved is either covered by insurance or the hospital just completely erased. Its been about 4 months and all the bills are resolved but now the lawyer is basically after a negligence lawsuit.
Thats when DPHE gets involved, asking me about the care i received in detail. They wanted a detailed account of every single interaction with everyone from the janitor to the security guard. The lawyer basically says at this point they have no leg to stand on and we are going to court.
A week before court they are calling every few hours to offer a new settlement. Our lawyer looks at the settlement, which was a little over 75k, and tells us we can try to go to court but if we do its going to be tied up for months if not a couple years. We have a guaranteed win but by the time we secure it our time lost and inflation, it may not be worth much more. In addition, if the court awards less then 75k we may not get anything at all (though this was unlikely). We settled for the 75k. Lawyer totalled close to 15k.
DPHE finally finished its investigation and it resulted in almost nothing.
My grandma is in the hospital and these shorts really help my mood 😊
There's this magical thing called chart notes, which avoids the need for everyone to make time to talk to each other. Truly genius idea, should be done in real life among friends and family too
(not really that would be sad)
they either delay discharging you for hours or cant get rid of you fast enough (i had a nurse say “well you CAN go home if you want” and then proceed to try and verbally force me to leave in the most discreet way possible)
Not dealing with discharges is one of my absolute FAVORITE parts of being in ICU now.
I once went almost the entire day without eating because of this. I would ask for something to eat and the many nurses/doctors that came into my room said they would ask someone to bring me food, never did. When the first doctor came in to check if I was good to go, then saw my blood sugar was low as hell and I had to be kept for 2 more hours until it went back up
This is actually giving me second-hand frustration out the wazoo, we've been held up literal days over discharge papers before.
As someone who’s been in the hospital for several weeks at a time this past year on numerous occasions, this feels very accurate.
I love how you show how it sucks for both the patient and the doctors. Everybody has a wacky time.
Ughhh so true. My daily struggle in the hospital as a nurse.
Truer words couldn't be spoken. Delt with this over several surgeries my Mom had!
Can I go home?
Doctor: nope you're stuck here forever
As someone who has had a heart transplant…this is giving me PTSD! When I finally was able to go home it took me two days to do it! I was dressed and ready to go out the door until they had to find some random person to ask who wasn’t back until the next day. after four weeks in the hospital and only a few days until Christmas I was a very unhappy camper at that point!
Lol this is so true! Earlier this year I was hospitalized for a skin infection and I swear they were looking for ways to keep me in the hospital. And the guy across the hall from me was having a nuclear meltdown because he wanted to go home!
Holey moley, YES!
My last outpatient surgery was actually the quickest I've ever left the hospital!
I came out of surgery, woke up, laid in bed, until I was "aware" again, got up and dressed, Mom ran and got the car, a nurse wheeled me out, and I went home. We were gone in 2 hours!
I've waited 6 hours before!
This man is so spot on with EVERYTHING 😂😂😂🤦🏽♀️
THIS IS BEYOND ACCURATE
With Sickle Cell I dealt wit being in & out of the 'Pit all my life. Smh
Again, this is so accurate. Lol
Ha ha ha! .. I feel this one!… once I started being aware of how many times they woke me up at night after surgery, I was on a MISSION to get discharged 🤣 even bickered with baby resident dr on team about “breathing in the tube thing”.. they had me do it wrong the first time 🤪.. when he came back I did double the “requirement” and he skulked away 🤣🤣
I went home the next day 😜 lol.. 5 days was plenty!!
I was ready to walk out when I was in for a kidney stone/kidney infection. I had never been so bored and annoyed in my life. They literally weren’t doing anything for me and kept pushing back my discharge time for no reason and I was surrounded by elderly patients who kept peeing on the floor and trying to run away and I was like great you cause the distraction and I’ll run the other way
I've been in the hospital so many times.
And, this is all true. It happens every single time.
As a patient at UWMC in Washington, I don't sweat getting out early. I have Factor V Leiden.
While going to do a right heart Caf on a patient, me... that's on Apixaban.
For two years after my heart transplant, you would figure they will know, it takes four days to be in the right level. But every night. I BECOME NPO. IN-PATIENT HAVE the FIRST PART OF THAT DAY SCHEDULE FOR Cafe lab.
Every night after being on Heparin as a bridge. I AM NPO. Every morning, the discharge nurse has my walking paper ready.
But the blood work numbers aren't at the right level.
The fourth day...finally, discharge nurse is no where to be found. I am having a shower, ordering dinner for one last time.
Even though I had the surgery early in the afternoon.
And friends, that's why we write in the notes "cleared from GI" "Cleared from respiratory"
reminds me of working as an intern trying to finish doing all the final consults before the discharge so I can add the info and advice, just so both me and the patient can leave the hospital by four in the evening
Last time I went to surgery, both of the doctors spoke about my state together beforehand, and I was released to go home only a couple of hours later!
Quick and easy.
As a patient in a hospital, I %100 agree with this skit.
When my wife was recently being discharged the doc came in at 4pm and told us we were good to go, just needed a prescription written. 5 hours later we finally go the prescription. We actually had to change pharmacies because our typical pharmacy was going to close and I needed to grab the meds before the morning dose.
Was in the hospital for 3 hours after not catching a flyball caught 16 stitches on the ball near my eye got 4 real stitches was under a CAT machine etc. Shits crazy man. Can't believe that man. Was so cool had a unbelievable shiner probably had it for a month
This is pretty accurate/relatable from the patient perspective 🤣😭
In my hospital, the consultant groups always tell the patient "you're good to go home today" and I always have to explain that all of the consulting groups and the Primary team all have to clear the patient before the patient can go home and it's the Primary team that will enter the discharge order, which hasn't happened yet. The patients never understand and then I'm doing that all day with them and their family who came to pick them up.
🤣🤣🤣🤣🤣 Every freaking time!!!! Now do a sequel of the discharge nurse getting you packed up (like you’ve been the one taking all day) and the transport practically dumping you out of the wheel chair into your car.
When he said "do you think I'm lying, I busted a gut🤣🤣🤣
"Hi I'm Doctor Reid"
Me: is that a criminal minds refferrence
Scrubs 😋
@@Doc_Schmidt Dr. Elliot Reid! I knew it lol
So true...
This is everyday dialogue for us specialist team. Poor patients
Lol! I had my 3rd child at 11:30 pm; easy peasy delivery. I felt great and had showered, dressed, breastfed multiple times by the time my doc got to me early the next morning. I begged him to send me home that day since I’d technically been there ‘overnight’. But no…
I hate being in the hospital.
This happens even outside the hospital. Eight or nine years ago, my mother with Parkinson's had a GP, several sub doctors for the GP, a couple of ER doctors, a neurologist, a pain clinic doctor, a sleep doctor, an OBGYN, a urologist, and even a dermatologist...who were all working at cross purposes and didn't understand what any other the others were doing or why. One prescribes something for a side effect of some other drug, which causes 3 more side effects, and the next one prescribes more for those side effects, until she was not functioning and addicted to a couple of things. The lorazepam took me two years to wean her off using the "water method" of mixing it with water and reducing it 1% every week or so. It was a complete nightmare and I have no idea how old people who have no caregiver or advocate can navigate a complex disease like Parkinson's. (Ok, I exaggerated. The dermatologist just said she was fine and to go home--her skin splotches were a side effect of one of her Parkinson's meds. All the others were working at cross purposes, though, and I had to do my own research to figure out what the hell was going on. Her neurologist helped the most in unraveling all the problems piled on by others.)
I had to stay overnight after giving birth (everything was fine, we just triggered the threshold for monitoring). The worst part wasn't trying to get someone to say I could leave. It was the space between "yep, you're good to go" and actually getting to go, because you're sitting there thinking "was that it? Do I just walk out?"
😂😂😂 the way the I hollered, there’s gotta be a better way.
From a nurses perspective this is one of the biggest pain points in healthcare. I laugh at many videos doc Schmitt but I must say...this one just makes me shake my head. This is so many days in the life... 🤦♂️
Pulm here. This cannot be more true! I really try my hardest to call primary as soon as I leave the pt’s room so that I’m not the reason they are here for longer 😂
"I mean you could always sign this form so you can leave now against our advice..."
Ohhhhh this is hitting the nail on the head trying to get the heck out of a hospital stay or outpatient surgery. I've had to wait 12-16 hour's before my Dr finally let me leave! One surgery I had to wait for a surgical intern to figure out where he put my prescription for pain meds and guess where it was! My actual surgeons pocket! Ay Yi Yi!
What's great is when you have like 4 teams of specialists plus your primary care team, and then you get a bill for every single individual who worked on you. Like damn, I didn't even get a choice to hire 14 of y'all!
And five of them just poked their heads in and said, "Hi, I'm ______ from ________ just checking up on you!" And ten more you never saw at all. Someone passed my file to someone else, gotta pay em!
This is the equivalent of asking your mom for something, but she can’t decide so she tells you to ask your dad, vice versa
When they find out you don't have insurance this process moves WAY faster! My husband fell 45ft, broke damn near every bone, ripped his left hip off, broke 5 vertebrae in his back, 12 broke ribs, internal bleeding, etc. Doctors said he would likely be there for at the least a month, found out we had no insurance and he was at home in 5 days. Was turned down to see the orthopedic doc for follow up unless he could pay out of pocket 600$ for one visit. Mind you all Doctors bills were taken care of by workman's comp. Thanks SC health care, or should I say health care in general....
Gosh, when I had my ovarian cancer surgery (TAH-BSO), they didn't even admit me because, thankfully, I was stable and didn't need admission. It is always better to recover at home when possible, even after a pretty major procedure.
This is exactly how it feels. After 5 weeks in the hospital, I was sooo ready to go home. It went in circles like this for almost 3 days while I was jumping out of my skin, itching to leave, but each day, I had to go back to bed and sleep another night and go through the routine of yet another day of doing nothing but wait. Being handed discharge papers is the happiest moment in a hospital patient's time there. haha
A funny little thing.. My hubby came into the Mayo emergency with a stroke. He did great, they did great, but wanted to keep him another day purely for a doctor appointment the following day. For a stroke test 0- 20 I think, anyway gages hardly an issue to you probably are paralyzed, he had a 1. So when he said he was going to leave, they said no. When he was visited by the hospital administrator, they said we really advise you to stay or else your insurance might not pay if you discharge early. Hubby said, oh ok, I'm self pay, so I'm good to go then? They stopped convincing him to stay so fast, they didn't even bother to give him his RX that he was told he needed. They didn't even do the traditional discharge because self pay is not beholden to their rules, nor are there any extra charges, and in fact an automatic discount- - not much, but there is one. He had his regular doctor contact Mayo for all the Rx, but wow, how fast they were at NOT caring as soon as you say cash only. Insurance is their payout /payday/lottery/kickback/scheme.
Was in an i pateint facitlity. My doctor told me i was good to go home. I went to my nurse for discharge and they said i couldnt leave. The next day my docter asked why i was still there and said the nurses wouldnt let me leave.
Sometimes they just want your money(filling an empty bed). Went to a different facility for my outpatient program.
I do wish you guys could get more help in these hospitals.....after spending two different nights in the er man it did suck being told 20 mins before the med kicks in and we'll check on you and that turned into 40....I'm grateful but man
In the UK it seems a lot more straightforward.... the worst part about getting discharged is waiting for the pharmacy to send up your medication to the ward, that takes at least five hours.
In the U.S. you don’t get your meds from the hospital. You have to make an extra trip to a pharmacy for your prescriptions, which is inconvenient when you want to be home.
as a frequent flyer at our hospital, 2-5 times a year usually in for at least a week (ya I'm friendly with drs and RNs. we know each others kids on sight, about husbands and when babies are due..even knew before one nurse was going to propose to his g/f. the girls in dietary know my name and remember what i want in my coffee, even if i forget to order it). its like this. everytime... i will talk to the specialist at like 7am..the primaries arpn at 9 am.. the pt, ot, and social services staff between 10 and noon.. pulmonary arpn about 1..pain management at 1:30.. infectious disease about 3.. then back with primary team.. in between with floor nurses.. all saying they have no issues but they need to consult (enter any other team here) first... dietary and pharmacy will sneak in between all of them.. at 5:45 i will ask the nurse if i should order dinner, they will tell me still no orders yet it might be tomorrow ..right after i order dinner at 6 pm
they will come to tell me they have the orders and i can call my husband....
This is so traumatic after spending 11 days in the hospital wanting nothing more than to come home to my cat. Thanks for retraumatizing me! 😆