Permission Denied

Friend of IP4PI Gene Uzawa Dorio, M.D. writes in:

I received a phone call from a hospital case manager that my patient did not meet criteria for further admission and should be discharged. Unfortunately, the patient was just removed from a breathing machine, and was still in the ICU for sepsis.

There are several criteria used by hospitals guiding whether a patient should be admitted or discharged. Who establishes these criteria? Hospitals of course, with evidence-based bias to divert money into their pockets.

This conspiracy by business people has been detrimental to the quality of healthcare the American people receive when hospitalization is required.

With almost 40 years of practice and experience, I remain up to date on how to provide scientific evidence-based care to patients. Unfortunately, I now have to ask permission for a patient to be admitted, have certain testing and procedures, and remain in the hospital setting.

Asking for permission from those in authority who ultimately benefit from denial is not only intuitively wrong, but crosses the boundary of moral and ethical sense.

It also violates the Hippocratic Oath I have taken, and reminds me they have only taken an oath to benefit themselves.

Comments: http://scvphysicianreport.com/2018/07/01/doctors-diary-july-1-2018-permission-denied/ Hit “Home” for past snippets.

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The Insidious Takeover of Medical Decision-Making

Guest Post from Gene Uzawa Dorio, M.D.:

Behind national statistics is a lingering fact healthcare in our country will deteriorate. This will come over the next decade and slowly be recognized by the public as a threat to hospitalized patients.

Please read the following commentary to protect yourself and loved ones from the insidious takeover of medical decision-making when greed and business devalues those who are vulnerable in our society.

Gene

Declining Life Expectancy

Many nations proudly tout “Life Expectancy” as a reflection of healthcare. In our country, this statistic has continually edged upward due to expanding technology, doctors/patient education, and vibrant emphasis on healthy lifestyles. A shift is occurring though as this number is destined to decline with hospital administrators, not physicians, making medical decisions impacting those who are the most vulnerable: Elder seniors in the ICU. Continue reading